Peter J Pronovost

Summary

Affiliation: Johns Hopkins University
Country: USA

Publications

  1. ncbi request reprint Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder
    Martin 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
  2. 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
  3. 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
  4. doi request reprint 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
  5. doi request reprint Improved prophylaxis and decreased rates of preventable harm with the use of a mandatory computerized clinical decision support tool for prophylaxis for venous thromboembolism in trauma
    Elliott R Haut
    The Armstrong Institute for Patient Safety Division of Acute Care Surgery, Departmen of Surgery, The Johns Hopkins Hospital, Baltimore, MD, USA
    Arch Surg 147:901-7. 2012
  6. 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
  7. 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
  8. ncbi request reprint Identifying and categorising patient safety hazards in cardiovascular operating rooms using an interdisciplinary approach: a multisite study
    Ayse P Gurses
    Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
    BMJ Qual Saf 21:810-8. 2012
  9. 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
  10. pmc Physical complications in acute lung injury survivors: a two-year longitudinal prospective study
    Eddy Fan
    1Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, ON, Canada 2Outcomes After Critical Illness and Surgery OACIS Group, Johns Hopkins University School of Medicine, Baltimore, MD 3Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 4Department of Biostatistics, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 5Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 6Division of Pulmonary, Allergy, and Critical Care Medicine, Emory University School of Medicine, Atlanta, GA 7Division of Pulmonary and Critical Care Medicine, University of Maryland, Baltimore, MD 8Johns Hopkins University School of Nursing, Baltimore, MD 9Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 10Department of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 11Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD
    Crit Care Med 42:849-59. 2014

Detail Information

Publications128 found, 100 shown here

  1. ncbi request reprint Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder
    Martin 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...
  2. 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...
  3. 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...
  4. doi request reprint 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
  5. doi request reprint Improved prophylaxis and decreased rates of preventable harm with the use of a mandatory computerized clinical decision support tool for prophylaxis for venous thromboembolism in trauma
    Elliott R Haut
    The Armstrong Institute for Patient Safety Division of Acute Care Surgery, Departmen of Surgery, The Johns Hopkins Hospital, Baltimore, MD, USA
    Arch Surg 147:901-7. 2012
    ....
  6. 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...
  7. 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...
  8. ncbi request reprint Identifying and categorising patient safety hazards in cardiovascular operating rooms using an interdisciplinary approach: a multisite study
    Ayse P Gurses
    Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
    BMJ Qual Saf 21:810-8. 2012
    ..The evidence base describing safety hazards in the cardiovascular operating room is underdeveloped but is essential to guide future safety improvement efforts...
  9. 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...
  10. pmc Physical complications in acute lung injury survivors: a two-year longitudinal prospective study
    Eddy Fan
    1Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, ON, Canada 2Outcomes After Critical Illness and Surgery OACIS Group, Johns Hopkins University School of Medicine, Baltimore, MD 3Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 4Department of Biostatistics, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 5Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 6Division of Pulmonary, Allergy, and Critical Care Medicine, Emory University School of Medicine, Atlanta, GA 7Division of Pulmonary and Critical Care Medicine, University of Maryland, Baltimore, MD 8Johns Hopkins University School of Nursing, Baltimore, MD 9Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 10Department of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 11Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD
    Crit Care Med 42:849-59. 2014
    ..Our objective was to determine the longitudinal epidemiology of muscle weakness, physical function, and health-related quality of life and their associations with critical illness and ICU exposures...
  11. doi request reprint Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit
    Sean M Berenholtz
    Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
    Infect Control Hosp Epidemiol 32:305-14. 2011
    ..To evaluate the impact of a multifaceted intervention on compliance with evidence-based therapies and ventilator-associated pneumonia (VAP) rates...
  12. 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...
  13. doi request reprint Survey of pediatric resident experiences with resuscitation training and attendance at actual cardiopulmonary arrests
    Elizabeth A Hunt
    Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University Medical, Baltimore, MD, USA
    Pediatr Crit Care Med 10:96-105. 2009
    ..Our objective was to characterize the resuscitation training and CPA resuscitation experience of residents, including hands on experience with discharging a defibrillator...
