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Ortiz J, Staggers KA, Adrish M, Hanania NA, Wu TD. Asthma outcomes in a safety net hospital system: A comparative study to a national cohort. Respiratory medicine. 2025 Mar 7; 240:108032, DOI: 10.1016/j.rmed.2025.108032.
Perrin MA, Nguyen Wenker TH, Larson SA. It's All About the Bubbles: Assessing the Effects of Simethicone on Safety and Efficacy During Colonoscopy. Digestive diseases and sciences. 2025 Feb 24 DOI: 10.1007/s10620-025-08938-8.
Bradford A, Lubin IM, Cornish N, Morgan DJ, Singh H. Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis. AHRQ Issue Brief 21. Rockville, MD: Agency for Healthcare Research and Quality; 2024 Aug 1. 24 p. Report No.: 24-0010-6-EF.
Miller K, Biro J, Gold JA, Hose BZ, Singh H, Ratwani R. Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety. Rockville, MD: Agency for Healthcare Research and Quality; 2024 Aug 1. 1-19 p. Report No.: AHRQ Publication No. 24-0010-3-EF.
Seo W, Park SY, Zhang Z, Singh H, Pasupathy K, Mahajan P. Identifying Interventions to Improve Diagnostic Safety in Emergency Departments: Protocol for a Participatory Design Study. JMIR research protocols. 2024 Jun 21; 13:e55357.
Pless Kaiser A, Beaudreau SA. Clinical Gerontologist Special Issue: Lethal Means Safety in Older Adults. Clinical Gerontologist. 2024 Jun 6; 47(4):515-518.
Ayers C, Ward R, Kansagara D. Update Alert: Effectiveness and Safety of Treatments to Prevent Fractures in People With Low Bone Mass or Primary Osteoporosis: A Living Systematic Review and Network Meta-analysis for the American College of Physicians. Annals of internal medicine. 2024 Jun 1; 177(6):eL230118.
Allaudeen N, Schalch E, Neff M, Poppler K, Vashi AA. Patient Safety Indicators at an Academic Veterans Affairs Hospital: Addressing Dual Goals of Clinical Care and Validity. Joint Commission Journal on Quality and Patient Safety. 2024 Sep 1; 50(9):638-644.
Griffin AR, Dobalian A, Langan JC, Shipman SJ. Culture of Safety and Preparedness: Benefits of Applying a Daily Mitigation Mindset in the Hospital Setting. International journal of environmental research and public health. 2024 Feb 13; 21(2).
Pimentel CB, Pimentel MPT, Hartmann CW. Medical safety huddles to engage frontline physicians in patient safety: calling physicians back to the table. BMJ quality & safety. 2023 Sep 15.
Gilmartin HM, Saint S, Ratz D, Chrouser K, Fowler KE, Greene MT. The influence of hospital leadership support on burnout, psychological safety, and safety climate for US infection preventionists during the coronavirus disease 2019 (COVID-19) pandemic. Infection control and hospital epidemiology. 2024 Mar 1; 45(3):310-315.
Linsky AM, Motala A, Lawson E, Shekelle P. Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices. Rockville (MD): Agency for Healthcare Research and Quality (US); 2023 Jul 1. https://www.ncbi.nlm.nih.gov/books/NBK600387/ p.
McCarthy ST, Motala A, Lawson E, Shekelle PG. Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices. Rockville (MD): Agency for Healthcare Research and Quality (US); 2023 Jul 1.
Aunon FM, Azrael D, Simonetti JA, Miller M. Beliefs Among Veteran Firearm Owners Regarding Whether Clinicians Should Discuss Firearm Safety With Patients. JAMA Network Open. 2023 Jun 1; 6(6):e2321219.
Monach PA, Branch-Elliman W. More data needed on efficacy and safety of monovalent vaccines against SARS-CoV-2 omicron variants. The Lancet. Infectious diseases. 2023 Jun 1; 23(6):654-655.
Bradford A, Singh H. Building clinical pathways of the future that improve safety and reduce waste in healthcare. Journal of hospital medicine. 2023 Feb 1; 18(2):200-201.
Ayers C, Kansagara D, Lazur B, Fu R, Kwon A, Harrod C. Effectiveness and Safety of Treatments to Prevent Fractures in People With Low Bone Mass or Primary Osteoporosis: A Living Systematic Review and Network Meta-analysis for the American College of Physicians. Annals of internal medicine. 2023 Feb 1; 176(2):182-195.
Abebe E, Bao A, Kokkinias P, Russ-Jara AL, Degnan D. Maximizing student potential: Lessons for pharmacy programs from the patient safety movement. Exploratory research in clinical and social pharmacy. 2023 Mar 1; 9:100216.
Hawkins RB, Nallamothu BK. Surgeons and systems working together to drive safety and quality. [Editorial]. BMJ quality & safety. 2023 Apr 1; 32(4):181-184.
Khakoo NS, Sultan S, Reynolds JM, Levy C. Efficacy and Safety of Bezafibrate Alone or in Combination with Ursodeoxycholic Acid in Primary Biliary Cholangitis: Systematic Review and Meta-Analysis. Digestive diseases and sciences. 2023 Apr 1; 68(4):1559-1573.
Khan N, Trivedi C, Aberra F, Pernes T, Yang YX. Safety of Recombinant Zoster Vaccine in Patients with Inflammatory Bowel Disease. Journal of Crohn's & colitis. 2022 Sep 8; 16(9):1505-1507.
