K G Shojania

Summary

Affiliation: Ottawa Health Research Institute
Country: Canada

Publications

  1. pmc Overestimation of clinical diagnostic performance caused by low necropsy rates
    K G Shojania
    Department of Medicine, University of California San Francisco, CA, USA
    Qual Saf Health Care 14:408-13. 2005
  2. ncbi Evidence-based quality improvement: the state of the science
    Kaveh G Shojania
    Ottawa Health Research Institute OHRI, Ontario
    Health Aff (Millwood) 24:138-50. 2005
  3. ncbi Effects of quality improvement strategies for type 2 diabetes on glycemic control: a meta-regression analysis
    Kaveh G Shojania
    Ottawa Health Research Institute and Department of Medicine, University of Ottawa, Ottawa, Ontario
    JAMA 296:427-40. 2006
  4. ncbi Graduate medical education and patient safety: a busy--and occasionally hazardous--intersection
    Kaveh G Shojania
    Ottawa Health Research Institute, University of Ottawa, Ottawa, Ontario, Canada
    Ann Intern Med 145:592-8. 2006
  5. ncbi How quickly do systematic reviews go out of date? A survival analysis
    Kaveh 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
  6. ncbi Automated patient assessments after outpatient surgery using an interactive voice response system
    Alan J Forster
    Department of Medicine, University of Ottawa, Ontario, Canada
    Am J Manag Care 14:429-36. 2008
  7. ncbi Adverse events detected by clinical surveillance on an obstetric service
    Alan J Forster
    Ottawa Health Research Institute, Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada
    Obstet Gynecol 108:1073-83. 2006
  8. pmc The impact of adverse events in the intensive care unit on hospital mortality and length of stay
    Alan J Forster
    Department of Medicine, University of Ottawa, Ottawa, Canada
    BMC Health Serv Res 8:259. 2008
  9. pmc Identifying patients with post-discharge care problems using an interactive voice response system
    Alan J Forster
    Department of Medicine, University of Ottawa, Ottawa, Canada
    J Gen Intern Med 24:520-5. 2009
  10. pmc Improving patient safety: moving beyond the "hype" of medical errors
    Alan J Forster
    Department of Medicine and the Ottawa Health Research Institute, University of Ottawa, Ottawa, Ont
    CMAJ 173:893-4. 2005