  14. pmc Association between helicopter vs ground emergency medical services and survival for adults with major trauma
    Samuel M Galvagno
    Division of Trauma Anesthesiology, Program in Trauma, Department of Anesthesiology, University of Maryland School of Medicine, University of Maryland Medical Center, S8B05, 22 South Greene St, Baltimore, MD 21201, USA
    JAMA 307:1602-10. 2012
    ..Because helicopter services are a limited and expensive resource, a methodologically rigorous investigation of its effectiveness compared with ground emergency medical services is warranted...
  15. 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...
  16. ncbi request reprint Using the Opportunity Estimator tool to improve engagement in a quality and safety intervention
    Jordan Duval-Arnould
    Division of Helath Sciences Infomatics, Johns Hopskin University School of Medicine, Baltimore, USA
    Jt Comm J Qual Patient Saf 38:41-7, 1. 2012
    ..This web-based tool translates CLABSI-related data into "opportunity estimates" of the patient lives and money that could be saved by reducing these infections...
  17. doi request reprint Monitoring and reducing central line-associated bloodstream infections: a national survey of state hospital associations
    David 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...
  18. pmc Improving data quality control in quality improvement projects
    Dale M Needham
    Pulmonary and Critical Care, Johns Hopkins University, Baltimore, MD, USA
    Int J Qual Health Care 21:145-50. 2009
    ..Our objective was to provide a primer on basic data quality control methods appropriate for QI efforts...
  19. doi 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...
  20. 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)...
  21. 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
    ....
  22. 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...
  23. doi request reprint RBC transfusion practices among critically ill patients: has evidence changed practice?
    David J Murphy
    1Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Emory University, Atlanta, GA 2Division of Pulmonary Critical Care Medicine, Johns Hopkins University, Baltimore, MD 3Division of Pulmonary and Critical Care Medicine, Department of Epidemiology and Public Health, University of Maryland, Baltimore, MD 4Department of Biostatistics, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 5Department of Pathology, Johns Hopkins University, Baltimore, MD 6Department of Anesthesiology Critical Care Medicine, Johns Hopkins University, Baltimore, MD
    Crit Care Med 41:2344-53. 2013
    ..However, little is known regarding the influence of this evidence on clinical practice over time in a large population-based cohort...
  24. 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...
  25. doi request reprint Predictors of posttraumatic deep vein thrombosis (DVT): hospital practice versus patient factors-an analysis of the National Trauma Data Bank (NTDB)
    Elliott R Haut
    Division of Acute Care Surgery, Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA
    J Trauma 66:994-9; discussion 999-1001. 2009
    ..We hypothesize that admission to trauma centers that use duplex ultrasound more frequently, independently predicts DVT reporting for individual patients, controlling for patient-level risk factors...
  26. doi request reprint Effect of accounting for multiple concurrent catheters on central line-associated bloodstream infection rates: practical data supporting a theoretical concern
    Rebecca A Aslakson
    Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland 21287 7294, USA
    Infect Control Hosp Epidemiol 32:121-4. 2011
    ..However, the current conventional method by which they are calculated may be misleading and unfairly penalize high-acuity care settings, where patients often have multiple concurrent central venous catheters (CVCs)...
  27. ncbi request reprint Frailty as a predictor of surgical outcomes in older patients
    Martin A Makary
    Department of Surgery, John Hopkins University School of Medicine, Johns Hopkins Medical Institutions, 1550 Orleans Street, Baltimore, MD 21231, USA
    J Am Coll Surg 210:901-8. 2010
    ..We designed a study to determine if frailty predicts surgical complications and enhances current perioperative risk models...
