John Combes

ORCID: 0000-0001-6594-8458
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About
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Research Areas
  • Healthcare Quality and Management
  • Healthcare Systems and Practices
  • Primary Care and Health Outcomes
  • Global Health Workforce Issues
  • Healthcare Policy and Management
  • Employment and Welfare Studies
  • Migration, Health and Trauma
  • Migration, Identity, and Health
  • Innovations in Medical Education
  • Medical Malpractice and Liability Issues
  • Health Systems, Economic Evaluations, Quality of Life
  • Health, Medicine and Society
  • Cardiac Imaging and Diagnostics
  • Patient Safety and Medication Errors
  • Health Policy Implementation Science
  • Diversity and Career in Medicine
  • Health disparities and outcomes
  • Human Resource and Talent Management
  • Vaccine Coverage and Hesitancy
  • Cardiac Ischemia and Reperfusion
  • Healthcare professionals’ stress and burnout
  • Global Health Care Issues
  • Organizational Change and Leadership
  • Human Resource Development and Performance Evaluation
  • Obesity and Health Practices

Accreditation Council for Graduate Medical Education
2018-2024

Electoral Commission
2024

Université de Rennes
2018-2022

École des Hautes Études en Santé Publique
2014-2022

Centre National de la Recherche Scientifique
2018-2022

University College London
2022

Arènes: politique, santé publique, environnement, médias
2016-2020

Thomas Jefferson University
2020

Institut des Sciences Humaines et Sociales
2014-2019

Institut Français des Relations Internationales
2019

ABSTRACT We articulate an intellectual history and a definition, description model of patient safety. define safety as discipline in the health care professions that applies science methods toward goal achieving trustworthy system delivery. also attribute systems minimizes incidence impact adverse events maximizes recovery from such events. Our includes: why field exists (the high prevalence avoidable events); its nature; essential focus action microsystem); how works (e.g., high-reliability...

10.30770/2572-1852-95.1.13 article EN Journal of Medical Regulation 2009-03-01

Background. Several studies demonstrating that central line–associated bloodstream infections (CLABSIs) are preventable prompted a national initiative to reduce the incidence of these infections. Methods. We conducted collaborative cohort study evaluate impact “On CUSP: Stop BSI” program on CLABSI rates among participating adult intensive care units (ICUs). The goal was achieve unit-level mean rate less than 1 case per 1,000 catheter-days using standardized definitions from National...

10.1086/674384 article EN Infection Control and Hospital Epidemiology 2013-11-26

Several invasive and noninvasive techniques used in determining the size of experimental myocardial infarction were evaluated after acute ligation left anterior descending (LAD) coronary artery ten dogs. Systemic blood pressure, ventricular end-diastolic pressure (LVEDP), heart rate did not change significantly for up to 24 hours occlusion. Left wall motion abnormalities detected by ventriculography distribution LAD but these changes correlate well with infarct weight determined at autopsy....

10.1161/01.cir.57.1.35 article EN Circulation 1978-01-01

The authors' goal was to determine if a national intensive care unit (ICU) collaborative reduce central line-associated bloodstream infections (CLABSIs) would succeed in Hawaii. intervention period (July 2009 December 2010) included comprehensive unit-based safety program; multifaceted approach CLABSI prevention; and monitoring of infections. primary outcome rate. A total 20 ICUs, representing 16 hospitals 61 665 catheter days, were analyzed. Median hospital bed size 159 (interquartile range...

10.1177/1062860611414299 article EN American Journal of Medical Quality 2011-09-14

Ongoing changes in demographics and health care financing will require reforms delivery. An aging population increasing rates of chronic disease, advances medical science, information technology's ability to make safer more efficient, skyrocketing costs, the impact Patient Protection Affordable Care Act (ACA) a rethinking how is delivered. As Institute for Healthcare Improvement put forth 2007, improving delivery United States requires focus on 3 areas:All providers need new skills knowledge...

