Peter Pronovost

Q: What Schools Are Affiliated With Peter Pronovost

Peter Pronovost is affiliated with the following schools: Fairfield University, Case Western Reserve University, Johns Hopkins University

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Why Is Peter Pronovost Influential?

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According to Wikipedia, Peter J. Pronovost is Chief Quality and Transformation Officer at University Hospitals Cleveland Medical Center, the main affiliate of the Case Western Reserve University School of Medicine. At UH, Pronovost is responsible for improving value across the health system, helping people stay well, get well and manage their most acute medical conditions. He is the clinical lead for population health and the lead for high-reliability medicine, with direct responsibility for the UH employee accountable care organization. He is also responsible for telehealth and virtual health programs serving patient and provider communities.

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Peter Pronovost's Published Works

Number of citations in a given year to any of this author's works

Total number of citations to an author for the works they published in a given year. This highlights publication of the most important work(s) by the author

Published Works

An intervention to decrease catheter-related bloodstream infections in the ICU. (2006) (3867)
Frailty as a predictor of surgical outcomes in older patients. (2010) (1676)
Physician staffing patterns and clinical outcomes in critically ill patients: a systematic review. (2002) (1439)
Eliminating catheter-related bloodstream infections in the intensive care unit* (2004) (927)
Organizational characteristics of intensive care units related to outcomes of abdominal aortic surgery. (1999) (701)
Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. (2006) (676)
Improving communication in the ICU using daily goals. (2003) (663)
Using a bundle approach to improve ventilator care processes and reduce ventilator-associated pneumonia. (2005) (634)
Prescription Opioid Analgesics Commonly Unused After Surgery: A Systematic Review (2017) (606)
The checklist--a tool for error management and performance improvement. (2006) (583)
Explaining Michigan: developing an ex post theory of a quality improvement program. (2011) (564)
Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study (2010) (526)
Quality of life in adult survivors of critical illness: A systematic review of the literature (2005) (509)
Long-term mortality and quality of life in sepsis: A systematic review* (2010) (507)
Translating evidence into practice: a model for large scale knowledge translation (2008) (483)
Neuromuscular dysfunction acquired in critical illness: a systematic review (2007) (462)
Physical Complications in Acute Lung Injury Survivors: A Two-Year Longitudinal Prospective Study (2014) (460)
Making health care safer II: an updated critical analysis of the evidence for patient safety practices. (2013) (456)
An ethics framework for a learning health care system: a departure from traditional research ethics and clinical ethics. (2013) (456)
A targeted real-time early warning score (TREWScore) for septic shock (2015) (456)
Teamwork in Healthcare: Key Discoveries Enabling Safer, High-Quality Care (2018) (439)
Creating high reliability in health care organizations. (2006) (414)
Reality check for checklists (2009) (406)
Diagnostic errors--the next frontier for patient safety. (2009) (405)
Incidents relating to the intra-hospital transfer of critically ill patients (2004) (402)
The SQUIRE (Standards for QUality Improvement Reporting Excellence) guidelines for quality improvement reporting: explanation and elaboration (2008) (389)
Intensive care unit telemedicine: Alternate paradigm for providing continuous intensivist care (2000) (377)
Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center (2003) (376)
Medication reconciliation: a practical tool to reduce the risk of medication errors. (2003) (373)
Intensive care unit quality improvement: A “how-to” guide for the interdisciplinary team* (2006) (363)
The advantages and disadvantages of process-based measures of health care quality. (2001) (361)
A systematic review of the Charlson comorbidity index using Canadian administrative databases: a perspective on risk adjustment in critical care research. (2005) (355)
Assessing safety culture: guidelines and recommendations (2005) (350)
Effectiveness and efficiency of root cause analysis in medicine. (2008) (333)
Doing Well by Doing Good (2014) (323)
Improving patient safety in intensive care units in Michigan. (2008) (321)
Lung protective mechanical ventilation and two year survival in patients with acute lung injury: prospective cohort study (2012) (310)
Implementing and Validating a Comprehensive Unit-Based Safety Program (2005) (307)
Quality of life after acute respiratory distress syndrome: a meta-analysis (2006) (301)
Variability in Anticoagulation Management of Patients on Extracorporeal Membrane Oxygenation: An International Survey* (2013) (297)
The Top Patient Safety Strategies That Can Be Encouraged for Adoption Now (2013) (292)
Teamwork in the Operating Room: Frontline Perspectives among Hospitals and Operating Room Personnel (2006) (292)
Systematic Review and Analysis of Postdischarge Symptoms after Outpatient Surgery (2002) (289)
ICU nurse-to-patient ratio is associated with complications and resource use after esophagectomy (2000) (288)
Clinical review: Checklists - translating evidence into practice (2009) (287)
Using hospital mortality rates to judge hospital performance: a bad idea that just won’t go away (2010) (282)
The impact of obesity on outcomes after critical illness: a meta-analysis (2009) (280)
Simulation of In-Hospital Pediatric Medical Emergencies and Cardiopulmonary Arrests: Highlighting the Importance of the First 5 Minutes (2008) (274)
Rapid response systems: A systematic review* (2007) (263)
Cardiac Troponin I Predicts Short-Term Mortality in Vascular Surgery Patients (2002) (263)
25-Year summary of US malpractice claims for diagnostic errors 1986–2010: an analysis from the National Practitioner Data Bank (2013) (262)
Patient safety incident reporting: a qualitative study of thoughts and perceptions of experts 15 years after ‘To Err is Human’ (2015) (259)
Association of unconscious race and social class bias with vignette-based clinical assessments by medical students. (2011) (256)
From a process of care to a measure: the development and testing of a quality indicator. (2001) (256)
How to study improvement interventions: a brief overview of possible study types (2015) (256)
Sepsis change bundles: converting guidelines into meaningful change in behavior and clinical outcome. (2004) (252)
Operating room briefings and wrong-site surgery. (2007) (246)
Medication errors in paediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy recommendations (2007) (246)
Intensive care unit physician staffing is associated with decreased length of stay, hospital cost, and complications after esophageal resection (2001) (239)
Patient Safety in Surgery (2006) (238)
Association between helicopter vs ground emergency medical services and survival for adults with major trauma. (2012) (230)
Projected incidence of mechanical ventilation in Ontario to 2026: Preparing for the aging baby boomers* (2005) (227)
Advancing the Science of Patient Safety (2011) (226)
Diagnostic errors in the intensive care unit: a systematic review of autopsy studies (2012) (224)
Enhancing physicians' use of clinical guidelines. (2013) (222)
How can clinicians measure safety and quality in acute care? (2004) (222)
Surveillance bias in outcomes reporting. (2011) (222)
The research-treatment distinction: a problematic approach for determining which activities should have ethical oversight. (2013) (222)
Toward learning from patient safety reporting systems. (2006) (219)
Qualitative review of intensive care unit quality indicators. (2002) (215)
Evidence-based palliative care in the intensive care unit: a systematic review of interventions. (2014) (215)
Systematic review identifies number of strategies important for retaining study participants. (2007) (214)
Needlestick Injuries among Surgeons in Training (2007) (211)
Interventions to decrease catheter-related bloodstream infections in the ICU: the Keystone Intensive Care Unit Project. (2008) (211)
Surgeon specialty and provider volumes are related to outcome of intact abdominal aortic aneurysm repair in the United States. (2003) (208)
In Situ Simulation in Continuing Education for the Health Care Professions: A Systematic Review (2012) (208)
ICU incident reporting systems. (2002) (205)
Depressive symptoms and impaired physical function after acute lung injury: a 2-year longitudinal study. (2012) (205)
In their own words: Patients and families define high-quality palliative care in the intensive care unit* (2010) (205)
Tracking progress in patient safety: an elusive target. (2006) (201)
Public Reporting of Antibiotic Timing in Patients with Pneumonia: Lessons from a Flawed Performance Measure (2008) (196)
Collaborative Cohort Study of an Intervention to Reduce Ventilator-Associated Pneumonia in the Intensive Care Unit (2011) (196)
Framework for Patient Safety Research and Improvement (2009) (195)
Assessing and improving safety climate in a large cohort of intensive care units* (2011) (191)
Reducing medical errors and adverse events. (2012) (188)
Timing of low tidal volume ventilation and intensive care unit mortality in acute respiratory distress syndrome. A prospective cohort study. (2015) (186)
Variation in caregiver perceptions of teamwork climate in labor and delivery units (2006) (183)
Beyond “see one, do one, teach one”: toward a different training paradigm (2009) (183)
Variation in postoperative complication rates after high-risk surgery in the United States. (2003) (182)
Improving comfort and communication in the ICU: a practical new tool for palliative care performance measurement and feedback (2006) (182)
Evaluation of two methods for quality improvement in intensive care: Facilitated incident monitoring and retrospective medical chart review* (2003) (178)
Intensive care unit physician staffing: Financial modeling of the Leapfrog standard* (2004) (176)
Adverse events during medical and surgical hospitalizations for persons with schizophrenia. (2006) (175)
Effect of nurse-to-patient ratio in the intensive care unit on pulmonary complications and resource use after hepatectomy. (2001) (175)
What context features might be important determinants of the effectiveness of patient safety practice interventions? (2011) (174)
National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors. (2011) (171)
Complications and costs after high-risk surgery: where should we focus quality improvement initiatives? (2003) (170)
Rapid response teams--walk, don't run. (2006) (170)
Time to accelerate integration of human factors and ergonomics in patient safety (2011) (169)
National hospital ratings systems share few common scores and may generate confusion instead of clarity. (2015) (163)
Impact of the Comprehensive Unit-based Safety Program (CUSP) on safety culture in a surgical inpatient unit. (2010) (159)
Impact of preoperative briefings on operating room delays: a preliminary report. (2008) (159)
Surgical volume and quality of care for esophageal resection: do high-volume hospitals have fewer complications? (2003) (158)
The wisdom and justice of not paying for "preventable complications". (2008) (158)
