Research Topics
Genomes and GenesSpecies | Peter J PronovostSummaryAffiliation: Johns Hopkins University Country: USA Publications
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Publications
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...
Operating room teamwork among physicians and nurses: teamwork in the eye of the beholderMartin A Makary
Department of Surgery and Health Policy and Management, Johns Hopkins University School of Medicine, Johns Hopkins Medical Institutions, Baltimore, MD 21224, USA
J Am Coll Surg 202:746-52. 2006..Although efforts to improve patient safety through improving teamwork are growing, there is no validated tool to scientifically measure teamwork in the surgical setting...
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...
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...
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...
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)...
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...
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...
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...
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...
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...
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...
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...
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....
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...
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...
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....
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...
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...
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...
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....
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....
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...
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...
Assessing and improving safety culture throughout an academic medical centre: a prospective cohort studyLori A Paine
The Johns Hopkins Hospital, Baltimore, Maryland 21231, USA
Qual Saf Health Care 19:547-54. 2010..To describe the authors' hospital-wide efforts to improve safety climate at a large academic medical centre...
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...
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...
Republished paper: assessing and improving safety culture throughout an academic medical centre: a prospective cohort studyLori A Paine
The Johns Hopkins University School of Medicine, and Bloomberg School of Public Health, Baltimore, MD 21231, USA
Postgrad Med J 87:428-35. 2011..176. Climate scores improved significantly from 2006 to 2008 in every domain except stress recognition. CONCLUSIONS Hospital-wide interventions were associated with improvements in safety climate at a large academic medical centre...
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...
The wisdom and justice of not paying for "preventable complications"Peter J Pronovost
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University, Baltimore, Maryland, USA
JAMA 299:2197-9. 2008
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...
Needlestick injuries among surgeons in trainingMartin A Makary
Center for Outcomes Research, Department of Surgery, Health Policy and Management, Johns Hopkins University School of Medicine, Quality and Safety Research Group, Baltimore 21231, USA
N Engl J Med 356:2693-9. 2007..Surgeons in training are at high risk for needlestick injuries. The reporting of such injuries is a critical step in initiating early prophylaxis or treatment...
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...
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...
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...
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
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...
Analysis of 23 million US hospitalizations: uninsured children have higher all-cause in-hospital mortalityFizan Abdullah
Johns Hopkins School of Medicine, Baltimore, MD, USA
J Public Health (Oxf) 32:236-44. 2010..We analyzed data from more than 23 million US children to evaluate the effect of insurance status on the outcome of US pediatric hospitalization...
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...
Implementing a team-based daily goals sheet in a non-ICU settingChristine G Holzmueller
Department of Anesthesiology and Critical Care Medicine, Quality and Safety Research Group, The Johns Hopkins University, Baltimore, USA
Jt Comm J Qual Patient Saf 35:384-8, 341. 2009..This tool clarifies patient-centered goals, provides an accurate information source for each patient, and helps nurses communicate more effectively with one another and the surgical team...
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...
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...
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...
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...
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...
Human immunodeficiency virus infection and hospital mortality in acute lung injury patientsPedro A Mendez-Tellez
Department of Anesthesiology and Critical Care Medicine, Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD, USA
Crit Care Med 38:1530-5. 2010..To evaluate the impact of human immunodeficiency virus infection on hospital mortality in patients with acute lung injury and to evaluate predictors of mortality among acute lung injury patients with human immunodeficiency virus...
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...
A systematic review of the Charlson comorbidity index using Canadian administrative databases: a perspective on risk adjustment in critical care researchDale M Needham
Department of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD 21205, USA
J Crit Care 20:12-9. 2005..Future research should focus on updating the Charlson index for recent changes in the prognosis of comorbid diseases and introduction of International Statistical Classification of Diseases, 10th Revision coding of discharge abstracts...
Systematic review and analysis of postdischarge symptoms after outpatient surgeryChristopher L Wu
Department of Anesthesiology, Johns Hopkins University, Baltimore, MD, USA
Anesthesiology 96:994-1003. 2002
Establishing a global learning community for incident-reporting systemsJulius Cuong Pham
The Johns Hopkins University School of Medicine, 1909 Thames Street, 2nd Floor, Baltimore, MD 21231, USA
Qual Saf Health Care 19:446-51. 2010..This article offers guidance through a presentation of expert discussions about methods to identify, analyse and prioritise incidents, mitigate hazards and evaluate risk reduction...
