Research Topics
Genomes and GenesSpecies | P PronovostSummaryAffiliation: Johns Hopkins University Country: USA Publications
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Publications
Surgical intensive care unit clinician estimates of the adequacy of communication regarding patient prognosisRebecca A Aslakson
Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins School of Medicine, 600 North Wolfe Street, Baltimore, MD, 21287, USA
Crit Care 14:R218. 2010..Practice guidelines recommend improving communication. However, few data, particularly in surgical ICUs, exist on health care provider opinions regarding whether communication is effective...- Clinical review: checklists - translating evidence into practiceBradford D Winters
Departments of Anesthesiology and Critical Care Medicine, The Johns Hopkins University, Baltimore, MD 21287, USA
Crit Care 13:210. 2009..We suggest methods to create checklists and offer suggestions for how we might apply them, using some examples from our own experience, and finally, offer some possible directions for future research... - Study protocol: The Improving Care of Acute Lung Injury Patients (ICAP) studyDale M Needham
Johns Hopkins University, 5th Floor, 1830 East Monument Street, Baltimore, MD 21205, USA
Crit Care 10:R9. 2006.... - Mortality in sepsis versus non-sepsis induced acute lung injuryJonathan E Sevransky
Division of Pulmonary and Critical Care, Johns Hopkins University, 5501 Hopkins Bayview Circle Baltimore, MD 21224 USA
Crit Care 13:R150. 2009..Sepsis-induced acute lung injury (ALI) has been reported to have a higher case fatality rate than other causes of ALI. However, differences in the severity of illness in septic vs. non-septic ALI patients might explain this finding... - Critical care physician cognitive task analysis: an exploratory studyJames C Fackler
Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins University School of Medicine, 600 North Wolfe Street, Baltimore, MD 21287, USA
Crit Care 13:R33. 2009..The study objective was to assess the usefulness of CTA as an analytical tool in order that physician cognitive tasks may be understood and redistributed within the work-hour limited medical decision-making teams... - Hemodynamic goals in randomized clinical trials in patients with sepsis: a systematic review of the literatureJonathan E Sevransky
Department of Pulmonary Critical Care Medicine, Johns Hopkins University, 5501 Hopkins Bayview Circle, Baltimore, MD 21224, USA
Crit Care 11:R67. 2007..Patients with sepsis suffer high morbidity and mortality. We sought to conduct a systematic review of the literature to evaluate the association between hemodynamic goals of therapy and patient outcomes... - Tracking progress in patient safety: an elusive targetPeter J Pronovost
Department of Anesthesiology and Critical Care, Johns Hopkins University, Baltimore, MD 21231, USA
JAMA 296:696-9. 2006 - Perspective: Physician leadership in qualityPeter J Pronovost
Department of Anesthesiology and Critical Care Medicine, Quality and Safety Research Group, Johns Hopkins University School of Medicine, Baltimore, Maryland 21231, USA
Acad Med 84:1651-6. 2009..For AMCs to achieve significant improvements in quality and safety, they must invest in physician-leaders and in the support these leaders need to carry out their educational and operational roles... - A web-based tool for the Comprehensive Unit-based Safety Program (CUSP)Peter J Pronovost
Adult Critical Care, Johns Hopkins University School of Medicine, Baltimore, USA
Jt Comm J Qual Patient Saf 32:119-29. 2006..On a project's completion, the results are disseminated through a shared story (step 6)... - A practical tool to learn from defects in patient carePeter J Pronovost
The Johns Hopkins University School of Medicine, Baltimore, USA
Jt Comm J Qual Patient Saf 32:102-8. 2006 - Proposed standards for quality improvement research and publication: one step forward and two steps backP Pronovost
The Johns Hopkins University, Department of Anesthesiology and Critical Care Medicine, Surgery, and Health Policy and Management, Baltimore, MD, USA
Qual Saf Health Care 15:152-3. 2006 - Defining and measuring patient safetyPeter J Pronovost
Department of Anesthesiology and Critical Care Medicine, Surgery and Health Policy and Management, The Johns Hopkins University School of Medicine, 901 South Bond Street, Suite 318, Baltimore, MD 21231, USA
Crit Care Clin 21:1-19, vii. 2005.... - Interventions to reduce mortality among patients treated in intensive care unitsPeter J Pronovost
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21231, USA
J Crit Care 19:158-64. 2004..Using sensitivity analysis to estimate the impact, in terms of patient lives, of the failure to use proven therapies known to reduce mortality in critically ill intensive care unit patients... - Team care: beyond open and closed intensive care unitsPeter J Pronovost
Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins University, Baltimore, Maryland 21231, USA
Curr Opin Crit Care 12:604-8. 2006..The purpose of this paper is to accelerate patient's exposure to the benefits of intensivists, and introduce team care in the intensive care unit... - Reducing health care hazards: lessons from the commercial aviation safety teamPeter J Pronovost
Department of Anesthesiology and Critical Care Medicine at the Johns Hopkins University in Baltimore, Maryland, USA
Health Aff (Millwood) 28:w479-89. 2009..We propose a similar partnership in the health care community to coordinate national efforts and move patient safety and quality forward... - Improving the quality of measurement and evaluation in quality improvement effortsPeter J Pronovost
Department of Anesthesiology and Critical Care Medicine, Quality and Safety Research Group, The Johns Hopkins University, School of Medicine, Baltimore, MD 21231, USA
Am J Med Qual 23:143-6. 2008 - A framework for health care organizations to develop and evaluate a safety scorecardPeter J Pronovost
Department of Anesthesiology and Critical Care Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA
JAMA 298:2063-5. 2007 - The GAAP in quality measurement and reportingPeter J Pronovost
Departments of Anesthesiology and Critical Care Medicine, Johns Hopkins University, Baltimore, Maryland, USA
JAMA 298:1800-2. 2007 - Improving patient safety in intensive care units in MichiganPeter J Pronovost
Johns Hopkins University, School of Medicine, Baltimore, MD 21231, USA
J Crit Care 23:207-21. 2008.... - Paying the piper: investing in infrastructure for patient safetyPeter J Pronovost
Department of Anesthesiology and Critical Care Medicine, Surgery, and Health Policy and Management, The Johns Hopkins University, Baltimore, USA
Jt Comm J Qual Patient Saf 34:342-8. 2008..Yet, predicating safety efforts on the mistaken belief in a short-term return on investments will stall patient safety efforts... - The organization of intensive care unit physician servicesPeter J Pronovost
School of Medicine, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
Crit Care Med 35:2256-61. 2007..do not meet the Leapfrog Physician Staffing standard, and to describe ICU directors' perceptions of the quality of care in their unit... - Impact of the Leapfrog Group's intensive care unit physician staffing standardPeter Pronovost
Department of Anesthesiology and Critical Care Medicine, Quality and Safety Research Group, The Johns Hopkins University, School of Medicine, Baltimore, MD 21231, USA
J Crit Care 22:89-96. 2007.... - Interventions to decrease catheter-related bloodstream infections in the ICU: the Keystone Intensive Care Unit ProjectPeter Pronovost
Quality and Safety Research Group, Department of Anesthesiology Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21231, USA
Am J Infect Control 36:S171.e1-5. 2008..To build on this research, a statewide collaborative cohort study was conducted using the same evidence-based interventions... - Translating evidence into practice: a model for large scale knowledge translationPeter J Pronovost
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins Quality and Safety Research Group, 1909 Thames Street, Baltimore, MD 21231, USA
BMJ 337:a1714. 2008 - Measurement of quality and assurance of safety in the critically illPeter J Pronovost
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University, School of Medicine, Baltimore, MD 21231, USA
Clin Chest Med 30:169-79, x. 2009..Future research should seek to create a scientifically sound and feasible safety scorecard and improve performance... - Toward learning from patient safety reporting systemsPeter J Pronovost
Department of Anesthesiology and Critical Care Medicine, Quality and Safety Research Group, The Johns Hopkins University School of Medicine, Baltimore, MD 21231, USA
J Crit Care 21:305-15. 2006..To evaluate the frequency and type of factors involved in incidents reported to a patient safety reporting system and answer specific questions to enhance the value of PSRS data to improve patient safety... - Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational studyPeter J Pronovost
Quality and Safety Research Group, Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University, 1909 Thames Street, Baltimore, MD 21231, USA
BMJ 340:c309. 2010..Design Collaborative cohort study to implement and evaluate interventions to improve patients' safety... - How can clinicians measure safety and quality in acute care?Peter J Pronovost
Department of Anesthesiology Critical Care Medicine, Johns Hopkins University School of Medicine and Bloomberg School of Public Health, Baltimore, MD, USA
