James P Bagian

Summary

Country: USA

Publications

  1. ncbi request reprint James P. Bagian on patient safety initiatives. Interview by Deborah Mears
    James P Bagian
    Veterans Health Administration National Center for Patient Safety, USA
    J Healthc Qual 24:15-6, 24. 2002
  2. ncbi request reprint Patient safety: what is really at issue?
    James P Bagian
    National Center for Patient Safety, Veterans Health Administration, Washington, DC, USA
    Front Health Serv Manage 22:3-16. 2005
  3. ncbi request reprint Patient safety: lessons learned
    James P Bagian
    Department of Veterans Affairs, National Center for Patient Safety, 24 Frank Lloyd Wright Drive, Lobby M, Box 486, Ann Arbor, MI 48106, USA
    Pediatr Radiol 36:287-90. 2006
  4. ncbi request reprint Medical team training: applying crew resource management in the Veterans Health Administration
    Edward 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
  5. doi request reprint Association between implementation of a medical team training program and surgical morbidity
    Yinong 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
  6. doi request reprint Association between implementation of a medical team training program and surgical mortality
    Julia Neily
    National Center for Patient Safety, Department of Veterans Affairs, Hanover, New Hampshire, USA
    JAMA 304:1693-700. 2010
  7. doi request reprint Briefing guide study: preoperative briefing and postoperative debriefing checklists in the Veterans Health Administration medical team training program
    Douglas E Paull
    National Center for Patient Safety, Ann Arbor, MI 48106 0486, USA
    Am J Surg 200:620-3. 2010
  8. doi request reprint Differences in nurse and surgeon perceptions of teamwork: implications for use of a briefing checklist in the OR
    Brian T Carney
    Field Office, National Center for Patient Safety, White River Junction, VT, USA
    AORN J 91:722-9. 2010
  9. doi request reprint Incorrect surgical procedures within and outside of the operating room
    Julia Neily
    Department of Veterans Affairs, Veterans Health Administration, White River Junction, VT 05009, USA
    Arch Surg 144:1028-34. 2009
  10. doi request reprint Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training
    Douglas E Paull
    Veterans Health Administration, National Center for Patient Safety, Ann Arbor, MI 48106 0486, USA
    Am J Surg 198:675-8. 2009

