A5032731519- Healthcare Policy and Management
- Hospital Admissions and Outcomes
- Patient Safety and Medication Errors
- Medical Malpractice and Liability Issues
- Emergency and Acute Care Studies
- Healthcare cost, quality, practices
- Primary Care and Health Outcomes
- Healthcare Quality and Management
- Patient Satisfaction in Healthcare
- Pneumocystis jirovecii pneumonia detection and treatment
- HIV/AIDS Research and Interventions
- Electronic Health Records Systems
- Health Systems, Economic Evaluations, Quality of Life
- Innovations in Medical Education
- Clinical Reasoning and Diagnostic Skills
- Pneumonia and Respiratory Infections
- Tuberculosis Research and Epidemiology
- Cardiac, Anesthesia and Surgical Outcomes
- Palliative Care and End-of-Life Issues
- Patient-Provider Communication in Healthcare
- Healthcare Operations and Scheduling Optimization
- Healthcare Systems and Technology
- Clinical practice guidelines implementation
- Ethics in medical practice
- HIV/AIDS Impact and Responses
University of California, San Francisco
2015-2024
Chan Zuckerberg Initiative (United States)
2020
San Francisco General Hospital
1993-2019
University of California San Francisco Medical Center
2002-2017
Gentofte Hospital
2017
Chi Mei Medical Center
2017
University of California System
2014-2016
RAND Corporation
2013-2016
National Alliance on Mental Illness
2016
University of Cologne
2016
The authors argue that quality measures in health care should be based on strong evidence a process directly improves outcomes, capture the actual performance of process, address proximate to desired outcome, and not have unintended adverse consequences.
December 1, 2009, marks the tenth anniversary of Institute Medicine report on medical errors, To Err Is Human, which arguably launched modern patient-safety movement. Over past decade, a variety pressures (such as more robust accreditation standards and increasing error-reporting requirements) have created stronger business case for hospitals to focus patient safety. Relatively few health care systems fully implemented information technology, we are finally grappling with balancing "no...
The authors argue that in the context of appropriate efforts to reduce medical errors by correcting problems care-delivery systems, health care organizations have underemphasized individual responsibility. They propose punishing providers who repeatedly do not adhere procedures for improving patient safety, such as hand washing.
Making Health Care Safer: A Critical Review of Evidence Supporting Strategies to Improve Patient Safety5 March 2013The Top Safety That Can Be Encouraged for Adoption NowFREEPaul G. Shekelle, MD, PhD, Peter J. Pronovost, Robert M. Wachter, Kathryn McDonald, MM, Karen Schoelles, SM, Sydney Dy, MSc, Kaveh Shojania, James T. Reston, MPH, Alyce S. Adams, B. Angood, David W. Bates, Leonard Bickman, Pascale Carayon, Liam Donaldson, MBChB, Naihua Duan, Donna O. Farley, Trisha Greenhalgh, BM BCH,...
In the past 20 years, number of hospitalists in United States has grown from a few hundred to more than 50,000. Although challenges remain, many stars have aligned enable model thrive and contribute high-quality, efficient inpatient care.
Our website uses cookies to enhance your experience. By continuing use our site, or clicking "Continue," you are agreeing Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications Network Open Cardiology Dermatology Health Forum Internal Medicine Neurology Oncology Ophthalmology Otolaryngology–Head & Neck Surgery Pediatrics Psychiatry Archives of (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning /...
Our website uses cookies to enhance your experience. By continuing use our site, or clicking "Continue," you are agreeing Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications Network Open Cardiology Dermatology Health Forum Internal Medicine Neurology Oncology Ophthalmology Otolaryngology–Head & Neck Surgery Pediatrics Psychiatry Archives of (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning /...
Abstract Background Treatment of coronavirus disease 2019 (COVID-19) with nirmatrelvir plus ritonavir (NMV-r) in high-risk nonhospitalized unvaccinated patients reduced the risk progression to severe disease. However, potential benefits NMV-r among vaccinated are unclear. Methods We conducted a comparative retrospective cohort study using TriNetX research network. Patients ≥18 years age who were and subsequently developed COVID-19 between 1 December 2021 18 April 2022 included. Cohorts based...
Since the introduction of ChatGPT in late 2022, generative artificial intelligence (genAI) has elicited enormous enthusiasm and serious concerns.
This Viewpoint examines the potential problems of clinician reliance on use artificial intelligence (AI) in health care and offers suggestions how AI could be designed to promote vigilance.
The Institute of Medicine's 1999 report on medical errors galvanized the public and health professionals. Before then, providers, care organizations, policymakers lacked understanding incentives to generate changes in culture, systems, training, technology improve safety. Since there has been progress, but it insufficient. Stronger regulation helped, as have some early improvements information workforce organization training. Error-reporting systems had little impact, scant progress made...
Study Objective: To assess whether decisions about "do-not-resuscitate" (DNR) orders are made equitably in patients with different diseases but similar prognoses. Design: Retrospective cohort study. Setting: Three teaching hospitals: a university referral center, county hospital serving largely indigent population, and Veterans Administration hospital. Patients: Consecutive any of the four following discharge diagnoses: acquired immunodeficiency syndrome (AIDS) (100 patients); unresectable...
Academic medical centers are under enormous pressure to improve quality and cut costs while preserving education.To determine whether a reorganized academic service, led by faculty members who attended more often became involved earlier intensively in care, would lower without compromising education.Alternate-day controlled trial.Inpatient general service.The 1623 patients discharged from the Moffitt-Long service between July 1, 1995, June 30, 1996.We divided our 4-team inpatient into 2...
Background: Hospitalists are assuming an increasing role in the care of surgical patients, but impact this model on postoperative outcomes is unknown. Objective: To determine providing a collaborative, hospitalist-led and costs among patients having hip or knee arthroplasty. Design: Randomized, controlled trial. Setting: Academic medical center. Participants: 526 elective orthopedic surgery who at elevated risk for morbidity. Measurements: Length stay, inpatient complications, health...
Although the incidence of pneumonia (PCP) has declined, mortality patients who require intensive care for this disease remains high. Highly active antiretroviral therapy (HAART) might alter course PCP either via effects on immune system or through anti- actions; however, HAART not been studied in acutely ill with PCP.To assess outcome admitted to unit (ICU) PCP.Retrospective cohort study carried out at a University-affiliated county hospital.Fifty-eight HIV-infected adults an ICU from 1996...
Despite a decade's worth of effort, patient safety has improved slowly, in part because the limited evidence base for development and widespread dissemination successful practices. The Agency Healthcare Research Quality sponsored an international group experts evaluation methods to develop criteria improve design, evaluation, reporting practice research safety. This article reports findings recommendations this group, which include greater use theory logic models, more detailed descriptions...
Eighty-two patients with the acquired immunodeficiency syndrome (AIDS) were admitted to intensive care units (ICUs) at San Francisco General Hospital (SFGH) between March 1981 and December 1985. Of these patients, 69% died in hospital, as did 87% of who required mechanical ventilation because Pneumocystis carinii pneumonia respiratory failure. Although number hospital admissions AIDS has increased steadily since fourth quarter 1982 (12 admissions) through 1985 (158 admissions), ICUs peaked...