K G Shojania
Affiliation: Ottawa Health Research Institute
- Overestimation of clinical diagnostic performance caused by low necropsy ratesK G Shojania
Department of Medicine, University of California San Francisco, CA, USA
Qual Saf Health Care 14:408-13. 2005....
- Evidence-based quality improvement: the state of the scienceKaveh G Shojania
Ottawa Health Research Institute OHRI, Ontario
Health Aff (Millwood) 24:138-50. 2005..We review problems with current approaches to QI research and outline the steps required to make QI efforts based as much on evidence as the practices they seek to implement...
- Effects of quality improvement strategies for type 2 diabetes on glycemic control: a meta-regression analysisKaveh G Shojania
Ottawa Health Research Institute and Department of Medicine, University of Ottawa, Ottawa, Ontario
JAMA 296:427-40. 2006..There have been numerous reports of interventions designed to improve the care of patients with diabetes, but the effectiveness of such interventions is unclear...
- Graduate medical education and patient safety: a busy--and occasionally hazardous--intersectionKaveh G Shojania
Ottawa Health Research Institute, University of Ottawa, Ottawa, Ontario, Canada
Ann Intern Med 145:592-8. 2006..They then fall into the same trap as those who taught them, busying themselves with direct patient care and providing supervision only as time allows...
- How quickly do systematic reviews go out of date? A survival analysisKaveh G Shojania
Ottawa Health Research Institute, University of Ottawa, Chalmers Research Group, and Children s Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada
Ann Intern Med 147:224-33. 2007..Systematic reviews are often advocated as the best source of evidence to guide clinical decisions and health care policy, yet we know little about the extent to which they require updating...
- Automated patient assessments after outpatient surgery using an interactive voice response systemAlan J Forster
Department of Medicine, University of Ottawa, Ontario, Canada
Am J Manag Care 14:429-36. 2008..To test the feasibility and utility of an interactive voice response system (IVRS) for monitoring patients after outpatient surgery...
- Adverse events detected by clinical surveillance on an obstetric serviceAlan J Forster
Ottawa Health Research Institute, Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada
Obstet Gynecol 108:1073-83. 2006..We performed this study to estimate the rate of adverse events and potential adverse events-errors that have a high likelihood of causing patient harm-occurring during obstetric care...
- The impact of adverse events in the intensive care unit on hospital mortality and length of stayAlan J Forster
Department of Medicine, University of Ottawa, Ottawa, Canada
BMC Health Serv Res 8:259. 2008..We performed this study to measure the independent influence of intensive care unit (ICU) based AEs on in-hospital mortality and hospital length of stay...
- Identifying patients with post-discharge care problems using an interactive voice response systemAlan J Forster
Department of Medicine, University of Ottawa, Ottawa, Canada
J Gen Intern Med 24:520-5. 2009..We designed an interactive voice response system (IVRS) with the intent of identifying patients who might be experiencing an AE following discharge or were at risk of developing one...
- Improving patient safety: moving beyond the "hype" of medical errorsAlan J Forster
Department of Medicine and the Ottawa Health Research Institute, University of Ottawa, Ottawa, Ont
CMAJ 173:893-4. 2005
- Combining ratings from multiple physician reviewers helped to overcome the uncertainty associated with adverse event classificationAlan J Forster
Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada
J Clin Epidemiol 60:892-901. 2007..We performed this study to quantify the misclassification rate obtained using current AE detection methods and to evaluate the effect of combining physician AE ratings...
- Using decision aids may improve informed consent for researchJamie C Brehaut
Ottawa Hospital Research Institute, Ottawa Hospital, Civic Campus, 1053 Carling Avenue, Ottawa, Ontario, Canada
Contemp Clin Trials 31:218-20. 2010..We identify outstanding issues and propose a research approach that will determine whether the use of decision aids can improve the informed consent process...
- Quality improvement strategies for hypertension management: a systematic reviewJudith M E Walsh
Division of General Internal Medicine, Department of Medicine, University of California-San Francisco, San Francisco, CA, USA
Med Care 44:646-57. 2006..A focus on hypertension by someone in addition to the patient's physician was associated with substantial improvement. Future research should examine the contributions of individual QI strategies and their relative costs...
