List of works by Peter J. Pronovost

24-hour intensivist staffing: balancing benefits and costs

scientific article published on 01 January 2008

25-Year summary of US malpractice claims for diagnostic errors 1986-2010: an analysis from the National Practitioner Data Bank

scientific article

A Collaborative Learning Network Approach to Improvement: The CUSP Learning Network

scientific article published on April 2015

A Department of Medicine Infrastructure for Patient Safety and Clinical Quality Improvement

scientific article

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

scientific article

A Model for Integrating Ambulatory Surgery Centers Into an Academic Health System Using a Novel Ambulatory Surgery Coordinating Council

scientific article published on March 2016

A Model for the Departmental Quality Management Infrastructure Within an Academic Health System

scientific article published on 06 September 2016

A PIECE OF MY MIND. From Shame to Guilt to Love

scientific article

A Preoperative Medical History and Physical Should Not Be a Requirement for All Cataract Patients

scientific article published on 20 March 2017

A Standard-Setting Body for US Health Care Quality Measurement

scientific article published in November 2017

A Tale of Two Systems: Combining Forces to Improve Veteran and Military Health Care

scientific article published on 9 November 2015

A Typology of ICU Patients and Families from the Clinician Perspective: Toward Improving Communication

scientific article published on 8 July 2016

A check-up for safety culture in "my patient care area"

scientific article published on 01 November 2007

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

scientific article published on 01 July 2007

A doctor's crusade to improve patient safety

scientific article published in July 2013

A framework for encouraging patient engagement in medical decision making

scientific article published in December 2012

A framework for health care organizations to develop and evaluate a safety scorecard

scientific article published on 01 November 2007

A mile in their shoes: interdisciplinary education at the Johns Hopkins University School of Medicine.

scientific article published on 27 May 2010

A morning briefing: setting the stage for a clinically and operationally good day

scientific article published on 01 August 2005

A multicenter, phased, cluster-randomized controlled trial to reduce central line-associated bloodstream infections in intensive care units*.

scientific article published in November 2012

A national study examining emergency medicine specialty training and quality measures in the emergency department

scientific article published on 17 August 2010

A phased cluster-randomized trial of rural hospitals testing a quality collaborative to improve heart failure care: organizational context matters

scientific article published in May 2013

A physician management infrastructure

scientific article published on February 2011

A public health approach to patient safety reporting systems is urgently needed.

scientific article published in June 2011

A research framework for reducing preventable patient harm

scientific article

A system factors analysis of "line, tube, and drain" incidents in the intensive care unit

scientific article published in August 2005

A system factors analysis of airway events from the Intensive Care Unit Safety Reporting System (ICUSRS)

scientific article published on 01 November 2004

A systematic review of behavioural marker systems in healthcare: what do we know about their attributes, validity and application?

scientific article

A systematic review of teamwork in the intensive care unit: what do we know about teamwork, team tasks, and improvement strategies?

scientific article published on 04 June 2014

A systematic review of the Charlson comorbidity index using Canadian administrative databases: a perspective on risk adjustment in critical care research

scientific article

A targeted real-time early warning score (TREWScore) for septic shock

scientific article published on August 2015

A web-based tool for the Comprehensive Unit-based Safety Program (CUSP).

scientific article published in March 2006

Accuracy of marketing claims by providers of stereotactic radiation therapy

scientific article published on January 2013

Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations

scientific article published on April 2007

Acute decompensation after removing a central line: practical approaches to increasing safety in the intensive care unit

scientific article published on 01 June 2004

Addressing the multisectoral impact of pressure injuries in the USA, UK and abroad

scientific article published on 19 September 2017

Advancing the science of patient safety

scientific article

Advancing the use of checklists for evaluating performance in health care

scientific article

An Ethnographic Study of Health Information Technology Use in Three Intensive Care Units

scientific article published on 25 January 2017

An analysis of errors, discrepancies, and variation in opioid prescriptions for adult outpatients at a teaching hospital

scientific article published on January 2017

An ethics framework for a learning health care system: a departure from traditional research ethics and clinical ethics

scientific article

An integrative framework for sensor-based measurement of teamwork in healthcare

scientific article

An intervention to decrease catheter-related bloodstream infections in the ICU.

scientific article

An interview with Peter Pronovost.

scientific article published in December 2004

Analysis & commentary: A road map for improving the performance of performance measures

scientific article published in April 2011

Anticoagulation monitoring during pediatric extracorporeal membrane oxygenation

scientific article

Are Critical Pathways Effective for Reducing Postoperative Length of Stay? ⬇️

scientific article published on May 1, 2003

Are Evidence-based Practices Associated With Effective Prevention of Hospital-acquired Pressure Ulcers in US Academic Medical Centers?

scientific article published on May 2016

Are sequential compression devices commonly associated with in-hospital falls? A myth-busters review using the patient safety net database

scientific article published on June 2011

Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study

scientific article

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

scientific article

Association between venous thromboembolism and perioperative allogeneic transfusion

scientific article

Association of unconscious race and social class bias with vignette-based clinical assessments by medical students

scientific article

Balancing "no blame" with accountability in patient safety

scientific article

Barriers to low tidal volume ventilation in acute respiratory distress syndrome: survey development, validation, and results

scientific article published on December 2007

Barriers to translating evidence into practice

scientific article

Beyond a safety breakthrough. Interview by Haydn Bush.

scientific article published in September 2009

Beyond the Hospital Gates: Elucidating the Interactive Association of Social Support, Depressive Symptoms, and Physical Function with 30-Day Readmissions.

scientific article published in July 2015

Breaking down the borders of patient safety

scientific article published in October 2012

Building nursing intellectual capital for safe use of information technology: a before-after study to test an evidence-based peer coach intervention

scientific article

Building safety into ICU care

scientific article published on 01 June 2002

CLABSI Conversations: Lessons From Peer-to-Peer Assessments to Reduce Central Line-Associated Bloodstream Infections

scientific article

California's Proposition 46: a wolf in sheep's wool

scientific article

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

scientific article published in November 2017

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

scientific article

Can reverse innovation catalyse better value health care?