Zhang IY, Wong ES, Rosen JE, Gordon DB, Flum DR, Liao JM. Association Between Statewide Medicaid Opioid Policy and Postoperative Opioid Prescribing among Surgeons at a Large Safety-Net Hospital. Journal of the American College of Surgeons. 2022 Sep 1; 235(3):519-528.
Simonetti JA, Azrael D, Zhang W, Miller M. Receipt of clinician-delivered firearm safety counseling among U.S. Veterans: Results from a 2019 national survey. Suicide & Life-Threatening Behavior. 2022 Dec 1; 52(6):1121-1125.
Byeon YV, Lau AS, Lind T, Hamilton AB, Brookman-Frazee L. Organizational factors associated with community therapists' self-efficacy in EBP delivery: The interplay between sustainment leadership, sustainment climate, and psychological safety. Implementation research and practice. 2022 Jul 4; 3:26334895221110263.
Kim B, Grech SM, Rembisz AE, Pinkerson AI, Topor DR, Ramirez DM, Budson AE, Funk MC. Development and Pilot of a Process for Regularly Sharing Summary Patient Safety Data. Academic Psychiatry : The Journal of The American Association of Directors of Psychiatric Residency Training and The Association For Academic Psychiatry. 2023 Feb 1; 47(1):53-58.
Navathe AS, Chandrashekar P, Chen C. Making Value-Based Payment Work for Federally Qualified Health Centers: Toward Equity in the Safety Net. JAMA. 2022 Jun 7; 327(21):2081-2082.
Wilson MP, Waliski A, Thompson RG. Feasibility of Peer-Delivered Suicide Safety Planning in the Emergency Department: Results From a Pilot Trial. Psychiatric services (Washington, D.C.). 2022 Oct 1; 73(10):1087-1093.
Simonetti JA, Azrael D, Zhang W, Miller M. Perspectives on clinician-delivered firearm safety counseling during routine care: Results of a national survey. Preventive medicine. 2022 May 1; 158:107039.
Fatima H, Imperiale T. Safety Profile of Endoscopist-directed Balanced Propofol Sedation for Procedural Sedation: An Experience at a Hospital-based Endoscopy Unit. Journal of clinical gastroenterology. 2022 Mar 1; 56(3):e209-e215.
Sittig DF, Sengstack P, Singh H. Guidelines for US Hospitals and Clinicians on Assessment of Electronic Health Record Safety Using SAFER Guides. JAMA. 2022 Feb 22; 327(8):719-720.
Cordasco KM, Watson T, Glassman P. When Lightning Hits Your Spaceship: the Power and Peril of Habits in Aerospace and Patient Safety. Journal of general internal medicine. 2022 May 1; 37(7):1777-1779.
Gaur S, Kumar R, Gillespie SM, Jump RLP. Integrating Principles of Safety Culture and Just Culture Into Nursing Homes: Lessons From the Pandemic. Journal of The American Medical Directors Association. 2022 Feb 1; 23(2):241-246.
ACTIV-3/Therapeutics for Inpatients with COVID-19 (TICO) Study Group. Efficacy and safety of two neutralising monoclonal antibody therapies, sotrovimab and BRII-196 plus BRII-198, for adults hospitalised with COVID-19 (TICO): a randomised controlled trial. The Lancet. Infectious diseases. 2022 May 1; 22(5):622-635.
Gerlach LB, Van T, Kim HM, Chang MM, Bohnert KM, Zivin K. Trends in Incident Varenicline Prescribing Among Veterans Following the US Food and Drug Administration Drug Safety Warnings. The Journal of clinical psychiatry. 2021 Dec 21; 83(1).
Valentine SE, Fuchs C, Godfrey L, Elwy AR. Redesign of a brief PTSD treatment in safety net integrated primary care: Supporting implementation in the context of the COVID-19 pandemic. General hospital psychiatry. 2022 Jan 1; 74:94-101.
Liu J, Pang EM, Iacob A, Simonian A, Phibbs CS, Profit J. Evaluating Care in Safety Net Hospitals: Clinical Outcomes and Neonatal Intensive Care Unit Quality of Care in California. The Journal of Pediatrics. 2022 Apr 1; 243:99-106.e3.
Manojlovich M, Hofer TP, Krein SL. Advancing Patient Safety Through the Clinical Application of a Framework Focused on Communication. Journal of Patient Safety. 2021 Dec 1; 17(8):e732-e737.
Preston-Suni K, Celedon MA, Cordasco KM. Patient Safety and Ethical Implications of Health Care Sick Leave Policies in the Pandemic Era. Joint Commission Journal on Quality and Patient Safety. 2021 Oct 1; 47(10):673-676.
Hoyt T, Holliday R, Simonetti JA, Monteith LL. Firearm Lethal Means Safety with Military Personnel and Veterans: Overcoming Barriers using a Collaborative Approach. Professional Psychology, Research and Practice. 2021 Aug 1; 52(4):387-395.
Mahlangu J, Levy H, Lee M, Del Greco F. Efficacy and safety of subcutaneous prophylaxis with dalcinonacog alfa in adults with haemophilia B. Haemophilia : the official journal of the World Federation of Hemophilia. 2021 Jul 1; 27(4):574-580.
