P Pronovost

Summary

Affiliation: Johns Hopkins University
Country: USA

Publications

  1. ncbi request reprint Demonstrating high reliability on accountability measures at the Johns Hopkins Hospital
    Peter J Pronovost
    Armstrong Institute for Patient Safety and Quality, John Hopkins Medicine, Baltimore, MD, USA
    Jt Comm J Qual Patient Saf 39:531-44. 2013
  2. pmc The functional comorbidity index had high inter-rater reliability in patients with acute lung injury
    Eddy Fan
    Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD, USA
    BMC Anesthesiol 12:21. 2012
  3. ncbi request reprint How can clinicians measure safety and quality in acute care?
    Peter J Pronovost
    Department of Anesthesiology Critical Care Medicine, Johns Hopkins University, Meyer 297A, Baltimore, MD 21287, USA
    Int J Nurs Stud 48:347-55. 2011
  4. pmc Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry
    Peter J Pronovost
    Department of Anesthesiology and Critical Care Medicine Johns Hopkins University School of Medicine, 1909 Thames Street, 2nd Floor, Baltimore, MD 21231, USA
    BMJ Qual Saf 21:872-5. 2012
  5. pmc Surgical intensive care unit clinician estimates of the adequacy of communication regarding patient prognosis
    Rebecca 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
  6. pmc Clinical review: checklists - translating evidence into practice
    Bradford D Winters
    Departments of Anesthesiology and Critical Care Medicine, The Johns Hopkins University, Baltimore, MD 21287, USA
    Crit Care 13:210. 2009
  7. pmc Study protocol: The Improving Care of Acute Lung Injury Patients (ICAP) study
    Dale M Needham
    Johns Hopkins University, 5th Floor, 1830 East Monument Street, Baltimore, MD 21205, USA
    Crit Care 10:R9. 2006
  8. pmc Mortality in sepsis versus non-sepsis induced acute lung injury
    Jonathan E Sevransky
    Division of Pulmonary and Critical Care, Johns Hopkins University, 5501 Hopkins Bayview Circle Baltimore, MD 21224 USA
    Crit Care 13:R150. 2009
  9. pmc Critical care physician cognitive task analysis: an exploratory study
    James 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
  10. pmc Hemodynamic goals in randomized clinical trials in patients with sepsis: a systematic review of the literature
    Jonathan E Sevransky
    Department of Pulmonary Critical Care Medicine, Johns Hopkins University, 5501 Hopkins Bayview Circle, Baltimore, MD 21224, USA
    Crit Care 11:R67. 2007