Lancet 363:1061-7. 2004..One method that may help to provide caregivers frequent feedback is time series data--ie, results are graphically correlated with time. Broad use of these tools might lead to the necessary improvements in quality of care... - Developing and pilot testing quality indicators in the intensive care unitPeter J Pronovost
Department of Anesthesiology Critical Care Medicine, Surgery, Health Policy and Management, The Johns Hopkins University School of Medicine and Bloomberg School of Public Health, Baltimore, MD 21287, USA
J Crit Care 18:145-55. 2003..To develop and implement a set of valid and reliable yet practical measures of intensive care units (ICU) quality of care in a cohort of ICUs and to estimate, based on current performance, the potential opportunity to improve quality... - Preventing bloodstream infections: a measurable national success story in quality improvementPeter J Pronovost
Johns Hopkins University, Baltimore, Maryland, USA
Health Aff (Millwood) 30:628-34. 2011.... - Variations in complication rates and opportunities for improvement in quality of care for patients having abdominal aortic surgeryP Pronovost
Department of Anesthesiology CCM, Johns Hopkins University School of Medicine, 600 N Wolfe Street, Meyer 297A, Baltimore, MD 21287 7294, USA
Langenbecks Arch Surg 386:249-56. 2001..The purpose was to assess the current variation in complication rates and evaluate the association between specific types of complications and in-hospital mortality and total hospital charges for patients having abdominal aortic surgery... - Reducing failed extubations in the intensive care unitPeter J Pronovost
Departments of Anesthesiology Critical Care Medicine and Surgery, Johns Hopkins University School of Medicine, 600 N Wolfe Street, Meyer 295, Baltimore, MD 21287 7294, USA
Jt Comm J Qual Improv 28:595-604. 2002..A study was designed in 1998 to identify risk factors for failed extubation and use a quality improvement model to reduce failed extubation rates in a surgical intensive care unit (SICU) in an academic hospital... - Viewing health care delivery as science: challenges, benefits, and policy implicationsPeter J Pronovost
Department of Anesthesiology, The Quality and Safety Research Group, School of Medicine, The Johns Hopkins University, 1909 Thames Street, Baltimore, MD 21231, USA
Health Serv Res 45:1508-22. 2010..We discuss key challenges implicit in correcting these failures and recommend actions to expedite progress... - Building safety into ICU carePeter Pronovost
Johns Hopkins University, School of Medicine, Bloomberg School of Public Health, Baltimore, MD, USA
J Crit Care 17:78-85. 2002..Then we discuss evidence linking ICU organizational characteristics with patient safety, focusing on how safer systems in ICUs can directly improve patient care... - Evaluation of the culture of safety: survey of clinicians and managers in an academic medical centerP J Pronovost
The Johns Hopkins Hospital, Baltimore, MD, USA
Qual Saf Health Care 12:405-10. 2003..The specific aims of this study were to evaluate the extent to which the culture supports patient safety at JHH and the extent to which safety is a strategic priority... - A research framework for reducing preventable patient harmPeter J Pronovost
Department of Anesthesiology and Critical Care, School of Medicine, Johns Hopkins Bloomberg School of Public Health, The Johns Hopkins University, Baltimore, Maryland, USA
Clin Infect Dis 52:507-13. 2011..Policy makers should use this framework to fill in the knowledge gaps, coordinate efforts among federal agencies, and prioritize research funding... - Impact of critical care physician workforce for intensive care unit physician staffingP J Pronovost
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
Curr Opin Crit Care 7:456-9. 2001..We then discuss supply and demand for critical care physicians considering emerging issues such as the Leapfrog standard that may impact estimates of the supply and demand for critical care physicians... - Evidence-based medicine in anesthesiologyP J Pronovost
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University, Baltimore, Maryland 21289 7294, USA
Anesth Analg 92:787-94. 2001..Future studies to critically evaluate the practice of EBM in anesthesiology and critical care would be helpful... - Overview of progress in patient safetyPeter J Pronovost
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University, Baltimore, MD 21231, USA
Am J Obstet Gynecol 204:5-10. 2011..It also offers a framework to help organize patient safety research and improvement. Finally, this article offers ways the American Congress of Obstetricians and Gynecologists can organize and support future work... - Developing and implementing measures of quality of care in the intensive care unitP J Pronovost
