Research Topics
| P D MillsSummaryCountry: USA Publications
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Publications
A multihospital safety improvement effort and the dissemination of new knowledgePeter D Mills
Veterans Affairs National Center for Patient Safety, White River Junction, Vermont, USA
Jt Comm J Qual Saf 29:124-33. 2003..The diffusion of medical innovations beyond the participating teams was studied during a 2000-2001 national collaborative safety improvement effort...- Medical team training: applying crew resource management in the Veterans Health AdministrationEdward J Dunn
Department of Veterans Affairs National Center for Patient Safety, Ann Arbor, MI, USA
Jt Comm J Qual Patient Saf 33:317-25. 2007..Communication failure, a leading source of adverse events in health care, was involved in approximately 75% of more than 7,000 root cause analysis reports to the Department of Veterans Affairs (VA) National Center for Patient Safety (NCPS)... 
Helping elderly patients to avoid suicide: a review of case reports from a National Veterans Affairs databasePeter D Mills
VA National Center for Patient Safety Field Office, White River Junction, VT 05009, USA
J Nerv Ment Dis 201:12-6. 2013..Method of suicide, stressors, previous attempts, root causes, and action plans designed to address the root causes are reported. Based on these results, recommendations are made for the assessment and treatment of suicide in elderly men...- Suicide attempts and completions in the emergency department in Veterans Affairs HospitalsPeter D Mills
VA National Center for Patient Safety Field Office, White River Junction, Vermont, USA
Emerg Med J 29:399-403. 2012..This is the first study of suicide attempts and completions in the emergency department (ED) in a large national medical system... - Inpatient suicide and suicide attempts in Veterans Affairs hospitalsPeter D Mills
Field Office of the National Center for Patient Safety, Veterans Health Administration, White River Junction, Vermont, USA
Jt Comm J Qual Patient Saf 34:482-8. 2008.... - Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) systemP D Mills
VA National Center for Patient Safety, White River Junction, Vermont 05009, USA
Qual Saf Health Care 17:37-46. 2008..This study characterised RCA reports associated with ADEs to determine what actions VA RCA teams took to reduce the number or severity of ADEs, and to evaluate which actions were effective in doing so... - Improving the bar-coded medication administration system at the Department of Veterans AffairsPeter D Mills
National Center for Patient Safety, Department of Veterans Affairs, White River Junction, VT 05009, USA
Am J Health Syst Pharm 63:1442-7. 2006 - Actions and implementation strategies to reduce suicidal events in the Veterans Health AdministrationPeter D Mills
Field Office, VA National Center for Patient Safety, White River Junction, Vermont, USA
Jt Comm J Qual Patient Saf 32:130-41. 2006..Veterans possess many risk factors for suicide, making suicide prevention in the Veterans Health Administration (VHA) a particular challenge... - Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan Conflicts: review of case reports from a National Veterans Affairs DatabasePeter D Mills
VA National Center for Patient Safety Field Office, White River Junction, VT 05009, USA
Suicide Life Threat Behav 41:21-32. 2011..Attention to improving suicide assessment, coordination of care, and timely access may have the largest impact on reducing suicide among OIF/OEF veterans... - A checklist to identify inpatient suicide hazards in veterans affairs hospitalsPeter D Mills
Department of Veterans Affairs National Center for Patient Safety Field Office, White River Junction, Vermont, USA
Jt Comm J Qual Patient Saf 36:87-93. 2010..This study, the first of its kind, examines the implementation and effectiveness of using a standardized checklist for mental health units to improve patient safety in a large health care system... - Association between implementation of a medical team training program and surgical mortalityJulia Neily
National Center for Patient Safety, Department of Veterans Affairs, Hanover, New Hampshire, USA
JAMA 304:1693-700. 2010..The Veterans Health Administration (VHA) implemented a formalized medical team training program for operating room personnel on a national level... - Briefing guide study: preoperative briefing and postoperative debriefing checklists in the Veterans Health Administration medical team training programDouglas E Paull
National Center for Patient Safety, Ann Arbor, MI 48106 0486, USA
Am J Surg 200:620-3. 2010..The purpose of this study was to examine the outcomes of checklist-driven preoperative briefings and postoperative debriefings during the Veterans Health Administration (VHA) medical team training program... - The role of the operating room nurse manager in the successful implementation of preoperative briefings and postoperative debriefings in the VHA Medical Team Training ProgramLori D Robinson
Veterans Health Administration National Center for Patient Safety, Ann Arbor, MI 48106 0486, USA
J Perianesth Nurs 25:302-6. 2010..Nurse managers are a critical component in the planning phase of team training programs focused on OR clinical staff... - Medical team training and coaching in the Veterans Health Administration; assessment and impact on the first 32 facilities in the programmeJulia Neily
VAMC 11Q, 215 North Main Street, White River Junction, VT 05009, USA
Qual Saf Health Care 19:360-4. 2010..The authors describe results of the first 32 of 130 sites to undergo the programme. This report is unique; it provides aggregate results of a crew resource-management programme for numerous facilities... - Use of the Safety Attitudes Questionnaire as a measure in patient safety improvementBradley V Watts