Impact of a National Multimodal Intervention to Prevent Catheter-Related Bloodstream Infection in the ICU: The Spanish Experience (2013) (152)
Underreporting of Patient Safety Incidents Reduces Health Care's Ability to Quantify and Accurately Measure Harm Reduction (2010) (150)
Unconscious race and social class bias among acute care surgical clinicians and clinical treatment decisions. (2015) (150)
Needlestick injuries among surgeons in training. (2007) (150)
Promotion of improvement as a science (2013) (148)
Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery. (2001) (147)
Limitations of administrative databases. (2012) (147)
Senior executive adopt-a-work unit: a model for safety improvement. (2004) (146)
Achieving the National Quality Forum's “Never Events”: Prevention of Wrong Site, Wrong Procedure, and Wrong Patient Operations (2007) (140)
Developing and pilot testing quality indicators in the intensive care unit. (2003) (138)
Survival and functional outcome after prolonged intensive care unit stay. (2000) (138)
The role of theory in research to develop and evaluate the implementation of patient safety practices (2011) (136)
Improved prophylaxis and decreased rates of preventable harm with the use of a mandatory computerized clinical decision support tool for prophylaxis for venous thromboembolism in trauma. (2012) (135)
Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents during simulated cardiopulmonary arrests. (2009) (135)
Balancing "no blame" with accountability in patient safety. (2009) (135)
Clinical and Economic Outcomes of Hospital Acquired Pneumonia in Intra-Abdominal Surgery Patients (2006) (133)
The 100,000 Lives Campaign: A scientific and policy review. (2006) (133)
Post-traumatic stress disorder symptoms after acute lung injury: a 2-year prospective longitudinal study (2013) (133)
Postoperative complications: does intensive care unit staff nursing make a difference? (2002) (130)
Hospital volume is related to clinical and economic outcomes of esophageal resection in Maryland. (2001) (129)
Defining and measuring patient safety. (2005) (127)
What to do With Healthcare Incident Reporting Systems (2013) (126)
How to use an article about quality improvement. (2010) (125)
Impact of attending physician workload on patient care: a survey of hospitalists. (2013) (122)
Surveillance bias and deep vein thrombosis in the national trauma data bank: the more we look, the more we find. (2008) (122)
National Study on the Distribution, Causes, and Consequences of Voluntarily Reported Medication Errors Between the ICU and Non-ICU Settings* (2013) (122)
Critical Care Delivery: The Importance of Process of Care and ICU Structure to Improved Outcomes: An Update From the American College of Critical Care Medicine Task Force on Models of Critical Care (2015) (121)
Critical pathway effectiveness: assessing the impact of patient, hospital care, and pathway characteristics using qualitative comparative analysis. (2005) (121)
Psychiatric symptoms after acute respiratory distress syndrome: a 5-year longitudinal study (2017) (120)
A multicenter, phased, cluster-randomized controlled trial to reduce central line-associated bloodstream infections in intensive care units* (2012) (120)
Five years after to err is human (2005) (119)
Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis (2011) (118)
Using an interdisciplinary approach to identify factors that affect clinicians' compliance with evidence-based guidelines (2010) (118)
Operating room briefings: working on the same page. (2006) (116)
Barriers to translating evidence into practice (2003) (116)
Lessons from the Johns Hopkins Multi-Disciplinary Venous Thromboembolism (VTE) Prevention Collaborative (2012) (116)
Physical declines occurring after hospital discharge in ARDS survivors: a 5-year longitudinal study (2016) (113)
Improving care for the ventilated patient. (2004) (112)
Hazards of benchmarking complications with the National Trauma Data Bank: numerators in search of denominators. (2008) (111)
Muscle Weakness and 5-Year Survival in Acute Respiratory Distress Syndrome Survivors* (2017) (111)
The intensive care unit family meeting: making it happen. (2009) (110)
How will we know patients are safer? An organization-wide approach to measuring and improving safety (2006) (110)
Improving assessment and treatment of pain in the critically ill. (2004) (108)
The Weekend Effect in Hospitalized Patients: A Meta‐Analysis (2017) (108)
Eliminating Central Line–Associated Bloodstream Infections: A National Patient Safety Imperative (2014) (108)
Building safety into ICU care. (2002) (108)
Epidemiology and impact of aspiration pneumonia in patients undergoing surgery in Maryland, 1999–2000 (2003) (108)
Acute Decompensation after Removing a Central Line: Practical Approaches to Increasing Safety in the Intensive Care Unit (2004) (107)
Identifying and categorising patient safety hazards in cardiovascular operating rooms using an interdisciplinary approach: a multisite study (2012) (107)
Interventions to reduce mortality among patients treated in intensive care units. (2004) (107)
Anticoagulation Monitoring during Pediatric Extracorporeal Membrane Oxygenation (2013) (107)
Helicopter emergency medical services for adults with major trauma. (2013) (106)
How does context affect interventions to improve patient safety? An assessment of evidence from studies of five patient safety practices and proposals for research (2011) (105)
Surgical never events in the United States. (2013) (104)
Mechanical ventilation in Ontario, 1992–2000: Incidence, survival, and hospital bed utilization of noncardiac surgery adult patients* (2004) (104)
Nurse-perceived barriers to effective communication regarding prognosis and optimal end-of-life care for surgical ICU patients: a qualitative exploration. (2012) (104)
Handoffs, safety culture, and practices: evidence from the hospital survey on patient safety culture (2016) (103)
Does Patient Perception of Pain Control Affect Patient Satisfaction Across Surgical Units in a Tertiary Teaching Hospital? (2012) (103)
Re-examining high reliability: actively organising for safety (2016) (102)
Organizational Culture and Performance (2015) (102)
Relationship Between Performance Measurement and Accreditation: Implications for Quality of Care and Patient Safety (2005) (102)
Disclosing Medical Errors to Patients: It’s Not What You Say, It’s What They Hear (2009) (102)
The Rhode Island ICU collaborative: a model for reducing central line-associated bloodstream infection and ventilator-associated pneumonia statewide (2010) (101)
Surgical specimen identification errors: a new measure of quality in surgical care. (2007) (100)
Patient and intensive care unit organizational factors associated with low tidal volume ventilation in acute lung injury* (2008) (99)
Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change Health Care from the Inside Out (2010) (99)
Perspective: Physician Leadership in Quality (2009) (99)
Unconscious race and class bias: Its association with decision making by trauma and acute care surgeons (2014) (98)
Critical care physician cognitive task analysis: an exploratory study (2009) (98)
Patient safety and the problem of many hands (2016) (97)
Study protocol: The Improving Care of Acute Lung Injury Patients (ICAP) study (2005) (96)
Reducing health care hazards: lessons from the commercial aviation safety team. (2009) (95)
The GAAP in quality measurement and reporting. (2007) (95)
Family meetings made simpler: a toolkit for the intensive care unit. (2009) (93)
Beyond "see one, do one, teach one": toward a different training paradigm. (2009) (93)
A Descriptive Study of Morbidity and Mortality Conferences and Their Conformity to Medical Incident Analysis Models: Results of the Morbidity and Mortality Conference Improvement Study, Phase 1 (2007) (93)
Preventing bloodstream infections: a measurable national success story in quality improvement. (2011) (93)
A practical tool to learn from defects in patient care. (2006) (92)
A systematic review of teamwork in the intensive care unit: what do we know about teamwork, team tasks, and improvement strategies? (2014) (92)
Mortality Among Marathon Runners in the United States, 2000-2009 (2012) (91)
Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections (2010) (90)
Cooccurrence of and Remission From General Anxiety, Depression, and Posttraumatic Stress Disorder Symptoms After Acute Lung Injury: A 2-Year Longitudinal Study (2015) (90)
Can increased incidence of deep vein thrombosis (DVT) be used as a marker of quality of care in the absence of standardized screening? The potential effect of surveillance bias on reported DVT rates after trauma. (2007) (85)
Development and evaluation of a 3-day patient safety curriculum to advance knowledge, self-efficacy and system thinking among medical students (2012) (84)
Neuromuscular dysfunction acquired during critical illness: a systematic review (2007) (84)
Improving teamwork to reduce surgical mortality. (2010) (83)
Postoperative complication rates after hepatic resection in Maryland hospitals. (2003) (83)
Measuring preventable harm: helping science keep pace with policy. (2009) (81)
Rethinking rapid response teams. (2010) (81)
Unconscious Race and Class Biases among Registered Nurses: Vignette-Based Study Using Implicit Association Testing. (2015) (80)
Return to work and lost earnings after acute respiratory distress syndrome: a 5-year prospective, longitudinal study of long-term survivors (2017) (80)
Reduction of catheter-associated bloodstream infections in pediatric patients: Experimentation and reality* (2008) (80)
Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges. (2010) (80)
Planning and Implementing a Systems-Based Patient Safety Curriculum in Medical Education (2008) (79)
Usability and perceived usefulness of Personal Health Records for preventive health care: a case study focusing on patients' and primary care providers' perspectives. (2014) (79)
Sustaining Reductions in Central Line–Associated Bloodstream Infections in Michigan Intensive Care Units (2016) (78)
What medicine can teach operations: What operations can teach medicine ☆ (2010) (77)
Reduction of in-hospital mortality among California hospitals meeting Leapfrog evidence-based standards for abdominal aortic aneurysm repair. (2008) (76)
Informed consent in the critically ill: A two-step approach incorporating delirium screening* (2008) (75)
A system factors analysis of airway events from the Intensive Care Unit Safety Reporting System (ICUSRS)* (2004) (75)
Association Between Helicopter vs Ground Emergency Medical Services and Survival for Adults With Major Trauma (2013) (75)
Mortality in sepsis versus non-sepsis induced acute lung injury (2009) (75)
Predictors of posttraumatic deep vein thrombosis (DVT): hospital practice versus patient factors-an analysis of the National Trauma Data Bank (NTDB). (2009) (74)
Improving the Value of Patient Safety Reporting Systems (2008) (74)
Bringing a Systems Approach to Health (2013) (74)
Patient flow variability and unplanned readmissions to an intensive care unit* (2009) (74)
National study of patient, visit, and hospital characteristics associated with leaving an emergency department without being seen: predicting LWBS. (2009) (73)
Robotic Surgery Claims on United States Hospital Websites (2011) (73)
Survey of pediatric resident experiences with resuscitation training and attendance at actual cardiopulmonary arrests (2009) (72)
Application of Information Technology: Creating the Web-based Intensive Care Unit Safety Reporting System (2004) (71)
Eliminating Health Care Disparities With Mandatory Clinical Decision Support: The Venous Thromboembolism (VTE) Example (2015) (71)
