title: Creating a Culture of Safety Through Integration of an Early Warning System.
abstract: This quality improvement project utilized the Tanner model to identify strategies to enhance the clinical judgment among staff nurses through the development and adoption of an early warning system for patient deterioration outside the ICU. Outcomes included improved communication, decreased variability in the assessment and interpretation of patient status, and a significant decrease in codes.
authors.affiliation: Author Affiliations: Associate Chief Nursing Officer (Ms Hanley), Clinical Educator (Ms Abele), System Director (Mr Alley), and Vice President for Education (Dr Bittner), Hallmark Health System, Medford; and Chief Nursing Officer (Dr Gaden) and Director of Critical Care (Ms Smith), Boston Medical Center, Massachusetts.
authors.forename: Diane
authors.initials: D
authors.lastname: Hanley
authors.forename: Debra
authors.initials: D
authors.lastname: Abele
authors.forename: Anthony J
authors.initials: AJ
authors.lastname: Alley
authors.forename: Kellie
authors.initials: K
authors.lastname: Smith
authors.forename: Nancy W
authors.initials: NW
authors.lastname: Gaden
authors.forename: Nancy
authors.initials: N
authors.lastname: Phoenix Bittner
mesh_terms: D016638:Critical Illness / Q000451:nursing*; D057209:Hospital Rapid Response Team; D006757:Hospital Units; D006801:Humans; D007362:Intensive Care Units; D008404:Massachusetts; D009730:Nursing Assessment; D009936:Organizational Innovation; D017751:Safety Management; D055986:Vital Signs; D017132:Workplace