Research Topics
| Peter D MillsSummaryCountry: USA Publications
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Detail Information
Publications
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....- 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... - 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... - 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... 
Association between implementation of a medical team training program and surgical morbidityYinong Young-Xu
National Center for Patient Safety, Department of Veterans Affairs, 215 N Main St, White River Junction, VT 05009, USA
Arch Surg 146:1368-73. 2011..To determine whether there is an association between the Veterans Health Administration Medical Team Training (MTT) program and surgical morbidity. Design, Setting, and..- Incorrect surgical procedures within and outside of the operating room: a follow-up reportJulia Neily
Veterans Health Administration, White River Junction, VT 05009, USA
Arch Surg 146:1235-9. 2011..To describe incorrect surgical procedures reported from mid-2006 to 2009 from Veterans Health Administration medical centers and build on previously reported events from 2001 to mid-2006... - 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... - Improving perceptions of teamwork climate with the Veterans Health Administration medical team training programBrian T Carney
Veterans Health Administration, 215 N Main Street, White River Junction, VT 05009, USA
Am J Med Qual 26:480-4. 2011..Despite an improvement in perceptions by physicians and nurses, baseline nurse-physician differences persisted at completion of the Veterans Health Administration MTT Program... - Changing perceptions of safety climate in the operating room with the Veterans Health Administration medical team training programBrian T Carney
Veterans Health Administration, 215 N Main Street, White River Junction, VT 05009, USA
Am J Med Qual 26:181-4. 2011..The VHA MTT program improved perceptions at both high- and medium-complexity facilities and eliminated differences present at baseline... - 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... - 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... - 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.... - Using root cause analysis to reduce falls with injury in community settingsAlexandra Lee
US Department of Veterans Affairs National Center for Patient Safety Fellowship, White River Junction VA Medical Center, White River Junction, Vermont, USA
Jt Comm J Qual Patient Saf 38:366-74. 2012.... - 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... - 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... - Sharing lessons learned to prevent incorrect surgeryJulia Neily
Veterans Health Administration, White River Junction, Vermont, USA
Am Surg 78:1276-80. 2012..VHA surgeons reported that the surgery lessons learned were valuable and impacted practice... - Examination of the effectiveness of the Mental Health Environment of Care Checklist in reducing suicide on inpatient mental health unitsBradley V Watts
VA National Center for Patient Safety, White River Junction, VT 05009, USA
Arch Gen Psychiatry 69:588-92. 2012..Many methods have been proposed, but no interventions have been tested... - 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... - 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... - 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... - 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... - 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... - 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... - 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... - Using root cause analysis to reduce falls with injury in the psychiatric unitAlexandra Lee
Veterans Affairs National Center for Patient Safety Patient Safety Fellowship, White River Junction VA Medical Center, White River Junction, VT 05009, USA
Gen Hosp Psychiatry 34:304-11. 2012..The objective was to identify how falls on psychiatric units occur, the underlying root causes and effective action plans to reduce falls and injuries... - 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: 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... - 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.... - 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... - 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 - 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... - An examination of mortality and other adverse events related to electroconvulsive therapy using a national adverse event report systemBradley V Watts
Veterans Administration Medical Center, White River Junction, VT, USA
J ECT 27:105-8. 2011..Much of the published literature is based either on a limited number of ECT providers or reports not representative of modern ECT practice...