scientific article published in October 2017

Cardiac surgery errors: results from the UK National Reporting and Learning System

scientific article published on 10 January 2011

Cardiac surgical ICU care: eliminating "preventable" complications

scientific article published on 30 May 2013

Cardiac troponin I predicts short-term mortality in vascular surgery patients

scientific article published on 01 October 2002

Care for the caregiver: benefits of expressive writing for nurses in the United States

scholarly article by Janel D. Sexton et al published December 2009 in Progress in palliative care

Changing the narratives for patient safety

scientific article

Characteristics of intensive care units in Michigan: not an open and closed case

scientific article

Clinical Communities at Johns Hopkins Medicine: An Emerging Approach to Quality Improvement

scientific article published on January 2015

Clinical and economic outcomes of hospital acquired pneumonia in intra-abdominal surgery patients

scientific article published in April 2006

Clinical review: checklists - translating evidence into practice

scientific article

Clinical utility of biomarkers in myocardial injury

scientific article published on February 2004

Commentary on: Report on Mortality from Gluteal Fat Grafting: Recommendations from the ASERF Task Force

scientific article published in July 2017

Commentary: Reducing diagnostic errors: another role for checklists?

scientific article published in March 2011

Commentary: a call to go green in health care by reprocessing medical equipment

scientific article published in March 2010

Comparison of intensive care unit medication errors reported to the United States' MedMarx and the United Kingdom's National Reporting and Learning System: a cross-sectional study

scientific article published on 8 May 2013

Complications and Costs After High-Risk Surgery: Where Should We Focus Quality Improvement Initiatives? ⬇️

scientific article published on May 1, 2003

Comprehensive Unit-based Safety Program (CUSP) to Improve Patient Experience: How a Hospital Enhanced Care Transitions and Discharge Processes

scientific article published on October 2016

Conflict of interest, Dr Charles Denham and the Journal of Patient Safety

scientific article published in December 2014

Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research

scientific article published on 01 June 2008

Cooccurrence of and remission from general anxiety, depression, and posttraumatic stress disorder symptoms after acute lung injury: a 2-year longitudinal study

scientific article

Cost-effectiveness of a quality improvement programme to reduce central line-associated bloodstream infections in intensive care units in the USA.

scientific article

Creating a Pediatric Joint Council to Promote Patient Safety and Quality, Governance, and Accountability Across Johns Hopkins Medicine

scientific article published on 28 March 2017

Creating a fractal-based quality management infrastructure

scientific article published on January 2014

Creating a high-reliability health care system: improving performance on core processes of care at Johns Hopkins Medicine

scientific article published on February 2015

Creating competent and caring physicians: ensuring patients are our North Star

scientific article published on 15 August 2007

Creating high reliability in health care organizations

scientific article

Creating the web-based intensive care unit safety reporting system

scientific article (publication date: 2005)

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

scientific article published on July 2015

Critical care physician cognitive task analysis: an exploratory study

scientific article published on 05 March 2009

Critical pathway effectiveness: assessing the impact of patient, hospital care, and pathway characteristics using qualitative comparative analysis ⬇️

scientific article

Decreasing central-line-associated bloodstream infections in Connecticut intensive care units

scientific article published on 24 January 2013

Defining and measuring patient safety

scientific article

Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents during simulated cardiopulmonary arrests

scientific article

Demonstrating high reliability on accountability measures at the Johns Hopkins Hospital

scientific article published in December 2013

Depressive symptoms and impaired physical function after acute lung injury: a 2-year longitudinal study

scientific article published on 8 December 2011

Developing a Comprehensive Model of Intensive Care Unit Processes: Concept of Operations

scientific article

Developing a Measure of Value in Health Care

scientific article published on 28 January 2015

Developing a model for attending physician workload and outcomes

scientific article

Developing and pilot testing quality indicators in the intensive care unit ⬇️

scientific article published on September 1, 2003

Developing process-support tools for patient safety: finding the balance between validity and feasibility

scientific article published on 01 October 2008

Developing quality measures for sepsis care in the ICU.

scientific article published on September 2007

Development and evaluation of a 3-day patient safety curriculum to advance knowledge, self-efficacy and system thinking among medical students

scientific article published on 15 March 2012

Diagnostic errors in the intensive care unit: a systematic review of autopsy studies

scientific article published on 21 July 2012

Diagnostic errors in the pediatric and neonatal ICU: a systematic review

scientific article

Diagnostic errors--the next frontier for patient safety

scientific article

Did hospital engagement networks actually improve care?

scientific article published in August 2014

Disclosing medical errors to patients: it's not what you say, it's what they hear

scientific article published on 04 July 2009

Does intensive care unit severity of illness influence recall of baseline physical function?

scientific article

Does it matter who the anesthesiologist is for my heart surgery?

scientific article

Does patient perception of pain control affect patient satisfaction across surgical units in a tertiary teaching hospital?

scientific article published on 16 February 2012

Doing well by doing good: assessing the cost savings of an intervention to reduce central line-associated bloodstream infections in a Hawaii hospital

scientific article

Effect of accounting for multiple concurrent catheters on central line-associated bloodstream infection rates: practical data supporting a theoretical concern

scientific article

Effect of epsilon aminocaproic acid on red-cell transfusion requirements in major spinal surgery

scientific article published on September 2009

Effectiveness and efficiency of root cause analysis in medicine

scientific article published on 01 February 2008

Effectiveness of two distinct web-based education tools for bedside nurses on medication administration practice for venous thromboembolism prevention: A randomized clinical trial

scientific article published on 16 August 2017

Eliminating Health Care Disparities With Mandatory Clinical Decision Support: The Venous Thromboembolism (VTE) Example

scientific article

Eliminating Infections in the ICU: CLABSI.