Preventability of Hospital-Acquired Venous Thromboembolism. (2015) (71)
Meeting standards of high-quality intensive care unit palliative care: Clinical performance and predictors* (2012) (70)
Utilization of Minimally Invasive Surgery in Endometrial Cancer Care: A Quality and Cost Disparity (2016) (70)
Duplex ultrasound screening for deep vein thrombosis in asymptomatic trauma patients: a survey of individual trauma surgeon opinions and current trauma center practices. (2011) (69)
Fifteen years after To Err is Human: a success story to learn from (2015) (69)
A system factors analysis of “line, tube, and drain” incidents in the intensive care unit* (2005) (69)
Preventing patient harms through systems of care. (2012) (69)
Validity of the Agency for Health Care Research and Quality Patient Safety Indicators and the Centers for Medicare and Medicaid Hospital-acquired Conditions: A Systematic Review and Meta-Analysis (2016) (68)
Sensitivity of routine intensive care unit surveillance for detecting myocardial ischemia* (2003) (68)
Organizational Culture Changes Result in Improvement in Patient-Centered Outcomes: Implementation of an Integrated Recovery Pathway for Surgical Patients. (2015) (68)
Economics of end-of-life care in the intensive care unit (2001) (68)
Developing and implementing measures of quality of care in the intensive care unit (2001) (67)
Commentary: A Call to Go Green in Health Care by Reprocessing Medical Equipment (2010) (66)
Implementing a Health System–wide Patient Blood Management Program with a Clinical Community Approach (2017) (66)
Barriers to low tidal volume ventilation in acute respiratory distress syndrome: Survey development, validation, and results (2007) (66)
Overview of progress in patient safety. (2011) (65)
The national trend in quality of emergency department pain management for long bone fractures. (2007) (65)
A practical tool to identify and eliminate barriers to compliance with evidence-based guidelines. (2009) (65)
Effect of a Hospital-Initiated Program Combining Transitional Care and Long-term Self-management Support on Outcomes of Patients Hospitalized With Chronic Obstructive Pulmonary Disease: A Randomized Clinical Trial. (2019) (65)
Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study (2010) (64)
Predictors of transfusion for spinal surgery in Maryland, 1997 to 2000 (2002) (63)
Implementing and evaluating a multicomponent inpatient diabetes management program: putting research into practice. (2012) (62)
Improving data quality control in quality improvement projects. (2009) (62)
Value of hospital resources for effective pressure injury prevention: a cost-effectiveness analysis (2018) (62)
Hospital volume and mortality for mechanical ventilation of medical and surgical patients: A population-based analysis using administrative data* (2006) (61)
Studying outcomes of intensive care unit survivors: measuring exposures and outcomes (2005) (60)
A web-based tool for the Comprehensive Unit-based Safety Program (CUSP). (2006) (60)
Hemodynamic goals in randomized clinical trials in patients with sepsis: a systematic review of the literature (2007) (60)
Medicare payment for selected adverse events: building the business case for investing in patient safety. (2006) (59)
ReCASTing the RCA: An Improved Model for Performing Root Cause Analyses (2010) (59)
Intensive care unit exposures for long-term outcomes research: development and description of exposures for 150 patients with acute lung injury. (2007) (59)
Analysis & commentary: A road map for improving the performance of performance measures. (2011) (58)
Opioid Oversupply After Joint and Spine Surgery: A Prospective Cohort Study (2019) (58)
Number needed to treat and cost of recombinant human erythropoietin to avoid one transfusion-related adverse event in critically ill patients* (2005) (57)
Association between venous thromboembolism and perioperative allogeneic transfusion. (2007) (57)
Physician autonomy and informed decision making: finding the balance for patient safety and quality. (2008) (57)
Strategies to Improve Patient Safety: The Evidence Base Matures (2013) (57)
On the CUSP: Stop BSI: evaluating the relationship between central line-associated bloodstream infection rate and patient safety climate profile. (2014) (56)
Navigating adaptive challenges in quality improvement (2011) (56)
Impact of critical care physician workforce for intensive care unit physician staffing. (2001) (56)
Using a logic model to design and evaluate quality and patient safety improvement programs. (2012) (56)
Team care: beyond open and closed intensive care units (2006) (55)
Diagnostic Errors in the Pediatric and Neonatal ICU: A Systematic Review* (2015) (55)
The volume-outcome effect for abdominal aortic surgery: differences in case-mix or complications? (2002) (55)
The Anesthesiologist in Critical Care Medicine: Past, Present, and Future (2001) (55)
Prevalence of Blood-Borne Pathogens in an Urban, University-Based General Surgical Practice (2005) (54)
Learning From Defects to Enhance Morbidity and Mortality Conferences (2009) (54)
A systematic review of behavioural marker systems in healthcare: what do we know about their attributes, validity and application? (2014) (54)
Safety in Numbers: The Development of Leapfrog’s Composite Patient Safety Score for U.S. Hospitals (2014) (54)
Implementation of the World Health Organization Trauma Care Checklist Program in 11 Centers Across Multiple Economic Strata: Effect on Care Process Measures (2017) (54)
Assessing the Evidence for Context-Sensitive Effectiveness and Safety of Patient Safety Practices (2010) (53)
Establishing a global learning community for incident-reporting systems (2010) (53)
Analysis of 23 million US hospitalizations: uninsured children have higher all-cause in-hospital mortality. (2010) (52)
Creating a High-Reliability Health Care System: Improving Performance on Core Processes of Care at Johns Hopkins Medicine (2015) (51)
The organization of intensive care unit physician services* (2007) (51)
Operating room debriefings. (2006) (51)
Variations in surgical outcomes associated with hospital compliance with safety practices. (2012) (50)
Surgical intensive care unit clinician estimates of the adequacy of communication regarding patient prognosis (2010) (50)
The Business Case for Quality (2011) (50)
Advancing the use of checklists for evaluating performance in health care. (2014) (50)
Implementing standardized operating room briefings and debriefings at a large regional medical center. (2009) (50)
Individualized Performance Feedback to Surgical Residents Improves Appropriate Venous Thromboembolism Prophylaxis Prescription and Reduces Potentially Preventable VTE: A Prospective Cohort Study (2016) (50)
An integrative framework for sensor-based measurement of teamwork in healthcare (2015) (49)
Improving ICU care: it takes a team. (2005) (47)
Use and evaluation of critical pathways in hospitals. (2002) (46)
Are Critical Pathways Effective for Reducing Postoperative Length of Stay? (2003) (46)
Effect of a Program Combining Transitional Care and Long-term Self-management Support on Outcomes of Hospitalized Patients With Chronic Obstructive Pulmonary Disease: A Randomized Clinical Trial (2018) (45)
Eradicating Central Line–Associated Bloodstream Infections Statewide (2012) (44)
Making soft intelligence hard: a multi-site qualitative study of challenges relating to voice about safety concerns (2018) (44)
Epidemiology : A Proposal for Reporting Meta-analysis of Observational Studies in (2000) (44)
Plasma Biomarkers of Brain Injury as Diagnostic Tools and Outcome Predictors After Extracorporeal Membrane Oxygenation* (2015) (43)
A Novel Process for Introducing a New Intraoperative Program: A Multidisciplinary Paradigm for Mitigating Hazards and Improving Patient Safety (2009) (43)
Promising Practices for Achieving Patient-centered Hospital Care: A National Study of High-performing US Hospitals (2015) (43)
Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry (2012) (43)
Developing a Measure of Value in Health Care. (2016) (42)
Telling patients the truth. (2003) (42)
Is there a relationship between service integration and differentiation and patient outcomes? (2003) (42)
Paying the piper: investing in infrastructure for patient safety. (2008) (41)
The functional comorbidity index had high inter-rater reliability in patients with acute lung injury (2012) (41)
A morning briefing: setting the stage for a clinically and operationally good day. (2005) (41)
Perioperative nurses and patient outcomes--mortality, complications, and length of stay. (2005) (41)
Technologies in the wild (TiW): human factors implications for patient safety in the cardiovascular operating room (2013) (41)
Venous Thromboembolism Quality Measures Fail to Accurately Measure Quality. (2018) (41)
The need for systems integration in health care. (2011) (41)
Human immunodeficiency virus and hepatitis testing and prevalence among surgical patients in an urban university hospital. (2007) (41)
Drivers and Barriers in Health IT Adoption (2012) (40)
Ensuring Quality in the Era of Virtual Care. (2021) (40)
Creating a fractal-based quality management infrastructure. (2014) (40)
A Methodological Critique of the ProPublica Surgeon Scorecard. (2016) (40)
Are Temporary Staff Associated with More Severe Emergency Department Medication Errors? (2011) (40)
The Society of Cardiovascular Anesthesiologists' FOCUS Initiative: Locating Errors Through Networked Surveillance (LENS) Project Vision (2010) (40)
Variations in complication rates and opportunities for improvement in quality of care for patients having abdominal aortic surgery (2001) (39)
Impact of the Leapfrog Group's intensive care unit physician staffing standard. (2007) (39)
Reorganizing the delivery of intensive care could improve efficiency and save lives. (2002) (39)
Use of provider-level dashboards and pay-for-performance in venous thromboembolism prophylaxis. (2015) (39)
Tele ICU: paradox or panacea? (2009) (39)
Intensive care unit physician staffing: financial modeling of the Leapfrog standard. (2004) (39)
Developing quality measures for sepsis care in the ICU. (2007) (39)
Proposed standards for quality improvement research and publication: one step forward and two steps back (2006) (38)
Health care resource use and costs of two-year survivors of acute lung injury. An observational cohort study. (2015) (38)
High Stakes and High Risk: A Focused Qualitative Review of Hazards During Cardiac Surgery (2011) (38)
Demonstrating high reliability on accountability measures at the Johns Hopkins Hospital. (2013) (38)
Time to take health delivery research seriously. (2011) (38)
Preoperative predictors of blood transfusion in colorectal cancer surgery (2002) (38)
A check-up for safety culture in "my patient care area". (2007) (37)
Sharpless Surgery: A Prospective Study of the Feasibility of Performing Operations using Non-sharp Techniques in an Urban, University-based Surgical Practice (2006) (37)
Pulmonary vs nonpulmonary sepsis and mortality in acute lung injury. (2008) (36)
Cost reduction and quality improvement: it takes two to tango. (2000) (35)
Evidence-Based Medicine in Anesthesiology (2001) (35)
Patient Preferences for Receiving Education on Venous Thromboembolism Prevention – A Survey of Stakeholder Organizations (2016) (35)
Factors associated with timing of initiation of physical therapy in patients with acute lung injury. (2013) (35)
Learning accountability for patient outcomes. (2010) (35)
Human factors–based risk analysis to improve the safety of doffing enhanced personal protective equipment (2018) (35)
Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research. (2008) (35)
Hospital Volume and Failure to Rescue after Head and Neck Cancer Surgery (2014) (35)
Toward a Safer Health Care System: The Critical Need to Improve Measurement. (2016) (35)
Publication bias in surgery: implications for informed consent. (2007) (34)
Development and validation of a prediction model for insulin-associated hypoglycemia in non-critically ill hospitalized adults (2018) (34)
Pediatric Safety Incidents From an Intensive Care Reporting System (2009) (34)
Sickness Impact Profile Score versus a Modified Short-Form survey for functional outcome assessment: acceptability, reliability, and validity in critically ill patients with prolonged intensive care unit stays. (2000) (34)
Hospital‐acquired conditions in head and neck cancer surgery (2013) (34)
The daily goals communication sheet: a simple and novel tool for improved communication and care. (2008) (33)
Safety strategies in an academic radiation oncology department and recommendations for action. (2011) (33)
The Effect of ICU Physician Staffing and Hospital Volume on Outcomes After Hepatic Resection (2002) (33)
What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication histories (2005) (33)
Medical Physics Practice Guideline 4.a: Development, implementation, use and maintenance of safety checklists (2015) (33)
Patient-Assisted Incident Reporting: Including the Patient in Patient Safety (2011) (33)
Toward Improving Patient Safety Through Voluntary Peer-to-Peer Assessment (2012) (33)
Perceived benefit of a telemedicine consultative service in a highly staffed intensive care unit. (2012) (33)
Clinical Communities at Johns Hopkins Medicine: An Emerging Approach to Quality Improvement. (2015) (32)
Cost-effectiveness of a quality improvement programme to reduce central line-associated bloodstream infections in intensive care units in the USA (2014) (32)
Cardiac surgery errors: results from the UK National Reporting and Learning System. (2011) (32)
Characteristics of intensive care units in Michigan: not an open and closed case. (2010) (32)
Using large-scale databases to measure outcomes in critical care. (1999) (31)
The Armstrong Institute: An Academic Institute for Patient Safety and Quality Improvement, Research, Training, and Practice (2015) (31)
From heroism to safe design: leveraging technology. (2014) (31)
Platelet Gene Polymorphisms and Cardiac Risk Assessment in Vascular Surgical Patients (2004) (31)
A framework for health care organizations to develop and evaluate a safety scorecard. (2007) (31)
Partnering for quality. (2004) (30)
Eliminating Infections in the ICU: CLABSI (2015) (30)
Care for the caregiver: benefits of expressive writing for nurses in the United States (2009) (30)
National study on the quality of emergency department care in the treatment of acute myocardial infarction and pneumonia. (2007) (30)
A research framework for reducing preventable patient harm. (2011) (30)
Viewing health care delivery as science: challenges, benefits, and policy implications. (2010) (30)
National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia. (2010) (30)
Effectiveness of two distinct web-based education tools for bedside nurses on medication administration practice for venous thromboembolism prevention: A randomized clinical trial (2017) (30)
A framework for classifying patient safety practices: results from an expert consensus process (2011) (30)
Using Incident Reporting to Improve Patient Safety: A Conceptual Model (2007) (30)
The Occurrence of Potential Patient Safety Events Among Trauma Patients: Are They Random? (2008) (30)
Physician Motivation: Listening to What Pay-for-Performance Programs and Quality Improvement Collaboratives Are Telling Us. (2015) (29)
Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study. (2007) (29)
The ability of intensive care units to maintain zero central line-associated bloodstream infections. (2011) (29)
Healthcare Resource Use and Costs in Long-Term Survivors of Acute Respiratory Distress Syndrome: A 5-Year Longitudinal Cohort Study* (2017) (29)
The Johns Hopkins Venous Thromboembolism Collaborative: Multidisciplinary team approach to achieve perfect prophylaxis. (2016) (29)
Malpractice and Malcontent: Analyzing Medical Complaints in Twitter (2012) (29)
Examination of Publications from Academic Anesthesiology Faculty in the United States (2014) (29)
Using human factors engineering to improve patient safety in the cardiovascular operating room. (2012) (29)
The spectrum of encephalopathy in critical illness. (2006) (28)
Major cultural-compatibility complex: considerations on cross-cultural dissemination of patient safety programmes (2012) (28)
The Johns Hopkins Hospital: identifying and addressing risks and safety issues. (2004) (28)
The science of translating research into practice in intensive care. (2010) (28)
Effect of Epsilon Aminocaproic Acid on Red-Cell Transfusion Requirements in Major Spinal Surgery (2009) (28)
Attending Physician Performance Measure Scores and Resident Physicians' Ordering Practices. (2015) (28)
Funding Innovation in a Learning Health Care System. (2018) (28)
A practical framework for patient care teams to prospectively identify and mitigate clinical hazards. (2009) (28)
Republished: How to study improvement interventions: a brief overview of possible study types (2015) (27)
Monitoring patient safety. (2007) (27)
CARING FOR THE CRITICALLY ILL PATIENT Physician Staffing Patterns and Clinical Outcomes in Critically Ill Patients (2002) (27)
Adverse Effects of the Medicare PSI-90 Hospital Penalty System on Revenue-Neutral Hospital-Acquired Conditions (2020) (27)
Rural Hospital Nursing: Results of a National Survey of Nurse Executives (2011) (27)
Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition from the hospital to home. (2009) (27)
The Potential of Twitter as a Data Source for Patient Safety (2016) (27)
The ethical review of health care quality improvement initiatives: findings from the field. (2010) (27)
Initiating an Enhanced Recovery Pathway Program: An Anesthesiology Department's Perspective. (2015) (27)
Decreasing Central‐Line–Associated Bloodstream Infections in Connecticut Intensive Care Units (2013) (26)
Fostering Transparency in Outcomes, Quality, Safety, and Costs. (2016) (26)
Reducing failed extubations in the intensive care unit. (2002) (26)
Bundle-branch block as a risk factor in noncardiac surgery. (2000) (26)
A practical tool to reduce medication errors during patient transfer from an intensive care unit (2004) (26)
Are Evidence-based Practices Associated With Effective Prevention of Hospital-acquired Pressure Ulcers in US Academic Medical Centers? (2016) (26)
Creating a purpose‐driven learning and improving health system: The Johns Hopkins Medicine quality and safety experience (2016) (26)
Developing a model for attending physician workload and outcomes. (2013) (25)
Implementing a team-based daily goals sheet in a non-ICU setting. (2009) (25)
Organizational Characteristics of Intensive Care Units Related to Outcomes of Abdominal Aortic Surgery (2000) (25)
Assessing the effectiveness of critical pathways on reducing resource utilization in the surgical intensive care unit (2001) (25)
Towards high-reliability organising in healthcare: a strategy for building organisational capacity (2017) (25)
Improving the quality of quality improvement projects. (2010) (25)
Diffusing aviation innovations in a hospital in The Netherlands. (2010) (25)
Making Management Skills a Core Component of Medical Education. (2017) (24)
Measurement of quality and assurance of safety in the critically ill. (2009) (24)
Unplanned 30-day hospital readmission as a quality measure in gynecologic oncology. (2016) (24)
Commentary: Reducing diagnostic errors: another role for checklists? (2011) (24)
Studying outcomes of intensive care unit survivors: the role of the cohort study (2005) (24)
A Gap Analysis Needs Assessment Tool to Drive a Care Delivery and Research Agenda for Integration of Care and Sharing of Best Practices Across a Health System. (2017) (24)
Thinking like a pancreas: perioperative glycemic control. (2007) (24)
Effect of Real-time Patient-Centered Education Bundle on Administration of Venous Thromboembolism Prevention in Hospitalized Patients (2018) (24)
A Framework for Encouraging Patient Engagement in Medical Decision Making (2012) (24)
Variation in Local Institutional Review Board Evaluations of a Multicenter Patient Safety Study (2012) (24)
Using the online and offline change model to improve efficiency for fast-track patients in an emergency department. (2000) (23)
Improving Employee Voice About Transgressive or Disruptive Behavior: A Case Study (2018) (23)
RBC Transfusion Practices Among Critically Ill Patients: Has Evidence Changed Practice?* (2013) (23)
Setting priorities for patient safety: ethics, accountability, and public engagement. (2009) (23)
A Phased Cluster-randomized Trial of Rural Hospitals Testing a Quality Collaborative to Improve Heart Failure Care: Organizational Context Matters (2013) (23)
Using clinical data to predict high-cost performance coding issues associated with pressure ulcers: a multilevel cohort model (2017) (23)
Medication errors associated with code situations in U.S. hospitals: direct and collateral damage. (2008) (23)
Sensor-based measurement of critical care nursing workload: Unobtrusive measures of nursing activity complement traditional task and patient level indicators of workload to predict perceived exertion (2018) (23)
Computerized Physician Order Entry, a Factor in Medication Errors: Descriptive Analysis of Events in the Intensive Care Unit Safety Reporting System (2005) (23)
Frailty, hospital volume, and failure to rescue after head and neck cancer surgery (2018) (22)
Improving healthcare value through clinical community and supply chain collaboration. (2017) (22)
Better Respiratory Education and Treatment Help Empower (BREATHE) study: Methodology and baseline characteristics of a randomized controlled trial testing a transitional care program to improve patient-centered care delivery among chronic obstructive pulmonary disease patients. (2017) (22)
Can Economic Model Transparency Improve Provider Interpretation of Cost-effectiveness Analysis? Evaluating Tradeoffs Presented by the Second Panel on Cost-effectiveness in Health and Medicine. (2017) (22)
Improving the Quality of Measurement and Evaluation in Quality Improvement Efforts (2008) (22)
Building Nursing Intellectual Capital for Safe Use of Information Technology: A Before-After Study to Test an Evidence-Based Peer Coach Intervention (2011) (22)
Identification of physician impairment. (2013) (21)
Research Paper: Measuring Clinical Information Technology in the ICU Setting: Application in a Quality Improvement Collaborative (2007) (21)
The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems (2010) (21)
Preventing central line-associated bloodstream infections and improving safety culture: a statewide experience. (2009) (21)
Ethics, oversight and quality improvement initiatives (2010) (21)
Rating the Raters: The Inconsistent Quality of Health Care Performance Measurement (2016) (21)
Is quality of care improving in the UK? (2011) (21)
Variation in Surgical Site Infection Monitoring and Reporting by State (2013) (21)
Comparison of Intensive Care Unit Medication Errors Reported to the United States’ MedMarx and the United Kingdom’s National Reporting and Learning System (2014) (20)
Addressing the multisectoral impact of pressure injuries in the USA, UK and abroad (2017) (20)
Development of the ICU Safety Reporting System (2005) (20)
