• Publications
  • Influence
Frailty as a predictor of surgical outcomes in older patients.
BACKGROUND Preoperative risk assessment is important yet inexact in older patients because physiologic reserves are difficult to measure. Frailty is thought to estimate physiologic reserves, althoughExpand
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Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center
Background: Despite the emphasis on patient safety in health care, few organizations have evaluated the extent to which safety is a strategic priority or their culture supports patient safety. InExpand
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Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder.
BACKGROUND Teamwork is an important component of patient safety. In fact, communication errors are the most common cause of sentinel events and wrong-site operations in the US. Although efforts toExpand
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Implementing and Validating a Comprehensive Unit-Based Safety Program
Background: The IOM identified patient safety as a significant problem. This paper describes the implementation and validation of a comprehensive unit-based safety program (CUSP) in intensive careExpand
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Improving patient safety in intensive care units in Michigan.
PURPOSE The aim of this study was to describe the design and lessons learned from implementing a large-scale patient safety collaborative and the impact of an intervention on teamwork climate inExpand
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Teamwork in the Operating Room: Frontline Perspectives among Hospitals and Operating Room Personnel
Background:The Joint Commission on Accreditation of Healthcare Organizations is proposing that hospitals measure culture beginning in 2007. However, a reliable and widely used measurement tool forExpand
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Developing and pilot testing quality indicators in the intensive care unit.
PURPOSE To develop and implement a set of valid and reliable yet practical measures of intensive care units (ICU) quality of care in a cohort of ICUs and to estimate, based on current performance,Expand
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Needlestick Injuries among Surgeons in Training
Methods We surveyed surgeons in training at 17 medical centers about previous needlestick injuries. Survey items inquired about whether the most recent injury was reported to an employee healthExpand
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Toward learning from patient safety reporting systems.
PURPOSE 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 improveExpand
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Variation in caregiver perceptions of teamwork climate in labor and delivery units
Objective:To test the psychometric soundness of a teamwork climate survey in labor and delivery, examine differences in perceptions of teamwork, and provide benchmarking data.Design:Cross-sectionalExpand
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