Chatterjee P, Qi M, Werner RM. Association of Medicaid Expansion With Quality in Safety-Net Hospitals. JAMA internal medicine. 2021 May 1; 181(5):590-597.
Mull HJ, Rosen AK, Charns MP, Itani KMF, Rivard PE. Identifying Risks and Opportunities in Outpatient Surgical Patient Safety: A Qualitative Analysis of Veterans Health Administration Staff Perceptions. Journal of Patient Safety. 2021 Apr 1; 17(3):e177-e185.
You CW, Hong SB, Kim S, Shin HJ, Kim JS, Han JW, Kim SJ, Kim DY, Lee M, Levy H. Safety, pharmacokinetics, and pharmacodynamics of a next-generation subcutaneously administered coagulation factor IX variant, dalcinonacog alfa, in previously treated hemophilia B patients. Journal of Thrombosis and Haemostasis : Jth. 2021 Apr 1; 19(4):967-975.
Goto M, Harris AD, Perencevich EN. Contact Precautions and Methicillin-Resistant Staphylococcus aureus-Modeling Our Way to Safety. JAMA Network Open. 2021 Mar 1; 4(3):e211574.
Zwaan L, El-Kareh R, Meyer AND, Hooftman J, Singh H. Advancing Diagnostic Safety Research: Results of a Systematic Research Priority Setting Exercise. Journal of general internal medicine. 2021 Oct 1; 36(10):2943-2951.
Lee B, Mafi J, Patel MK, Sorensen A, Vangala S, Wei E, Sarkisian C. Quality improvement time-saving intervention to increase use of a clinical decision support tool to reduce low-value diagnostic imaging in a safety net health system. BMJ open quality. 2021 Feb 1; 10(1).
Ziemba JB, Tessier CD, Harris AM. Patient safety education and perceptions of safety culture in American and Canadian urological residency training programs. The Canadian Journal of Urology. 2020 Dec 1; 27(6):10431-10436.
Gellad WF. More Safety Data Would Be Nice, But We Need a Vaccine Now. Wired. 2020 Nov 11; Wired(Opinion Ideas):1.
Frank JW, Bohnert ASB, Sandbrink F, McGuire M, Drexler K. Implementation and Policy Recommendations from the VHA State-of-the-Art Conference on Strategies to Improve Opioid Safety. Journal of general internal medicine. 2020 Dec 1; 35(Suppl 3):983-987.
Navathe AS, Zhou L, Liao JM. Hospital safety-net status and performance on publicly reported episode spending measures. The American journal of managed care. 2020 Nov 1; 26(11):483-488.
Crable EL, Biancarelli DL, Aurora M, Drainoni ML, Walkey AJ. Interventions to increase appointment attendance in safety net health centers: A systematic review and meta-analysis. Journal of evaluation in clinical practice. 2021 Aug 1; 27(4):965-975.
Keating JA, McKinley L, Safdar N. Coronavirus disease 2019 (COVID-19) and antibiotic stewardship: Using a systems engineering approach to maintain patient safety. Infection control and hospital epidemiology. 2021 Nov 1; 42(11):1416-1418.
Rentsch CT, Morford KL, Fiellin DA, Bryant KJ, Justice AC, Tate JP. Safety of Gabapentin Prescribed for Any Indication in a Large Clinical Cohort of 571,718 US Veterans with and without Alcohol Use Disorder. Alcoholism, clinical and experimental research. 2020 Sep 1; 44(9):1807-1815.
Singh H, Bradford A, Goeschel C. Operational measurement of diagnostic safety: state of the science. Diagnosis (Berlin, Germany). 2021 Feb 23; 8(1):51-65.
Singh H, Sittig DF, Gandhi TK. Fighting a common enemy: a catalyst to close intractable safety gaps. BMJ quality & safety. 2021 Feb 1; 30(2):141-145.
Shiroma PR, Thuras P, Wels J, Albott CS, Erbes C, Tye S, Lim KO. A randomized, double-blind, active placebo-controlled study of efficacy, safety, and durability of repeated vs single subanesthetic ketamine for treatment-resistant depression. Translational psychiatry. 2020 Jun 26; 10(1):206.
Singh H, Sittig DF. A Sociotechnical Framework for Safety-Related Electronic Health Record Research Reporting: The SAFER Reporting Framework. Annals of internal medicine. 2020 Jun 2; 172(11_Supplement):S92-S100.
Timko C, Hoggatt K. Commentary on Gibson et al. (2020): Medications for opioid use disorder- access, retention, and safety. Addiction (Abingdon, England). 2020 Nov 1; 115(11):2077-2078.
Helmer DA, Van Doren WW, Litke DR, Tseng CL, Ho L, Osinubi O, Pasinetti GM. Safety, Tolerability and Efficacy of Dietary Supplementation with Concord Grape Juice in Gulf War Veterans with Gulf War Illness: A Phase I/IIA, Randomized, Double-Blind, Placebo-Controlled Trial. International journal of environmental research and public health. 2020 May 19; 17(10).
Ptito A, Papa L, Gregory K, Folmer RL, Walker WC, Prabhakaran V, Wardini R, Skinner K, Yochelson M. A Prospective, Multicenter Study to Assess the Safety and Efficacy of Translingual Neurostimulation Plus Physical Therapy for the Treatment of a Chronic Balance Deficit Due to Mild-to-Moderate Traumatic Brain Injury. Neuromodulation : journal of the International Neuromodulation Society. 2021 Dec 1; 24(8):1412-1421.