scientific article published on July 2015

Eliminating catheter-related bloodstream infections in the intensive care unit.

scientific article published in October 2004

Eliminating central line-associated bloodstream infections: a national patient safety imperative.

scientific article published on 26 November 2013

Enhancing physicians' use of clinical guidelines

scientific article

Enhancing the quality of care in the intensive care unit: a systems engineering approach

scientific article published on January 2013

Ensuring that guidelines help reduce patient harm

scientific article published on 05 February 2013

Epidemiology and impact of aspiration pneumonia in patients undergoing surgery in Maryland, 1999-2000.

scientific article published in July 2003

Establishing a global learning community for incident-reporting systems.

scientific article published in October 2010

Establishing an Ambulatory Medicine Quality and Safety Oversight Structure: Leveraging the Fractal Model

scientific article published on 27 January 2016

Establishing an Ambulatory Quality and Safety Oversight Structure

scientific article published in January 2018

Ethical and practical aspects of disclosing adverse events in the emergency department

scientific article published on August 2006

Ethics, oversight and quality improvement initiatives

scientific article published on 27 May 2010

Evaluating Safety Initiatives in Healthcare

scientific article

Evaluation of two methods for quality improvement in intensive care: facilitated incident monitoring and retrospective medical chart review

scientific article

Evidence-based palliative care in the intensive care unit: a systematic review of interventions

scientific article

Examination of publications from academic anesthesiology faculty in the United States

scientific article

Examining influences on speaking up among critical care healthcare providers in the United Arab Emirates

scientific article published on 23 November 2017

Executive/Senior Leader Checklist to Improve Culture and Reduce Central Line–Associated Bloodstream Infections ⬇️

scientific article published on November 1, 2010

Explaining Michigan: developing an ex post theory of a quality improvement program

scientific article

Factors associated with in-hospital mortality among critically ill surgical patients with multidrug-resistant Gram-negative infections

scientific article published on 24 November 2017

Factors associated with timing of initiation of physical therapy in patients with acute lung injury

scientific article published on 09 July 2013

Family meetings made simpler: a toolkit for the intensive care unit

scientific article published on 08 May 2009

Fifteen years after To Err is Human: a success story to learn from.

scientific article published on 15 December 2015

Financial impact of concurrent coding.

scientific article published in September 2009

Finding Resolution for the Responsible Transparency of Economic Models in Health and Medicine

scientific article published in November 2017

Fostering Transparency in Outcomes, Quality, Safety, and Costs

scientific article

Frailty as a predictor of surgical outcomes in older patients

scientific article

Framework for patient safety research and improvement

scientific article published on January 2009

From Board to Bedside: How the Application of Financial Structures to Safety and Quality Can Drive Accountability in a Large Health Care System

scientific article

From heroism to safe design: leveraging technology

scientific article published in March 2014

Funding Innovation in a Learning Health Care System

scientific article published on 21 December 2017

Hazards of benchmarking complications with the National Trauma Data Bank: numerators in search of denominators.

scientific article

Health care quality in end-of-life care: promoting palliative care in the intensive care unit

scientific article published on March 2011

Health care resource use and costs of two-year survivors of acute lung injury. An observational cohort study

scientific article published on March 2015

Health information technology and the collection of race, ethnicity, and language data to reduce disparities in quality of care

scientific article

Healthcare Resource Use and Costs in Long-Term Survivors of Acute Respiratory Distress Syndrome: A 5-Year Longitudinal Cohort Study

scientific article published on 29 September 2016

Helicopter emergency medical services for adults with major trauma

scientific article (publication date: 10 August 2011)

Hemodynamic goals in randomized clinical trials in patients with sepsis: a systematic review of the literature

scientific article

High-Performing Health Care Delivery Systems: High Performance Toward What Purpose?

scientific article

His program reduces bloodstream infections across the country. What's next?

scientific article published in April 2011

Hospital volume and failure to rescue after head and neck cancer surgery

scientific article published on 13 February 2015

Hospital volume and mortality for mechanical ventilation of medical and surgical patients: a population-based analysis using administrative data.

scientific article published in September 2006

Hospital-acquired conditions in head and neck cancer surgery

scientific article published on 3 June 2013

How can clinicians measure safety and quality in acute care?

scientific article published on March 2004

How can clinicians measure safety and quality in acute care?

scientific article published in March 2011

How does context affect interventions to improve patient safety? An assessment of evidence from studies of five patient safety practices and proposals for research

scientific article published on 13 April 2011

How safe is my intensive care unit? Methods for monitoring and measurement

scientific article published on December 2007

How to study improvement interventions: a brief overview of possible study types

scientific article

How to study improvement interventions: a brief overview of possible study types.

scientific article published on 25 March 2015

How to use an article about quality improvement ⬇️

scientific article published on November 24, 2010

How will we know patients are safer? An organization-wide approach to measuring and improving safety

scientific article

Human immunodeficiency virus and hepatitis testing and prevalence among surgical patients in an urban university hospital

scientific article published on January 2007

Human immunodeficiency virus infection and hospital mortality in acute lung injury patients

scientific article published in July 2010

ICU incident reporting systems

scientific article published on 01 June 2002

IMPROVING SAFE PATIENT THROUGHPUT IN A MULTIDISCIPLINARY ONCOLOGY CLINIC.

scientific article published on March 2015

Identification of Physician Impairment

scientific article published in The Journal of the American Medical Association

Identifying and categorising patient safety hazards in cardiovascular operating rooms using an interdisciplinary approach: a multisite study

scientific article published on 5 May 2012

Identifying and learning from mistakes

scientific article published in April 2007

Identifying meaningful outcome measures for the intensive care unit

scientific article published on 25 July 2013

Identifying potential predictors of a safe attending physician workload: a survey of hospitalists

scientific article

Impact of a national multimodal intervention to prevent catheter-related bloodstream infection in the ICU: the Spanish experience

scientific article published in October 2013

Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis

scientific article

Impact of attending physician workload on patient care: a survey of hospitalists

scientific article published in March 2013

Impact of the Comprehensive Unit-based Safety Program (CUSP) on safety culture in a surgical inpatient unit.

