John B Sexton
Affiliation: Johns Hopkins University
- A leadership framework for culture change in health careJeffrey S Rose
Jt Comm J Qual Patient Saf 32:433-42. 2006..CONCLUSION: Ascension Health will continue to use a systemwide culture survey for front-line assessments' of safety and teamwork across all clinical areas and to discover best practices and track progress in improving performance...
- Perceptions of safety culture vary across the intensive care units of a single institutionDavid T Huang
CRISMA Clinical Research, Investigation, and Systems Modeling of Acute Illness Laboratory, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA, USA
Crit Care Med 35:165-76. 2007..To determine whether safety culture factors varied across the intensive care units (ICUs) of a single hospital, between nurses and physicians, and to explore ICU nursing directors' perceptions of their personnel's attitudes...
- Engaging nurses in patient safetyKatharine M Luther
Memorial Hermann Hospital, Houston, Texas 77062, USA
Crit Care Nurs Clin North Am 14:341-6. 2002..Progress is measured, and feedback is frequent. The culture remains one of collaboration and continuous problem solving with nurses viewed as central to the process...
- Teamwork in the operating room: frontline perspectives among hospitals and operating room personnelJ Bryan Sexton
The Johns Hopkins University, Department of Anesthesiology and Critical Care Medicine, and Johns Hopkins Bloomberg School of Public Health, Department of Health Policy and Management, Baltimore, MD, USA
Anesthesiology 105:877-84. 2006..However, a reliable and widely used measurement tool for the operating room (OR) setting does not currently exist...
- Operating room briefings and wrong-site surgeryMartin A Makary
Department of Surgery, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins Medical Institutions, Baltimore, MD 21224, USA
J Am Coll Surg 204:236-43. 2007..This study evaluated the impact of operating room briefings on coordination of care and risk for wrong-site surgery...
- Clinical review: checklists - translating evidence into practiceBradford D Winters
Departments of Anesthesiology and Critical Care Medicine, The Johns Hopkins University, Baltimore, MD 21287, USA
Crit Care 13:210. 2009..We suggest methods to create checklists and offer suggestions for how we might apply them, using some examples from our own experience, and finally, offer some possible directions for future research...
- The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units[ISRCTN85147255] [corrected]Eric J Thomas
Department of Internal Medicine, The University of Texas Medical School at Houston, Houston, TX, USA
BMC Health Serv Res 5:28. 2005..Therefore, we measured the impact of EWRs on one important part of safety culture -- provider attitudes about the safety climate in the institution...
- A check-up for safety culture in "my patient care area"J Bryan Sexton
Anesthesiology and Critical Care Medicine, The Johns Hopkins University, Baltimore, MD, USA
Jt Comm J Qual Patient Saf 33:699-703, 645. 2007..The two-page Culture Check-Up Tool, which takes 30 to 60 minutes to complete as a group exercise, can help clinicians recognize and fix culture problems...
- The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging researchJohn B Sexton
The University of Texas Center of Excellence for Patient Safety Research and Practice, The University of Texas Houston Medical School, Houston, USA
BMC Health Serv Res 6:44. 2006..Here we report the psychometric properties, establish benchmarking data, and discuss emerging areas of research with the University of Texas Safety Attitudes Questionnaire...
- Variation in caregiver perceptions of teamwork climate in labor and delivery unitsJ B Sexton
Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins University, Baltimore, MD, USA
J Perinatol 26:463-70. 2006..To test the psychometric soundness of a teamwork climate survey in labor and delivery, examine differences in perceptions of teamwork, and provide benchmarking data...
- Toward learning from patient safety reporting systemsPeter J Pronovost
Department of Anesthesiology and Critical Care Medicine, Quality and Safety Research Group, The Johns Hopkins University School of Medicine, Baltimore, MD 21231, USA
J Crit Care 21:305-15. 2006..To evaluate the frequency and type of factors involved in incidents reported to a patient safety reporting system and answer specific questions to enhance the value of PSRS data to improve patient safety...
