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Items: 1 to 50 of 75

1.

Using Proactive Risk Assessment (HFMEA) to Improve Patient Safety and Quality Associated with Intraocular Lens Selection and Implantation in Cataract Surgery.

DeRosier JM, Hansemann BK, Smith-Wheelock MW, Bagian JP.

Jt Comm J Qual Patient Saf. 2019 Oct;45(10):680-685. doi: 10.1016/j.jcjq.2019.06.003. Epub 2019 Aug 16.

PMID:
31422905
2.

How Safe Is Safe Enough for Space and Health Care?: Communication and Acceptance of Risk in the Real World.

Bagian JP.

JAMA Neurol. 2019 Apr 1;76(4):399-401. doi: 10.1001/jamaneurol.2018.4405. No abstract available.

PMID:
30673795
3.

Challenges and Opportunities in the 6 Focus Areas: CLER National Report of Findings 2018.

Weiss KB, Co JPT, Bagian JP; CLER Evaluation Committee.

J Grad Med Educ. 2018 Aug;10(4 Suppl):25-48. doi: 10.4300/1949-8349.10.4s.25. No abstract available.

4.

The Overarching Themes From the CLER National Report of Findings 2018.

Co JPT, Bagian JP, Weiss KB; CLER Evaluation Committee.

J Grad Med Educ. 2018 Aug;10(4 Suppl):19-24. doi: 10.4300/1949-8349.10.4s.19. No abstract available.

5.

Design of a Novel Multifunction Decision Support Display for Anesthesia Care: AlertWatch® OR.

Tremper KK, Mace JJ, Gombert JM, Tremper TT, Adams JF, Bagian JP.

BMC Anesthesiol. 2018 Feb 5;18(1):16. doi: 10.1186/s12871-018-0478-8.

6.

Handovers During Anesthesia Care: Patient Safety Risk or Opportunity for Improvement?

Bagian JP, Paull DE.

JAMA. 2018 Jan 9;319(2):125-127. doi: 10.1001/jama.2017.20602. No abstract available.

PMID:
29318263
7.

Medical Team Training Improves Team Performance: AOA Critical Issues.

Carpenter JE, Bagian JP, Snider RG, Jeray KJ.

J Bone Joint Surg Am. 2017 Sep 20;99(18):1604-1610. doi: 10.2106/JBJS.16.01290.

PMID:
28926391
8.

Root Cause Analysis and Actions for the Prevention of Medical Errors: Quality Improvement and Resident Education.

Charles R, Hood B, DeRosier JM, Gosbee JW, Bagian JP, Li Y, Caird MS, Biermann JS, Hake ME.

Orthopedics. 2017 Jul 1;40(4):e628-e635. doi: 10.3928/01477447-20170418-04. Epub 2017 Apr 24.

PMID:
28437546
9.

Challenges and Opportunities in the Six Focus Areas: CLER National Report of Findings 2016.

Weiss KB, Bagian JP; CLER Evaluation Committee.

J Grad Med Educ. 2016 May;8(2 Suppl 1):25-34. doi: 10.4300/1949-8349.8.2s1.25. No abstract available.

10.

The Overarching Themes from the CLER National Report of Findings 2016.

Bagian JP, Weiss KB; CLER Evaluation Committee.

J Grad Med Educ. 2016 May;8(2 Suppl 1):21-3. doi: 10.4300/1949-8349.8.2s1.21. No abstract available.

11.

Development, implementation and evaluation of a patient handoff tool to improve safety in orthopaedic surgery.

Gagnier JJ, Derosier JM, Maratt JD, Hake ME, Bagian JP.

Int J Qual Health Care. 2016 Jun;28(3):363-70. doi: 10.1093/intqhc/mzw031. Epub 2016 Apr 18.

PMID:
27090398
12.

The Future of Graduate Medical Education: A Systems-Based Approach to Ensure Patient Safety.

Bagian JP.

Acad Med. 2015 Sep;90(9):1199-202. doi: 10.1097/ACM.0000000000000824.

