Niraj L. Sehgal

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BACKGROUND Only limited research tracks United States trends in the use of statins recorded during outpatient visits, particularly use by patients at moderate to high cardiovascular risk. METHODS AND FINDINGS Data collected between 1992 and 2002 in two federally administered surveys provided national estimates of statin use among ambulatory patients,(More)
BACKGROUND Patient whiteboards can serve as a communication tool between hospital providers and as a mechanism to engage patients in their care, but little is known about their current use or best practices. METHODS We surveyed bedside nurses, internal medicine housestaff, and hospitalists from the medical service at the University of California, San(More)
BACKGROUND Improving communication between caregivers is an important approach to improving safety. OBJECTIVE To implement teamwork and communication interventions and evaluate their impact on patient outcomes. DESIGN A prospective, interrupted time series of a three-phase INTERVENTION a run-in period (phase 1), during which a training programme was(More)
Recognizing the importance of teamwork in hospitals, senior leadership from the American College of Physician Executives (ACPE), the American Hospital Association (AHA), the American Organization of Nurse Executives (AONE), and the Society of Hospital Medicine (SHM) established the High Performance Teams and the Hospital of the Future project. This(More)
Adverse events after hospital discharge are common and often preventable, representing a vulnerable time for patients. 1,2 Hospitals are challenged to provide patients with a communication safety net postdischarge compared with ambulatory practices. Dedicated transitional care programs have tried to address this gap, focusing on specific diagnoses 3-5 or(More)
PURPOSE Safety culture may exert an important influence on the adoption and learning of patient safety practices by learners at clinical training sites. This study assessed students' perceptions of safety culture and identified curricular gaps in patient safety training. METHOD A total of 170 fourth-year medical students at the University of California,(More)
The fields of quality improvement and patient safety (QI/PS) continue to grow with greater attention and awareness, increased mandates and incentives, and more research. Academic medical centers and their academic departments have a long-standing tradition for innovation and scholarship within a multifaceted mission to provide patient care, educate the next(More)
BACKGROUND Communication failures are an ongoing threat to patient safety. Procedural "time outs" were developed as a method to enhance communication and mitigate patient harm. Nonprocedural settings generate equal risks for communication failure, yet lack a similar communication tool or practice that can be applied, particularly with a patient-driven(More)
The fields of quality improvement and patient safety (QI/PS) continue to grow with greater attention and awareness, increased mandates and incentives, and more research. Academic medical centers and their academic departments have a long-standing tradition for innovation and scholarship within a multifaceted mission to provide patient care, educate the next(More)
Since the Institute of Medicine released its To Err Is Human report, published research and other activities related to patient safety have increased substantially. Interested stakeholders now require a resource to stay abreast of the latest news and findings. Under contract with the Agency for Healthcare Research and Quality (AHRQ), we developed a(More)