Closing the Loop with Ambulatory Staff on Safety Reports

Williams, Sarah; Fiumara, Karen; Kachalia, Allen; Desai, Sonali

doi:10.1016/j.jcjq.2019.09.009

Cited by 2 publications

(1 citation statement)

References 9 publications

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“…Closed-loop communication is critical for keeping staff continually engaged in efforts to promote a culture of safety. 20 We have found that a tracking tool helps to ensure that closed-loop communication takes place.…”

Section: Trackingmentioning

confidence: 99%

Leader Rounding for High Reliability and Improved Patient Safety

Murray

2024

Federal Practitioner

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Background: Critical to providing safe, effective patient care is ensuring that communication is open and transparent among all members of the health care team. However, current evidence shows that poor communication is commonplace, contributing to medical errors and poor patient outcomes. Implementing leader rounding may improve communication and reliability. The purpose of this initiative was to create an evidence-based process for the implementation of leader rounding for high reliability at the Veterans Affairs Bedford Healthcare System in Massachusetts. Observations: We conducted a review of medical literature from 2015 to 2022 that found little research specifically related to leader rounding for high reliability. We created a formal and interactive process to improve patient safety by increasing communication among senior leadership, interdisciplinary teams, and frontline staff. Conclusions: Open, transparent, and bidirectional communication among all staff is critical to improving patient safety and promoting a culture of safety in health care. This initiative may be of value to other health care organizations that are working to improve patient safety. Future efforts will focus on developing a robust evaluation program to explore the impact of leader rounding for high reliability on safety outcomes.

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Section: Trackingmentioning

confidence: 99%

Leader Rounding for High Reliability and Improved Patient Safety

Murray

2024

Federal Practitioner

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What is the effectiveness of reporting systems in promoting learning in healthcare?

Sehgal

2024

Br J Hosp Med

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Patient safety in healthcare remains a top priority. Learning from safety events is vital to move towards safer systems. As a result, reporting systems are recognised as the cornerstone of safety, especially in high-risk industries. However, in healthcare, the benefits of reporting systems in promoting learning remain contentious. Though the strengths of these systems, such as promoting a safety culture and providing information from near misses are noted, there are problems that mean learning is missed. Understanding the factors that both enable and act as barriers to learning from reporting is also important to consider. This review, considers the effectiveness of reporting systems in contributing to learning in healthcare.

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Closing the Loop with Ambulatory Staff on Safety Reports

Cited by 2 publications

References 9 publications

Leader Rounding for High Reliability and Improved Patient Safety

Leader Rounding for High Reliability and Improved Patient Safety

What is the effectiveness of reporting systems in promoting learning in healthcare?

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