The Next Wave of Hospital Innovation to Make Patients Safer (2016) (20)
Preventing Harm in the ICU—Building a Culture of Safety and Engaging Patients and Families (2017) (20)
Characteristics of hospitalists and hospitalist programs in the united states and canada (2009) (20)
Comprehensive Unit-based Safety Program (CUSP) to Improve Patient Experience: How a Hospital Enhanced Care Transitions and Discharge Processes (2016) (20)
Maintaining and sustaining the On the CUSP: stop BSI model in Hawaii. (2013) (20)
Enhancing the quality of care in the intensive care unit: a systems engineering approach. (2013) (20)
"Never events" and the quest to reduce preventable harm. (2015) (19)
Association between ICU physician staffing and outcomes: A systematic review (1999) (19)
How safe is my intensive care unit? Methods for monitoring and measurement (2007) (19)
Remote Patient Monitoring During COVID-19: An Unexpected Patient Safety Benefit. (2022) (19)
Pediatric Patient Safety in the Ambulatory Setting (2004) (19)
Should Older Patients Be Selectively Referred to High-Volume Centers for Abdominal Aortic Surgery? (2004) (19)
Patient Safety Events and Harms During Medical and Surgical Hospitalizations for Persons With Serious Mental Illness. (2016) (19)
A new learning environment: combining clinical research with quality improvement. (1999) (19)
The Cardiovascular Intensive Care Unit—An Evolving Model for Health Care Delivery (2017) (18)
An Ethnographic Study of Health Information Technology Use in Three Intensive Care Units (2017) (18)
Managing clinical alarms: using data to drive change. (2013) (18)
Establishing an Ambulatory Medicine Quality and Safety Oversight Structure: Leveraging the Fractal Model (2016) (18)
Harnessing the Potential of Health Care Collaboratives: Lessons from the Keystone ICU Project (2008) (18)
Rating the Raters: An Evaluation of Publicly Reported Hospital Quality Rating Systems (2019) (18)
Short-term mortality prediction for acute lung injury patients: External validation of the Acute Respiratory Distress Syndrome Network prediction model* (2011) (18)
Variation in Public Reporting of Central Line–Associated Bloodstream Infections by State (2011) (18)
Republished paper: Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study (2011) (18)
Red blood cell transfusion practices in acute lung injury: What do patient factors contribute?* (2009) (18)
Using online and offline change models to improve ICU access and revenues. (2000) (18)
A modified Delphi study to identify the features of high quality measurement plans for healthcare improvement projects (2020) (17)
View the world through a different lens: shadowing another provider. (2008) (17)
Effect of Accounting for Multiple Concurrent Catheters on Central Line–Associated Bloodstream Infection Rates: Practical Data Supporting a Theoretical Concern (2011) (17)
Identifying Meaningful Outcome Measures for the Intensive Care Unit (2014) (17)
The Views of Quality Improvement Professionals and Comparative Effectiveness Researchers on Ethics, IRBs, and Oversight (2015) (17)
Did hospital engagement networks actually improve care? (2014) (17)
A Mile in Their Shoes: Interdisciplinary Education at the Johns Hopkins University School of Medicine (2010) (17)
A Public Health Approach to Patient Safety Reporting Systems Is Urgently Needed (2011) (16)
Mastering Medical Devices for Safe Use (2017) (16)
A Model for the Departmental Quality Management Infrastructure Within an Academic Health System (2017) (16)
Improving surgical outcomes through adoption of evidence-based process measures: intervention specific or associated with overall hospital quality? (2010) (16)
Does Patient Experience Predict 30-Day Readmission? A Patient-Level Analysis of HCAHPS Data (2018) (16)
Erratum: Studying outcomes of intensive care unit survivors: The role of the cohort study (Intensive Care Medicine (2005) 31 (914-921) DOI: 10.1007/s00134-005-2657-6) (2005) (16)
Health care quality in end-of-life care: promoting palliative care in the intensive care unit. (2011) (16)
A physician management infrastructure. (2011) (16)
Shepherding change: How the market, healthcare providers, and public policy can deliver quality care for the 21st century (2006) (16)
Progress in Patient Safety (2014) (16)
Integrating the intensive care unit safety reporting system with existing incident reporting systems. (2005) (16)
The association between preoperative patient characteristics and both clinical and economic outcomes after abdominal aortic surgery. (1999) (16)
Human immunodeficiency virus infection and hospital mortality in acute lung injury patients (2010) (16)
Spinal anesthesia for a patient with familial hyperkalemic periodic paralysis. (2002) (16)
Improving Patient Safety and Care Quality: A Multiteam System Perspective (2014) (15)
Organising a manuscript reporting quality improvement or patient safety research (2013) (15)
Cardiac Surgical ICU Care: Eliminating “Preventable” Complications (2013) (15)
Integrating CUSP and TRIP to Improve Patient Safety (2010) (15)
Factors associated with in‐hospital mortality among critically ill surgical patients with multidrug‐resistant Gram‐negative infections (2018) (15)
Identifying and learning from mistakes. (2007) (15)
Improving guideline compliance and healthcare safety using human factors engineering: The case of Ebola (2018) (15)
Ethical and practical aspects of disclosing adverse events in the emergency department. (2006) (15)
A Collaborative Learning Network Approach to Improvement: The CUSP Learning Network. (2015) (15)
(232) Prescription opioid oversupply following orthopedic surgery: A prospective cohort study (2017) (15)
Red blood cell transfusion practices in two surgical intensive care units: a mixed methods assessment of barriers to evidence‐based practice (2014) (15)
Are Sequential Compression Devices Commonly Associated With In-Hospital Falls? A Myth-Busters Review Using the Patient Safety Net Database (2011) (15)
Safer Clinical Systems: evaluation findings Learning from the independent evaluation of the second phase of the Safer Clinical Systems programme (2014) (15)
The association of intraoperative neuraxial anesthesia on anticipated admission to the intensive care unit. (2002) (14)
Voluntary peer review as innovative tool for quality improvement in the intensive care unit – a retrospective descriptive cohort study in German intensive care units (2014) (14)
New Legal Protections for Reporting Patient Errors Under the Patient Safety and Quality Improvement Act: A Review of the Medical Literature and Analysis (2010) (14)
Why Don’t We Know Whether Care Is Safe? (2013) (14)
Clinical utility of biomarkers in myocardial injury (2004) (14)
Remote Management Improves Icu Outcomes (1999) (14)
Novel analysis of clinically relevant diagnostic errors in point‐of‐care devices (2011) (14)
What Medicare Is Missing. (2015) (14)
Operating management system for high reliability: Leadership, accountability, learning and innovation in healthcare (2018) (14)
The context of care and the patient care team: The safety attitudes questionnair (2005) (14)
Prevention of catheter-related bloodstream infections. (2008) (14)
The team checkup tool: evaluating QI team activities and giving feedback to senior leaders. (2008) (13)
Hospital Board Checklist to improve culture and reduce central line-associated bloodstream infections. (2010) (13)
Infection preventionist checklist to improve culture and reduce central line-associated bloodstream infections. (2010) (13)
Accuracy of marketing claims by providers of stereotactic radiation therapy. (2013) (13)
Board Quality Scorecards: Measuring Improvement (2011) (13)
From Board to Bedside: How the Application of Financial Structures to Safety and Quality Can Drive Accountability in a Large Health Care System. (2017) (13)
Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions (2021) (13)
24-hour intensivist staffing: balancing benefits and costs. (2008) (13)
Rural Hospital Nursing: Better Environments = Shared Vision and Quality/Safety Engagement (2009) (13)
An analysis of errors, discrepancies, and variation in opioid prescriptions for adult outpatients at a teaching hospital. (2017) (12)
A Typology of ICU Patients and Families from the Clinician Perspective: Toward Improving Communication (2017) (12)
We Need Leaders: The 48th Annual Rovenstine Lecture (2010) (12)
The Quality Measurement Crisis: An Urgent Need for Methodological Standards and Transparency. (2016) (12)
A Preoperative Medical History and Physical Should Not Be a Requirement for All Cataract Patients (2017) (12)
Identifying potential predictors of a safe attending physician workload: a survey of hospitalists. (2013) (12)
Making Health Care Safer II (2013) (12)
Rapid response systems: should we still question their implementation? (2013) (12)
Public Reporting of Health Care–Associated Infections (HAIs): Approach to Choosing HAI Measures (2011) (12)
Sustaining Reliability on Accountability Measures at The Johns Hopkins Hospital. (2016) (12)
Use of Implementation Science for a Sustained Reduction of Central-Line–Associated Bloodstream Infections in a High-Volume, Regional Burn Unit (2017) (12)
CLABSI Conversations: Lessons From Peer-to-Peer Assessments to Reduce Central Line-Associated Bloodstream Infections (2016) (12)
The importance of understanding the costs of critical care and mechanical ventilation. (2005) (12)
Examining influences on speaking up among critical care healthcare providers in the United Arab Emirates (2017) (12)
Repeated attempts using different strategies are important for timely contact with study participants. (2011) (11)
Improving Health Care Quality and Patient Safety Through Peer-to-Peer Assessment: Demonstration Project in Two Academic Medical Centers (2017) (11)
Measurement Error in Performance Studies of Health Information Technology: Lessons from the Management Literature (2012) (11)
Measuring Patient Safety in the Emergency Department (2014) (11)
Can reverse innovation catalyse better value health care? (2017) (11)
Reducing preventable harm: observations on minimizing bloodstream infections. (2017) (11)
A Model for Integrating Ambulatory Surgery Centers Into an Academic Health System Using a Novel Ambulatory Surgery Coordinating Council. (2016) (11)
Does intensive care unit severity of illness influence recall of baseline physical function? (2011) (11)
A PIECE OF MY MIND. From Shame to Guilt to Love. (2015) (11)
Updating the Leapfrog Group Intensive Care Unit Physician Staffing Standard (2003) (11)
Does it matter who the anesthesiologist is for my heart surgery? (2015) (10)
Use of beta-blockers during aortic aneurysm repair: bridging the gap between evidence and effective practice. (2009) (10)
Science-Based Training in Patient Safety and Quality (2012) (10)
Medical Physics Practice Guideline 4.a: Development, implementation, use and maintenance of safety checklists. (2015) (10)
Creating a more efficient healthcare knowledge market: using communities of practice to create checklists (2010) (10)
Monitoring and Reducing Central Line-Associated Bloodstream Infections: A National Survey of State Hospital Associations (2010) (10)
Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Intraoperative Blood Component Administration. (2019) (10)
Studying outcomes of intensive care unit survivors: the role of the cohort study (2005) (10)
Health information technology and the collection of race, ethnicity, and language data to reduce disparities in quality of care. (2011) (10)
Quality, Safety, and Institutional Review Boards: Navigating Ethics and Oversight in Applied Health Systems Research (2011) (10)