Department of Anesthesiology CCM, The Johns Hopkins Medical Institutions, 600 N Wolfe Street, Baltimore, MD 21287, USA
Curr Opin Crit Care 7:297-303. 2001.... - Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgeryP J Pronovost
Johns Hopkins University Schools of Medicine, and Hygiene and Public Health, Baltimore, MD, USA
Eff Clin Pract 4:199-206. 2001..We hypothesized that having fewer nurses increases the risk for medical complications... - Improving communication in the ICU using daily goalsPeter Pronovost
Departments of Anesthesiology and Critical Care Medicine, Surgery and Health Policy and Management, Center for Innovations in Quality Patient Care, The Johns Hopkins University, Baltimore, MD 21287, USA
J Crit Care 18:71-5. 2003..Clear communication is imperative if teams in any industry expect to make improvements. An estimated 85% of errors across industries result from communication failures... - Senior executive adopt-a-work unit: a model for safety improvementPeter J Pronovost
Johns Hopkins University, Departments of Anesthesiology and Critical Care Medicine, Surgery, and Health Policy and Management, Baltimore, USA
Jt Comm J Qual Saf 30:59-68. 2004.... - Medication reconciliation: a practical tool to reduce the risk of medication errorsPeter Pronovost
Department of Anesthesiology and Critical Care Medicine Surgery and Health Policy and Management, The Johns Hopkins University, Baltimore, MD 21231, USA
J Crit Care 18:201-5. 2003..The survey is now a part of our electronic medical record and used in 4 adult ICUs and 2 medicine floors... - Using online and offline change models to improve ICU access and revenuesP J Pronovost
Department of Anesthesiology Critical Care Medicine, Johns Hopkins Hospital, Baltimore, MD 21287 7294, USA
Jt Comm J Qual Improv 26:5-17. 2000..The offline component borrows from an earlier tradition of change management that offers guidelines for individuals or teams desiring to be change agents... - A system factors analysis of airway events from the Intensive Care Unit Safety Reporting System (ICUSRS)Dale M Needham
Pulmonary and Critical Care Medicine, and Dana Center for Preventive Ophthalmology Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA
Crit Care Med 32:2227-33. 2004..Prevention efforts should focus on critically ill infants and patients with complex medical conditions. Managers should ensure appropriate ICU staffing to limit the impact of airway events when they occur... - Intensive care unit telemedicine: alternate paradigm for providing continuous intensivist careB A Rosenfeld
Department of Anesthesiology Critical Care Medicine, The Johns Hopkins University School of Medicine, Johns Hopkins University, Baltimore, MD, USA
Crit Care Med 28:3925-31. 2000..We evaluated the feasibility of using telemedicine as a means of achieving 24-hr intensivist oversight and improved clinical outcomes... - Critical pathway effectiveness: assessing the impact of patient, hospital care, and pathway characteristics using qualitative comparative analysisSydney M Dy
Maryland Community Hospice, Room 609, 624N. Broadway, Baltimore, MD 21205, USA
Health Serv Res 40:499-516. 2005..Because pathway utilization was not a strong predictor of pathway effectiveness, the mechanism by which critical pathways may reduce length of stay is unclear... - Reduction of in-hospital mortality among California hospitals meeting Leapfrog evidence-based standards for abdominal aortic aneurysm repairBenjamin S Brooke
Department of Surgery, Division of Vascular Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA
J Vasc Surg 47:1155-6; discussion 1163-4. 2008..The purpose of this study was to determine whether meeting these benchmarks correlated with improved patient outcomes over time... - A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards and improving patient safetyJose M Rodriguez-Paz
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA
Anesth Analg 108:202-10. 2009..We describe a multidisciplinary process that was implemented at our hospital to identify and mitigate hazards before the introduction of a new technique: high-dose-rate intraoperative radiation therapy, (HDR-IORT)... - Surveillance bias and deep vein thrombosis in the national trauma data bank: the more we look, the more we findCharles A Pierce
Department of Surgery, Division of Trauma and Surgical Critical Care, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
J Trauma 64:932-6; discussion 936-7. 2008..We hypothesize that trauma centers with higher rates of duplex ultrasound detect more DVTs and subsequently report higher DVT rates to the National Trauma Data Bank... - Impact of the Comprehensive Unit-based Safety Program (CUSP) on safety culture in a surgical inpatient unitJoanne Timmel
The Johns Hopkins Hospital, Baltimore, USA