scientific article published in June 2010

Impact of the Leapfrog Group's intensive care unit physician staffing standard

scientific article published on 2 February 2007

Implementation of the World Health Organization Trauma Care Checklist Program in 11 Centers Across Multiple Economic Strata: Effect on Care Process Measures

scientific article published on 31 October 2016

Implementing a Health System-wide Patient Blood Management Program with a Clinical Community Approach

scientific article published on 7 September 2017

Implementing and evaluating a multicomponent inpatient diabetes management program: putting research into practice

scientific article published on May 2012

Implementing the Comprehensive Unit-Based Safety Program (CUSP) to Improve Patient Safety in an Academic Primary Care Practice

scientific article published on 29 September 2017

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

scientific article published in October 2012

Improving ICU care: it takes a team

scientific article published on 01 March 2005

Improving Teamwork to Reduce Surgical Mortality ⬇️

scientific article published on October 20, 2010

Improving assessment and treatment of pain in the critically ill

scientific article published on 01 February 2004

Improving care for the ventilated patient

scientific article published in April 2004

Improving communication in the ICU using daily goals

scientific article published on 01 June 2003

Improving data quality control in quality improvement projects

scientific article

Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry

scientific article

Improving healthcare value through clinical community and supply chain collaboration

scientific article

Improving patient safety and care quality: a multiteam system perspective

chapter published in 2014

Improving patient safety in intensive care units in Michigan

scientific article published in June 2008

Improving patient safety reporting systems

scientific article published on 01 April 2007

Improving performance on core processes of care

scientific article published on 22 March 2016

Improving surgical outcomes through adoption of evidence-based process measures: intervention specific or associated with overall hospital quality?

scientific article published on 11 December 2009

Improving the Quality of Data for Inpatient Claims-Based Measures Used in Public Reporting and Pay-for-Performance Programs

scientific article published on 28 September 2017

Improving the quality of measurement and evaluation in quality improvement efforts.

scientific article published on 29 January 2008

Improving the quality of quality improvement projects.

scientific article published in October 2010

In Reply

In situ simulation in continuing education for the health care professions: a systematic review

scientific article published on January 2012

In the Name of Patient Safety, Let’s Burden the Emergency Department More

In their own words: patients and families define high-quality palliative care in the intensive care unit

scientific article

Incidents relating to the intra-hospital transfer of critically ill patients. An analysis of the reports submitted to the Australian Incident Monitoring Study in Intensive Care

scientific article published on 26 February 2004

Individualized Performance Feedback to Surgical Residents Improves Appropriate Venous Thromboembolism Prophylaxis Prescription and Reduces Potentially Preventable VTE: A Prospective Cohort Study

scientific article published on 25 November 2015

Individualized cost-effectiveness analysis of patient-centered care: a case series of hospitalized patient preferences departing from practice-based guidelines

scientific article published on 27 October 2016

Informed consent in the critically ill: a two-step approach incorporating delirium screening.

scientific article published in January 2008

Initiating an Enhanced Recovery Pathway Program: An Anesthesiology Department's Perspective

scientific article published on January 2015

Integrating CUSP and TRIP to Improve Patient Safety ⬇️

scientific article published on November 1, 2010

Integrating the intensive care unit safety reporting system with existing incident reporting systems

scientific article published on 01 October 2005

Intensive care unit errors: detection and reporting to improve outcomes

scientific article published on 01 April 2002

Intensive care unit exposures for long-term outcomes research: development and description of exposures for 150 patients with acute lung injury.

scientific article published on 27 June 2007

Intensive care unit physician staffing: financial modeling of the Leapfrog standard

scientific article published on 01 June 2004

Intensive care unit quality improvement: a "how-to" guide for the interdisciplinary team

scientific article

Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study

scientific article published on 31 January 2007

Interhospital Transport of Children Undergoing Cardiopulmonary Resuscitation: A Practical and Ethical Dilemma

scientific article

Interventions to decrease catheter-related bloodstream infections in the ICU: the Keystone Intensive Care Unit Project

scientific article

Interventions to reduce mortality among patients treated in intensive care units

scientific article published in September 2004

Is quality of care improving in the UK?

scientific article published on 3 February 2011

Is the Meaningful Use Venous Thromboembolism VTE-6 Measure Meaningful? A Retrospective Analysis of One Hospital's VTE-6 Cases

scientific article

Is there a relationship between service integration and differentiation and patient outcomes?

scientific article

It is time to reinvent the wheels of medical training

scientific article published in February 2015

Learning accountability for patient outcomes

scientific article published in July 2010

Learning from defects to enhance morbidity and mortality conferences.

scientific article published on 3 March 2009

Lessons from the Johns Hopkins Multi-Disciplinary Venous Thromboembolism (VTE) Prevention Collaborative

scientific article

Limitations of administrative databases

scientific article

Locating Errors Through Networked Surveillance: A Multimethod Approach to Peer Assessment, Hazard Identification, and Prioritization of Patient Safety Efforts in Cardiac Surgery

scientific article published on 28 March 2014

Long-term acute care hospitals: a clinical, economic, and ethical dilemma

scientific article

Long-term mortality and quality of life in sepsis: a systematic review

scientific article published on May 2010

Lung protective mechanical ventilation and two year survival in patients with acute lung injury: prospective cohort study

scientific article published on 5 April 2012

Maintaining and sustaining the On the CUSP: stop BSI model in Hawaii

scientific article published on February 2013

Major cultural-compatibility complex: considerations on cross-cultural dissemination of patient safety programmes

scientific article published on 10 February 2012

Making Management Skills a Core Component of Medical Education

scientific article published on 28 February 2017

Making health care safer II: an updated critical analysis of the evidence for patient safety practices

scientific article published on March 2013

Making hospital care patient-centered: the three patient questions framework

scientific article published on 13 August 2012

Making soft intelligence hard: a multi-site qualitative study of challenges relating to voice about safety concerns

scientific article published on 19 February 2018

Management of diseases without current treatment options: something can be done

scientific article

Managing clinical alarms: using data to drive change

scientific article

Mandatory public reporting: build it and who will come?