Detail Information

Publications29

  1. ncbi request reprint James P. Bagian on patient safety initiatives. Interview by Deborah Mears
    James P Bagian
    Veterans Health Administration National Center for Patient Safety, USA
    J Healthc Qual 24:15-6, 24. 2002
    ..Kennedy School of Government of Harvard University. The NCPS was the only federal organization to be so identified in 2001...
  2. ncbi request reprint Patient safety: what is really at issue?
    James P Bagian
    National Center for Patient Safety, Veterans Health Administration, Washington, DC, USA
    Front Health Serv Manage 22:3-16. 2005
    ..Finally, leadership and management must be visibly involved in the patient safety program...
  3. ncbi request reprint Patient safety: lessons learned
    James P Bagian
    Department of Veterans Affairs, National Center for Patient Safety, 24 Frank Lloyd Wright Drive, Lobby M, Box 486, Ann Arbor, MI 48106, USA
    Pediatr Radiol 36:287-90. 2006
    ....
  4. ncbi request reprint Medical team training: applying crew resource management in the Veterans Health Administration
    Edward 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)...
  5. doi request reprint Association between implementation of a medical team training program and surgical morbidity
    Yinong 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...
  6. doi request reprint Association between implementation of a medical team training program and surgical mortality
    Julia 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...
  7. doi request reprint Briefing guide study: preoperative briefing and postoperative debriefing checklists in the Veterans Health Administration medical team training program
    Douglas 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...
  8. doi request reprint Differences in nurse and surgeon perceptions of teamwork: implications for use of a briefing checklist in the OR
    Brian T Carney
    Field Office, National Center for Patient Safety, White River Junction, VT, USA
    AORN J 91:722-9. 2010
    ....
  9. doi request reprint Incorrect surgical procedures within and outside of the operating room
    Julia 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...
  10. doi request reprint Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training
    Douglas 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...
  11. ncbi request reprint Awareness and use of a cognitive aid for anesthesiology
    Julia 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...
  12. doi request reprint The role of the operating room nurse manager in the successful implementation of preoperative briefings and postoperative debriefings in the VHA Medical Team Training Program
    Lori 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...
  13. ncbi request reprint The Veterans Affairs root cause analysis system in action
    James P Bagian
    VA National Center for Patient Safety, 2215 Fuller Drive, Ann Arbor, MI 48105, USA
    Jt Comm J Qual Improv 28:531-45. 2002
    ..The cases illustrate that broadly applicable, high-impact actions can result from a thorough RCA process...
  14. ncbi request reprint John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National Center for Patient Safety
    Jeffrey R Heget
    Veterans Affairs VA National Center for Patient Safety, 24 Frank Lloyd Wright Drive, Lobby M, P O Box 486, Ann Arbor, MI 48106 0486, USA
    Jt Comm J Qual Improv 28:660-5. 2002
    ..NCPS's aim is to foster a culture of safety in the Department of Veterans Affairs (VA) by developing and providing patient safety programs and delivering standardized tools, methods, and initiatives to the 163 VA facilities...
  15. doi request reprint Improving RCA performance: the Cornerstone Award and the power of positive reinforcement
    James 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...
  16. ncbi request reprint A checklist to identify inpatient suicide hazards in veterans affairs hospitals
    Peter 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...
  17. ncbi request reprint A cognitive aid for cardiac arrest: you can't use it if you don't know about it
    Peter 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...
  18. doi request reprint The effect of facility complexity on perceptions of safety climate in the operating room: size matters
    Brian 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...
  19. doi request reprint Medical team training and coaching in the Veterans Health Administration; assessment and impact on the first 32 facilities in the programme
    Julia 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...
  20. ncbi request reprint Inpatient suicide and suicide attempts in Veterans Affairs hospitals
    Peter 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
    ....
  21. doi request reprint Changing perceptions of safety climate in the operating room with the Veterans Health Administration medical team training program
    Brian 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...
  22. pmc Using the six sigma process to implement the Centers for Disease Control and Prevention Guideline for Hand Hygiene in 4 intensive care units
    Noel E Eldridge
    Department of Veterans Affairs, Veterans Health Administration, National Center for Patient Safety, Washington, DC 20420, USA
    J Gen Intern Med 21:S35-42. 2006
    ..The CDC's emphasis on the use of alcohol-based hand rubs (ABHRs) rather than soap and water was an opportunity to improve compliance, but the Guideline contained over 40 specific recommendations to implement...
  23. ncbi request reprint Using health care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system
    Joseph DeRosier
    Department of Veterans Affairs, VA National Center for Patient Safety 10X, 24 Frank Lloyd Wright Drive, Lobby M, PO Box 486, Ann Arbor, MI 48106 0486, USA
    Jt Comm J Qual Improv 28:248-67, 209. 2002
    ..The authors describe HFMEA, a five-step process used to proactively evaluate a health care process, and provide examples of a team's forms and actions regarding prostate-specific antigen testing...
  24. ncbi request reprint Making the business case for patient safety
    William B Weeks
    White River Junction Field Office, VA National Center for Patient Safety, Ann Arbor, Michigan, USA
    Jt Comm J Qual Saf 29:51-4, 1. 2003
    ..The authors explain why there appears to be a business case for health care organizations to make investments to enhance patient safety...
  25. doi request reprint Development, implementation and evaluation of a patient handoff tool to improve safety in orthopaedic surgery
    Joel J Gagnier
    Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA Department of Epidemiology, University of Michigan, Ann Arbor, MI, USA
    Int J Qual Health Care 28:363-70. 2016
    ..To develop, implement and test the effect of a handoff tool for orthopaedic trauma residents that reduces adverse events associated with the omission of critical information and the transfer of erroneous information...
  26. ncbi request reprint Department of Veterans Affairs patient safety program
    Erik Stalhandske
    National Center for Patient Safety, Department of Veterans Affairs, Ann Arbor, Michigan, USA
    Am J Infect Control 30:296-302. 2002
    ..This article discusses the genesis of the VA patient safety program and reviews some of its successes...
  27. pmc Rare adverse medical events in VA inpatient care: reliability limits to using patient safety indicators as performance measures
    Alan N West
    VA Outcomes Group REAP, VA Medical Center, White River Junction, VT 05009, USA
    Health Serv Res 43:249-66. 2008
    ..DATA SOURCES STUDY SETTING: Nine years (1997-2005) of all Veterans Health Administration (VA) administrative hospital discharge data...
  28. ncbi request reprint Bad outcomes of questionable medical decisions
    William B Weeks
    Ann Intern Med 138:520; author reply 520. 2003
  29. pmc Reducing avoidable deaths among veterans: directing private-sector surgical care to high-performance hospitals
    William B Weeks
    Veterans Administration VA Outcomes Group Research Enhancement Award Program, VA Medical Center, White River Junction, VT 05009, USA
    Am J Public Health 97:2186-92. 2007
    ..We quantified older (65 years and older) Veterans Health Administration (VHA) patients' use of the private sector to obtain 14 surgical procedures and assessed the potential impact of directing that care to high-performance hospitals...