Donovan LM, Kapur VK. Screening commercial drivers for sleep apnea: are profits and public safety aligned? Sleep. 2020 Apr 15; 43(4).
Crable EL, Biancarelli D, Walkey AJ, Drainoni ML. Barriers and facilitators to implementing priority inpatient initiatives in the safety net setting. Implementation science communications. 2020 Mar 11; 1:35.
Burrowes SAB, Rader A, Ni P, Drainoni ML, Barlam TF. Low Uptake of Rapid Diagnostic Tests for Respiratory Tract Infections in an Urban Safety Net Hospital. Open forum infectious diseases. 2020 Mar 1; 7(3):ofaa057.
Thorsness R, Trivedi AN. The Dialysis Safety Net: Who Cares for Those Without Medicare? Journal of the American Society of Nephrology : JASN. 2020 Feb 1; 31(2):238-240.
Miake-Lye IM. Capsule Commentary on Stryczek et. al., De-implementing Inhaled Corticosteroids to Improve Care and Safety in COPD Treatment: Primary Care Providers' Perspectives. Journal of general internal medicine. 2020 Jan 1; 35(1):398.
Singh H, Khanna A, Spitzmueller C, Meyer AND. Recommendations for using the Revised Safer Dx Instrument to help measure and improve diagnostic safety. Diagnosis (Berlin, Germany). 2019 Nov 26; 6(4):315-323.
Ailabouni NJ, Marcum ZA, Schmader KE, Gray SL. Medication Use Quality and Safety in Older Adults: 2018 Update. Journal of the American Geriatrics Society. 2019 Dec 1; 67(12):2458-2462.
Greene MT, Gilmartin HM, Saint S. Psychological safety and infection prevention practices: Results from a national survey. American journal of infection control. 2020 Jan 1; 48(1):2-6.
Borzecki AM, Rosen AK. Is there a 'best measure' of patient safety?. BMJ quality & safety. 2020 Mar 1; 29(3):185-188.
Hebert CA, Trudeau SA, Sprinkle W, Moo LR, McConnell ES. Directed content analysis of Veterans Affairs policy documents: A strategy to guide implementation of a dementia home safety toolkit for Veterans to promote ageing in place. Health & Social Care in The Community. 2020 Jan 1; 28(1):182-194.
Chui MA, Pohjanoksa-Mäntylä M, Snyder ME. Improving medication safety in varied health systems. Research in social & administrative pharmacy : RSAP. 2019 Jul 1; 15(7):811-812.
Lu C, Wallace BI, Waljee AK, Fu W, Zhang Q, Liu Y. Comparative efficacy and safety of targeted DMARDs for active psoriatic arthritis during induction therapy: A systematic review and network meta-analysis. Seminars in Arthritis and Rheumatism. 2019 Dec 1; 49(3):381-388.
Miller RG, Perras CA, Frail CK, Adeoye OA, Snyder ME. Perceived Roles of Independent Community Pharmacists and Pharmacy Technicians in Patient Referrals to Community Resources: A Study from the Medication Safety Research Network of Indiana (Rx-SafeNet). Journal of the American College of Clinical Pharmacy : JAACP. 2019 Aug 1; 2(4):383-401.
Talutis SD, Chen Q, Wang N, Rosen AK. Comparison of Risk-Standardized Readmission Rates of Surgical Patients at Safety-Net and Non-Safety-Net Hospitals Using Agency for Healthcare Research and Quality and American Hospital Association Data. JAMA surgery. 2019 May 1; 154(5):391-400.
Purcell N, Zamora K, Gibson C, Tighe J, Chang J, Grasso J, Seal KH. Patient Experiences With Integrated Pain Care: A Qualitative Evaluation of One VA's Biopsychosocial Approach to Chronic Pain Treatment and Opioid Safety. Global advances in health and medicine. 2019 Apr 22; 8(8):2164956119838845.
Wyse JJ, Ganzini L, Dobscha SK, Krebs EE, Morasco BJ. Setting Expectations, Following Orders, Safety, and Standardization: Clinicians' Strategies to Guide Difficult Conversations About Opioid Prescribing. Journal of general internal medicine. 2019 Jul 1; 34(7):1200-1206.
Bates DW, Singh H. Priorities in Patient Safety: The Authors Reply. Health Informatics Journal. 2019 Feb 4; 38(2):https://doi.org/10.1377/hlthaff.2018.05376.
Bates DW, Singh H. Priorities In Patient Safety: The Authors Reply. Health affairs (Project Hope). 2019 Feb 1; 38(2):330.
Backhus LM. Safety and Gender Inclusion in Cardiothoracic Surgery. STS Hot Topics Podcast [Internet]. 2018 Dec 13. Available from: https://www.sts.org/publications/podcast-episodes/23-beyond-abstract-culture-safety-and-gender-inclusion-cardiothoracic-surgery.
Iaccarino JM, Steiling KA, Wiener RS. Lung Cancer Screening in a Safety-Net Hospital: Implications of Screening a Real-World Population versus the National Lung Screening Trial. Annals of the American Thoracic Society. 2018 Dec 1; 15(12):1493-1495.
Powell WR, Christiansen CL, Miller DR. Long-term comparative safety analysis of the risks associated with adding or switching to a sulfonylurea as second-line Type 2 diabetes mellitus treatment in a US veteran population. Diabetic medicine : a journal of the British Diabetic Association. 2019 Nov 1; 36(11):1384-1390.
