title: Team improvement and patient safety conferences: culture change and slowing the revolving door between skilled nursing facility and the hospital.
abstract: To improve the safety culture of a skilled nursing facility, we conducted multidisciplinary "Team Improvement for Patient and Safety" (TIPS) case conferences biweekly to identify causes of transfers to acute care hospitals and improvement opportunities. Staff perceptions of organizational patient safety culture were assessed with the Nursing Home Survey on Patient Safety Culture. Over the course of the year, we held 22 TIPS conferences. Mean item scores increased during the study, indicating improved staff perceptions of patient safety culture (P < .005).
authors.affiliation: Hebrew SeniorLife, Roslindale, Massachusetts, USA.
authors.forename: Randi E
authors.initials: RE
authors.lastname: Berkowitz
authors.forename: Robert
authors.initials: R
authors.lastname: Schreiber
authors.forename: Michael K
authors.initials: MK
authors.lastname: Paasche-Orlow
mesh_terms: D001291:Attitude of Health Personnel; D003226:Congresses as Topic; D006761:Hospitals; D006801:Humans; D015403:Nursing Evaluation Research; D009740:Nursing Staff / Q000523:psychology; D015279:Organizational Culture; D010348:Patient Care Team / Q000458:organization & administration*; D061214:Patient Safety; D010360:Patient Transfer / Q000706:statistics & numerical data*; D011785:Quality Assurance, Health Care; D017751:Safety Management / Q000458:organization & administration*; D012866:Skilled Nursing Facilities / Q000458:organization & administration*