scientific article published in January 2011

Mastery of Care-toward Communitarian Regulation.

scientific article published in February 2017

Measurement as a Performance Driver: The Case for a National Measurement System to Improve Patient Safety

scientific article

Measurement of quality and assurance of safety in the critically ill.

scientific article published on March 2009

Measuring clinical information technology in the ICU setting: application in a quality improvement collaborative

scientific article published on 28 February 2007

Measuring patient safety in the emergency department

scientific article published on 31 May 2013

Mechanical ventilation in Ontario, 1992-2000: incidence, survival, and hospital bed utilization of noncardiac surgery adult patients

scientific article published on July 2004

Medical Physics Practice Guideline 4.a: Development, implementation, use and maintenance of safety checklists

scientific article published on 08 May 2015

Medicare payment for selected adverse events: building the business case for investing in patient safety

scientific article published in September 2006

Medication errors associated with code situations in U.S. hospitals: direct and collateral damage

scientific article published in January 2008

Medication errors in paediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy recommendations

scientific article published on April 2007

Medication reconciliation: a practical tool to reduce the risk of medication errors

scientific article published in December 2003

Meeting standards of high-quality intensive care unit palliative care: clinical performance and predictors

scientific article published in April 2012

Missed Doses of Venous Thromboembolism (VTE) Prophylaxis at Community Hospitals: Cause for Alarm

scientific article published on 17 October 2017

Modeling Inpatient Glucose Management Programs on Hospital Infection Control Programs: An Infrastructural Model of Excellence

scientific article published on January 2015

Monitoring and reducing central line-associated bloodstream infections: a national survey of state hospital associations

scientific article published on 04 June 2010

Monitoring patient safety

scientific article published on 01 July 2007

More than the sum of its parts: how multidisciplinary cancer care can benefit patients, providers, and health systems

scientific article published in June 2013

Mortality among marathon runners in the United States, 2000-2009.

scientific article

Mortality in sepsis versus non-sepsis induced acute lung injury

scientific article published on 16 September 2009

Motivating physicians to improve quality: light the intrinsic fire

scientific article

Muscle Weakness and 5-Year Survival in Acute Respiratory Distress Syndrome Survivors

scientific article

National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia

scientific article

National hospital ratings systems share few common scores and may generate confusion instead of clarity

scientific article published on March 2015

National study of patient, visit, and hospital characteristics associated with leaving an emergency department without being seen: predicting LWBS.

scientific article published in October 2009

National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors

scientific article

National study on the quality of emergency department care in the treatment of acute myocardial infarction and pneumonia

scientific article (publication date: October 2007)

Needlestick injuries among surgeons in training

scientific article

Neuromuscular dysfunction acquired in critical illness: a systematic review

scientific article

New legal protections for reporting patient errors under the Patient Safety and Quality Improvement Act: a review of the medical literature and analysis

scientific article published on September 2010

Next level of board accountability in health care quality.

scientific article published on 2 January 2018

Number needed to treat and cost of recombinant human erythropoietin to avoid one transfusion-related adverse event in critically ill patients

scientific article published in March 2005

Nurse-perceived barriers to effective communication regarding prognosis and optimal end-of-life care for surgical ICU patients: a qualitative exploration

scientific article

On the CUSP: Stop BSI: evaluating the relationship between central line-associated bloodstream infection rate and patient safety climate profile

scientific article published in October 2014

Operating room briefings and wrong-site surgery

scientific article published on 8 December 2006

Operating room briefings: working on the same page

scientific article

Operating room debriefings

scientific article published on 01 July 2006

Organizational Culture Changes Result in Improvement in Patient-Centered Outcomes: Implementation of an Integrated Recovery Pathway for Surgical Patients

scientific article published on 08 June 2015

Overview of progress in patient safety

scientific article published on January 2011

Partnering for quality

scientific article published on 01 September 2004

Partnership with patients: a prescription for ICU safety

scientific article published on 01 November 2006

Patient Preferences for Receiving Education on Venous Thromboembolism Prevention - A Survey of Stakeholder Organizations

scientific article

Patient Safety Events and Harms During Medical and Surgical Hospitalizations for Persons With Serious Mental Illness

scientific article published on 16 May 2016

Patient and intensive care unit organizational factors associated with low tidal volume ventilation in acute lung injury

scientific article published on 01 May 2008

Patient flow variability and unplanned readmissions to an intensive care unit

scientific article

Patient safety and the problem of many hands

scientific article published on 24 February 2016

Patient safety in surgery

scientific article

Patient safety incident reporting: a qualitative study of thoughts and perceptions of experts 15 years after 'To Err is Human'.

scientific article published on 27 July 2015

Patient, Provider, and System Factors Contributing to Patient Safety Events During Medical and Surgical Hospitalizations for Persons With Serious Mental Illness

scientific article published on June 2017

Paying the piper: investing in infrastructure for patient safety

scientific article published on June 2008

Pediatric patient safety in the ambulatory setting

scientific article published on January 2004

Pediatric safety incidents from an intensive care reporting system

scientific article published in June 2009

Penny-wise, pound-foolish? Highmark Medicare Services' proposal for anticoagulation clinic reimbursement

scientific article published on April 2010

Perceived benefit of a telemedicine consultative service in a highly staffed intensive care unit

scientific article published on 14 March 2012

Perioperative beta-blockers in high-risk patients

scientific article published in June 2002

Perioperative nurses and patient outcomes--mortality, complications, and length of stay

scientific article published on 01 March 2005

Perspective: Physician leadership in quality

scientific article published on December 2009

Physical complications in acute lung injury survivors: a two-year longitudinal prospective study

scientific article published on April 2014

Physical declines occurring after hospital discharge in ARDS survivors: a 5-year longitudinal study

scientific article published on 16 September 2016

Physician Motivation: Listening to What Pay-for-Performance Programs and Quality Improvement Collaboratives Are Telling Us.