Gray SL, Marcum ZA, Schmader KE, Hanlon JT. Update on Medication Use Quality and Safety in Older Adults, 2017. Journal of the American Geriatrics Society. 2018 Dec 1; 66(12):2254-2258.
Chaiyachati KH, Qi M, Werner RM. Changes to Racial Disparities in Readmission Rates After Medicare's Hospital Readmissions Reduction Program Within Safety-Net and Non-Safety-Net Hospitals. JAMA Network Open. 2018 Nov 2; 1(7):e184154.
Bates DW, Singh H. Two Decades Since To Err Is Human: An Assessment Of Progress And Emerging Priorities In Patient Safety. Health affairs (Project Hope). 2018 Nov 1; 37(11):1736-1743.
Shah R, Rao SV, Latham SB, Kandzari DE. Efficacy and Safety of Drug-Eluting Stents Optimized for Biocompatibility vs Bare-Metal Stents With a Single Month of Dual Antiplatelet Therapy: A Meta-analysis. JAMA cardiology. 2018 Nov 1; 3(11):1050-1059.
Quasim T, Shaw M, McPeake J, Hughes M, Iwashyna TJ. Safety of Extubating Mechanically Ventilated Patients Receiving Vasoactive Infusions: A Retrospective Cohort Study. American journal of respiratory and critical care medicine. 2018 Oct 15; 198(8):1093-1096.
Shah R, Jovin IS, Chaudhry A, Haji SA, Askari R, Dennis MM, Berzingi C, Rao SV. Safety and efficacy of switching from unfractionated heparin to bivalirudin during primary percutaneous coronary intervention. Catheterization and Cardiovascular Interventions : Official Journal of The Society For Cardiac Angiography & Interventions. 2019 Feb 1; 93(2):241-247.
Trivedi TK, Glenn M, Hern G, Schriger DL, Sporer KA. Emergency Medical Services Use Among Patients Receiving Involuntary Psychiatric Holds and the Safety of an Out-of-Hospital Screening Protocol to "Medically Clear" Psychiatric Emergencies in the Field, 2011 to 2016. Annals of Emergency Medicine. 2019 Jan 1; 73(1):42-51.
Heidenreich PA. Evaluation of VISN 21 Medication Safety Dashboard. VIReC Clinical Informatics Seminar [Cyberseminar]. VA Information Resource Center (VIReC). 2018 Sep 25.
Sahay A, Heidenreich P, Khan HT. VISN21 Pharmacy Dashboard: Improving Medication Safety. VIReC Using Data & Information Systems in Partnered Research [Cyberseminar]. VA Information Resource Center. 2018 Sep 25.
Hanks D. In Progress-4: Improving Opioid Safety. 2018 Sep 24; 3(4).
Herzig SJ, Mosher HJ, Calcaterra SL, Nuckols TK. Reply to "In Reference to 'Improving the Safety of Opioid Use for Acute Noncancer Pain in Hospitalized Adults: A Consensus Statement from the Society of Hospital Medicine'". Journal of hospital medicine. 2018 Sep 1; 13(10):728.
Bergl PA, Nanchal RS, Singh H. Diagnostic Error in the Critically III: Defining the Problem and Exploring Next Steps to Advance Intensive Care Unit Safety. Annals of the American Thoracic Society. 2018 Aug 1; 15(8):903-907.
Chou A, Trautner BW. Efficacy and Safety of short courses of antibiotic therapy for bacteremia caused by Enterobacteriaceae. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America. 2018 Jul 18; 67(3):482-483.
Laine L. Editorial: gastrointestinal safety of COX-2 selective and nonselective NSAIDs-the impact of the PRECISION trial. [Editorial]. Alimentary pharmacology & therapeutics. 2018 Jun 1; 47(11):1545-1546.
Lemoine N, Dajer A, Konwinski J, Cavanaugh D, Besthoff C, Singh H. Understanding diagnostic safety in emergency medicine: A case-by-case review of closed ED malpractice claims. Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management. 2018 Jul 1; 38(1):48-53.
Frank JW, Gilmartin HM. Pain Management and Opioid Safety. https://www.hsrd.research.va.gov/news/podcasts/listen.cfm?ID=28; 2018 May 4. Available from: https://www.hsrd.research.va.gov/news/podcasts/listen.cfm?ID=28.
Hecht MI, Hanks D, Gilmartin HM, Frank JW. Podcast: Pain Management and Opioid Safety. 2018 May 4. 2 (10). Available from: https://www.hsrd.research.va.gov/news/podcasts/default.cfm.
Gawron L, Pettey WBP, Redd A, Suo Y, Turok DK, Gundlapalli AV. The "Safety Net" of Community Care: Leveraging GIS to Identify Geographic Access Barriers to Texas Family Planning Clinics for Homeless Women Veterans. AMIA ... Annual Symposium proceedings. AMIA Symposium. 2018 Apr 16; 2017:750-759.
Herzig SJ, Mosher HJ, Calcaterra SL, Jena AB, Nuckols TK. Improving the Safety of Opioid Use for Acute Noncancer Pain in Hospitalized Adults: A Consensus Statement From the Society of Hospital Medicine. Journal of hospital medicine. 2018 Apr 1; 13(4):263-271.
