K G Shojania
Affiliation: University of California
- Taking advantage of the explosion of systematic reviews: an efficient MEDLINE search strategyK G Shojania
Department of Medicine, University of California, San Francisco, San Francisco, Calif, USA
Eff Clin Pract 4:157-62. 2001..Unfortunately, the few published strategies for identifying these articles involve MEDLINE interfaces not widely available outside of academic medicine. In addition, the performance of these strategies is unknown...
- Understanding medical error and improving patient safety in the inpatient settingKaveh G Shojania
Department of Medicine, University of California San Francisco, 505 Parnassus Avenue, UCSF Box 0120, San Francisco, CA 94143, USA
Med Clin North Am 86:847-67. 2002..More important, physician involvement in these initiatives will undoubtedly contribute visible leadership in promoting a culture of patient safety in hospitals and in health care...
- Changes in rates of autopsy-detected diagnostic errors over time: a systematic reviewKaveh G Shojania
Department of Medicine, University of California, San Francisco, CA 94143, USA
JAMA 289:2849-56. 2003..Substantial discrepanies exist between clinical diagnoses and findings at autopsy. Autopsy may be used as a tool for quality management to analyze diagnostic discrepanies...
- What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetesUrmimala Sarkar
Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, Center for Vulnerable Populations, San Francisco General Hospital, San Francisco, California 94143 1364, USA
Qual Saf Health Care 19:223-8. 2010..An automated telephone self-management support programme for a diverse population of diabetes patients was implemented to capture AEs, describe the self-management domains from which they emanate and explore contributing causes...
- Overestimation of clinical diagnostic performance caused by low necropsy ratesK G Shojania
Department of Medicine, University of California San Francisco, CA, USA
Qual Saf Health Care 14:408-13. 2005....
- The faces of errors: a case-based approach to educating providers, policymakers, and the public about patient safetyRobert M Wachter
Department of Medicine, University of California at San Francisco, USA
Jt Comm J Qual Saf 30:665-70. 2004..The Web-based Agency for Healthcare Research and Quality (AHRQ) WebM&M was then developed as a forum that was part-reporting system and part-journal. Finally, we then applied this approach to writing a book for a popular audience...
- Improving antibiotic selection: a systematic review and quantitative analysis of quality improvement strategiesMichael A Steinman
Division of Geriatrics, San Francisco VA Medical Center Department of Medicine, University of California San Francisco, 4150 Clement Street, San Francisco, CA 94121, USA
Med Care 44:617-28. 2006..We sought to assess which interventions are most effective at improving the prescribing of recommended antibiotics for acute outpatient infections...
- The tension between needing to improve care and knowing how to do itAndrew D Auerbach
University of California, San Francisco, Department of Medicine, San Francisco, USA
N Engl J Med 357:608-13. 2007
- Safe medication prescribing and monitoring in the outpatient settingKaveh G Shojania
Clinical Epidemiology Program, Ottawa Health Research Institute, Department of Medicine, University of Ottawa, Ottawa, Ont
CMAJ 174:1257-8. 2006
- Quality improvement strategies for hypertension management: a systematic reviewJudith M E Walsh
Division of General Internal Medicine, Department of Medicine, University of California-San Francisco, San Francisco, CA, USA
Med Care 44:646-57. 2006..A focus on hypertension by someone in addition to the patient's physician was associated with substantial improvement. Future research should examine the contributions of individual QI strategies and their relative costs...
- Effects of quality improvement strategies for type 2 diabetes on glycemic control: a meta-regression analysisKaveh G Shojania
Ottawa Health Research Institute and Department of Medicine, University of Ottawa, Ottawa, Ontario
JAMA 296:427-40. 2006..There have been numerous reports of interventions designed to improve the care of patients with diabetes, but the effectiveness of such interventions is unclear...
- Impact of reliance on CT pulmonary angiography on diagnosis of pulmonary embolism: a Bayesian analysisSumant R Ranji
Department of Medicine, University of California San Francisco, San Francisco, California 94143 0131, USA
J Hosp Med 1:81-7. 2006..Although CTPA-based diagnostic algorithms focus on minimizing the false-negative rate, we hypothesized that increasing use of CTPA also might lead to false-positive diagnoses...