VA National Quality Scholars Fellowship Program, White River Junction, Vermont 05009, USA
J Patient Saf 6:206-9. 2010..We report on an attempt to use the Safety Attitude Questionnaire as an outcome measure for a patient safety implementation project... - The effect of facility complexity on perceptions of safety climate in the operating room: size mattersBrian T Carney
Veterans Health Administration VHA, White River Junction, VT, USA
Am J Med Qual 25:457-61. 2010..Differences in caregiver perceptions of safety climate by facility complexity are present. Awareness of these differences can help when facilities implement surgical safety procedures... - Incorrect surgical procedures within and outside of the operating roomJulia Neily
Department of Veterans Affairs, Veterans Health Administration, White River Junction, VT 05009, USA
Arch Surg 144:1028-34. 2009..To describe incorrect surgical procedures reported from Veterans Health Administration (VHA) Medical Centers from 2001 to mid-2006 and provide proposed solutions for preventing such events... - Characteristics of successful quality improvement teams: lessons from five collaborative projects in the VHAPeter D Mills
Veterans Health Administration VHA, National Center for Patient Safety, White River Junction VA Medical Center, White River Junction, Vermont, USA
Jt Comm J Qual Saf 30:152-62. 2004.... - Listserv use enhances quality and safety in multisite quality improvement effortsJulia Neily
Field Office of VA s National Center for Patient Safety, White River Junction, VT, USA
Biomed Instrum Technol 38:316-21. 2004..Team listserv contribution was not associated with team success in multisite quality improvement efforts. Successful teams may be accessing information on the listserv but not sending a message to indicate use... - A cognitive aid for cardiac arrest: you can't use it if you don't know about itPeter D Mills
VA National Center for Patient Safety, White River Junction, Vermont, USA
Jt Comm J Qual Saf 30:488-96. 2004..In 2002, caregivers were surveyed about the usefulness of the cognitive aid and the success of its dissemination throughout the VA... - One-year follow-up after a collaborative breakthrough series on reducing falls and fall-related injuriesJulia Neily
Field Office, VA National Center for Patient Safety, Veterans Health Administration, White River Junction, Vermont, USA
Jt Comm J Qual Patient Saf 31:275-85. 2005..A project focused on fall and injury-related prevention started in Spring 2001; after the project's end, support was provided through e-mail and periodic conference calls... - Awareness and use of a cognitive aid for anesthesiologyJulia Neily
Field Office of the Veterans Health Administration, National Center for Patient Safety, White River Junction, Vermont, USA
Jt Comm J Qual Patient Saf 33:502-11. 2007..The Veterans Health Administration's (VHA's) National Center for Patient Safety developed a cognitive aid to help anesthesiologists manage rare, high-mortality adverse events... - Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team trainingDouglas E Paull
Veterans Health Administration, National Center for Patient Safety, Ann Arbor, MI 48106 0486, USA
Am J Surg 198:675-8. 2009..The purpose of this study was to examine which factors at a medical team training learning session predict future success in the implementation of preoperative briefings and postoperative debriefings at health care facilities... - Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training program improves the cardiopulmonary resuscitation code processKatherine B Percarpio
Department of Veterans Affairs VA Medical Center and VA National Center for Patient Safety, White River Junction, Vermont, USA
Jt Comm J Qual Patient Saf 36:424-9, 385. 2010..A Department of Veterans Affairs (VA) medical center developed a brief questionnaire to support the identification of issues and the continuous improvement of the cardiopulmonary resuscitation process and its outcomes... - Differences in nurse and surgeon perceptions of teamwork: implications for use of a briefing checklist in the ORBrian T Carney
Field Office, National Center for Patient Safety, White River Junction, VT, USA
AORN J 91:722-9. 2010.... - Reduction in patient enrollment in the Veterans Health Administration after media coverage of adverse medical eventsWilliam B Weeks
Veterans Administration National Quality Scholars Fellowship Program, Veterans Health Administration VHA, National Center for Patient Safety NCPS, White River Junction, Vermont, USA
Jt Comm J Qual Saf 29:652-8. 2003..A retrospective cohort design was used to determine whether media coverage of adverse events that occurred in Veterans Health Administration (VHA) hospitals was associated with subsequent veteran disenrollment... - Sex differences in operating room care giver perceptions of patient safety: a pilot study from the Veterans Health Administration Medical Team Training ProgramB T Carney
Field Office, National Center for Patient Safety, White River Junction, Vermont 05009, USA
Qual Saf Health Care 19:128-31. 2010..Although professional differences on the SAQ have been explored, sex differences have not... - Improving RCA performance: the Cornerstone Award and the power of positive reinforcementJames P Bagian
University of Michigan Medical School and College of Engineering, Ann Arbor, MI, USA
BMJ Qual Saf 20:974-82. 2011..Improving the quality and timeliness of the RCAs at the local level has been a continual challenge...