Detail Information

Publications106 found, 100 shown here

  1. ncbi request reprint Demonstrating high reliability on accountability measures at the Johns Hopkins Hospital
    Peter J Pronovost
    Armstrong Institute for Patient Safety and Quality, John Hopkins Medicine, Baltimore, MD, USA
    Jt Comm J Qual Patient Saf 39:531-44. 2013
    ..The Johns Hopkins Medicine board of trustees committed to high reliability and to providing > or = 96% of patients with the recommended therapies...
  2. pmc The functional comorbidity index had high inter-rater reliability in patients with acute lung injury
    Eddy Fan
    Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD, USA
    BMC Anesthesiol 12:21. 2012
    ..abstract:..
  3. ncbi request reprint How can clinicians measure safety and quality in acute care?
    Peter J Pronovost
    Department of Anesthesiology Critical Care Medicine, Johns Hopkins University, Meyer 297A, Baltimore, MD 21287, USA
    Int J Nurs Stud 48:347-55. 2011
    ..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...
  4. pmc Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry
    Peter J Pronovost
    Department of Anesthesiology and Critical Care Medicine Johns Hopkins University School of Medicine, 1909 Thames Street, 2nd Floor, Baltimore, MD 21231, USA
    BMJ Qual Saf 21:872-5. 2012
    ..A healthcare version of the nuclear power program could supplement regulatory and other strategies currently used to improve quality and patient safety...
  5. pmc Surgical intensive care unit clinician estimates of the adequacy of communication regarding patient prognosis
    Rebecca 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...
  6. pmc Clinical review: checklists - translating evidence into practice
    Bradford 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...
  7. pmc Study protocol: The Improving Care of Acute Lung Injury Patients (ICAP) study
    Dale M Needham
    Johns Hopkins University, 5th Floor, 1830 East Monument Street, Baltimore, MD 21205, USA
    Crit Care 10:R9. 2006
    ....
  8. pmc Mortality in sepsis versus non-sepsis induced acute lung injury
    Jonathan 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...
  9. pmc Critical care physician cognitive task analysis: an exploratory study
    James 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...
  10. pmc Hemodynamic goals in randomized clinical trials in patients with sepsis: a systematic review of the literature
    Jonathan 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...
  11. ncbi request reprint Paying the piper: investing in infrastructure for patient safety
    Peter 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
    ..Since 2001, the Johns Hopkins Hospital has increased its investment in human capital at the patient care, unit/team, and organization levels to improve patient safety...
  12. doi request reprint Translating evidence into practice: a model for large scale knowledge translation
    Peter 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
  13. doi request reprint Measurement of quality and assurance of safety in the critically ill
    Peter 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...
  14. ncbi request reprint Interventions to decrease catheter-related bloodstream infections in the ICU: the Keystone Intensive Care Unit Project
    Peter 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...
  15. ncbi request reprint Defining and measuring patient safety
    Peter 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
    ....
  16. ncbi request reprint Interventions to reduce mortality among patients treated in intensive care units
    Peter 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...
  17. ncbi request reprint A framework for health care organizations to develop and evaluate a safety scorecard
    Peter J Pronovost
    Department of Anesthesiology and Critical Care Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA
    JAMA 298:2063-5. 2007
  18. ncbi request reprint Toward learning from patient safety reporting systems
    Peter 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...
  19. ncbi request reprint The organization of intensive care unit physician services
    Peter 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...
  20. ncbi request reprint The GAAP in quality measurement and reporting
    Peter J Pronovost
    Departments of Anesthesiology and Critical Care Medicine, Johns Hopkins University, Baltimore, Maryland, USA
    JAMA 298:1800-2. 2007
  21. ncbi request reprint Team care: beyond open and closed intensive care units
    Peter 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...
  22. doi request reprint Improving the quality of measurement and evaluation in quality improvement efforts
    Peter 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
  23. ncbi request reprint Tracking progress in patient safety: an elusive target
    Peter J Pronovost
    Department of Anesthesiology and Critical Care, Johns Hopkins University, Baltimore, MD 21231, USA
    JAMA 296:696-9. 2006
  24. doi request reprint Improving patient safety in intensive care units in Michigan
    Peter J Pronovost
    Johns Hopkins University, School of Medicine, Baltimore, MD 21231, USA
    J Crit Care 23:207-21. 2008
    ....
  25. pmc Proposed standards for quality improvement research and publication: one step forward and two steps back
    P 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
  26. ncbi request reprint 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)...
  27. ncbi request reprint A practical tool to learn from defects in patient care
    Peter J Pronovost
    The Johns Hopkins University School of Medicine, Baltimore, USA
    Jt Comm J Qual Patient Saf 32:102-8. 2006
  28. ncbi request reprint Impact of the Leapfrog Group's intensive care unit physician staffing standard
    Peter 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
    ....
  29. doi request reprint Reducing health care hazards: lessons from the commercial aviation safety team
    Peter 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...
  30. ncbi request reprint Building safety into ICU care
    Peter 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...
  31. ncbi request reprint Senior executive adopt-a-work unit: a model for safety improvement
    Peter 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
    ....
  32. pmc A research framework for reducing preventable patient harm
    Peter 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...
  33. ncbi request reprint Impact of critical care physician workforce for intensive care unit physician staffing
    P 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...
  34. doi request reprint Preventing bloodstream infections: a measurable national success story in quality improvement
    Peter J Pronovost
    Johns Hopkins University, Baltimore, Maryland, USA
    Health Aff (Millwood) 30:628-34. 2011
    ....
  35. ncbi request reprint Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery
    P 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...
