Edward J Dunn
- 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)...
- Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis reports in the Veterans Health AdministrationEdward J Dunn
Lexington VA Medical Center, 1101 Veterans Dr, Lexington, KY 40502, USA
Arch Pathol Lab Med 134:244-55. 2010..Mislabeling has been estimated to occur at a rate of 0.1% of all laboratory and anatomic pathology specimens submitted...
- Using the six sigma process to implement the Centers for Disease Control and Prevention Guideline for Hand Hygiene in 4 intensive care unitsNoel 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...
- 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...
- Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trialEdward J Dunn
Obstet Gynecol 109:1457; author reply 1458. 2007