Gunn CM, Battaglia TA, Paasche-Orlow MK, West AK, Kressin NR. Women's perceptions of dense breast notifications in a Massachusetts safety net hospital: "So what is that supposed to mean?". Patient education and counseling. 2018 Jun 1; 101(6):1123-1129.
Berkowitz SA, Kalkhoran S, Edwards ST, Essien UR, Baggett TP. Unstable Housing and Diabetes-Related Emergency Department Visits and Hospitalization: A Nationally Representative Study of Safety-Net Clinic Patients. Diabetes Care. 2018 May 1; 41(5):933-939.
Helfrich CD, Stryczek K. De-implementing inhaled corticosteroids to improve quality and safety for patients with mild-to-moderate COPD: Mixed-methods findings of primary-care providers' perspectives. QUERI Implementation Network Series [Cyberseminar]. HSR&D. 2017 Dec 7.
Singh H, Sittig DF. Frustrated with Your EHR? Don't Blame Your Vendor - Safety Is a Shared Responsibility. NEJM Catalyst [Internet]. 2017 Dec 7. Available from: https://catalyst.nejm.org/health-it-ehr-safety-shared-responsibility/.
Wiechers IR, Hermes E, Hoff RA, Katz I. Psychotropic Drug Safety Initiative: Phase 2 Evaluation of Impact: Briefing before the VA Office of Mental Health and Suicide Prevention; 2017 Nov 1; Northeast Program Evaluation Center, West Haven, CT.
O'Neill SM, Seresinghe S, Sharma A, Russell TA, Crawford L, Frencher SK. Can We Do That Here? Establishing the Scope of Surgical Practice at a New Safety-Net Community Hospital Through a Transparent, Collaborative Review of Physician Privileges. Joint Commission Journal on Quality and Patient Safety. 2018 Jan 1; 44(1):52-60.
Gerlach LB, Kim HM, Yosef M, Sales AE, Stano C, Kales HC, Zivin K. Assessing Responsiveness of Health Systems to Drug Safety Warnings. The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry. 2018 Apr 1; 26(4):476-483.
Sittig DF, Singh H. Toward More Proactive Approaches to Safety in the Electronic Health Record Era. Joint Commission Journal on Quality and Patient Safety. 2017 Oct 1; 43(10):540-547.
Sittig DF, Belmont E, Singh H. Improving the safety of health information technology requires shared responsibility: It is time we all step up. Healthcare (Amsterdam, Netherlands). 2018 Mar 1; 6(1):7-12.
Tessier C. Editorial Commentary: Culture of Safety Practice. Urology Practice. 2017 Jul 1; 4(4):301.
Zullo AR, Dore DD, Gutman R, Mor V, Alvarez CA, Smith RJ. Metformin Safety Warnings and Diabetes Drug Prescribing Patterns for Older Nursing Home Residents. Journal of The American Medical Directors Association. 2017 Oct 1; 18(10):879-884.e7.
Rodriguez AJ, Fink HA, Mirigian L, Guañabens N, Eastell R, Akesson K, Bauer DC, Ebeling PR. Pain, Quality of Life, and Safety Outcomes of Kyphoplasty for Vertebral Compression Fractures: Report of a Task Force of the American Society for Bone and Mineral Research. Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research. 2017 Sep 1; 32(9):1935-1944.
Benzer JK, Meterko M, Singer SJ. The patient safety climate in healthcare organizations (PSCHO) survey: Short-form development. Journal of evaluation in clinical practice. 2017 Aug 1; 23(4):853-859.
Favini N, Hockenberry JM, Gilman M, Jain S, Ong MK, Adams EK, Becker ER. Comparative Trends in Payment Adjustments Between Safety-Net and Other Hospitals Since the Introduction of the Hospital Readmission Reduction Program and Value-Based Purchasing. JAMA. 2017 Apr 18; 317(15):1578-1580.
Finn RT, Boyd A, Lin L, Gellad ZF. Bolus Administration of Fentanyl and Midazolam for Colonoscopy Increases Endoscopy Unit Efficiency and Safety Compared With Titrated Sedation. Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association. 2017 Sep 1; 15(9):1419-1426.e2.
Romero S, Lee MJ, Simic I, Levy C, Sanford J. Development and validation of a remote home safety protocol. Disability and rehabilitation. Assistive technology. 2018 Feb 1; 13(2):166-172.
Vanderman AJ, Moss JM, Bryan WE, Sloane R, Jackson GL, Hastings SN. Evaluating the Impact of Medication Safety Alerts on Prescribing of Potentially Inappropriate Medications for Older Veterans in an Ambulatory Care Setting. Journal of pharmacy practice. 2017 Feb 1; 30(1):82-88.
Hecht MI, Hanks D, Zivin K. Short Video-03: Investigator Insights: Medication Safety to Improve Depression Care. 2017 Jan 1. 7 (3). Available from: https://www.hsrd.research.va.gov/news/video/view.cfm?ID=37.
AuYoung M, Ponce NA, Duru OK, Bustamante AV, Mangione CM, Rodriguez HP. Patient Activation is Inconsistently Associated with Positive Health Behaviors Among Obese Safety Net Patients. Journal of immigrant and minority health / Center for Minority Public Health. 2016 Dec 1; 18(6):1489-1497.