PMID:
26312603
13.

CLER Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment (Executive Summary).

Weiss KB, Bagian JP, Wagner R.

J Grad Med Educ. 2014 Sep;6(3):610-1. doi: 10.4300/JGME-D-14-00348.1. No abstract available.

14.

Introducing the CLER Pathways to Excellence: A New Way of Viewing Clinical Learning Environments.

Weiss KB, Bagian JP, Wagner R, Nasca TJ.

J Grad Med Educ. 2014 Sep;6(3):608-9. doi: 10.4300/JGME-D-14-00347.1. No abstract available.

15.

Effective followership: A standardized algorithm to resolve clinical conflicts and improve teamwork.

Sculli GL, Fore AM, Sine DM, Paull DE, Tschannen D, Aebersold M, Seagull FJ, Bagian JP.

J Healthc Risk Manag. 2015;35(1):21-30. doi: 10.1002/jhrm.21174.

PMID:
26227290
16.

Improving clinical learning environments for tomorrow's physicians.

Nasca TJ, Weiss KB, Bagian JP.

N Engl J Med. 2014 Mar 13;370(11):991-3. doi: 10.1056/NEJMp1314628. Epub 2014 Jan 27. No abstract available.

PMID:
24467307
17.

Advances in the ACGME Clinical Learning Environment Review (CLER) Program.

Weiss KB, Wagner R, Bagian JP, Newton RC, Patow CA, Nasca TJ.

J Grad Med Educ. 2013 Dec;5(4):718-21. doi: 10.4300/JGME-05-04-44. No abstract available.

18.

The accreditation system after the "next accreditation system".

Nasca TJ, Weiss KB, Bagian JP, Brigham TP.

Acad Med. 2014 Jan;89(1):27-9. doi: 10.1097/ACM.0000000000000068.

19.

The clinical learning environment: the foundation of graduate medical education.

Weiss KB, Bagian JP, Nasca TJ.

JAMA. 2013 Apr 24;309(16):1687-8. doi: 10.1001/jama.2013.1931. No abstract available.

PMID:
23613072
20.

Association between implementation of a medical team training program and surgical morbidity.

Young-Xu Y, Neily J, Mills PD, Carney BT, West P, Berger DH, Mazzia LM, Paull DE, Bagian JP.

Arch Surg. 2011 Dec;146(12):1368-73. doi: 10.1001/archsurg.2011.762.

PMID:
22184295
21.

Improving perceptions of teamwork climate with the Veterans Health Administration medical team training program.

Carney BT, West P, Neily JB, Mills PD, Bagian JP.

Am J Med Qual. 2011 Nov-Dec;26(6):480-4. doi: 10.1177/1062860611401653. Epub 2011 Aug 2.

PMID:
21813506
22.

Improving RCA performance: the Cornerstone Award and the power of positive reinforcement.

Bagian JP, King BJ, Mills PD, McKnight SD.

BMJ Qual Saf. 2011 Nov;20(11):974-82. doi: 10.1136/bmjqs.2010.049585. Epub 2011 Jul 20.

PMID:
21775506
23.

Incorrect surgical procedures within and outside of the operating room: a follow-up report.

Neily J, Mills PD, Eldridge N, Carney BT, Pfeffer D, Turner JR, Young-Xu Y, Gunnar W, Bagian JP.

Arch Surg. 2011 Nov;146(11):1235-9. doi: 10.1001/archsurg.2011.171. Epub 2011 Jul 18.

PMID:
21768408
24.

Suicide attempts and completions in the emergency department in Veterans Affairs Hospitals.

Mills PD, Watts BV, DeRosier JM, Tomolo AM, Bagian JP.

Emerg Med J. 2012 May;29(5):399-403. doi: 10.1136/emj.2010.105239. Epub 2011 Apr 13.

PMID:
21490372
25.

Changing perceptions of safety climate in the operating room with the Veterans Health Administration medical team training program.

Carney BT, West P, Neily J, Mills PD, Bagian JP.