Cardiac troponin I predicts short-term mortality in vascular surgery patientsLauren J Kim
Johns Hopkins University School of Medicine, Department of Anesthesiology and Critical Care Medicine, Baltimore, MD 21287-7294, USA
Circulation 106:2366-71. 2002..Further research is needed to determine whether intervention in these patients can improve outcome...
Using an interdisciplinary approach to identify factors that affect clinicians' compliance with evidence-based guidelinesAyse P Gurses
Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA
Crit Care Med 38:S282-91. 2010....
View the world through a different lens: shadowing another providerDavid A Thompson
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 34:614-8, 561. 2008..The shadowing tool promotes understanding of other professions' roles in patient care...
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)...
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...
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...
Monitoring and reducing central line-associated bloodstream infections: a national survey of state hospital associationsDavid J Murphy
Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, MD, USA
Am J Med Qual 25:255-60. 2010..A national collaborative to address CLABSIs may reduce these infections while building capacity to improve other aspects of health care quality...
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...
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..Data on the relative clinical and economic impact of postoperative complications are needed in order to direct quality improvement efforts...
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 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..Variation in postoperative complications after abdominal aortic surgery contributes to differences in mortality between high- and low-volume hospitals...
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....
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
Predictors of transfusion for spinal surgery in Maryland, 1997 to 2000Sean M Berenholtz
Department of Anesthesiology Critical Care Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
Transfusion 42:183-9. 2002..The purpose of this study was to identify preoperative patient, hospital, and surgeon characteristics associated with transfusion for spinal surgery...
Quality of life in adult survivors of critical illness: a systematic review of the literatureDavid W Dowdy
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
Intensive Care Med 31:611-20. 2005..This systematic review provides a general understanding of QOL following critical illness and can serve as a standard of comparison for QOL studies in specific ICU subpopulations...
Studying outcomes of intensive care unit survivors: measuring exposures and outcomesDale M Needham
Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD 21205, USA
Intensive Care Med 31:1153-60. 2005..There is little systematic guidance for measuring these outcomes and exposures within the ICU setting. As a result measurement methods are often variable and non-comparable across studies...
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
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...
Rapid response teams--walk, don't runBradford D Winters
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA
JAMA 296:1645-7. 2006
A descriptive study of morbidity and mortality conferences and their conformity to medical incident analysis models: results of the morbidity and mortality conference improvement study, phase 1Hanan J Aboumatar
Center for Innovations in Quality Patient Care, Johns Hopkins University, Baltimore, MD 21287 0765, USA
Am J Med Qual 22:232-8. 2007..Models for best practices in conducting morbidity and mortality conferences are needed...
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...
Developing quality measures for sepsis care in the ICUSean M Berenholtz
Anesthesiology Critical Care Medicine and Surgery, The Johns Hopkins University, Baltimore, USA
Jt Comm J Qual Patient Saf 33:559-68. 2007..Although several therapies improve outcomes in patients with sepsis, rigorously developed measures to evaluate quality of sepsis care in the intensive care unit (ICU) are lacking...
Pediatric patient safety in the ambulatory settingMarlene R Miller
Department of Pediatrics, Johns Hopkins University, Baltimore, MD, USA
Ambul Pediatr 4:47-54. 2004
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....
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...
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...
Partnering for qualityPeter J Pronovost
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins Hospital, Baltimore, MD 21287, USA
J Crit Care 19:121-9. 2004..The take home message is, when we come to work every day, we must be committed to quality and safety, and lead our teams to do the same...
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
Can increased incidence of deep vein thrombosis (DVT) be used as a marker of quality of care in the absence of standardized screening? The potential effect of surveillance bias on reported DVT rates after traumaElliott R Haut
Division of Trauma and Surgical Critical Care, Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
J Trauma 63:1132-5; discussion 1135-7. 2007..We hypothesized that as the number of screening duplex examinations in trauma patients increases, the rate of DVT identification will also increase...
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....