  36. ncbi request reprint Developing and implementing measures of quality of care in the intensive care unit
    P 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
    ....
  37. ncbi request reprint Variations in complication rates and opportunities for improvement in quality of care for patients having abdominal aortic surgery
    P 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...
  38. ncbi request reprint Evidence-based medicine in anesthesiology
    P 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...
  39. doi request reprint Overview of progress in patient safety
    Peter 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...
  40. ncbi request reprint Reducing failed extubations in the intensive care unit
    Peter 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...
  41. pmc Viewing health care delivery as science: challenges, benefits, and policy implications
    Peter 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...
  42. ncbi request reprint 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...
  43. ncbi request reprint Medication reconciliation: a practical tool to reduce the risk of medication errors
    Peter 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...
  44. pmc Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center
    P 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...
  45. ncbi request reprint Developing and pilot testing quality indicators in the intensive care unit
    Peter 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...
  46. ncbi request reprint Using online and offline change models to improve ICU access and revenues
    P 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...
  47. ncbi request reprint Perspective: Physician leadership in quality
    Peter 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...
  48. ncbi request reprint Improving communication in the ICU using daily goals
    Peter 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...
  49. pmc Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study
    Peter 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...
  50. ncbi request reprint 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
    ..To evaluate the contributing and limiting factors for airway events reported in the Intensive Care Unit Safety Reporting System (ICUSRS) developed in partnership with the Society of Critical Care Medicine...
  51. ncbi request reprint Intensive care unit telemedicine: alternate paradigm for providing continuous intensivist care
    B 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...
  52. pmc Critical pathway effectiveness: assessing the impact of patient, hospital care, and pathway characteristics using qualitative comparative analysis
    Sydney M Dy
    Maryland Community Hospice, Room 609, 624N Broadway, Baltimore, MD 21205, USA
    Health Serv Res 40:499-516. 2005
    ..To qualitatively describe patient, hospital care, and critical pathway characteristics that may be associated with pathway effectiveness in reducing length of stay...
  53. doi request reprint Reduction of in-hospital mortality among California hospitals meeting Leapfrog evidence-based standards for abdominal aortic aneurysm repair
    Benjamin 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...
  54. doi request reprint A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards and improving patient safety
    Jose 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)...
  55. doi request reprint Surveillance bias and deep vein thrombosis in the national trauma data bank: the more we look, the more we find
    Charles 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...
  56. ncbi request reprint Impact of the Comprehensive Unit-based Safety Program (CUSP) on safety culture in a surgical inpatient unit
    Joanne 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...
  57. ncbi request reprint Adverse events during medical and surgical hospitalizations for persons with schizophrenia
    Gail 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
    ..Persons with schizophrenia have a high risk of premature mortality. It is not clear if greater risk for adverse events during hospitalization is a contributing factor...
  58. ncbi request reprint Epidemiology and impact of aspiration pneumonia in patients undergoing surgery in Maryland, 1999-2000
    Jeffrey 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
    ..We sought to identify preoperative patient characteristics and surgical procedures that are associated with an increased risk for aspiration pneumonia and to determine the clinical and economic impact in hospitalized surgical patients...
  59. ncbi request reprint Qualitative review of intensive care unit quality indicators
    Sean 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
    ....
  60. pmc Prevalence of blood-borne pathogens in an urban, university-based general surgical practice
    Eric S Weiss
    Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland 21224, USA
    Ann Surg 241:803-7; discussion 807-9. 2005
    ..To measure the current prevalence of blood-borne pathogens in an urban, university-based, general surgical practice...
  61. ncbi request reprint Hazards of benchmarking complications with the National Trauma Data Bank: numerators in search of denominators
    Shahrzad 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...
  62. ncbi request reprint Eliminating catheter-related bloodstream infections in the intensive care unit
    Sean 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
    ..To determine whether a multifaceted systems intervention would eliminate catheter-related bloodstream infections (CR-BSIs)...
  63. doi request reprint 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
    ....
  64. ncbi request reprint A system factors analysis of "line, tube, and drain" incidents in the intensive care unit
    Dale 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
    ..To analyze the system factors related to "line, tube, and drain" (LTD) incidents in the intensive care unit (ICU)...
  65. pmc Creating high reliability in health care organizations
    Peter 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
    ..The objective of this paper was to present a comprehensive approach to help health care organizations reliably deliver effective interventions...
  66. ncbi request reprint 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...
  67. ncbi request reprint 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...
  68. ncbi request reprint Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections
    Melinda 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...
  69. ncbi request reprint 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
    ..The purpose of this study was to examine the association between intensive care unit nurse (ICU) staffing and the likelihood of complications for patients undergoing abdominal aortic surgery...
  70. pmc Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations
    Robert K Michaels