  28. ncbi request reprint Barriers to low tidal volume ventilation in acute respiratory distress syndrome: survey development, validation, and results
    Cheryl R Dennison
    School of Nursing, Johns Hopkins University, Baltimore, MD, USA
    Crit Care Med 35:2747-54. 2007
    ..To evaluate perceived attitudes, knowledge, and behaviors regarding the use of low tidal volume ventilation in acute respiratory distress syndrome among physicians, nurses, and respiratory therapists in intensive care units...
  29. doi 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...
  30. 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
    ....
  31. 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...
  32. ncbi request reprint 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 trauma
    Elliott 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...
  33. 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...
  34. ncbi request reprint Operating room debriefings
    Martin A Makary
    Department of Surgery, The John Hopkins University, School of Medicine, Baltimore, USA
    Jt Comm J Qual Patient Saf 32:407-10, 357. 2006
    ..This tool helps assess factors that positively and negatively contributed to an adverse event, near miss, or inefficiency during an operation-or any procedure...
  35. ncbi request reprint The team checkup tool: evaluating QI team activities and giving feedback to senior leaders
    Lisa H Lubomski
    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 34:619-23, 561. 2008
    ..This tool can close the gap between hospital executives and frontline QI teams, improve knowledge of team activities, and help teams to identify and remedy barriers to progress...
  36. ncbi request reprint View the world through a different lens: shadowing another provider
    David 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...
  37. ncbi request reprint Human immunodeficiency virus infection and hospital mortality in acute lung injury patients
    Pedro 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...
  38. doi request reprint National study on the distribution, causes, and consequences of voluntarily reported medication errors between the ICU and non-ICU settings
    Asad Latif
    Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA
    Crit Care Med 41:389-98. 2013
    ..To compare the distribution, causes, and consequences of medication errors in the ICU with those in non-ICU settings...
  39. 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...
  40. doi request reprint A national study examining emergency medicine specialty training and quality measures in the emergency department
    Simon C Mathews
    Johns Hopkins University School of Medicine, Baltimore, MD, USA
    Am J Med Qual 25:429-35. 2010
    ..Additionally, a composite end point and an adjusted model showed no statistical difference across these measures. The proportion of residency-trained EM physicians did not affect the use of recommended treatment for AMI, PNA, and LBF...
  41. doi request reprint The business case for quality: economic analysis of the Michigan Keystone Patient Safety Program in ICUs
    Hugh R Waters
    Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
    Am J Med Qual 26:333-9. 2011
    ..These results do not take into account the additional effect of the Michigan Keystone program in terms of reducing cases of sepsis or its effects in terms of preventing mortality, improving teamwork, and reducing nurse turnover...
  42. pmc Depressive symptoms and impaired physical function after acute lung injury: a 2-year longitudinal study
    Oscar J Bienvenu
    Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
    Am J Respir Crit Care Med 185:517-24. 2012
    ..Survivors of acute lung injury (ALI) frequently have substantial depressive symptoms and physical impairment, but the longitudinal epidemiology of these conditions remains unclear...
  43. 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...
  44. doi request reprint Lessons from the Johns Hopkins Multi-Disciplinary Venous Thromboembolism (VTE) Prevention Collaborative
    Michael B Streiff
    Division of Hematology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA
    BMJ 344:e3935. 2012
    ..Risk-appropriate prophylaxis can prevent most VTE events, but only a small fraction of patients at risk receive this treatment...
  45. pmc Nurse-perceived barriers to effective communication regarding prognosis and optimal end-of-life care for surgical ICU patients: a qualitative exploration
    Rebecca A Aslakson
    Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins School of Medicine, 600 North Wolfe Street, Baltimore, MD 21287, USA
    J Palliat Med 15:910-5. 2012
    ..SICU nurses, who are key front-line clinicians, can provide insights into barriers for delivery of optimal palliative care in their setting...
  46. ncbi request reprint Developing process-support tools for patient safety: finding the balance between validity and feasibility
    Jill A Marsteller
    Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA
    Jt Comm J Qual Patient Saf 34:604-7, 561. 2008
    ..The Johns Hopkins Quality and Safety Research Group, which has developed many process-support tools--three of which are reported in this issue--describes its approach to tool development...