Brennan PL, Del Re AC, Henderson PT, Trafton JA. Healthcare system-wide implementation of opioid-safety guideline recommendations: the case of urine drug screening and opioid-patient suicide- and overdose-related events in the Veterans Health Administration. Translational behavioral medicine. 2016 Dec 1; 6(4):605-612.
Chen Q, Rosen AK, Borzecki A, Shwartz M. Using Harm-Based Weights for the AHRQ Patient Safety for Selected Indicators Composite (PSI-90): Does It Affect Assessment of Hospital Performance and Financial Penalties in Veterans Health Administration Hospitals? Health services research. 2016 Dec 1; 51(6):2140-2157.
Russo E, Sittig DF, Murphy DR, Singh H. Challenges in patient safety improvement research in the era of electronic health records. Healthcare (Amsterdam, Netherlands). 2016 Dec 1; 4(4):285-290.
Brody AA, Gibson B, Tresner-Kirsch D, Kramer H, Thraen I, Coarr ME, Rupper R. High Prevalence of Medication Discrepancies Between Home Health Referrals and Centers for Medicare and Medicaid Services Home Health Certification and Plan of Care and Their Potential to Affect Safety of Vulnerable Elderly Adults. Journal of the American Geriatrics Society. 2016 Nov 1; 64(11):e166-e170.
Singh H. Improving Diagnostic Safety in Primary Care by Unlocking Digital Data. Joint Commission Journal on Quality and Patient Safety. 2017 Jan 1; 43(1):29-31.
Singh H. A Use of Data and Measurement in Improving Diagnostic Safety. Paper presented at: Agency for Healthcare Research and Quality Research Summit on Improving Diagnosis in Health Care; 2016 Sep 28; Rockville, MD.
Singh H. Improving patient safety through electronic communication. Paper presented at: ECRI Institute Meeting; 2016 Sep 16; Philadelphia, PA.
George J, Elwy AR, Maguire EM, Baker E, Burgess JF, Charns MP, Meterko MM. Improving Patient Safety by Using Organizational Climate as a Leading Indicator to Assess Large-Scale Adverse Event Risk: Briefing before the VISN and Medical Center Chief Medical Officer/Chief of Staff/Quality Manager Group convened by the Assistant Deputy Undersecretary for Health for Clinical Operations (Virtual Briefing); 2016 Sep 12; Bedford, MA.
Mengeling M, Franciscus CL, Sadler AG. The 40+ Mile Choice Cohort: Sociodemographics, VA Health Care Use and Safety Net Provider Access. Paper presented at: VA Rural Health State of the Science Conference; 2016 Sep 12; Washington, DC.
Mengeling M, Franciscus CL, Sadler AG. Access to Safety Net Providers among Choice-eligible Rural Veterans. Paper presented at: VA HSR&D National Meeting; 2016 Aug 9; Washington, DC.
Singh H. The 2016 NQF Report: Measurement is the First Step in Improving Health IT Safety. Paper presented at: National Institute of Standards and Technology: The Role of Standards in Managing and Mitigating Health IT Patient Safety Risks Workshop; 2016 Aug 7; Gaithersburg, MD.
Hanks D. In Progress-2: Improving the Safety of Prescription Opioid Use among Veterans. 2016 Aug 3; 1(2).
Trautner B. The Impact of the AHRQ Safety Program for Long-Term Care: HAIs/CAUTI. Presented at: American Hospital Association Annual Membership Meeting; 2016 Aug 2; Chicago, IL.
George J, Elwy AR, Maguire E, Baker E, Burgess JF, Charns MP, Meterko MM. Improving Patient Safety by Using Organizational Climate as a Leading Indicator to Assess Large-Scale Adverse Event Risk: Briefing before the VA Clinical Executive Review Board convened by the Assistant Deputy Undersecretary for Health for Clinical Operations (Virtual Briefing); 2016 Aug 1; Bedford, MA.
Singh H. Empowering Organizations to Measure and Improve Health IT Safety. Paper presented at: Health Informatics Society of Australia Annual Conference; 2016 Jul 26; Sydney, Australia.
Singh H. Measuring e-safety and sharing responsibility to fix it. Paper presented at: Health Informatics Society of Australia Annual Conference; 2016 Jul 26; Sydney, Australia.
Classen D, Singh H. The Role of Standards in Managing & Mitigating Health IT Patient Safety Risks. Paper presented at: Agency for Healthcare Research and Quality National Institute of Standards and Technology Annual Conference; 2016 Jul 25; Gaithersburg, MD.
Singh H. Improving Diagnostic Safety: The Next Grand Challenge & Opportunity for Informatics. Paper presented at: Health Informatics Society of Australia Annual Conference; 2016 Jul 25; Melbourne, Australia.
Singh H. Diagnostic Errors: A New Chapter in Patient Safety Improvement Science. Paper presented at: Australian Institute of Health Innovation Seminar Series; 2016 Jul 21; Sydney, Australia.
Singh H. The Hazardous Intersection of Electronic Health Records and Patient Safety. Presented at: Louisiana Hospital Association Trust Funds Trends in Healthcare Risk Annual Seminar; 2016 Jul 14; Baton Rouge, LA.
Watts BV, McKinney K, Williams LC, Cully JA, Gilman SC, Brannen JL. Current Training in Quality and Safety: The Current Landscape in the Department of Veterans Affairs. American journal of medical quality : the official journal of the American College of Medical Quality. 2016 Jul 1; 31(4):382.