Advancing health care quality and safety through action learning. (2017) (10)
Implementing the Comprehensive Unit-Based Safety Program (CUSP) to Improve Patient Safety in an Academic Primary Care Practice. (2017) (10)
Is the Meaningful Use Venous Thromboembolism VTE-6 Measure Meaningful? A Retrospective Analysis of One Hospital's VTE-6 Cases. (2016) (9)
Commentary: Establishing Safety and Quality as Core Values (2011) (9)
Missed Doses of Venous Thromboembolism (VTE) Prophylaxis at Community Hospitals: Cause for Alarm (2018) (9)
Building a better incident reporting system: Perspectives from a multisite project (2004) (9)
Patient, Provider, and System Factors Contributing to Patient Safety Events During Medical and Surgical Hospitalizations for Persons With Serious Mental Illness (2017) (9)
Simulation in the Executive Suite: Lessons Learned for Building Patient Safety Leadership (2015) (9)
Targeting errors in the ICU: use of a national database. (2006) (9)
Next level of board accountability in health care quality. (2018) (9)
Fostering Transparency in Outcomes, Quality, Safety, and Costs: A Vital Direction for Health and Health Care (2016) (9)
Sequential compression devices can cause erroneous cardiac output measurements. (2001) (9)
Simulation-Based Training for Teams in Health Care: Designing Scenarios, Measuring Performance, and Providing Feedback (2016) (8)
Affordable Health Care (2004) (8)
Five roles for quality leadership in radiology. (2012) (8)
In the Name of Patient Safety, Let's Burden the Emergency Department More. (2016) (8)
Rating the Raters (2016) (8)
Evaluating Safety Initiatives in Healthcare (2014) (8)
Partnership with patients: a prescription for ICU safety. (2006) (8)
Locating Errors Through Networked Surveillance: A Multimethod Approach to Peer Assessment, Hazard Identification, and Prioritization of Patient Safety Efforts in Cardiac Surgery (2015) (8)
Improving patient safety reporting systems. (2007) (8)
Modeling Inpatient Glucose Management Programs on Hospital Infection Control Programs: An Infrastructural Model of Excellence. (2015) (8)
Physical Environment Design for Improving Patient Safety (2011) (8)
Systematically Seeking Clinicians’ Insights to Identify New Safety Measures for Intensive Care Units and General Surgery Services (2010) (8)
Interhospital Transport of Children Undergoing Cardiopulmonary Resuscitation: A Practical and Ethical Dilemma* (2017) (8)
More than the sum of its parts: how multidisciplinary cancer care can benefit patients, providers, and health systems. (2013) (7)
Executive/Senior Leader Checklist to improve culture and reduce central line-associated bloodstream infections. (2010) (7)
Changing the narratives for patient safety (2017) (7)
Conflict of Interest, Dr Charles Denham and the Journal of Patient Safety (2014) (7)
To Re-Open Health Care, Leaders Should Address Patient Fear (2020) (7)
Focus on Quality: An Opportunity to Execute Health Care Reform (2011) (7)
The role of South-North partnerships in promoting shared learning and knowledge transfer (2017) (7)
A Cost-Utility Analysis of Remote Pulse-Oximetry Monitoring of Patients With COVID-19 (2021) (7)
Reconsidering Hospital Readmission Measures. (2017) (7)
Investing in Skilled Specialists to Grow Hospital Infrastructure for Quality Improvement (2019) (7)
Massive open online course (MOOC) learning builds capacity and improves competence for patient safety among global learners: A prospective cohort study. (2021) (7)
Developing a Comprehensive Model of Intensive Care Unit Processes: Concept of Operations (2015) (7)
Making a Dent in the Trillion-Dollar Problem: Toward Zero Defects (2020) (7)
Digital Health: Unlocking Value in a Post-Pandemic World. (2021) (7)
The role of the informal and formal organisation in voice about concerns in healthcare: A qualitative interview study. (2021) (7)
Towards improving hospital workflows: An evaluation of resources to mobilize patients. (2018) (7)
Management's Discussion and Analysis: A tool for advancing quality and safety. (2016) (6)
IMPROVING SAFE PATIENT THROUGHPUT IN A MULTIDISCIPLINARY ONCOLOGY CLINIC. (2015) (6)
Making hospital care patient-centered: the three patient questions framework. (2013) (6)
Ensuring that guidelines help reduce patient harm. (2013) (6)
It is time to reinvent the wheels of medical training. (2015) (6)
Individualized cost-effectiveness analysis of patient-centered care: a case series of hospitalized patient preferences departing from practice-based guidelines (2017) (6)
Evaluation of a Preoperative Checklist and Team Briefing Among Surgeons, Nurses, and Anesthesiologists to Reduce Failures in Communication—Invited Critique (2008) (6)
Establishing a Culture of Patient Safety, Quality, and Service in Plastic Surgery: Integrating the Fractal Model (2018) (6)
California's Proposition 46: A Wolf in Sheep's Wool (2014) (6)
Beyond the Hospital Gates: Elucidating the Interactive Association of Social Support, Depressive Symptoms, and Physical Function with 30-Day Readmissions (2015) (6)
Centralized Triage for Multiple Intensive Care Units: The Central Intensivist Physician (2010) (6)
Medication reconciliation: Are we meeting the requirements (2006) (6)
Tracking Progress in Patient Safety (2017) (6)
Removing “orange wires”: surfacing and hopefully learning from mistakes (2006) (6)
Intensive care unit errors: detection and reporting to improve outcomes (2002) (6)
Breaking down the borders of patient safety (2012) (5)
Developing and Testing a Chart Abstraction Tool for ICU Quality Measurement (2018) (5)
Lessons Learned from a Palliative Care-Related CommunicationIntervention in an Adult Surgical Intensive Care Unit (2015) (5)
Management of diseases without current treatment options: something can be done. (2009) (5)
Time for Transparent Standards in Quality Reporting by Health Care Organizations. (2017) (5)
A framework for operationalizing risk: A practical approach to patient safety. (2018) (5)
Summary Achieving the Potential of Health Care Performance Measures Timely Analysis of Immediate Health Policy Issues May 2013 (2013) (5)
Redefining Accountability in Quality and Safety at Academic Medical Centers (2016) (5)
Improvements in Hospital Adverse Event Rates: Achieving Statistically Significant and Clinically Meaningful Results. (2022) (5)
Harnessing the Power of Peer Influence to Improve Quality (2018) (5)
Reengineering the Physical Examination for the New Millennium? (2016) (5)
Long-term acute care hospitals: a clinical, economic, and ethical dilemma. (2013) (5)
Using Economic Evaluation to Illustrate Value of Care for Improving Patient Safety and Quality: Choosing the Right Method. (2017) (5)
Commentary: Making Hospital Care Patient-Centered (2012) (5)
Unintended consequences of quality improvement programs on the prevention of hospital-acquired conditions: Avoiding the temptation to bite into low-hanging fruit (2018) (5)
Latent risk assessment tool for health care leaders (2018) (5)
Republished: Development and evaluation of a 3-day patient safety curriculum to advance knowledge, self-efficacy and system thinking among medical students (2012) (5)
85: A cost analysis of intra-operative X-ray screening for retained surgical foreign bodies (2007) (5)
Quality of life in adult survivors of critical illness: A systematic review of the literature (2005) (5)
Improving performance on core processes of care (2016) (5)
Accounting for harms that cannot be counted (2018) (5)
How can clinicians measure safety and quality in acute care? (2011) (4)
Reducing defects in the use of interventions (2004) (4)
The Safe Day Call: Reducing Silos in Health Care Through Frontline Risk Assessment. (2014) (4)
Diagnostic Errors, Health Disparities, and Artificial Intelligence: A Combination for Health or Harm? (2021) (4)
Commentary on: Report on Mortality from Gluteal Fat Grafting: Recommendations from the ASERF Task Force. (2017) (4)
Perioperative β-blockers in high-risk patients (2002) (4)
Effect of concurrent computerized documentation of comorbid conditions on the risk of mortality index (2007) (4)
Developing process-support tools for patient safety: finding the balance between validity and feasibility. (2008) (4)
Time to Focus on Value-Based Metrics for Cancer Care? (2020) (4)
elaborationreporting: explanation and Reporting Excellence) guidelines for quality The SQUIRE (Standards for QUality Improvement (2008) (4)
Perioperative beta-blockers in high-risk patients. (2002) (4)
Measurement as a Performance Driver: The Case for a National Measurement System to Improve Patient Safety. (2017) (4)
Motivating Physicians to Improve Quality (2014) (4)
Central Line–Associated Bloodstream Infections (2011) (4)
The need for an ethics framework for the use of opioids in the treatment of chronic nonmalignant pain. (2017) (4)
Diagnostic Errors and Patient Safety—Reply (2009) (4)
We Should Measure What Matters in Bundled Payment Programs (2018) (4)
Evaluating the impact of the Leapfrog Group’s standard for Intensive Care Unit physician staffing (2005) (4)
High-Performing Health Care Delivery Systems: High Performance Toward What Purpose? (2017) (4)
Republished editorial: Navigating adaptive challenges in quality improvement (2011) (4)
Frailty in elderly surgical patients: Implications for operative risk assessment (2006) (4)
Central versus Local Quality Efforts: The Need for Both (2021) (4)
Creating competent and caring physicians: ensuring patients are our North Star (2007) (4)
COVID-19: The dark side and the sunny side for patient safety (2020) (4)
A National Study Examining Emergency Medicine Specialty Training and Quality Measures in the Emergency Department (2010) (3)
Alert‐Triggered Patient Education Versus Nurse Feedback for Nonadministered Venous Thromboembolism Prophylaxis Doses: A Cluster‐Randomized Controlled Trial (2022) (3)
Mandatory Public Reporting: Build It and Who Will Come? (2011) (3)
Determining the value of critical care (1999) (3)
Smartlists for Patients: The Next Frontier for Engagement? (2017) (3)
Finding Resolution for the Responsible Transparency of Economic Models in Health and Medicine. (2017) (3)
An interview with Peter Pronovost. (2004) (3)
Bridging the Leadership Development Gap: Recommendations for Medical Education (2012) (3)
Creating a Pediatric Joint Council to Promote Patient Safety and Quality, Governance, and Accountability Across Johns Hopkins Medicine. (2017) (3)
Hospital Readmission and Subsequent Decline in Long‐Term Survivors of Acute Respiratory Distress Syndrome (2019) (3)
Improving the Quality of Data for Inpatient Claims-Based Measures Used in Public Reporting and Pay-for-Performance Programs. (2017) (3)
Social Factors Predictive of Intensive Care Utilization in Technology-Dependent Children, a Retrospective Multicenter Cohort Study (2021) (3)
Strategies to Improve Patient Safety (2013) (3)
Quality corner: A section in the Journal of Critical Care devoted to improve quality and safety☆ (2003) (3)
Response to ProPublica's Rebuttal of Our Critique of the Surgeon Scorecard. (2015) (3)
Toward Eliminating All Harms. (2016) (3)
ICU nurse to patient ratio greater than 1 to 2 associated with an increased risk of complications in abdominal aortic surgery patients (1999) (3)
Automation and interoperability of a nurse-managed insulin infusion protocol as a model to improve safety and efficiency in the delivery of high-alert medications (2020) (3)
Mastery of Care-toward Communitarian Regulation. (2017) (3)
Sustaining quality improvement during data lag: A qualitative study in a perioperative setting (2015) (3)
Effect of No-Charge Coronary Artery Calcium Scoring on Cardiovascular Prevention. (2022) (3)