Jt Comm J Qual Patient Saf 36:252-60. 2010..Both are part of the Comprehensive Unit-based Safety Program (CUSP), which improved safety in intensive care units but had not been evaluated in other inpatient settings... - Epidemiology and impact of aspiration pneumonia in patients undergoing surgery in Maryland, 1999-2000Jeffrey H Kozlow
Department of Anesthesiology/Critical Care Medicine, The Johns Hopkins University Schools of Medicine and Hygiene and Public Health, Baltimore, MD, USA
Crit Care Med 31:1930-7. 2003..Given that the rate of aspiration pneumonia varies among hospitals, we can improve the quality and reduce the costs of care by implementing strategies to reduce the rate of aspiration pneumonia... - Adverse events during medical and surgical hospitalizations for persons with schizophreniaGail L Daumit
Division of General Internal Medicine, Department of Medicine, Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore, MD 21205, USA
Arch Gen Psychiatry 63:267-72. 2006..These adverse events were associated with poor clinical and economic outcomes during the hospital admission. Efforts to reduce these adverse events should become a research priority... - Prevalence of blood-borne pathogens in an urban, university-based general surgical practiceEric S Weiss
Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland 21224, USA
Ann Surg 241:803-7; discussion 807-9. 2005..Given the high incidence of these infections, strategies such as sharpless surgical techniques should be evaluated and implemented to protect surgeons from blood-borne pathogens... - Qualitative review of intensive care unit quality indicatorsSean M Berenholtz
Department of Anesthesiology/Critical Care Medicine, The Johns Hopkins University Schools of Medicine and Hygiene and Public Health, Baltimore, MD 21287, USA
J Crit Care 17:1-12. 2002..The value of these measures will be determined by our ability to evaluate our current performance and implement interventions designed to improve the quality of ICU care... - Hazards of benchmarking complications with the National Trauma Data Bank: numerators in search of denominatorsShahrzad Kardooni
Division of Trauma and Surgical Critical Care, Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
J Trauma 64:273-7; discussion 277-9. 2008..We examined the suitability of the National Trauma Data Bank (NTDB) as a reference for benchmarking trauma center complication rates... - Improving surgical outcomes through adoption of evidence-based process measures: intervention specific or associated with overall hospital quality?Benjamin S Brooke
Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA
Surgery 147:481-90. 2010.... - Eliminating catheter-related bloodstream infections in the intensive care unitSean M Berenholtz
Departments of Anesthesiology/CCM and Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA
Crit Care Med 32:2014-20. 2004..CONCLUSIONS: Multifaceted interventions that helped to ensure adherence with evidence-based infection control guidelines nearly eliminated CR-BSIs in our surgical ICU... - A system factors analysis of "line, tube, and drain" incidents in the intensive care unitDale M Needham
Department of Pulmonary and Critical Care Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA
Crit Care Med 33:1701-7. 2005..Focusing on these contributing factors and clinician knowledge and skills is important for reducing and preventing these hazardous events... - Are critical pathways effective for reducing postoperative length of stay?Sydney Morss Dy
Robert Wood Johnson Clinical Scholars Program, Johns Hopkins School of Medicine, Baltimore, Maryland, USA
Med Care 41:637-48. 2003..Many hospitals use critical pathways to attempt to reduce postoperative length of stay (PLOS) for diverse conditions and procedures... - Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infectionsMelinda Sawyer
Johns Hopkins University School of Medicine and Bloomberg School of Public Health, Baltimore, MD, USA
Crit Care Med 38:S292-8. 2010..If successful, this program will be the first national quality improvement program in the United States with quantifiable and measurable goals... - Creating high reliability in health care organizationsPeter J Pronovost
Department of Anesthesiology and Critical Care Medicine, Surgery, and Health Policy and Management, The Johns Hopkins University, 1901 Thames Street, 2nd Floor, Baltimore, MD 21231, USA
Health Serv Res 41:1599-617. 2006.... - Should older patients be selectively referred to high-volume centers for abdominal aortic surgery?Justin B Dimick
Department of Surgery, Johns Hopkins University, USA
Vascular 12:51-6. 2004..Because of this differential effect, targeting elderly patients for regionalization would achieve most potentially avoidable deaths for this common high-risk surgical procedure... - Postoperative complications: does intensive care unit staff nursing make a difference?Deborah Dang
