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Using Crew Resource Management and a Read-and-Do Checklist to Reduce Failure-to-Rescue Events on a Step-Down Unit

Young-Xu, Yinong ScD, MS, MA; Fore, Amanda M. MS, RN; Metcalf, Angelina RN; Payne, Kattie PhD, MSN, RN; Neily, Julia MS, MPH, RN; Sculli, Gary L. MSN, RN, ATP

AJN, American Journal of Nursing: September 2013 - Volume 113 - Issue 9 - p 51–57
doi: 10.1097/01.NAJ.0000434178.06223.45
Cultivating Quality

A Veteran's Health Administration quality improvement project yields positive results.

A quality improvement initiative seeks to improve nurses' recognition of early warning signs of a life-threatening event.

Yinong Young-Xu is senior statistician at the Veterans Health Administration (VHA) National Center for Patient Safety based in White River Junction, VT, where Julia Neily is associate director of the National Center for Patient Safety field office. Gary L. Sculli is director of clinical training programs at the VHA National Center for Patient Safety in Ann Arbor, MI, where Amanda M. Fore is a program analyst. Angelina Metcalf is head nurse and Kattie Payne is nursing research/evidence-based practice coordinator, both at the Boise Veterans Affairs Medical Center in Boise, ID. Contact author: Yinong Young-Xu, yinong.young-xu@va.gov. The authors have disclosed no potential conflicts of interest, financial or otherwise.

This material is the result of work supported with resources and the use of facilities at the VHA National Center for Patient Safety, Ann Arbor, MI, and the field office in White River Junction, VT, and the VA Medical Center, Boise, ID. The design and conduct of the project; collection, management, analysis, and interpretation of the data; and preparation, review, or approval of the manuscript were done as part of the work of VHA employees and there was no other sponsor or funding agency. The opinions expressed are those of the authors and do not necessarily reflect those of the Department of Veterans Affairs or the United States government.

© 2013 Lippincott Williams & Wilkins. All rights reserved.