Editorial: toward more reliable processes in health care. (2015) (2)
Wasteful Health Care Spending in the United States. (2020) (2)
Prevention of Patient Harm—Reply (2012) (2)
Article Commentary: Penny-Wise, Pound-Foolish? Highmark Medicare Services’ Proposal for Anticoagulation Clinic Reimbursement (2010) (2)
Telemedicine and End-of-Life Care: What’s Wrong with This Picture? (2001) (2)
Creating and Maintaining Safe Systems of ICU Care (2001) (2)
Data Driven Patient Safety and Clinical Information Technology (2016) (2)
Benefits of Direct Observation in Medication Administration to Detect Errors (2007) (2)
Eliminating Defects in Behavioral Health Treatment. (2020) (2)
Technology Development in Health Care Is Broken (2017) (2)
Review Clinical review: Checklists - translating evidence into practice (2009) (2)
Reducing and Sustaining Duplicate Medical Record Creation by Usability Testing and System Redesign (2017) (2)
An analysis of publicly reported pediatric heart surgery data and patient mortality implications (2018) (2)
Prioritizing Health Care Solutions for Pressure Ulcers Using the Quality Function Deployment Process (2020) (2)
Pregnancy Outcomes after Bariatric Surgery (2007) (2)
Evaluation of a Measurement System to Assess ICU Team Performance* (2018) (2)
Using the Opportunity Estimator tool to improve engagement in a quality and safety intervention. (2012) (2)
Young and reckless? Greater standardization and transparency of performance is needed for pediatric performance measures. (2014) (2)
Patient Safety Culture and Medical Liability— Recommendations for Measurement, Analysis, and Interpretation: A Commentary (2017) (2)
Halting the Revolving Door (2014) (2)
A Department of Medicine Infrastructure for Patient Safety and Clinical Quality Improvement (2018) (2)
Twitter as a Source for Learning about Patient Safety Events (2012) (2)
Intensive care unit providers more quickly and accurately assess risk of multiple harms using an engineered safety display (2018) (2)
Trans-surgical Disciplines Collaboration Is an Effective Strategy for Expediting Quality Improvement. (2016) (2)
Measuring and Improving Safety (2011) (2)
Remote Patient Monitoring During COVID-19-Reply. (2022) (2)
The Association of Departmental Quality Infrastructure and Positive Change (2018) (2)
Rapid response system: Let???s not get carried away! (2007) (1)
PIN21 The Cost-Utility of Remote Pulse-Oximeter Monitoring of COVID19 Patients (2021) (1)
Staffing intensive care units with critical care physicians may improve clinical outcomes (2003) (1)
Value-based purchasing may unfairly penalize specialty centers performing combined liver–colon multivisceral resections (2018) (1)
Recommendations : Achieving the Potential of Health Care Performance Measures Timely Analysis of Immediate Health Policy Issues May 2013 (2013) (1)
Smart agent system for insulin infusion protocol management: a simulation-based human factors evaluation study (2021) (1)
Lovastatin in X-Linked Adrenoleukodystrophy (2010) (1)
Taking Health Care Governance to the Next Level (2018) (1)
An executive checklist. (2009) (1)
Institutional and national MEDMARX data have differences in causes and types of medication errors but agree on the higher propensity for harm in the ICU: Authors reply (2013) (1)
Quality Management in Intensive Care: Use of checklists (2016) (1)
Eliminating Missed Opportunities for Patients with Type 2 Diabetes (2021) (1)
Integrating traditional biomedical and high reliability organisation approaches: solving puzzles and problems (2017) (1)
Patient Safety in Radiation Oncology: Tools for Improvement (2010) (1)
Prevalence of Drug Testing Among Family Medicine Residents and Students: Much Needed Data. (2015) (1)
Partnership With Patients: Response (2007) (1)
Stratifying for Value: An Updated Population Health Risk Stratification Approach. (2021) (1)
Red Blood Cell Transfusions For Critically Ill Patients: Has Evidence Changed Practice? (2011) (1)
Zero tolerance. Hospital executives play a key role in defeating deadly infections. (2011) (1)
Defining’ success’ in ICU Care (2003) (1)
Thinking like a pancreas: A look ahead at diabetes technology in the perioperative setting [25] (2007) (1)
683: Cost effectiveness of reducing CLABSI in the limited resource setting of developing countries (2013) (1)
Transfusion Utilization and Appropriateness: Thinking Differently at a Tertiary Academic Medical Center (2022) (1)
Miles to go before we sleep. (2009) (1)
Computer clinical decision support that automates personalized clinical care: a challenging but needed healthcare delivery strategy (2022) (1)
Got culture change? CUSP tools can transform safety. (2012) (1)
Lessons Learned From a Patient‐Centered, Team‐Based Intervention for Patients With Type 2 Diabetes at High Cardiovascular Risk: Year 1 Results From the CINEMA Program (2022) (1)
A doctor's crusade to improve patient safety. (2013) (1)
Misdiagnosis in the Emergency Department: Time for a System Solution. (2023) (1)
Do performance measures help healthcare? (2013) (1)
Assessing the Agreement of Hospital Performance on 3 National Mortality Ratings for 2 Common Inpatient Conditions. (2020) (1)
Promoting Interoperability: Roles for Commercial Payers (2019) (1)
Duplex Ultrasound Screening for Deep Vein Thrombosis (DVT) in Asymptomatic Trauma Patients: Survey Results of Current Opinions and Practice Patterns from 316 Trauma Surgeons (2010) (1)
Review: Epidural or spinal anesthesia reduces postoperative mortality and morbidity (2001) (1)
Transdisciplinary Teams Spur Innovation for Patient Safety and Quality Improvement. (2017) (1)
Other voices. What's next in the drive to eliminate preventable harm and cut costs? (2011) (1)
Use of Telemedicine to Improve Interfacility Communication and Aid in Triage of Patients with Intracerebral Hemorrhage: A Pilot Study. (2020) (1)
Health System Leaders' Role in Addressing Racism: Time to Prioritize Eliminating Health Care Disparities. (2020) (1)
ICU physician staffing and hospital volume are related to improved outcomes for esophageal resection (2000) (1)
What Is a Center of Excellence? (2022) (1)
Preventing Venous Thromboembolism: Empowering Patients and Enabling Patient-Centered Care via Health Information Technology (2018) (1)
Evidence-Based Medicine Needs Proper Critical Review (2002) (1)
Pursuit of Performance Excellence (2011) (1)
Achieving Large-Scale Quality Improvement in Primary Care Annual Wellness Visits and Hierarchical Condition Coding (2022) (1)
Did hospital engagement networks actually improve care? (2014) (1)
Finding Balance: Standardizing Practice Is Corseting Physician Judgement (2018) (1)
RBC Transfusion Practices In Two ICUs: A Mixed Methods Assessment Of Knowledge Translation (2012) (1)
What counts as a voiceable concern in decisions about speaking out in hospitals: A qualitative study (2022) (1)
Aspiration Pneumonia: Mixing Apples with Oranges and Tangerines: The authors respond (2004) (1)
18: Unplanned thirty-day readmission rates as a quality measure: Risk factors and costs of readmission on a gynecologic oncology service (2016) (1)
Hypothesis Generation: Asking the Right Question, Getting the Correct Answer (2002) (1)
Malpractice litigation, quality improvement, and the University Hospitals Obstetric Quality Network (2019) (1)
Postincident Alcohol and Drug Testing (2014) (1)
PATIENT SAFETY SERIES Overview of progress in patient safety (2011) (1)
Use of Cascading A3s to Drive Systemwide Improvement. (2017) (1)
Title: Predictors of transfusion for spinal surgery in Maryland, 1997-2000. (2001) (1)
Mitigating the July effect (2021) (1)
Novel analysis of clinically relevant diagnostic errors in point‐of‐care devices: a reply to a rebuttal (2012) (1)
Survivorship After Acute Lung Injury: 2-Year Healthcare Resource Utilization And Costs (2012) (1)
The Impact of Handoffs on Patient Safety Perceptions: Evidence from HSOPS (2015) (1)
Medication Error: A Leading Cause of Anesthesia-related Morbidity and Mortality (2007) (1)
Geographically Localized Medicine House-Staff Teams and Patient Satisfaction (2018) (1)
CLINICIAN ’ S CORNER USERS ’ GUIDES TO THE MEDICAL LITERATURE HowtoUseanArticleAboutQuality Improvement (2010) (0)
Decreasing Dissonant and Increasing Resonant Leadership Behaviors to Transform Health Care. (2023) (0)
Intervention 1 : Implementing an Educational Intervention to Increase Provider Awareness of Evidence-Based Infection Control Practices ( Introduced : February (2004) (0)
Building a Highway to Quality Health Care. (2016) (0)
Use of checklists Quality management of patient care (2016) (0)
Understanding extubation "failures" in an ICU (1999) (0)
LEADS II AND V5 FAIL TO DETECT POSTOPERATIVE MYOCARDIAL ISCHEMIA (1998) (0)
39: ENGINEERING INTEROPERABILITY BETWEEN EHRS AND INFUSION PUMPS A HUMAN FACTORS EVALUATION STUDY (2019) (0)
The Transformation: How to PROPEL a Staff to Success (2017) (0)
Iconoclast or bridge builder? Pronovost Q&A (2008) (0)
A Tale of Two Systems (2016) (0)
ICU Exposures for Long-Term Outcomes Research: Development and Description of Exposures for 150 ALI Patients (2013) (0)
Multiprofessional Ward Rounds for Inpatients With Advanced Cancers: Too Big to Succeed? (2018) (0)
Solving Puzzles and Problems: Linking Biomedical Research andImprovement Science (2017) (0)
Helping Patients with COPD Transition from Hospital to Home—The BREATHE Study (2020) (0)
What a Real Preoccupation With Failure Could Look Like. (2017) (0)
The Unrecognized Impact of Anxiety in Complex and Costly Patients. (2022) (0)
Response to letter to the editor: Factors associated with in-hospital mortality among critically ill surgical patients with multidrug-resistant Gram-negative infections: Methodological issues (2017) (0)
Examining Emergency Medicine Specialty Training and Quality Measures in the (2010) (0)
Organizational Factors in Technological Change : A Life-Cycle Framework (2017) (0)
Community-Based Hospitals Benefit From Restrictive Transfusion Practices (2023) (0)
Improving Surgical Care and Recovery Through Multidisciplinary Work (2017) (0)
Unexplained Variation in Hospital ICU Utilization (2001) (0)
RR27. Failure to Adopt National Quality Forum Safe Practices Predicts Worse Outcomes after Common Vascular Procedures (2011) (0)
Pace With Policy Measuring Preventable Harm: Helping Science Keep (2009) (0)
Improving the Physical Examination-Reply. (2016) (0)
901: PERCEPTIONS OF HIGH AND LOW QUALITY CARE IN SURGICAL INTENSIVE CARE UNITS AMONG PATIENTS AND THEIR FAMILIES (2012) (0)
Teaching critical appraisal skills has attitudinal and skill benefits but evidence about effects on health outcomes is unclear (2001) (0)
Rebecca A. Aslakson, M.D., Ph.D. to Receive 2014 Presidential Scholar Award (2014) (0)
1357: MANAGING DATA REQUIREMENTS TO MEASURE ICU SUSCEPTIBILITY TO PATIENT HARM (2019) (0)
Protection of patients from physician substance misuse--reply. (2013) (0)
Review: epidural or spinal anaesthesia reduces post-operative mortality and morbidity (2001) (0)
The authors reply. (2013) (0)
Research Mortality in sepsis versus non-sepsis induced acute lung injury (2009) (0)
BLOOD PRODUCT TRANSFUSION IS ASSOCIATED WITH SURGICAL SITE INFECTION IN PATIENTS UNDERGOING SURGERY IN MARYLAND, 1999-2000 (2002) (0)
Impact of ICU organization and staffing on outcomes after abdominal aortic surgery (1998) (0)
Culture conscious. Leaders talk quality, change needed for improvement at Virtual Conference. (2013) (0)
Adopting evidence-based process measures in surgery: Intervention specific or associated with overall hospital quality? (2008) (0)