- Do opiates affect the clinical evaluation of patients with acute abdominal pain?Sumant R Ranji
Department of Medicine, University of California, San Francisco, CA 94143 0131, USA
JAMA 296:1764-74. 2006..Clinicians have traditionally withheld opiate analgesia from patients with acute abdominal pain until after evaluation by a surgeon, out of concern that analgesia may alter the physical findings and interfere with diagnosis...
- Implementing patient safety interventions in your hospital: what to try and what to avoidSumant R Ranji
Division of Hospital Medicine, Department of Medicine, University of California, San Francisco 94143, USA
Med Clin North Am 92:275-93, vii-viii. 2008..In this article, the authors define a framework for evaluating patient safety interventions and discuss specific interventions hospitalists should consider...
- Use of an interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes patientsUrmimala Sarkar
Department of Medicine, Division of General Internal Medicine, University of California, San Francisco, San Francisco, CA 94143 1211, USA
J Gen Intern Med 23:459-65. 2008..We used the implementation of an automated telephone self-management support program for diabetes patients as an opportunity to monitor patient safety...
- Should we use large scale healthcare interventions without clear evidence that benefits outweigh costs and harms? NoC Seth Landefeld
University of California San Francisco, 3333 California Street, San Francisco, CA 94118, USA
BMJ 336:1277. 2008
- Safe but sound: patient safety meets evidence-based medicineKaveh G Shojania
Department of Medicine, University of California, San Francisco, USA
JAMA 288:508-13. 2002
- Interventions to reduce unnecessary antibiotic prescribing: a systematic review and quantitative analysisSumant R Ranji
Department of Medicine, University of California San Francisco, California 94143 0131, USA
Med Care 46:847-62. 2008....
- Effects of rapid response systems on clinical outcomes: systematic review and meta-analysisSumant R Ranji
Department of Medicine, University of California San Francisco, California 94143 0131, USA
J Hosp Med 2:422-32. 2007..Examples include medical emergency teams and rapid response teams. Early reports of major improvements in patient outcomes led to widespread utilization of RRSs, despite the negative results of a subsequent cluster-randomized trial...
- The vanishing nonforensic autopsyKaveh G Shojania
University of Ottawa and Ottawa Health Research Institute, Ottawa
N Engl J Med 358:873-5. 2008
- Surveillance search techniques identified the need to update systematic reviewsMargaret Sampson
Chalmers Research Group, Children s Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, Ontario K1H 8L1, Canada
J Clin Epidemiol 61:755-62. 2008..This article reports on literature surveillance methods to identify new evidence eligible for updating systematic reviews...
- The many faces of error disclosure: a common set of elements and a definitionStephanie P Fein
Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at the University of California at Los Angeles, Los Angeles, CA, USA
J Gen Intern Med 22:755-61. 2007..Surveys of physicians show that they believe harmful errors should be disclosed to patients, yet errors are often not disclosed...
- Hospital mortality: when failure is not a good measure of successKaveh G Shojania
Department of Medicine, University of Ottawa, ON, USA
CMAJ 179:153-7. 2008
- Automated patient assessments after outpatient surgery using an interactive voice response systemAlan J Forster
Department of Medicine, University of Ottawa, Ontario, Canada
Am J Manag Care 14:429-36. 2008..To test the feasibility and utility of an interactive voice response system (IVRS) for monitoring patients after outpatient surgery...
- How quickly do systematic reviews go out of date? A survival analysisKaveh G Shojania
Ottawa Health Research Institute, University of Ottawa, Chalmers Research Group, and Children s Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada
Ann Intern Med 147:224-33. 2007..Systematic reviews are often advocated as the best source of evidence to guide clinical decisions and health care policy, yet we know little about the extent to which they require updating...
- The era of big performance measurement: here at last?Peter K Lindenauer
Clinical and Quality Informatics, Baystate Health, Massachusetts, USA
Jt Comm J Qual Patient Saf 34:307-8. 2008..Despite progress in identifying a starter set of performance measures, more sophisticated measures need to be developed that promote adherence to desired care processes while discouraging overuse errors...
