Despite recent improvements, healthcare systems are still a long way from consistently delivering high quality care to hospitalized patients. In this study, the research team is assisting hospitals in implementing a set of complementary, mutually reinforcing interventions to redesign care for hospitalized medical patients. The investigators anticipate the interventions will improve teamwork and patient outcomes and that identifiable factors and strategies will be associated with successful implementation.
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Teamwork climate using the Safety Attitudes Questionnaire (SAQ)
Timeframe: Administered annually in years 1 through 4
Adverse events
Timeframe: Medical record review of patients hospitalized in years 1 through 3.