Department of Nursing, Johns Hopkins Hospital, 600 N Wolfe Street, Baltimore, MD 21287-1007, USA
Heart Lung 31:219-28. 2002..CONCLUSIONS: Within the range of ICU nurse staffing levels present in Maryland hospitals, decreased nurse staffing was significantly associated with an increased risk of complications in patients undergoing abdominal aortic surgery... - Implementing standardized operating room briefings and debriefings at a large regional medical centerSean M Berenholtz
Johns Hopkins Quality and Safety Research Group, Anesthesiology Critical Care Medicine and Surgery, The Johns Hopkins University, Baltimore, MD, USA
Jt Comm J Qual Patient Saf 35:391-7. 2009..Several studies have implicated failures of communication and teamwork as the root cause in a high proportion of sentinel events in the OR... - Number needed to treat and cost of recombinant human erythropoietin to avoid one transfusion-related adverse event in critically ill patientsKenneth M Shermock
Center for Pharmaceutical Outcomes and Policy (KMS, Clinical Pharmacy Specialist, Surgical Intensive Care (EH, The Johns Hopkins Hospital, Baltimore, MD, USA
Crit Care Med 33:497-503. 2005..CONCLUSIONS: From the perspective of avoidance of adverse events, erythropoietin does not appear to be an efficient use of limited resources for routine use in critically ill patients... - Impact of preoperative briefings on operating room delays: a preliminary reportShantanu Nundy
Department of Surgery, The Johns Hopkins University School of Medicine, 1909 Thames St, 2nd Floor, Baltimore, MD 21231, USA
Arch Surg 143:1068-72. 2008..Preoperative briefings have the potential to reduce operating room (OR) delays through improved teamwork and communication... - Sensitivity of routine intensive care unit surveillance for detecting myocardial ischemiaElizabeth A Martinez
The Johns Hopkins University School of Medicine, Department of Anesthesiology/Critical Care Medicine, USA
Crit Care Med 31:2302-8. 2003..Because detecting electrocardiogram evidence suggestive of prolonged postoperative myocardial ischemia is important, physicians should consider alternative strategies to detect myocardial ischemia... - Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operationsRobert K Michaels
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins Medical Institutions, Baltimore, MD, USA
Ann Surg 245:526-32. 2007.... - From a process of care to a measure: the development and testing of a quality indicatorH R Rubin
Department of Medicine, Health Policy and Management, The Johns Hopkins Medical Institutions, Baltimore, MD, USA
Int J Qual Health Care 13:489-96. 2001.... - Reduction of catheter-associated bloodstream infections in pediatric patients: experimentation and realityChristopher McKee
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins Hospital, Baltimore, MD, USA
Pediatr Crit Care Med 9:40-6. 2008..Few data exist on successes at reducing pediatric catheter-associated bloodstream infections (CA-BSI). The objective was to eradicate CA-BSI with a multifaceted pediatric-relevant intervention proven effective in adult patients... - 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 homeBenjamin H Lee
Department of Anesthesiology Critical Care Medicine, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA
J Pain 10:160-6. 2009..With a low therapeutic profile, the hospital may consider a review/verification process to reduce the risk of patient harm... - Teamwork in the operating room: frontline perspectives among hospitals and operating room personnelJ Bryan Sexton
The Johns Hopkins University, Department of Anesthesiology and Critical Care Medicine, and Johns Hopkins Bloomberg School of Public Health, Department of Health Policy and Management, Baltimore, MD, USA
Anesthesiology 105:877-84. 2006..This tool and initial benchmarks allow others to compare their teamwork climate to national means, in an effort to focus more on what excellent surgical teams do well... - Operating room briefings and wrong-site surgeryMartin A Makary
Department of Surgery, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins Medical Institutions, Baltimore, MD 21224, USA
J Am Coll Surg 204:236-43. 2007..This study evaluated the impact of operating room briefings on coordination of care and risk for wrong-site surgery... - Association between venous thromboembolism and perioperative allogeneic transfusionKent R Nilsson
Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA
Arch Surg 142:126-32; discussion 133. 2007..Perioperative allogeneic blood product transfusion would be associated with venous thromboembolic complications in surgical patients... - Hospital volume and mortality for mechanical ventilation of medical and surgical patients: a population-based analysis using administrative dataDale M Needham
Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD, USA
Crit Care Med 34:2349-54. 2006..For medical patients, higher mortality may occur in a subgroup of low-volume hospitals that do not routinely transfer their patients to larger-volume facilities. This finding needs further investigation in a larger-sized study... - Creating the web-based intensive care unit safety reporting systemChristine G Holzmueller
The Johns Hopkins Hospital, 600 N. Wolfe Street, Meyer 291, Baltimore, MD 21287-7294, USA
J Am Med Inform Assoc 12:130-9. 2005..Qualitative and quantitative data are reported back to the ICU site study teams and frontline staff through monthly reports, case discussions, and a quarterly newsletter... - Physician staffing patterns and clinical outcomes in critically ill patients: a systematic reviewPeter J Pronovost
Department of Critical Care Medicine, Hopkins University, Baltimore, MD, USA
JAMA 288:2151-62. 2002..No study found increased LOS with high-intensity staffing after case-mix adjustment. CONCLUSIONS: High-intensity vs low-intensity ICU physician staffing is associated with reduced hospital and ICU mortality and hospital and ICU LOS... - A practical tool to identify and eliminate barriers to compliance with evidence-based guidelinesAyse P Gurses
Department of Anesthesiology and Critical Care Medicine, Quality and Safety Research Group, Johns Hopkins University School of Medicine, Baltimore, USA
Jt Comm J Qual Patient Saf 35:526-32, 485. 2009..A practical tool provides an interdisciplinary approach to identify barriers to guideline compliance and implement actions to eliminate or mitigate the effect of the barriers... - ReCASTing the RCA: an improved model for performing root cause analysesJulius Cuong Pham
Johns Hopkins University School of Medicine, Baltimore, MD, USA
Am J Med Qual 25:186-91. 2010..Teams that evaluate intervention effectiveness are independent of those that implement the intervention. This framework seeks to improve the RCA process and provide further insights into advancing patient safety... - Duplex ultrasound screening for deep vein thrombosis in asymptomatic trauma patients: a survey of individual trauma surgeon opinions and current trauma center practicesElliott R Haut
Division of Acute Care Surgery, Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA
J Trauma 70:27-33; discussion 33-4. 2011..We hypothesized that trauma surgeons have varying opinions regarding duplex ultrasound screening for DVT in asymptomatic trauma patients, which result in varying practice patterns... - The occurrence of potential patient safety events among trauma patients: are they random?David C Chang
Department of Surgery, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA
Ann Surg 247:327-34. 2008..The Patient Safety Indicators (PSIs) from the Agency for Healthcare Research and Quality are validated measures of quality of care. The pattern of PSIs among adult trauma patients is unknown... - Use of beta-blockers during aortic aneurysm repair: bridging the gap between evidence and effective practiceBenjamin S Brooke
Johns Hopkins Hospital, Baltimore, Maryland, USA
Health Aff (Millwood) 28:1199-209. 2009..The efficacy and effectiveness of specific EBM practices must be continually reexamined, to ensure that objectives are being met... - Systematic review identifies number of strategies important for retaining study participantsKaren A Robinson
Division of Internal Medicine, School of Medicine, Johns Hopkins University, Baltimore, MD 21287, USA
J Clin Epidemiol 60:757-65. 2007..We conducted a systematic review of studies with a primary focus on strategies to retain participants in health care research... - Public reporting of health care-associated infections (HAIs): approach to choosing HAI measuresC L Passaretti
Department of Medicine, Johns Hopkins University School of Medicine, Johns Hopkins Hospital, Baltimore, Maryland 21224, USA
Infect Control Hosp Epidemiol 32:768-74. 2011..To develop a method for selecting health care-associated infection (HAI) measures for public reporting... - The advantages and disadvantages of process-based measures of health care qualityH R Rubin
Department of Medicine, The Johns Hopkins Medical Institutions, Baltimore, MD, USA
Int J Qual Health Care 13:469-74. 2001..In this essay, we discuss the advantages and disadvantages of process measures of quality, and outline some practical strategies and issues in implementing them... - Economics of end-of-life care in the intensive care unitP Pronovost
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University, Baltimore, MD, USA
Crit Care Med 29:N46-51. 2001..We must be aware of the limitations of cost-effectiveness analyses and the need for value judgments when using cost-effectiveness analyses to inform healthcare decisions... - Assessing the effectiveness of critical pathways on reducing resource utilization in the surgical intensive care unitS Berenholtz