  47. pmc Intensive care unit exposures for long-term outcomes research: development and description of exposures for 150 patients with acute lung injury
    Dale M Needham
    Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD 21205, USA
    J Crit Care 22:275-84. 2007
    ..This report describes the development of a strategy for comprehensively measuring relevant exposures for long-term outcomes research, and presents empiric results from its implementation...
  48. pmc Pulmonary vs nonpulmonary sepsis and mortality in acute lung injury
    Jonathan E Sevransky
    Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, 5501 Hopkins Bayview Circle, Baltimore, MD 21224, USA
    Chest 134:534-8. 2008
    ..Acute lung injury (ALI) is a frequent complication of sepsis. It is unclear if a pulmonary vs nonpulmonary source of sepsis affects mortality in patients with sepsis-induced ALI...
  49. ncbi request reprint How safe is my intensive care unit? Methods for monitoring and measurement
    Sean M Berenholtz
    Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland 21231, USA
    Curr Opin Crit Care 13:703-8. 2007
    ..In this review we describe a conceptual model for monitoring and measuring safety, describe the development of a safety scorecard, and provide an example of how this scorecard is used in the ICU...
  50. pmc Does intensive care unit severity of illness influence recall of baseline physical function?
    Victor D Dinglas
    Outcomes After Critical Illness and Surgery Group, Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD 21205, USA
    J Crit Care 26:634.e1-7. 2011
    ..The aim of this study is to evaluate if severity of illness in the intensive care unit influences patients' retrospective recall of their baseline physical function from before hospital admission...
  51. doi request reprint Simulation of in-hospital pediatric medical emergencies and cardiopulmonary arrests: highlighting the importance of the first 5 minutes
    Elizabeth A Hunt
    Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
    Pediatrics 121:e34-43. 2008
    ....
  52. 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...
  53. 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...
  54. doi request reprint A framework for classifying patient safety practices: results from an expert consensus process
    Sydney M Dy
    Johns Hopkins University, Baltimore, MD 21090, USA
    BMJ Qual Saf 20:618-24. 2011
    ..The authors describe issues and choices in describing and classifying diverse patient safety practices (PSPs)...
  55. 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...
  56. doi 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...
  57. doi request reprint Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents during simulated cardiopulmonary arrests
    Elizabeth A Hunt
    Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States
    Resuscitation 80:819-25. 2009
    ..However, little data exist regarding the quality of resuscitation delivered to children and factors associated with adherence to American Heart Association (AHA) resuscitation guidelines...
  58. 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...
  59. doi request reprint Eliminating central line-associated bloodstream infections: a national patient safety imperative
    Sean M Berenholtz
    Johns Hopkins Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, Maryland
    Infect Control Hosp Epidemiol 35:56-62. 2014
    ..Several studies demonstrating that central line-associated bloodstream infections (CLABSIs) are preventable prompted a national initiative to reduce the incidence of these infections...
  60. pmc Lung protective mechanical ventilation and two year survival in patients with acute lung injury: prospective cohort study
    Dale M Needham
    Outcomes After Critical Illness and Surgery Group, Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA
    BMJ 344:e2124. 2012
    ..To evaluate the association of volume limited and pressure limited (lung protective) mechanical ventilation with two year survival in patients with acute lung injury...
  61. doi request reprint Long-term mortality and quality of life in sepsis: a systematic review
    Bradford D Winters
    Departments of Anesthesiology and Critical Care Medicine and Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA
    Crit Care Med 38:1276-83. 2010
    ..Whether patients with sepsis have similar long-term mortality and quality-of-life effects is unclear...
  62. doi request reprint Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study
    Lori 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...
  63. doi request reprint National study of patient, visit, and hospital characteristics associated with leaving an emergency department without being seen: predicting LWBS
    Julius Cuong Pham
    From the Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA
    Acad Emerg Med 16:949-55. 2009
    ..The objective was to estimate the national left-without-being-seen (LWBS) rate and to identify patient, visit, and institutional characteristics that predict LWBS...
