Novel team-based approach to quality improvement effectively engages staff and reduces adverse events in healthcare settings.

Background: Despite significant attention to safety and quality in healthcare over two decades, patient harm in hospitals remains a challenge. There is now growing emphasis on continuous quality improvement, with approaches that engage front-line staff. Our objective was to determine whether a novel approach to reviewing routine clinical practice through structured conversations-could improve engagement of front-line staff in quality improvement activities and drive improvements in indicators of patient harm.