Am J Med Qual. 2011 May-Jun;26(3):181-4. doi: 10.1177/1062860610380733. Epub 2011 Mar 29.

PMID:
21447836
26.

Counterheroism, common knowledge, and ergonomics: concepts from aviation that could improve patient safety.

Lewis GH, Vaithianathan R, Hockey PM, Hirst G, Bagian JP.

Milbank Q. 2011 Mar;89(1):4-38. doi: 10.1111/j.1468-0009.2011.00623.x.

27.

Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan Conflicts: review of case reports from a National Veterans Affairs Database.

Mills PD, Huber SJ, Vince Watts B, Bagian JP.

Suicide Life Threat Behav. 2011 Feb;41(1):21-32. doi: 10.1111/j.1943-278X.2010.00012.x. Review.

PMID:
21309821
28.

VHA’s National Falls Collaborative and Prevention Programs.

Stalhandske E, Mills P, Quigley P, Neily J, Bagian JP.

In: Henriksen K, Battles JB, Keyes MA, Grady ML, editors. Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 2: Culture and Redesign). Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Aug.

29.

Department of Veterans Affairs Emergency Airway Management Initiative.

Stalhandske EJ, Bishop MJ, Bagian JP.

In: Henriksen K, Battles JB, Keyes MA, Grady ML, editors. Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 1: Assessment). Rockville (MD): Agency for Healthcare Research and Quality; 2008 Aug.

30.

Briefing guide study: preoperative briefing and postoperative debriefing checklists in the Veterans Health Administration medical team training program.

Paull DE, Mazzia LM, Wood SD, Theis MS, Robinson LD, Carney B, Neily J, Mills PD, Bagian JP.

Am J Surg. 2010 Nov;200(5):620-3. doi: 10.1016/j.amjsurg.2010.07.011.

PMID:
21056140
31.

An examination of mortality and other adverse events related to electroconvulsive therapy using a national adverse event report system.

Watts BV, Groft A, Bagian JP, Mills PD.

J ECT. 2011 Jun;27(2):105-8. doi: 10.1097/YCT.0b013e3181f6d17f. Review.

PMID:
20966769
32.

Association between implementation of a medical team training program and surgical mortality.

Neily J, Mills PD, Young-Xu Y, Carney BT, West P, Berger DH, Mazzia LM, Paull DE, Bagian JP.

JAMA. 2010 Oct 20;304(15):1693-700. doi: 10.1001/jama.2010.1506.

PMID:
20959579
33.

The role of the operating room nurse manager in the successful implementation of preoperative briefings and postoperative debriefings in the VHA Medical Team Training Program.

Robinson LD, Paull DE, Mazzia LM, Falzetta L, Hay J, Neily J, Mills PD, Carney B, Bagian JP.

J Perianesth Nurs. 2010 Oct;25(5):302-6. doi: 10.1016/j.jopan.2010.07.003.

PMID:
20875885
34.

Medical team training and coaching in the Veterans Health Administration; assessment and impact on the first 32 facilities in the programme.

Neily J, Mills PD, Lee P, Carney B, West P, Percarpio K, Mazzia L, Paull DE, Bagian JP.

Qual Saf Health Care. 2010 Aug;19(4):360-4. doi: 10.1136/qshc.2008.031005.

PMID:
20693225
35.

Differences in nurse and surgeon perceptions of teamwork: implications for use of a briefing checklist in the OR.

Carney BT, West P, Neily J, Mills PD, Bagian JP.

AORN J. 2010 Jun;91(6):722-9. doi: 10.1016/j.aorn.2009.11.066.

PMID:
20510945
36.

The effect of facility complexity on perceptions of safety climate in the operating room: size matters.

Carney BT, West P, Neily J, Mills PD, Bagian JP.

Am J Med Qual. 2010 Nov-Dec;25(6):457-61. doi: 10.1177/1062860610368427. Epub 2010 May 24.

PMID:
20498383
37.

A checklist to identify inpatient suicide hazards in veterans affairs hospitals.

Mills PD, Watts BV, Miller S, Kemp J, Knox K, DeRosier JM, Bagian JP.