Detail Information

Publications45

  1. pmc Overestimation of clinical diagnostic performance caused by low necropsy rates
    K G Shojania
    Department of Medicine, University of California San Francisco, CA, USA
    Qual Saf Health Care 14:408-13. 2005
    ....
  2. ncbi Evidence-based quality improvement: the state of the science
    Kaveh 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...
  3. ncbi Effects of quality improvement strategies for type 2 diabetes on glycemic control: a meta-regression analysis
    Kaveh 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...
  4. ncbi Graduate medical education and patient safety: a busy--and occasionally hazardous--intersection
    Kaveh 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...
  5. ncbi How quickly do systematic reviews go out of date? A survival analysis
    Kaveh 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...
  6. ncbi Automated patient assessments after outpatient surgery using an interactive voice response system
    Alan 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...
  7. ncbi Adverse events detected by clinical surveillance on an obstetric service
    Alan 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...
  8. pmc The impact of adverse events in the intensive care unit on hospital mortality and length of stay
    Alan 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...
  9. pmc Identifying patients with post-discharge care problems using an interactive voice response system
    Alan 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...
  10. pmc Improving patient safety: moving beyond the "hype" of medical errors
    Alan J Forster
    Department of Medicine and the Ottawa Health Research Institute, University of Ottawa, Ottawa, Ont
    CMAJ 173:893-4. 2005
  11. ncbi Combining ratings from multiple physician reviewers helped to overcome the uncertainty associated with adverse event classification
    Alan 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...
  12. doi Using decision aids may improve informed consent for research
    Jamie 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...
  13. ncbi Quality improvement strategies for hypertension management: a systematic review
    Judith 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
    ..Care remains suboptimal for many patients with hypertension...
  14. ncbi Understanding medical error and improving patient safety in the inpatient setting
    Kaveh 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...
  15. doi Implementing patient safety interventions in your hospital: what to try and what to avoid
    Sumant 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...
  16. ncbi Safe but sound: patient safety meets evidence-based medicine
    Kaveh G Shojania
    Department of Medicine, University of California, San Francisco, USA
    JAMA 288:508-13. 2002
  17. ncbi The tension between needing to improve care and knowing how to do it
    Andrew D Auerbach
    University of California, San Francisco, Department of Medicine, San Francisco, USA
    N Engl J Med 357:608-13. 2007
  18. ncbi Improving antibiotic selection: a systematic review and quantitative analysis of quality improvement strategies
    Michael 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...
  19. pmc The many faces of error disclosure: a common set of elements and a definition
    Stephanie 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...
  20. pmc Use of an interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes patients
    Urmimala 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...
  21. pmc Hospital mortality: when failure is not a good measure of success
    Kaveh G Shojania
    Department of Medicine, University of Ottawa, ON, USA
    CMAJ 179:153-7. 2008
  22. ncbi The use of systematic reviews and meta-analyses in infection control and hospital epidemiology
    Stephen 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
    ....
  23. ncbi The faces of errors: a case-based approach to educating providers, policymakers, and the public about patient safety
    Robert 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...
  24. doi Surveillance search techniques identified the need to update systematic reviews
    Margaret 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...
  25. doi Teaching quality improvement and patient safety to trainees: a systematic review
    Brian M Wong
    Department of Medicine, University of Toronto, Toronto, Ontario, Canada
    Acad Med 85:1425-39. 2010
    ....
  26. ncbi Does full disclosure of medical errors affect malpractice liability? The jury is still out
    Allen 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...
  27. doi How complete is the evidence for thromboembolism prophylaxis in general medicine patients? A meta-analysis of randomized controlled trials
    Gregory 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...
  28. pmc Should we use large scale healthcare interventions without clear evidence that benefits outweigh costs and harms? No
    C Seth Landefeld
    University of California San Francisco, 3333 California Street, San Francisco, CA 94118, USA
    BMJ 336:1277. 2008
  29. ncbi 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...
  30. ncbi Searching the health care literature efficiently: from clinical decision-making to continuing education
    Kaveh 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...
  31. ncbi Quality grand rounds: the case for patient safety
    Robert M Wachter
    Ann Intern Med 145:629-30. 2006
  32. ncbi Classifying laboratory incident reports to identify problems that jeopardize patient safety
    Michael L Astion
    Department of Laboratory Medicine, University of Washington School of Medicine, Seattle, WA, USA
    Am J Clin Pathol 120:18-26. 2003
    ....
  33. ncbi Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review
    Rainu 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...
  34. ncbi 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...
  35. doi The vanishing nonforensic autopsy
    Kaveh G Shojania
    University of Ottawa and Ottawa Health Research Institute, Ottawa
    N Engl J Med 358:873-5. 2008
  36. ncbi Changes in rates of autopsy-detected diagnostic errors over time: a systematic review
    Kaveh 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...
  37. ncbi Suspected pulmonary embolism
    Sumant R Ranji
    N Engl J Med 350:82-4; author reply 82-4. 2004
  38. ncbi Still no magic bullets: pursuing more rigorous research in quality improvement
    Kaveh G Shojania
    Am J Med 116:778-80. 2004
  39. ncbi Clinical problem-solving. Forgotten but not gone
    Ashish 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
  40. ncbi The persistent value of the autopsy
    Kaveh G Shojania
    Am Fam Physician 69:2540-2. 2004
  41. ncbi The patient safety movement will help, not harm, quality
    Robert M Wachter
    Ann Intern Med 141:326-7. 2004
  42. ncbi Challenges in systematic reviews: synthesis of topics related to the delivery, organization, and financing of health care
    Dena 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...
  43. ncbi Clinical problem-solving. Lost in transcription
    Robert 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
  44. ncbi Impact of reliance on CT pulmonary angiography on diagnosis of pulmonary embolism: a Bayesian analysis
    Sumant 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...
  45. ncbi Learning from our mistakes: quality grand rounds, a new case-based series on medical errors and patient safety
    Robert M Wachter
    Ann Intern Med 136:850-2. 2002