scientific article published on January 2015

Physician staffing patterns and clinical outcomes in critically ill patients: a systematic review

scientific article

Planning and implementing a systems-based patient safety curriculum in medical education

scientific article

Plasma Biomarkers of Brain Injury as Diagnostic Tools and Outcome Predictors After Extracorporeal Membrane Oxygenation

scientific article

Platelet gene polymorphisms and cardiac risk assessment in vascular surgical patients

scientific article

Postincident alcohol and drug testing

scientific article published in January 2014

Postoperative complication rates after hepatic resection in Maryland hospitals

scientific article published on 01 January 2003

Postoperative complications: does intensive care unit staff nursing make a difference?

scientific article

Predicting violent behavior in clinical settings: a case-control study of a mental health inpatient unit

scientific article

Predictors of posttraumatic deep vein thrombosis (DVT): hospital practice versus patient factors-an analysis of the National Trauma Data Bank (NTDB).

scientific article

Predictors of transfusion for spinal surgery in Maryland, 1997 to 2000.

scientific article published in February 2002

Preoperative predictors of blood transfusion in colorectal cancer surgery

scientific article published in September 2002

Prescription Opioid Analgesics Commonly Unused After Surgery: A Systematic Review

scientific article

Prevalence of Drug Testing Among Family Medicine Residents and Students: Much Needed Data

scientific article

Prevalence of blood-borne pathogens in an urban, university-based general surgical practice

scientific article published on May 2005

Preventability of Hospital-Acquired Venous Thromboembolism

scientific article published on 29 July 2015

Preventing Harm in the ICU-Building a Culture of Safety and Engaging Patients and Families

scientific article published on 21 June 2017

Preventing central line-associated bloodstream infections and improving safety culture: a statewide experience

scientific article published in December 2009

Prevention of catheter-related bloodstream infections

scientific article published on January 2008

Projected incidence of mechanical ventilation in Ontario to 2026: Preparing for the aging baby boomers

scientific article

Promising Practices for Achieving Patient-centered Hospital Care: A National Study of High-performing US Hospitals

scientific article

Promotion of improvement as a science

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Psychiatric symptoms after acute respiratory distress syndrome: a 5-year longitudinal study

scientific article published on 26 December 2017

Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure

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Publication bias in surgery: implications for informed consent

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Pulmonary vs nonpulmonary sepsis and mortality in acute lung injury.

scientific article

Qualitative review of intensive care unit quality indicators

scientific article

Quality of life after acute respiratory distress syndrome: a meta-analysis.

scientific article

Quality of life in adult survivors of critical illness: a systematic review of the literature.

scientific article

Quality, safety, and institutional review boards: navigating ethics and oversight in applied health systems research

scientific article published on March 2011

RBC transfusion practices among critically ill patients: has evidence changed practice?

scientific article published in October 2013

Rapid response systems: a systematic review

scientific article

Rapid response systems: should we still question their implementation?

scientific article published on 22 April 2013

Rapid response teams--walk, don't run.

scientific article published on October 2006

ReCASTing the RCA: an improved model for performing root cause analyses

scientific article published on May 2010

Rebecca A. Aslakson, M.D., Ph.D., recipient of the 2014 Presidential Scholar Award

scientific article published in October 2014

Red blood cell transfusion practices in acute lung injury: what do patient factors contribute?

scientific article published on June 2009

Red blood cell transfusion practices in two surgical intensive care units: a mixed methods assessment of barriers to evidence-based practice

scientific article

Reducing and Sustaining Duplicate Medical Record Creation by Usability Testing and System Redesign

scientific article published on 25 October 2017

Reducing defects in the use of interventions

scientific article published on 09 June 2004

Reducing failed extubations in the intensive care unit

scientific article

Reducing health care hazards: lessons from the commercial aviation safety team

scientific article

Reducing medical errors and adverse events

scientific article

Reducing preventable harm: observations on minimizing bloodstream infections

scientific article

Reduction of catheter-associated bloodstream infections in pediatric patients: experimentation and reality

scientific article published on January 2008

Reduction of in-hospital mortality among California hospitals meeting Leapfrog evidence-based standards for abdominal aortic aneurysm repair

scientific article published on June 2008

Relationship between performance measurement and accreditation: implications for quality of care and patient safety

scientific article published on 01 September 2005

Removing "orange wires": surfacing and hopefully learning from mistakes.

scientific article published on 28 July 2006

Reorganizing the delivery of intensive care could improve efficiency and save lives

scientific article

Repeated attempts using different strategies are important for timely contact with study participants ⬇️

scientific article published on December 15, 2010

Republished paper: assessing and improving safety culture throughout an academic medical centre: a prospective cohort study

scientific article

Republished: development and evaluation of a 3-day patient safety curriculum to advance knowledge, self-efficacy and system thinking among medical students

scientific article published in September 2012

Response to ProPublica's Rebuttal of Our Critique of the

Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges

scientific article published on July 2010

Rethinking Rapid Response Teams ⬇️

scientific article published on September 22, 2010

Return to work and lost earnings after acute respiratory distress syndrome: a 5-year prospective, longitudinal study of long-term survivors

scientific article published on 16 September 2017

Review article: high stakes and high risk: a focused qualitative review of hazards during cardiac surgery

scientific article published on 03 March 2011

Robotic surgery claims on United States hospital websites

scientific article published on 17 May 2011

Rural hospital nursing: Better environments = shared vision and quality/safety engagement