- Inflated impacts of medication use technology assumed in simulating reduced adverse drug eventsKaveh G Shojania
J Am Med Inform Assoc 10:290-1. 2003
- Adverse events detected by clinical surveillance on an obstetric serviceAlan J Forster
Ottawa Health Research Institute, Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada
Obstet Gynecol 108:1073-83. 2006..We performed this study to estimate the rate of adverse events and potential adverse events-errors that have a high likelihood of causing patient harm-occurring during obstetric care...
- Quality grand rounds: the case for patient safetyRobert M Wachter
Ann Intern Med 145:629-30. 2006
- Graduate medical education and patient safety: a busy--and occasionally hazardous--intersectionKaveh G Shojania
Ottawa Health Research Institute, University of Ottawa, Ottawa, Ontario, Canada
Ann Intern Med 145:592-8. 2006..They then fall into the same trap as those who taught them, busying themselves with direct patient care and providing supervision only as time allows...
- Does this patient have acute cholecystitis?Robert L Trowbridge
Department of Medicine, University of California, San Francisco 94143 0120, USA
JAMA 289:80-6. 2003..Although few patients with acute abdominal pain will prove to have cholecystitis, ruling in or ruling out acute cholecystitis consumes substantial diagnostic resources...
- MedGenMed's selection of the top 10 medical/health stories of 2002Kaveh G Shojania
MedGenMed 4:2. 2002
- Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic reviewRainu Kaushal
Division of General Internal Medicine, Brigham and Women s Hospital, Partners HealthCare System, Boston, Mass, USA
Arch Intern Med 163:1409-16. 2003..Iatrogenic injuries related to medications are common, costly, and clinically significant. Computerized physician order entry (CPOE) and clinical decision support systems (CDSSs) may reduce medication error rates...
- Classifying laboratory incident reports to identify problems that jeopardize patient safetyMichael L Astion
Department of Laboratory Medicine, University of Washington School of Medicine, Seattle, WA, USA
Am J Clin Pathol 120:18-26. 2003....
- Does full disclosure of medical errors affect malpractice liability? The jury is still outAllen Kachalia
Brigham and Women s Faulkner Hospitalist Program, Department of Medicine, Brigham and Women s Hospital, Boston, USA
Jt Comm J Qual Saf 29:503-11. 2003..A comprehensive literature search was conducted to determine what is known about the impact of full disclosure on malpractice liability...
- Suspected pulmonary embolismSumant R Ranji
N Engl J Med 350:82-4; author reply 82-4. 2004
- Still no magic bullets: pursuing more rigorous research in quality improvementKaveh G Shojania
Am J Med 116:778-80. 2004
- Clinical problem-solving. Forgotten but not goneAshish K Jha
Division of General Internal Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02120, USA
N Engl J Med 350:2399-404. 2004
- The persistent value of the autopsyKaveh G Shojania
Am Fam Physician 69:2540-2. 2004
- The patient safety movement will help, not harm, qualityRobert M Wachter
Ann Intern Med 141:326-7. 2004
- Challenges in systematic reviews: synthesis of topics related to the delivery, organization, and financing of health careDena M Bravata
Stanford University, California, USA
Ann Intern Med 142:1056-65. 2005..As the primary literature on these topics expands, so will opportunities to develop additional novel methods for performing high-quality comprehensive syntheses...
- Improving patient safety: moving beyond the "hype" of medical errorsAlan J Forster
Department of Medicine and the Ottawa Health Research Institute, University of Ottawa, Ottawa, Ont
CMAJ 173:893-4. 2005
- Evidence-based quality improvement: the state of the scienceKaveh G Shojania
Ottawa Health Research Institute OHRI, Ontario
Health Aff (Millwood) 24:138-50. 2005..We review problems with current approaches to QI research and outline the steps required to make QI efforts based as much on evidence as the practices they seek to implement...
- Clinical problem-solving. Lost in transcriptionRobert M Kalus
Division of General Internal Medicine, Department of Internal Medicine, University of Washington, Seattle 98104, USA
N Engl J Med 355:1487-91. 2006
- Learning from our mistakes: quality grand rounds, a new case-based series on medical errors and patient safetyRobert M Wachter
Ann Intern Med 136:850-2. 2002