10.4300/jgme-04-03-33 article EN Journal of Graduate Medical Education 2012-09-01

To develop a taxonomy of governing board roles in U.S. hospitals.2005 AHA Hospital Governance Survey, 2004 Annual Survey Hospitals, and Area Resource File.A was developed using cluster analysis. Results were validated reviewed by industry experts. Differences hospital environmental characteristics across clusters examined.One-thousand three-hundred thirty-four hospitals with complete information on the study variables included analysis.Five distinct boards identified. Statistical tests...

10.1111/j.1475-6773.2008.00835.x article EN Health Services Research 2008-03-18

Take a look at the makeup of most hospital and health system boards directors. You might find community philanthropist, banker, partner in prestigious law firm, several successful business executives, perhaps physician. But chances are you won't nurse. While nurses act leadership roles many healthcare settings, they remain largely overlooked for board positions—the highest level organizational leadership. A recent survey more than 1,000 (AHA 2011) found that just 6 percent members were...

10.1097/00115514-201201000-00003 article EN Journal of Healthcare Management 2012-01-01

Health inequality and its social determinants are well-studied, but the of alcohol consumption less well-investigated. The total differential approach decomposition changes in concentration index probability participation was applied to 8-year longitudinal data for Swedish women aged 28-76 1988/89. Alcohol showed a pro-rich inequality, with income being strong contributor. Overall remained fairly constant, decreased over time as abstinence became common among poor more rich. This mainly due...

10.1186/1475-9276-10-10 article EN cc-by International Journal for Equity in Health 2011-01-01

Chronic health conditions are among the leading causes of death and disability in United States.1 Poor diet is recognized as a prominent risk factor for developing chronic such cardiovascular diseases, cancer, diabetes, obesity.2 Healthy eating has been shown to prevent or delay onset helps people manage these complications.3 Integrating nutrition medical education patient care provides pathway improve public's overall health.Though link between certain diseases clear, consensus needed on...

10.4300/jgme-d-23-00801.1 article EN other-oa Journal of Graduate Medical Education 2023-12-01

Shortages of nursing staff in OECD countries have been a preoccupation for policy makers. may be the consequence uncompetitive pay. In private sector, employers different regions can offer pay rates to reflect local amenities and cost living. Hospitals UK however cannot set their employees, as result they might therefore incur shortages. Moreover, occupational groups do not operate isolation. also competitiveness an alternative group staff. This is investigated using two distinct staff:...

10.1080/00036846.2018.1490000 article EN Applied Economics 2018-07-09

Medicaid, the nation's health care safety net, has come under increasing pressure as most state governments face a fiscal crisis. Cutbacks in funding that decrease already inadequate reimbursement, tightening of eligibility, and reduction benefits will lead to an increase under- uninsured, further straining ability hospitals remain solvent provide this vulnerable population. The federal government must Medicaid program hospital disproportionate share while continue level not cause loss...

10.1097/00004479-200310000-00009 article EN Journal of Ambulatory Care Management 2003-10-01

R. L. Lichter, C. G. Fehder, P. H. Patton, J. Combes and D. E. Dorman, Chem. Soc., Commun., 1974, 114 DOI: 10.1039/C39740000114

10.1039/c39740000114 article EN Journal of the Chemical Society Chemical Communications 1974-01-01

Pertussis vaccination policy varies across Europe, not only in the type of vaccine-whole cell (wP) vs. acellular (aP1/2/3/5)-but also schedule and recommendation for parents. This study aims to investigate determining factors vaccine, immunization maternal recommendation. From March May 2019, experts national health agencies major academic or research institutions from Denmark, France, Poland, Sweden UK were invited a semi-structured interview. Thematic analysis was performed on transcripts...

10.3390/vaccines8010046 article EN cc-by Vaccines 2020-01-26

The start of a new academic year in graduate medical education will mark transition for postgraduate 1 (PGY-1) residents from school into residency. relocation individuals has significant implications given the COVID-19 pandemic and variability outbreak across United States, but little is known about extent geographic taking place.We reported historical trends PGY-1 staying in-state those starting residency out-of-state to quantify movement beginning training each year.We analyzed data...

10.4300/jgme-d-20-00627.1 article EN other-oa Journal of Graduate Medical Education 2020-06-26
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