scientific article published on April 2009

Rural hospital nursing: results of a national survey of nurse executives

scientific article published on March 2011

Safety in numbers: the development of Leapfrog's composite patient safety score for U.S. hospitals

scientific article published in March 2014

Safety strategies in an academic radiation oncology department and recommendations for action

scientific article published on July 2011

Senior executive adopt-a-work unit: a model for safety improvement

scientific article published in February 2004

Sensitivity of routine intensive care unit surveillance for detecting myocardial ischemia

scientific article published on 01 September 2003

Sepsis change bundles: converting guidelines into meaningful change in behavior and clinical outcome

scientific article

Setting priorities for patient safety: ethics, accountability, and public engagement

scientific article published in The Journal of the American Medical Association

Sharpless surgery: a prospective study of the feasibility of performing operations using non-sharp techniques in an urban, university-based surgical practice

journal article published in 2006

Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st century

scientific article published on March 2006

Short-term mortality prediction for acute lung injury patients: external validation of the Acute Respiratory Distress Syndrome Network prediction model

scientific article

Should older patients be selectively referred to high-volume centers for abdominal aortic surgery?

scientific article published in January 2004

Simulation in the Executive Suite: Lessons Learned for Building Patient Safety Leadership

scientific article

Simulation of in-hospital pediatric medical emergencies and cardiopulmonary arrests: highlighting the importance of the first 5 minutes

scientific article published on January 2008

Spinal anesthesia for a patient with familial hyperkalemic periodic paralysis

scientific article published in July 2002

Strategies to improve patient safety: the evidence base matures

scientific article published in March 2013

Study protocol: The Improving Care of Acute Lung Injury Patients (ICAP) study

scientific article

Studying outcomes of intensive care unit survivors: measuring exposures and outcomes.

scientific article

Studying outcomes of intensive care unit survivors: the role of the cohort study

scientific article

Surgeon specialty and provider volumes are related to outcome of intact abdominal aortic aneurysm repair in the united states ⬇️

scientific article published on October 1, 2003

Surgical intensive care unit clinician estimates of the adequacy of communication regarding patient prognosis

scientific article published on 29 November 2010

Surgical never events in the United States

scientific article

Surgical specimen identification errors: a new measure of quality in surgical care

scientific article published on 24 January 2007

Surgical volume and quality of care for esophageal resection: do high-volume hospitals have fewer complications?

scientific article published on 01 February 2003

Surveillance bias and deep vein thrombosis in the national trauma data bank: the more we look, the more we find

scientific article

Sustaining Reductions in Central Line-Associated Bloodstream Infections in Michigan Intensive Care Units: A 10-Year Analysis

scientific article published on 21 January 2015

Sustaining Reliability on Accountability Measures at The Johns Hopkins Hospital

scientific article published on January 2016

Sustaining quality improvement during data lag: A qualitative study in a perioperative setting

Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study

scientific article

Systematic review and analysis of postdischarge symptoms after outpatient surgery

scientific article

Systematic review identifies number of strategies important for retaining study participants

scientific article

Targeting errors in the ICU: use of a national database

scientific article published on December 2006

Team care: beyond open and closed intensive care units

scientific article published on December 2006

Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel

scientific article published on 01 November 2006

Tele ICU: paradox or panacea?

scientific article published on March 2009

Telling patients the truth.

scientific article

The 100,000 Lives Campaign: A scientific and policy review

scientific article published on November 2006

The Armstrong Institute: An Academic Institute for Patient Safety and Quality Improvement, Research, Training, and Practice

scientific article published on 18 May 2015

The Association of Departmental Quality Infrastructure and Positive Change: A Pathology Department Illustration.

scientific article published on 18 January 2018

The Cardiovascular Intensive Care Unit-An Evolving Model for Health Care Delivery

scientific article published on 13 January 2016

The GAAP in quality measurement and reporting

scientific article published on 01 October 2007

The Johns Hopkins Hospital: identifying and addressing risks and safety issues.

scientific article published in October 2004

The Johns Hopkins Venous Thromboembolism Collaborative: Multidisciplinary team approach to achieve perfect prophylaxis

scientific article

The National Trend in Quality of Emergency Department Pain Management for Long Bone Fractures

The National Trend in Quality of Emergency Department Pain Management for Long Bone Fractures

The Potential of Twitter as a Data Source for Patient Safety

scientific article

The Quality Measurement Crisis: An Urgent Need for Methodological Standards and Transparency.

scientific article

The Rhode Island ICU collaborative: a model for reducing central line-associated bloodstream infection and ventilator-associated pneumonia statewide.

scientific article published in December 2010

The Safe Day Call: Reducing Silos in Health Care Through Frontline Risk Assessment

scientific article published in October 2014

The Society of Cardiovascular Anesthesiologists' FOCUS initiative: Locating Errors through Networked Surveillance (LENS) project vision

scientific article published on February 2010

The Weekend Effect in Hospitalized Patients: A Meta-Analysis

scientific article published in September 2017

The association of intraoperative neuraxial anesthesia on anticipated admission to the intensive care unit

scientific article

The business case for quality: economic analysis of the Michigan Keystone Patient Safety Program in ICUs

scientific article

The checklist--a tool for error management and performance improvement

scientific article published on September 2006

The daily goals communication sheet: a simple and novel tool for improved communication and care

scientific article published on 01 October 2008

The ethical review of health care quality improvement initiatives: findings from the field.

scientific article published on August 2010

The functional comorbidity index had high inter-rater reliability in patients with acute lung injury

scientific article

The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems

scientific article published on 28 April 2010

The impact of obesity on outcomes after critical illness: a meta-analysis

scientific article published on 03 February 2009

The importance of understanding the costs of critical care and mechanical ventilation

scientific article published in June 2005

The intensive care unit family meeting: making it happen

scientific article

The need for an ethics framework for the use of opioids in the treatment of chronic nonmalignant pain

scientific article published on 03 March 2017

The occurrence of potential patient safety events among trauma patients: are they random?