- Measuring safety culture in the ambulatory setting: the safety attitudes questionnaire--ambulatory versionIsitri Modak
Department of Medicine, Division of General Medicine, The University of Texas Health Science Center at Houston Medical School, Houston, TX, USA
J Gen Intern Med 22:1-5. 2007..Provider attitudes about issues pertinent to patient safety may be related to errors and adverse events. We know of no instruments that measure safety-related attitudes in the outpatient setting...
- Needlestick injuries among surgeons in trainingMartin A Makary
Center for Outcomes Research, Department of Surgery, Health Policy and Management, Johns Hopkins University School of Medicine, Quality and Safety Research Group, Baltimore 21231, USA
N Engl J Med 356:2693-9. 2007..Surgeons in training are at high risk for needlestick injuries. The reporting of such injuries is a critical step in initiating early prophylaxis or treatment...
- Improving patient safety in intensive care units in MichiganPeter J Pronovost
Johns Hopkins University, School of Medicine, Baltimore, MD 21231, USA
J Crit Care 23:207-21. 2008....
- Partnership with patients: a prescription for ICU safetyAlbert W Wu
Chest 130:1291-3. 2006
- A leadership framework for culture change in health careJeffrey S Rose
Informatics, Ascension Health, St Louis, USA
Jt Comm J Qual Patient Saf 32:433-42. 2006....
- Discrepant attitudes about teamwork among critical care nurses and physiciansEric J Thomas
University of Texas Houston Medical School, Department of Medicine, Division of General Internal Medicine, USA
Crit Care Med 31:956-9. 2003..To measure and compare critical care physicians' and nurses' attitudes about teamwork...
- Working together in the neonatal intensive care unit: provider perspectivesEric J Thomas
University of Texas Health Science Center at Houston Medical School, TX, USA
J Perinatol 24:552-9. 2004..To elicit healthcare provider perceptions of working together in a neonatal intensive care unit (NICU)...
- Patient safety in surgeryMartin A Makary
Department of Surgery, John Hopkins University School of Medicine, Baltimore, MD 21224, USA
Ann Surg 243:628-32; discussion 632-5. 2006..Patient safety initiatives aimed at creating a safe operating room (OR) culture are increasingly being adopted, but a reliable means of measuring their impact on front-line providers does not exist...
- Operating room teamwork among physicians and nurses: teamwork in the eye of the beholderMartin A Makary
Department of Surgery and Health Policy and Management, Johns Hopkins University School of Medicine, Johns Hopkins Medical Institutions, Baltimore, MD 21224, USA
J Am Coll Surg 202:746-52. 2006..Although efforts to improve patient safety through improving teamwork are growing, there is no validated tool to scientifically measure teamwork in the surgical setting...
- Operating room debriefingsMartin A Makary
Department of Surgery, The John Hopkins University, School of Medicine, Baltimore, USA
Jt Comm J Qual Patient Saf 32:407-10, 357. 2006..This tool helps assess factors that positively and negatively contributed to an adverse event, near miss, or inefficiency during an operation-or any procedure...
- Creating high reliability in health care organizationsPeter J Pronovost
Department of Anesthesiology and Critical Care Medicine, Surgery, and Health Policy and Management, The Johns Hopkins University, 1901 Thames Street, 2nd Floor, Baltimore, MD 21231, USA
Health Serv Res 41:1599-617. 2006..The objective of this paper was to present a comprehensive approach to help health care organizations reliably deliver effective interventions...
- How will we know patients are safer? An organization-wide approach to measuring and improving safetyPeter Pronovost
The Johns Hopkins University, Department of Anesthesiology and Critical Care Medicine, USA
Crit Care Med 34:1988-95. 2006....
- Acute decompensation after removing a central line: practical approaches to increasing safety in the intensive care unitPeter J Pronovost
The Johns Hopkins University School of Medicine, The Johns Hopkins Hospital, Baltimore, Maryland 21231, USA
Ann Intern Med 140:1025-33. 2004..Such complex systems require careful planning, excellent teamwork and communication, and designed redundancies to recheck for proper care processes. This paper provides a practical framework for improving patient safety...