Study Assesses Impact of Engaged Frontline Staff on Patient Outcomes

Fifteen healthcare organizations, including Loma Linda University Medical Center, have been selected to participate in a national study intended to enhance patient safety and quality of care in health systems across the nation.

The Small Troubles, Adaptive Responses (STAR-2): Frontline Nurse Engagement in Quality Improvement study aims to:

1. Describe the type and frequency of first-order operational failures detected by frontline nurses on their clinical units.


2. Examine the association between first-order operational failures that are self-detected by nurses and those that are detected by non-participant-observers.  

3. Explore the relations among frontline engagement (detection of operational defects and team vitality), work environment (culture of patient safety and excellence in work environment) and quality improvement outcomes (quality improvement activities, quality of care and job satisfaction).

The Loma Linda University Medical Center team will investigate operational problems that frontline nurses encounter on a daily basis, such as missing supplies, nonfunctioning equipment and failed communication. The study will continue through April.

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