- Understanding medical error and improving patient safety in the inpatient settingKaveh G Shojania
Department of Medicine, University of California San Francisco, 505 Parnassus Avenue, UCSF Box 0120, San Francisco, CA 94143, USA
Med Clin North Am 86:847-67. 2002..More important, physician involvement in these initiatives will undoubtedly contribute visible leadership in promoting a culture of patient safety in hospitals and in health care...
- Implementing patient safety interventions in your hospital: what to try and what to avoidSumant R Ranji
Division of Hospital Medicine, Department of Medicine, University of California, San Francisco 94143, USA
Med Clin North Am 92:275-93, vii-viii. 2008..In this article, the authors define a framework for evaluating patient safety interventions and discuss specific interventions hospitalists should consider...
- Safe but sound: patient safety meets evidence-based medicineKaveh G Shojania
Department of Medicine, University of California, San Francisco, USA
JAMA 288:508-13. 2002
- The tension between needing to improve care and knowing how to do itAndrew D Auerbach
University of California, San Francisco, Department of Medicine, San Francisco, USA
N Engl J Med 357:608-13. 2007
- Improving antibiotic selection: a systematic review and quantitative analysis of quality improvement strategiesMichael A Steinman
Division of Geriatrics, San Francisco VA Medical Center Department of Medicine, University of California San Francisco, 4150 Clement Street, San Francisco, CA 94121, USA
Med Care 44:617-28. 2006..We sought to assess which interventions are most effective at improving the prescribing of recommended antibiotics for acute outpatient infections...
- The many faces of error disclosure: a common set of elements and a definitionStephanie P Fein
Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at the University of California at Los Angeles, Los Angeles, CA, USA
J Gen Intern Med 22:755-61. 2007..Surveys of physicians show that they believe harmful errors should be disclosed to patients, yet errors are often not disclosed...
- Use of an interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes patientsUrmimala Sarkar
Department of Medicine, Division of General Internal Medicine, University of California, San Francisco, San Francisco, CA 94143 1211, USA
J Gen Intern Med 23:459-65. 2008..We used the implementation of an automated telephone self-management support program for diabetes patients as an opportunity to monitor patient safety...
- Hospital mortality: when failure is not a good measure of successKaveh G Shojania
Department of Medicine, University of Ottawa, ON, USA
CMAJ 179:153-7. 2008
- The use of systematic reviews and meta-analyses in infection control and hospital epidemiologyStephen Bent
Department of Medicine, University of California San Francisco, the San Francisco VA Medical Center, 94121, USA
Am J Infect Control 32:246-54. 2004....
- The faces of errors: a case-based approach to educating providers, policymakers, and the public about patient safetyRobert M Wachter
Department of Medicine, University of California at San Francisco, USA
Jt Comm J Qual Saf 30:665-70. 2004..The Web-based Agency for Healthcare Research and Quality (AHRQ) WebM&M was then developed as a forum that was part-reporting system and part-journal. Finally, we then applied this approach to writing a book for a popular audience...
- Surveillance search techniques identified the need to update systematic reviewsMargaret Sampson
Chalmers Research Group, Children s Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, Ontario K1H 8L1, Canada
J Clin Epidemiol 61:755-62. 2008..This article reports on literature surveillance methods to identify new evidence eligible for updating systematic reviews...
- Teaching quality improvement and patient safety to trainees: a systematic reviewBrian M Wong
Department of Medicine, University of Toronto, Toronto, Ontario, Canada
Acad Med 85:1425-39. 2010....
- Does full disclosure of medical errors affect malpractice liability? The jury is still outAllen Kachalia
Brigham and Women s Faulkner Hospitalist Program, Department of Medicine, Brigham and Women s Hospital, Boston, USA
Jt Comm J Qual Saf 29:503-11. 2003..A comprehensive literature search was conducted to determine what is known about the impact of full disclosure on malpractice liability...
- How complete is the evidence for thromboembolism prophylaxis in general medicine patients? A meta-analysis of randomized controlled trialsGregory M Bump
Department of Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15213 2582, USA
J Hosp Med 4:289-97. 2009..We sought to determine whether prophylaxis decreases clinically significant events and to answer whether unfractionated heparin (UFH) or low molecular weight heparin (LMWH) is either more effective or safer...
