A5069193183- Patient Safety and Medication Errors
- Medical Malpractice and Liability Issues
- Healthcare Quality and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Quality and Safety in Healthcare
- Spaceflight effects on biology
- Innovations in Medical Education
- Healthcare Policy and Management
- Hospital Admissions and Outcomes
- Space Exploration and Technology
- Clinical Reasoning and Diagnostic Skills
- Occupational Health and Safety Research
- Electronic Health Records Systems
- Suicide and Self-Harm Studies
- Emergency and Acute Care Studies
- Infection Control and Ventilation
- High Altitude and Hypoxia
- Healthcare Technology and Patient Monitoring
- Diabetic Foot Ulcer Assessment and Management
- Pharmaceutical Practices and Patient Outcomes
- Simulation-Based Education in Healthcare
- Infection Control in Healthcare
- Disaster Response and Management
- Healthcare cost, quality, practices
- COVID-19 epidemiological studies
University of Michigan
2013-2023
Hershey (United States)
2023
Michigan United
2021-2022
National Patient Safety Foundation
2007-2019
Michigan Medicine
2018
Accreditation Council for Graduate Medical Education
2013-2015
State Street (United States)
2014
Thomas Jefferson University
2014
Veterans Health Administration
2001-2011
White River Junction VA Medical Center
2008-2011
There is insufficient information about the effectiveness of medical team training on surgical outcomes. The Veterans Health Administration (VHA) implemented a formalized program for operating room personnel national level.To determine whether an association existed between VHA Medical Team Training and outcomes.A retrospective health services study with contemporaneous control group was conducted. Outcome data were obtained from Surgical Quality Improvement Program (VASQIP) structured...
The Tactical Combat Casualty Care (TCCC) project begun by the Naval Special Warfare Command and continued U.S. Operations developed a set of tactically appropriate battlefield trauma care guidelines that were initially published in 1996. Transition these into use throughout Department Defense has been ongoing since time. need for updates to TCCC was recognized early on carried out Committee established operated Operational Medicine Institute. evolution from 1996 recommendations present is...
Abstract The quality of teamwork among health care professionals is known to affect patient outcomes. In the OR, surgeons report more favorable perceptions communication during procedures and effectiveness than do nurses. We undertook a improvement project in Veterans Health Administration confirm reported differences between perioperative nurses examine implications these for improving practice patterns OR. Safety Attitudes Questionnaire, which measures safety culture, including...
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Interview with Dr. Eileen Reynolds on the ACGME's review of clinical learning environments and its goals for residency programs. (11:33)Download On basis site visits that it has conducted Clinical Learning Environment Review program, Accreditation Council Graduate Medical Education reports finding a generalized lack resident engagement in systems-based practice.
The Accreditation Council for Graduate Medical Education (ACGME) recognizes the public's need a physician workforce capable of meeting challenges rapidly evolving health care environment. ACGME has responded to this by implementing Clinical Learning Environment Review (CLER) program as part its Next System. CLER is designed provide US teaching hospitals, medical centers, systems, and other clinical settings affiliated with ACGME-accredited institutions periodic feedback that addresses...
Context: Many safety initiatives have been transferred successfully from commercial aviation to health care. This article develops a typology of initiatives, applies this care, and proposes measures that might be adopted more widely. It then presents an economic framework for determining the likely costs benefits different patient initiatives. Methods: describes fifteen examples error countermeasures are used in public transport aviation, many which not routinely care at present. Examples...
The Accreditation Council for Graduate Medical Education (ACGME) and the American Board of Specialties its member boards introduced six domains physician competency in 1999. This initiated a national dialogue concerning elements physician, incorporation these into framework evaluation residents fellows, as well educational programs within which they are trained. next step this process will be ACGME's Next System, authors describe commentary. Recognizing that there already developments...
In the past decade, national attention has increasingly focused on issues of patient safety and health care quality1,2—and organizations institutions responsible for graduate medical education (GME) have responded Executive leaders our nation’s hospitals centers are using concepts high reliability systems3,4 purpose making their environments a safer place patients These setting goals improving quality implementing systems-based approaches to reach those
Spaceflight induces a cephalad redistribution of fluid volume and blood flow within the human body, space motion sickness, which is problem during first few days spaceflight, could be related to these changes in status cerebrum vestibular system. To evaluate possible cerebral simulated weightlessness, we measured velocity middle artery (MCA) along with retinal vascular diameters, intraocular pressure, impedance cardiography, sphygmomanometry on nine men (26.2 +/- 6.6 yr) morning evening for...
<h3>Background:</h3> Adverse drug events (ADEs) account for considerable patient morbidity and mortality as well legal, operational care costs. In Veterans Affairs (VA) hospitals in the USA, all serious adverse "potential" are reviewed using root cause analysis (RCA). This study characterised RCA reports associated with ADEs to determine what actions VA teams took reduce number or severity of ADEs, evaluate which were effective doing so. <h3>Methods:</h3> Every medication-related submitted...
Achieving a culture of safety is believed to be an important mechanism for improving patient safety. The Safety Attitudes Questionnaire (SAQ) measures provider perceptions across six domains; higher scores denote more positive perceptions. Although professional differences on the SAQ have been explored, sex not.The was administered operating room (OR) care givers at nine Department Veterans Affairs hospitals. We determined mean domain by giver profession and sex, used analysis variance...
<h3>Background</h3> Communication is problematic in healthcare. The Veterans Health Administration implementing Medical Team Training. authors describe results of the first 32 130 sites to undergo programme. This report unique; it provides aggregate a crew resource-management programme for numerous facilities. <h3>Methods</h3> Facilities were taught medical team training and implemented briefings, debriefings other projects. coached teams through consultative phone interviews over year....