    Department of Anesthesiology and Critical Care Medicine, Johns Hopkins Medical Institutions, Baltimore, MD, USA
    Ann Surg 245:526-32. 2007
    ....
  71. ncbi request reprint Sensitivity of routine intensive care unit surveillance for detecting myocardial ischemia
    Elizabeth A Martinez
    The Johns Hopkins University School of Medicine, Department of Anesthesiology Critical Care Medicine, USA
    Crit Care Med 31:2302-8. 2003
    ....
  72. ncbi request reprint Implementing standardized operating room briefings and debriefings at a large regional medical center
    Sean 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...
  73. ncbi request reprint Number needed to treat and cost of recombinant human erythropoietin to avoid one transfusion-related adverse event in critically ill patients
    Kenneth 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
    ..To calculate the absolute risk reduction of transfusion-related adverse events, the number of patients needed to treat, and cost to avoid one transfusion-related adverse event by using erythropoietin in critically ill patients..
  74. doi request reprint Impact of preoperative briefings on operating room delays: a preliminary report
    Shantanu 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...
  75. ncbi request reprint From a process of care to a measure: the development and testing of a quality indicator
    H 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
    ....
  76. ncbi request reprint Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel
    J 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
    ..However, a reliable and widely used measurement tool for the operating room (OR) setting does not currently exist...
  77. ncbi request reprint Physician staffing patterns and clinical outcomes in critically ill patients: a systematic review
    Peter J Pronovost
    Department of Critical Care Medicine, Hopkins University, Baltimore, MD, USA
    JAMA 288:2151-62. 2002
    ..Intensive care unit (ICU) physician staffing varies widely, and its association with patient outcomes remains unclear...
  78. ncbi request reprint Association between venous thromboembolism and perioperative allogeneic transfusion
    Kent 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...
  79. doi request reprint Reduction of catheter-associated bloodstream infections in pediatric patients: experimentation and reality
    Christopher 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...
  80. ncbi request reprint Operating room briefings and wrong-site surgery
    Martin 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...
  81. pmc Creating the web-based intensive care unit safety reporting system
    Christine 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...
  82. doi request reprint 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
    Benjamin H Lee
    Department of Anesthesiology Critical Care Medicine, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA
    J Pain 10:160-6. 2009
    ..The high rate of prescribing errors highlights the importance of developing, testing and implementing effective error-prevention strategies, especially in high-risk medications such as narcotics...
  83. ncbi request reprint Hospital volume and mortality for mechanical ventilation of medical and surgical patients: a population-based analysis using administrative data
    Dale M Needham
    Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD, USA
    Crit Care Med 34:2349-54. 2006
    ..Our objective is to determine whether hospital volume is associated with improved survival for medical or surgical patients receiving mechanical ventilation...
  84. doi request reprint Public reporting of health care-associated infections (HAIs): approach to choosing HAI measures
    C 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...
  85. ncbi request reprint ReCASTing the RCA: an improved model for performing root cause analyses
    Julius 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...
  86. doi request reprint Duplex ultrasound screening for deep vein thrombosis in asymptomatic trauma patients: a survey of individual trauma surgeon opinions and current trauma center practices
    Elliott 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...
  87. pmc Systematic review identifies number of strategies important for retaining study participants
    Karen 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...
  88. ncbi request reprint A practical tool to identify and eliminate barriers to compliance with evidence-based guidelines
    Ayse 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...
  89. doi request reprint 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...
  90. doi request reprint Use of beta-blockers during aortic aneurysm repair: bridging the gap between evidence and effective practice
    Benjamin 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...
  91. ncbi request reprint The advantages and disadvantages of process-based measures of health care quality
    H 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...
  92. ncbi request reprint Economics of end-of-life care in the intensive care unit
    P 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...
  93. ncbi request reprint Assessing the effectiveness of critical pathways on reducing resource utilization in the surgical intensive care unit
    S 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)...
  94. ncbi request reprint Postoperative complication rates after hepatic resection in Maryland hospitals
    Justin B Dimick
    Department of Surgery, University of Michigan, Ann Arbor, MI, USA
    Arch Surg 138:41-6. 2003
    ..High-volume centers provide superior quality care and therefore have a lower incidence of postoperative complications...
  95. pmc Measuring clinical information technology in the ICU setting: application in a quality improvement collaborative
    Ruben Amarasingham
    Medicine Services, Parkland Health and Hospital System, Dallas, TX 75235, USA
    J Am Med Inform Assoc 14:288-94. 2007
    ....
  96. ncbi request reprint Monitoring patient safety
    Sean 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...
  97. ncbi request reprint Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study
    David 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...
  98. ncbi request reprint Mechanical ventilation in Ontario, 1992-2000: incidence, survival, and hospital bed utilization of noncardiac surgery adult patients
    Dale M Needham
    Department of Critical Care Medicine and Medicine, University of Toronto, Toronto, Canada
    Crit Care Med 32:1504-9. 2004
    ..We describe population-based, temporal trends in the incidence, survival, and hospital bed utilization of mechanically ventilated, noncardiac surgery adult patients...
  99. ncbi request reprint Targeting errors in the ICU: use of a national database
    Ruth 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...
  100. ncbi request reprint Partnership with patients: a prescription for ICU safety
    Albert W Wu
    Chest 130:1291-3. 2006

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