Improving Value in Surgery: Opportunities in Rectal Cancer Care. A Surgical Perspective. (2022) (0)
Automated Charting and Systems Integration: For Patients’ Safety and Our Sanity (2015) (0)
Training for Identity, Not Behavior, in Quality and Safety (2015) (0)
Modern Times in Healthcare: From the C-Suite to the Bedside (2017) (0)
Optimizing Leadership Roles of the Medical Executive Committee Within Community Hospitals (2018) (0)
Corrigendum to Cardiac surgery errors: Results from the UK national reporting and learning system [Int J Qual Health Care 23, (2011) 151-158] (2014) (0)
Saving the Lifesavers: Using Improvement Science to Better Clinician Well-being. (2018) (0)
A Hospital System’s Journey Toward Zero Harm: Reducing Postoperative Respiratory Failure (2023) (0)
ROUTINE ICU MONITORING FAILS TO DETECT POSTOPERATIVE MYOCARDIAL ISCHEMIA (1998) (0)
It’s the Culture, Dummy Darling: A Look at a Top-Rated Hospital (2017) (0)
Room 302, 10/16/2000 2: 00 PM - 3: 30 PM (PD) Postoperative Use of Beta-Blockers Reduces Mortality at One Year in High Risk Surgical Patients A-238 (2000) (0)
Rebecca A. Aslakson, M.D., Ph.D., recipient of the 2014 Presidential Scholar Award. (2014) (0)
Stuck between a rock and a hard place. Refereeing employee-physician disputes tactfully. (2017) (0)
Intensive Care Unit Nurses and Palliative Care: Perceptions and Recommendations (S706) (2013) (0)
1369: PRIORITIZING HEALTHCARE SOLUTIONS USING THE QUALITY FUNCTION DEPLOYMENT PROCESS (2019) (0)
Using Health Information Technology to Reduce Health Care Disparities Features (2011) (0)
Automated Charting and Systems Integration: For Patients' Safety and Our Sanity. (2015) (0)
Solving Problems as well as Puzzles. (2011) (0)
Mutual Mentorship: Patient-Partnered Care Starts at the Patient-CEO Level. (2017) (0)
Appendix A: Medical Device Safety from the Hospital’s Point of View (2014) (0)
Dose Titration of Ambulatory Care for Heart Failure: A New Paradigm to Keep Patients Healthy at Home Rather Than Healing in Hospital. (2019) (0)
Your PROPEL Toolkit: Exercises for Elevating Your Level of Satisfaction and Success (2017) (0)
Passion: Developing the Drive to Create Positive Outcomes (2017) (0)
The Authors Reply, "The Weekend Effect in Hospitalized Patients". (2018) (0)
How systems engineering can improve care in the ICU (2020) (0)
More staff members, better outcomes (1999) (0)
Devolving before Evolving: How to Command-and-Control Staff into Anger and Apathy (2017) (0)
Optimism: Changing Your Thinking to Generate Gritty Determination (2017) (0)
Beyond a safety breakthrough. Interview by Haydn Bush. (2009) (0)
Preoperative risk factors for in-hospital mortality and total hospital charges in abdominal aortic surgery patients (1998) (0)
In Reply to Khoo and Teo. (2018) (0)
DEVELOPING AND IMPLEMENTING AN INNOVATIVE PATIENT SAFETY IMPROVEMENT MODEL (2006) (0)
Hope And Humility (2014) (0)
WIDER Working Paper 2017/142-Changing the narratives for patient safety (2017) (0)
Make sure any cordis in place is the correct size when emergently floating a transvenous pacing wire (2012) (0)
Effect of a ProgramCombiningTransitional Care andLong-term Self-management Support on Outcomes of Hospitalized PatientsWith Chronic Obstructive Pulmonary Disease A Randomized Clinical Trial (2019) (0)
ECP-Intensive Care Unit Nurse Staffing and the Risk for Complications after Abdominal Aortic (2003) (0)
Rapid Response Team Responses—Reply (2007) (0)
Impact of Interdisciplinary System-Wide Limb Salvage Advisory Council on Lower Extremity Major Amputation. (2021) (0)
Investing In Patient Safety Medicare Payment For Selected Adverse Events : Building The Business Case For (2006) (0)
American Hospital Quest for Quality Prize SM (2004) (0)
Table 1, Lessons from the Keystone ICU Collaborative (2008) (0)
815: REDUCING THREE INFECTIONS AND IMPROVING CULTURE ACROSS CARDIAC SURGERY UNITS (2014) (0)
169: Optimizing Mechanical Ventilation Lung-Protective Strategy: Systems Engineering to the Rescue (2020) (0)
What's next in the drive to estiminate preventable harm and cut costs? (2011) (0)
Idiopathic vs Hereditary Pancreatitis (2003) (0)
Optimizing Evidence-based Opioid-prescribing After General Surgery. (2018) (0)
Hospital compliance with national quality forum safe practices: Are surgical outcomes improved? (2009) (0)
Statewide one‐day survey of central lines (2012) (0)
Intensive Care Unit Nurse Communication Barriers Focus Group Interview Questions (2015) (0)
ICU Volume 14-Issue 1-Spring 2014-Cover Story: ICU Organisation & Design A Model for the Intensive Care Unit as a High Reliability Organisation (2019) (0)
Health Disparities in Length of Stay and Total Cost of Care for Heart Failure Discharges (2011) (0)
Leading with love: learning and shared accountability. (2021) (0)
Legacy: Empowering Others to Make a Meaningful Difference (2017) (0)
Designing for Value in Specialty Referrals: A New Framework for Eliminating Defects and Wicked Problems (2021) (0)
Reducing preventable harm: comment on "Clinical and economic outcomes attributable to health care-associated sepsis and pneumonia". (2010) (0)
Prescribing Narcotics for Pain (2022) (0)
Proactivity: Using Your Best Traits to Achieve the Best Results (2017) (0)
Analyzing Medical Incident Reports in the Context of Medical Care Processes (PSAM-0302) (2006) (0)
Perspective Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions Perspective (2021) (0)
Variation in Postoperative Complication Rates and Opportunities for Improvement (1999) (0)
676: FACTORS ASSOCIATED WITH SURVIVAL IN SICU PATIENTS WITH MULTIDRUG-RESISTANT GRAM-NEGATIVE INFECTIONS (2016) (0)
Partnership with patients : How much partnership? Authors' reply (2007) (0)
Abstract 2835: A Comparative Analysis of Pediatric Resident Performance During High-fidelity Simulated Cardiopulmonary Arrests (2009) (0)
and P J different training paradigm Beyond " see one , do one , teach one " : toward a (2009) (0)
A Framework for Classifying Patient Safety Practices (2011) (0)
A Standard-Setting Body for US Health Care Quality Measurement (2017) (0)
Evidence-based Practice of Anesthesiology. (2005) (0)
Blood money: Hospitals reap profit on CLABSIs (2013) (0)
railty as a Predictor of Surgical Outcomes n Older Patients (0)
Physician drug testing is unscientific and is unlikely to achieve stated aims--in response. (2015) (0)
Establishing an Ambulatory Quality and Safety Oversight Structure (2018) (0)
In reply. (2013) (0)
Personal Accountability for Hand Hygiene (2017) (0)
A modified Delphi study to identify the features of high quality measurement plans for healthcare improvement projects. (2020) (0)
Perceptions of Safety Are Shaped by the Hospital Environment—Reply (2013) (0)
Positive Psychology: The Science of Optimal Human Functioning (2017) (0)
Relationships: Building a High-Performing Team (2017) (0)
ORIGINAL RESEARCH Use of Provider-Level Dashboards and Pay-for-Performance in Venous Thromboembolism Prophylaxis (2014) (0)
Medicine Effectiveness and Efficiency of Root Cause Analysis in (2009) (0)
Affordable health care. Authors' replies (2004) (0)
TeleNeurosurgery: The Use of a Telemedicine Program to Improve Interfacility Communication and Aid in Triage of Patients with High-Grade Intracerebral Hemorrhage (2021) (0)
American College of Surgeons Efforts in Support of Value-Based Metrics-Reply. (2020) (0)
Clinical and economic outcomes of postoperative hospital-acquired pneumonia patients receive invasive diagnostic testing or ventilation (2006) (0)
Financial impact of concurrent coding. (2009) (0)
Labeling Complex and Costly Patients as "Unimpactable": A Morally Questionable Practice Likely to Worsen Inequities. (2021) (0)
Predicting violent behavior in clinical settings: a case-control study of a mental health inpatient unit. (2016) (0)
Unplanned 30-day readmission rates as a quality measure: Risk factors and costs of readmission to a gynecologic oncology service (2016) (0)
IMPROVING TEAM COMMUNICATION IN THE PICU: USE OF GOAL DIRECTED CARE.: 448 (2006) (0)
Evidence-based medicine needs proper critical review. Authors' reply (2002) (0)
743 Implementing a Comprehensive Unit-Based Safety Program (CUSP) for Endoscopy Units: A Model for Improving Quality and Safety (2016) (0)
Hospital and ICU Organizational Structure and Quality of Care for Surgical Patients (2003) (0)
Utilizing a Dashboard to Promote System-Wide Value in Behavioral Health. (2020) (0)
Personal Health Records Survey (2014) (0)
Building Basic Skills for Knowledge Translation: An Introductory Course (2012) (0)
Readmissions After Surgery Halting the Revolving Door: How a Focus on Patient- and Community-Level Risks May Help Curb (2014) (0)
measurement and feedback practical new tool for palliative care performance Improving comfort and communication in the ICU : a (2006) (0)
Erratum to “National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia” [General Hospital Psychiatry 32 (2010) 419–425] (2010) (0)
Short term and intermediate term comparison of endarterectomy versus stenting for carotid artery stenosis: systematic review and meta-analysis of randomised controlled clinical trials (2010) (0)
QUALITY ASSURANCE , SAFETY , AND OUTCOMES (0)
Helping Science Keep Pace With Policy (2009) (0)
Transitioning to Executive Leadership (2022) (0)
Intensivist Consultation and Outcomes in Critically Ill Patients (2003) (0)
Spine centers of excellence: a systematic review and single-institution description of a spine center of excellence. (2021) (0)
691: Improving Cardiac Surgery Outcomes (2013) (0)
886: ADAPTING THE COMPREHENSIVE UNIT-BASED SAFETY PROGRAM TO IMPROVE PATIENT OUTCOMES IN THE ICU (2014) (0)
Measurement as a Performance Driver (2017) (0)
1086: ICU, ED, OR, MED DOCTORS’ PERCEPTIONS OF TEAMWORK AND PATIENT TRANSFERS: EVIDENCE FROM HSOPS (2016) (0)
ImpRovIng CaRdIaC SuRgeRy outComeS (2013) (0)
In reply. (2014) (0)
1008: THE IMPACT OF PATIENT, WARD, AND BEST PRACTICE THERAPIES ON ADVERSE OUTCOMES IN THE ICU (2019) (0)
A Longitudinal, Relationship-Based Model for Managing Complex Chronic Disease in the Medicaid Population. (2022) (0)
Health Affairs Confusion Instead Of Clarity National Hospital Ratings Systems Share Few Common Scores And May Generate (2015) (0)
Room G, 10/16/2000 2: 00 PM - 4: 00 PM (PS) Does an Intensivist Improve Outcomes in Critically Ill Patients? A Systematic Review A-434 (2000) (0)
Toolkit for Developing a PROPEL Team: Creating a Highly Effective Team to Facilitate Change (2017) (0)
Medical Team Training: The Authors Respond (2009) (0)
Improvements in Adverse Event Rates Among Hospitalized Patients-Reply. (2023) (0)
Investing In Skilled Specialists To Grow Hospital Infrastructure And Improve Quality (2017) (0)
Energy: Refueling Your Internal Engine (2017) (0)
A Web-based Tool for the Comprehensive Unit-based Safety Program (CUSP) Methods, Tools, and Strategies (2006) (0)
Patient safety pearls (2019) (0)
PPV and the PSIs/HAC Measures. (2017) (0)
Specimen Provenance Complications in the Biopsy Evaluation Process Frequency of Occurrence , Detection Methods , and Prevention (2010) (0)
Triaging Ophthalmic Emergencies: A 4-Parameter Tool embedded in an Emergency Department’s Electronic Health Record System (2016) (0)
2009 Annual Quality/Risk Management Retreat: An Approach to Patient Safety (2009) (0)
Redesigning Kidney Disease Care to Improve Value Delivery. (2021) (0)
Room Teamwork mong Physicians and Nurses : eamwork in the Eye of the Beholder artin (2006) (0)
His program reduces bloodstream infections across the country. What's next? (2011) (0)
Timing Of Limitations In Life Support: A Prospective Evaluation In Acute Lung Injury Patients (2012) (0)

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