Department of Anesthesiology Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21287 5842, USA
Intensive Care Med 27:1029-36. 2001..To evaluate the effectiveness of procedure-specific surgical critical pathways on reducing resource utilization in a university surgical intensive care unit (ICU)... - Monitoring patient safetySean M Berenholtz
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, 1909 Thames Street, 2nd Floor, Baltimore, MD 21231, USA
Crit Care Clin 23:659-73. 2007..We present an example of how the safety scorecard from this framework is used to monitor patient safety at The Johns Hopkins Hospital and in over 150 ICUs in Michigan, New Jersey, and Rhode Island... - The volume-outcome effect for abdominal aortic surgery: differences in case-mix or complications?Justin B Dimick
Department of Surgery, University of Michigan Medical Center, 1500 E Medical Center Drive, Taubman Center 2210, Ann Arbor, MI 48109-0329, USA
Arch Surg 137:828-32. 2002..Efforts to reduce the rates of postoperative complications may reduce mortality rates at low-volume hospitals... - National study on the quality of emergency department care in the treatment of acute myocardial infarction and pneumoniaJulius Cuong Pham
Department of Emergency Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA
Acad Emerg Med 14:856-63. 2007..To measure the quality of emergency department (ED) care for patients with acute myocardial infarction (AMI) and pneumonia (PNA) and to estimate the number of preventable deaths in these patients... - Postoperative complication rates after hepatic resection in Maryland hospitalsJustin B Dimick
Department of Surgery, University of Michigan, Ann Arbor, MI, USA
Arch Surg 138:41-6. 2003..The empirical difference between outcomes at high- and low-volume hospitals seems to be due to a variation in postoperative complications... - Complications and costs after high-risk surgery: where should we focus quality improvement initiatives?Justin B Dimick
Department of Surgery, University of Michigan, Ann Arbor, MI, USA
J Am Coll Surg 196:671-8. 2003..Quality improvement efforts for these complications should be prioritized based on both the incidence of the complication and its independent contribution to increased resource use... - Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter studyDavid J Sinopoli
UMDNJ Robert Wood Johnson Medical School, Piscataway, NJ 08854, USA
J Crit Care 22:177-83. 2007..The aim of this study is to determine if patient safety incidents and the system-related factors contributing to them systematically differ for medical versus surgical patients in intensive care units... - Mechanical ventilation in Ontario, 1992-2000: incidence, survival, and hospital bed utilization of noncardiac surgery adult patientsDale M Needham
Department of Critical Care Medicine and Medicine, University of Toronto, Toronto, Canada
Crit Care Med 32:1504-9. 2004..The increase, over time, in risk-adjusted mortality rate of mechanically ventilated patients is concerning and requires further investigation... - Neuromuscular dysfunction acquired in critical illness: a systematic reviewRobert D Stevens
Department of Anesthesiology Critical Care Medicine, Johns Hopkins University School of Medicine, 600 N Wolfe St, Meyer 8 140, Baltimore, MD 21287, USA
Intensive Care Med 33:1876-91. 2007..To determine the prevalence, risk factors, and outcomes of critical illness neuromuscular abnormalities (CINMA)... - Targeting errors in the ICU: use of a national databaseRuth Kleinpell
Rush University College of Nursing, Chicago, IL 60612, USA
Crit Care Nurs Clin North Am 18:509-14. 2006..Voluntary external reporting systems such as the ICUSRS can be used to target errors and produce evidence-based best practice measures to improve patient safety in the ICU... - Measuring clinical information technology in the ICU setting: application in a quality improvement collaborativeRuben Amarasingham
Medicine Services, Parkland Health and Hospital System, Dallas, TX 75235, USA
J Am Med Inform Assoc 14:288-94. 2007.... - The 100,000 Lives Campaign: A scientific and policy reviewRobert M Wachter
Department of Medicine, University of California, San Francisco, USA
Jt Comm J Qual Patient Saf 32:621-7. 2006..quot; The actual mortality data were supplied without audit by the more than 3,000 participating hospitals, and 14% of the hospitals submitted no data at all... - Partnership with patients: a prescription for ICU safetyAlbert W Wu
Chest 130:1291-3. 2006
Research Grants
- Improving Long-Term Physical and Mental Health after Acute Lung InjuryPeter Pronovost; Fiscal Year: 2009....
- Improving Long-Term Physical and Mental Health after Acute Lung InjuryPeter J Pronovost; Fiscal Year: 2010....