- Should we use large scale healthcare interventions without clear evidence that benefits outweigh costs and harms? NoC Seth Landefeld
University of California San Francisco, 3333 California Street, San Francisco, CA 94118, USA
BMJ 336:1277. 2008
- Do opiates affect the clinical evaluation of patients with acute abdominal pain?Sumant R Ranji
Department of Medicine, University of California, San Francisco, CA 94143 0131, USA
JAMA 296:1764-74. 2006..Clinicians have traditionally withheld opiate analgesia from patients with acute abdominal pain until after evaluation by a surgeon, out of concern that analgesia may alter the physical findings and interfere with diagnosis...
- Searching the health care literature efficiently: from clinical decision-making to continuing educationKaveh G Shojania
Department of Medicine, University of California San Francisco, 94143-0120, USA
Am J Infect Control 30:187-95. 2002..We also touch on the advantages of targeting systematic reviews and meta-analyses in searching for evidence and staying abreast of the literature in general...
- Quality grand rounds: the case for patient safetyRobert M Wachter
Ann Intern Med 145:629-30. 2006
- Classifying laboratory incident reports to identify problems that jeopardize patient safetyMichael L Astion
Department of Laboratory Medicine, University of Washington School of Medicine, Seattle, WA, USA
Am J Clin Pathol 120:18-26. 2003....
- Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic reviewRainu Kaushal
Division of General Internal Medicine, Brigham and Women s Hospital, Partners HealthCare System, Boston, Mass, USA
Arch Intern Med 163:1409-16. 2003..Iatrogenic injuries related to medications are common, costly, and clinically significant. Computerized physician order entry (CPOE) and clinical decision support systems (CDSSs) may reduce medication error rates...
- The era of big performance measurement: here at last?Peter K Lindenauer
Clinical and Quality Informatics, Baystate Health, Massachusetts, USA
Jt Comm J Qual Patient Saf 34:307-8. 2008..Despite progress in identifying a starter set of performance measures, more sophisticated measures need to be developed that promote adherence to desired care processes while discouraging overuse errors...
- The vanishing nonforensic autopsyKaveh G Shojania
University of Ottawa and Ottawa Health Research Institute, Ottawa
N Engl J Med 358:873-5. 2008
- Changes in rates of autopsy-detected diagnostic errors over time: a systematic reviewKaveh G Shojania
Department of Medicine, University of California, San Francisco, CA 94143, USA
JAMA 289:2849-56. 2003..Substantial discrepanies exist between clinical diagnoses and findings at autopsy. Autopsy may be used as a tool for quality management to analyze diagnostic discrepanies...
- Suspected pulmonary embolismSumant R Ranji
N Engl J Med 350:82-4; author reply 82-4. 2004
- Still no magic bullets: pursuing more rigorous research in quality improvementKaveh G Shojania
Am J Med 116:778-80. 2004
- Clinical problem-solving. Forgotten but not goneAshish K Jha
Division of General Internal Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02120, USA
N Engl J Med 350:2399-404. 2004
- The persistent value of the autopsyKaveh G Shojania
Am Fam Physician 69:2540-2. 2004
- The patient safety movement will help, not harm, qualityRobert M Wachter
Ann Intern Med 141:326-7. 2004
- Challenges in systematic reviews: synthesis of topics related to the delivery, organization, and financing of health careDena M Bravata
Stanford University, California, USA
Ann Intern Med 142:1056-65. 2005..As the primary literature on these topics expands, so will opportunities to develop additional novel methods for performing high-quality comprehensive syntheses...
- Clinical problem-solving. Lost in transcriptionRobert M Kalus
Division of General Internal Medicine, Department of Internal Medicine, University of Washington, Seattle 98104, USA
N Engl J Med 355:1487-91. 2006
- Impact of reliance on CT pulmonary angiography on diagnosis of pulmonary embolism: a Bayesian analysisSumant R Ranji
Department of Medicine, University of California San Francisco, San Francisco, California 94143 0131, USA
J Hosp Med 1:81-7. 2006..Although CTPA-based diagnostic algorithms focus on minimizing the false-negative rate, we hypothesized that increasing use of CTPA also might lead to false-positive diagnoses...
- Learning from our mistakes: quality grand rounds, a new case-based series on medical errors and patient safetyRobert M Wachter
Ann Intern Med 136:850-2. 2002