Jt Comm J Qual Patient Saf. 2010 Feb;36(2):87-93.

PMID:
20180441
38.

Sex differences in operating room care giver perceptions of patient safety: a pilot study from the Veterans Health Administration Medical Team Training Program.

Carney BT, Mills PD, Bagian JP, Weeks WB.

Qual Saf Health Care. 2010 Apr;19(2):128-31. doi: 10.1136/qshc.2008.028233. Epub 2010 Feb 8.

PMID:
20142406
39.

Incorrect surgical procedures within and outside of the operating room.

Neily J, Mills PD, Eldridge N, Dunn EJ, Samples C, Turner JR, Revere A, DePalma RG, Bagian JP.

Arch Surg. 2009 Nov;144(11):1028-34. doi: 10.1001/archsurg.2009.126.

PMID:
19917939
40.

Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training.

Paull DE, Mazzia LM, Izu BS, Neily J, Mills PD, Bagian JP.

Am J Surg. 2009 Nov;198(5):675-8. doi: 10.1016/j.amjsurg.2009.07.008.

PMID:
19887198
41.

Do older rural and urban veterans experience different rates of unplanned readmission to VA and non-VA hospitals?

Weeks WB, Lee RE, Wallace AE, West AN, Bagian JP.

J Rural Health. 2009 Winter;25(1):62-9. doi: 10.1111/j.1748-0361.2009.00200.x.

PMID:
19166563
42.

Inpatient suicide and suicide attempts in Veterans Affairs hospitals.

Mills PD, DeRosier JM, Ballot BA, Shepherd M, Bagian JP.

Jt Comm J Qual Patient Saf. 2008 Aug;34(8):482-8.

PMID:
18714751
43.

Comparing measures of patient safety for inpatient care provided to veterans within and outside the VA system in New York.

Weeks WB, West AN, Rosen AK, Bagian JP.

Qual Saf Health Care. 2008 Feb;17(1):58-64. doi: 10.1136/qshc.2006.020735.

PMID:
18245221
44.

Rare adverse medical events in VA inpatient care: reliability limits to using patient safety indicators as performance measures.

West AN, Weeks WB, Bagian JP.

Health Serv Res. 2008 Feb;43(1 Pt 1):249-66. doi: 10.1111/j.1475-6773.2007.00760.x.

45.

Reducing avoidable deaths among veterans: directing private-sector surgical care to high-performance hospitals.

Weeks WB, West AN, Wallace AE, Lee RE, Goodman DC, Dimick JB, Bagian JP.

Am J Public Health. 2007 Dec;97(12):2186-92. Epub 2007 Oct 30.

46.

Awareness and use of a cognitive aid for anesthesiology.

Neily J, DeRosier JM, Mills PD, Bishop MJ, Weeks WB, Bagian JP.

Jt Comm J Qual Patient Saf. 2007 Aug;33(8):502-11.

PMID:
17724947
47.

Medical team training: applying crew resource management in the Veterans Health Administration.

Dunn EJ, Mills PD, Neily J, Crittenden MD, Carmack AL, Bagian JP.

Jt Comm J Qual Patient Saf. 2007 Jun;33(6):317-25.

PMID:
17566541
48.

Using the six sigma process to implement the Centers for Disease Control and Prevention Guideline for Hand Hygiene in 4 intensive care units.

Eldridge NE, Woods SS, Bonello RS, Clutter K, Ellingson L, Harris MA, Livingston BK, Bagian JP, Danko LH, Dunn EJ, Parlier RL, Pederson C, Reichling KJ, Roselle GA, Wright SM.

J Gen Intern Med. 2006 Feb;21 Suppl 2:S35-42.

49.

Patient safety: lessons learned.

Bagian JP.

Pediatr Radiol. 2006 Apr;36(4):287-90. Epub 2006 Feb 15.

PMID:
16479407
50.

Patient safety: what is really at issue?

Bagian JP.

Front Health Serv Manage. 2005 Fall;22(1):3-16.

PMID:
16223101

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