Narrow Results Clear All
- Communication between Providers 22
- Culture of Safety 15
- Education and Training 16
- Error Reporting and Analysis 8
- Human Factors Engineering 12
- Legal and Policy Approaches 3
- Logistical Approaches 1
- Quality Improvement Strategies 16
- Specialization of Care 4
- Clinical Information Systems 4
- Device-related Complications 1
- Diagnostic Errors 1
- Discontinuities, Gaps, and Hand-Off Problems 6
- Identification Errors 6
- Medical Complications 4
- Medication Safety 6
- Nonsurgical Procedural Complications 3
- Psychological and Social Complications 8
- Surgical Complications 12
- Health Care Executives and Administrators 37
Health Care Providers
- Nurses 6
- Non-Health Care Professionals 18
- Patients 14
Search results for "Teamwork"
- Newspaper/Magazine Article
Hilton K, Anderson A. Harv Bus Rev. May 20, 2019.
This commentary describes how one health system worked to combat resistance to change associated with implementation of a checklist initiative. The success of the program was built on empowering team members to drive the process, clinician motivation to provide safe care, and engaging leadership. A PSNet interview with Lucian Leape discussed surgical safety checklists.
Cheney C. HealthLeaders Media. April 17, 2019.
This news article describes how a 19-hospital health system successfully applied high reliability principles to emphasize a zero-tolerance focus on patient harm. The coordinated effort across the system achieved a drop in readmissions and physician burnout. Tactics used to improve reliability include huddles, purposeful redundancy, and leadership engagement.
van der Heijde R, Deichmann D. Harv Bus Rev. October 30, 2018.
Aviation continues to provide inspiration for patient safety innovation. This commentary describes a 10-minute team huddle exercise which involves team members rating their own mood status and the leader asking if there are any contextual concerns. In addition, two team members select "knowledge cards" that either test the person's knowledge or assign the person to proactively watch for improvement opportunities during the shift. The results encouraged sharing, situational awareness, and team building.
MacLean L, Coombs C, Breda K. Nurs Manage. 2016;47:30-34.
Terry K. Hosp Health Netw. July 2011;85:38-40, 42.
This article discusses strategies that health care leaders use to drive hospital-based patient safety efforts.
Butterfield S, Stegel C, Glock S, Tartaglia D. Patient Saf Qual Healthc. May/June 2011;8:29-33.
Pelczarski KM, Braun PA, Young E. Patient Saf Qual Healthc. Sept/Oct 2010;7:20-22,25-26.
This article describes a wrong-site surgery prevention program and how it was successfully implemented in 30 hospitals.
Federico F, Bonacum D. Healthc Exec. January/February 2010;25:68-70.
This piece outlines steps such as training and senior leader support that can help enhance the role of middle managers in patient safety and quality improvement.
PA-PSRS Patient Saf Advis. March 2009;6:16-19.
This article discusses strategies to ensure safe transitions for patients between hospital departments. These strategies include transport team development, use of standardized communication tools, and educational programming for unlicensed health care personnel.
ISMP Medication Safety Alert! Acute Care Edition. November 20, 2008:13:1-3.
This article provides suggestions to help individuals counteract the tendency for group inertia. The aim is to better report problems and change situations that threaten patient safety.
Turner SH, Kurtz WD. Patient Saf Qual Healthc. November/December 2008:5:42-44,46.
This article provides guidelines for effective clinical debriefings and suggests how to position these conversations as learning opportunities.
Neil R. Mat Manage Health Care. March 2006;15:30-33.
This article discusses initiatives for better communication and teamwork in the operating room in order to improve patient outcomes.
ISMP Medication Safety Alert! Acute Care Edition. November 17, 2005;10:1-3.
This article discusses how community pharmacies are contributing to patient safety and suggests that mail service and community pharmacies work together to provide the safest care possible.
Nance JJ. ABC News. November 16, 2005.
This article reports on the lessons that medicine is learning from the aviation industry, particularly related to teamwork and communication.
Larson L. Trustee. September 2005;58:6-10.
This article recaps the origins of the medical emergency team (MET) concept, highlights current applications, and provides practical advice for implementation.
ISMP Medication Safety Alert! Acute Care Edition. July 28, 2005;10:1-3.
R3 Report. August 21, 2019;24:1-6.
Maternal safety in the United States is gaining momentum as a system-level patient safety concern. This report reviews the new Joint Commission Provision of Care, Treatment, and Services (PC) standards developed to improve the reliability of maternal care. Actions for improvement include patient risk assessment for conditions at admission and role-specific education for staff and providers who treat maternal patients regarding hemorrhage processes and procedures.
Landro L. Wall Street Journal. February 16, 2015.
The high cost of low morale in the clinical laboratory: how workplace environment impacts patient safety.
Barker T, Noguez J. Clinical Laboratory News. January 1, 2015.