scientific article published on February 2008

The organization of intensive care unit physician services

scientific article published on 01 October 2007

The research-treatment distinction: a problematic approach for determining which activities should have ethical oversight

scientific article

The role of South-North partnerships in promoting shared learning and knowledge transfer

scientific article published on 22 August 2017

The role of theory in research to develop and evaluate the implementation of patient safety practices

scientific article published on 11 February 2011

The spectrum of encephalopathy in critical illness

scientific article published on September 2006

The team checkup tool: evaluating QI team activities and giving feedback to senior leaders

scientific article published on 01 October 2008

The top patient safety strategies that can be encouraged for adoption now.

scientific article published on March 2013

The views of quality improvement professionals and comparative effectiveness researchers on ethics, IRBs, and oversight

scientific article

The volume-outcome effect for abdominal aortic surgery: differences in case-mix or complications?

scientific article published on 01 July 2002

The wisdom and justice of not paying for "preventable complications"

scientific article published on 01 May 2008

Thinking like a pancreas: perioperative glycemic control

scientific article published on 01 January 2007

Time for Transparent Standards in Quality Reporting by Health Care Organizations

scientific article published on 7 August 2017

Timing of low tidal volume ventilation and intensive care unit mortality in acute respiratory distress syndrome. A prospective cohort study

scientific article

Toward Eliminating All Harms

scientific article published in July 2016

Toward a Safer Health Care System: The Critical Need to Improve Measurement

scientific article

Toward improving patient safety through voluntary peer-to-peer assessment

scientific article published on 27 December 2011

Toward learning from patient safety reporting systems

scientific article published in December 2006

Towards high-reliability organising in healthcare: a strategy for building organisational capacity

scientific article

Tracking progress in patient safety: an elusive target

scientific article published in August 2006

Trans-surgical Disciplines Collaboration Is an Effective Strategy for Expediting Quality Improvement

scientific article published on 2 May 2016

Transdisciplinary Teams Spur Innovation for Patient Safety and Quality Improvement.

scientific article

Unconscious Race and Class Biases among Registered Nurses: Vignette-Based Study Using Implicit Association Testing

scientific article

Unconscious race and class bias: its association with decision making by trauma and acute care surgeons

scientific article

Unconscious race and social class bias among acute care surgical clinicians and clinical treatment decisions

scientific article

Underreporting of patient safety incidents reduces health care's ability to quantify and accurately measure harm reduction

scientific article published on December 2010

Unplanned 30-day hospital readmission as a quality measure in gynecologic oncology

scientific article published on 21 September 2016

Usability and perceived usefulness of Personal Health Records for preventive health care: a case study focusing on patients' and primary care providers' perspectives

scientific article

Use and evaluation of critical pathways in hospitals

scientific article published on 01 May 2002

Use of Implementation Science for a Sustained Reduction of Central-Line-Associated Bloodstream Infections in a High-Volume, Regional Burn Unit

scientific article published on 13 September 2017

Use of beta-blockers during aortic aneurysm repair: bridging the gap between evidence and effective practice

scientific article published on July 2009

Use of provider-level dashboards and pay-for-performance in venous thromboembolism prophylaxis

scientific article

Using a bundle approach to improve ventilator care processes and reduce ventilator-associated pneumonia

scientific article published in May 2005

Using a logic model to design and evaluate quality and patient safety improvement programs

scientific article

Using an interdisciplinary approach to identify factors that affect clinicians' compliance with evidence-based guidelines

scientific article published on August 2010

Using clinical data to predict high-cost performance coding issues associated with pressure ulcers: a multilevel cohort model

scientific article

Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections

scientific article published in August 2010

Using human factors engineering to improve patient safety in the cardiovascular operating room

scientific article published in January 2012

Using the Opportunity Estimator tool to improve engagement in a quality and safety intervention

scientific article

Utilization of Minimally Invasive Surgery in Endometrial Cancer Care: A Quality and Cost Disparity

scientific article published on 7 December 2015

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

scientific article

Value of hospital resources for effective pressure injury prevention: a cost-effectiveness analysis.

scientific article published on 10 August 2018

Value-based purchasing may unfairly penalize specialty centers performing combined liver–colon multivisceral resections

Variability in anticoagulation management of patients on extracorporeal membrane oxygenation: an international survey

scientific article published on February 2013

Variation in local institutional review board evaluations of a multicenter patient safety study

scientific article published on 25 May 2011

Variation in public reporting of central line-associated bloodstream infections by state

scientific article published on 8 August 2011

Variation in surgical site infection monitoring and reporting by state.

scientific article published on 2 March 2012

Variations in surgical outcomes associated with hospital compliance with safety practices

scientific article

Venous Thromboembolism Quality Measures Fail to Accurately Measure Quality.

scientific article published in March 2018

View the world through a different lens: shadowing another provider

scientific article published on 01 October 2008

Viewing Health Care Delivery as Science: Challenges, Benefits, and Policy Implications ⬇️

scientific article published on August 2, 2010

Voluntary peer review as innovative tool for quality improvement in the intensive care unit--a retrospective descriptive cohort study in German intensive care units

scientific article

We need leaders: The 48th Annual Rovenstine Lecture

scientific article published in April 2010

What Medicare Is Missing

scientific article published on 3 September 2015

What context features might be important determinants of the effectiveness of patient safety practice interventions?

scientific article published on 26 May 2011

What medicine can teach operations: What operations can teach medicine⋆

What to do with healthcare incident reporting systems

scientific article

Why don't we know whether care is safe?

scientific article published on 24 March 2013

Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Intraoperative Blood Component Administration

scientific article published on 31 October 2018

Young and reckless? Greater standardization and transparency of performance is needed for pediatric performance measures.

scientific article

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