  64. 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...
  65. ncbi request reprint A check-up for safety culture in "my patient care area"
    J Bryan Sexton
    Anesthesiology and Critical Care Medicine, The Johns Hopkins University, Baltimore, MD, USA
    Jt Comm J Qual Patient Saf 33:699-703, 645. 2007
    ..The two-page Culture Check-Up Tool, which takes 30 to 60 minutes to complete as a group exercise, can help clinicians recognize and fix culture problems...
  66. ncbi request reprint Improving the quality of quality improvement projects
    Sean M Berenholtz
    Johns Hopkins University School of Medicine, Department of Anesthesiology and Critical Care Medicine, Quality and Safety Research Group, Baltimore, USA
    Jt Comm J Qual Patient Saf 36:468-73. 2010
    ..Our patients deserve nothing less...
  67. 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...
  68. pmc Association of unconscious race and social class bias with vignette-based clinical assessments by medical students
    Adil H Haider
    Center for Surgery Trials and Outcomes Research, Department of Surgery, Johns Hopkins School of Medicine, 600 N Wolfe St, Halsted 610, Baltimore, MD 21212, USA
    JAMA 306:942-51. 2011
    ..The presence of unconscious race and social class bias and its association with clinical assessments or decision making among medical students is unknown...
  69. 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...
  70. 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
    ....
  71. doi request reprint Are temporary staff associated with more severe emergency department medication errors?
    Julius Cuong Pham
    Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
    J Healthc Qual 33:9-18. 2011
    ..11, 95% CI 1.13-8.59), and be life-threatening (OR 8.63, 95% CI 1.22-61.0). In conclusion, emergency department medication errors associated with temporary staff were more harmful than those associated with permanent staff...
  72. ncbi request reprint Using an interdisciplinary approach to identify factors that affect clinicians' compliance with evidence-based guidelines
    Ayse 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
    ....
  73. 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...
  74. 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)...
  75. 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)...
  76. 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...
  77. 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
    ....
  78. 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..
  79. 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
    ....
  80. 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...
  81. 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
    ....
  82. 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...
  83. doi request reprint Republished paper: assessing and improving safety culture throughout an academic medical centre: a prospective cohort study
    Lori 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...
  84. 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...
  85. 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...
  86. 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...
  87. 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...
  88. 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...
  89. 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...
  90. doi request reprint Establishing a global learning community for incident-reporting systems
    Julius 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
    ..Compared with systems in other high-risk industries, healthcare IRS are fragmented and isolated, and have not established best practices for implementation and utilisation...
  91. ncbi request reprint Analysis of 23 million US hospitalizations: uninsured children have higher all-cause in-hospital mortality
    Fizan 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...
  92. ncbi request reprint Cardiac troponin I predicts short-term mortality in vascular surgery patients
    Lauren 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
    ..We evaluated the association between postoperative cTnI levels and 6-month mortality and perioperative myocardial infarction (MI) after vascular surgery...
  93. 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...
  94. 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...
  95. ncbi request reprint A systematic review of the Charlson comorbidity index using Canadian administrative databases: a perspective on risk adjustment in critical care research
    Dale 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...
  96. ncbi request reprint Systematic review and analysis of postdischarge symptoms after outpatient surgery
    Christopher L Wu
    Department of Anesthesiology, Johns Hopkins University, Baltimore, MD, USA
    Anesthesiology 96:994-1003. 2002
  97. ncbi request reprint Needlestick injuries among surgeons in training
    Martin 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...
  98. ncbi request reprint Neuromuscular dysfunction acquired in critical illness: a systematic review
    Robert 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)...
  99. 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...
  100. ncbi request reprint National study on the quality of emergency department care in the treatment of acute myocardial infarction and pneumonia
    Julius 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...
  101. 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...