Context There is insufficient information about the effectiveness of medical team training on
surgical outcomes. The Veterans Health Administration (VHA) implemented a formalized …

Background: There is currently an incomplete understanding of adverse events related to
electroconvulsive therapy (ECT) treatments. Much of the published literature is based either …

Article-at-a-Glance Background Communication failure, a leading source of adverse events
in health care, was involved in approximately 75% of more than 7,000 root cause analysis …

The quality of teamwork among health care professionals is known to affect patient
outcomes. In the OR, surgeons report more favorable perceptions of communication during …

Objective To determine whether there is an association between the Veterans Health
Administration Medical Team Training (MTT) program and surgical morbidity. Design …

Article-at-a-Glance Background A pre–post observational design was used to study the
aggregate results of five national Breakthrough Series (BTS) collaboratives run within …

Objective To describe incorrect surgical procedures reported from Veterans Health
Administration (VHA) Medical Centers from 2001 to mid-2006 and provide proposed …

Methods This narrative review searched PubMed and Embase. There were no search limits
(language, study types) used. The search strategy initiated with several concise analytical …

Delays in diagnosis and treatment are widely considered to be threats to outpatient safety.
However, few studies have identified and described what factors contribute to delays that …

Since 2004, there has been increased effort to reduce military sexual trauma (MST) in the
US military. Although MST covers a range of inappropriate behaviors, the majority of …