Singh H. An Emerging Frontier for Health Services Research and Quality Improvement - Panelist for Diagnostic Safety. Presented at: AcademyHealth Annual Research Meeting; 2016 Jun 27; Boston, MA.
Singh H. Identification and Prioritization of Health IT Patient Safety Measures. Presented at: AcademyHealth Annual Research Meeting; 2016 Jun 27; Boston, MA.
Weir CR. Evidence-Based health Informatics: Promoting Safety and Efficiency Through Scientific methods and Ethical Policy. 2016 Jun 18.
George J, Baker E, Burgess JF, Maguire EM, Elwy AR. Improving Patient Safety by Using Organizational Climate as a Leading Indicator to Assess Large-Scale Adverse Event Risk. Poster session presented at: AcademyHealth Annual Research Meeting; 2016 Jun 14; Boston, MA.
Good MM, Calendra S, Good CB. Helping to Achieve Safe Medication Use. VA Hypoglycemia Safety Initiative: Everyone on Board. [Newsletter] Medication Safety in Seconds. A Monthly Publication from VA Medsafe: VA's Comprehensive Pharmacovigilance Center; 2016 Jun 1. 3 (6). Available from: http://www.pbm.va.gov/PBM/vacenterformedicationsafety/newsletter/Medication_Safety_in_Seconds_March_2016_FINAL.pdf.
Jindai K, Musuuza J, Forrest GN, MacKay K, Safdar N, Pfeiffer CD. Can a Patient Safety Initiative Change Outpatient Antibiotic Prescription Practice? Paper presented at: Society for Healthcare Epidemiology of America Spring Conference; 2016 May 18; Atlanta, GA.
Baksh SN, Gellad WF, Alexander GC. Maximizing the Post-Approval Safety of Flibanserin: A Role for Regulators, Clinicians, and Patients. [Editorial]. Drug Safety. 2016 May 1; 39(5):375-80.
Lee MJ, Romero S. Eyes behind the Camera: Development and Validation of a Protocol to Conduct Home-Safety Assessments. Poster session presented at: American Occupational Therapy Association Annual Conference; 2016 Apr 7; Chicago, IL.
Greene MT, Ratz D, Meddings J, Fakih MG, Saint S. Potential Misclassification of Urinary Tract-Related Bacteremia Upon Applying the 2015 Catheter-Associated Urinary Tract Infection Surveillance Definition From the National Healthcare Safety Network. Infection control and hospital epidemiology : the official journal of the Society of Hospital Epidemiologists of America. 2016 Apr 1; 37(4):469-71.
Hoffman BD, Gallardo AR, Carlson KF. Unsafe from the Start: Serious Misuse of Car Safety Seats at Newborn Discharge. The Journal of Pediatrics. 2016 Apr 1; 171:48-54.
Singh H, Sittig DF. Measuring and improving patient safety through health information technology: The Health IT Safety Framework. BMJ quality & safety. 2016 Apr 1; 25(4):226-32.
Kohatsu N, Alexander M, Singh H. Advancing Patient Safety in the Outpatient Setting. Paper presented at: American College of Preventive Medicine Annual Conference; 2016 Feb 26; Washington, DC.
Becker WC, Merlin JS, Manhapra A, Edens EL. Management of patients with issues related to opioid safety, efficacy and/or misuse: a case series from an integrated, interdisciplinary clinic. Addiction science & clinical practice. 2016 Jan 28; 11(1):3.
Russ AL. Alternative Designs for Medication Alerts that Improve Efficiency and Medication Safety. Paper presented at: VistA Community Meeting; 2016 Jan 13; Indianapolis, IN.
Rosen AK, Mull HJ. Identifying adverse events after outpatient surgery: improving measurement of patient safety. [Editorial]. BMJ quality & safety. 2016 Jan 1; 25(1):3-5.
Singh H, Graber ML. Improving Diagnosis in Health Care--The Next Imperative for Patient Safety. The New England journal of medicine. 2015 Dec 24; 373(26):2493-5.
Fassio V, Aspinall SL, Cunningham J, Zhao X. Trends in Non-Steroidal Anti-Inflammatory Drug Prescriptions Before and After an Opioid Safety Initiative in the Veterans Health Administration. Presented at: American Society of Health-System Pharmacists Midyear Clinical Meeting; 2015 Dec 6; New Orleans, LA.
Burgess JF, Jones EA, Khan MM, Rajabiun S. Capsule Commentary on Chan et al., The Effect of a Care Transition Intervention on the Patient Experience of Older, Multi-lingual Adults in the Safety Net: Results of a Randomized Controlled Trial. Journal of general internal medicine. 2015 Dec 1; 30(12):1849.
Smith MW, Murphy DR, Sittig DF, Russo E, Singh H. Systemic Risk Analysis for Use Cases for Safety-Related Usability of EHRs. Poster session presented at: American Medical Informatics Association Annual Symposium; 2015 Nov 15; San Francisco, CA.
Murphy DR, Smith MW, Sittig DF, Russo E, Singh H. Variation in EHR Implementations and the Impact on Safety of Test Result Follow-up. Poster session presented at: American Medical Informatics Association Annual Symposium; 2015 Nov 14; San Francisco, CA.
Lederer (Batki) S, Fischer M, Huo Z, Suda KJ, Stroupe KT. Medication Burden and Safety in Veterans with Chronic Kidney Disease. Poster session presented at: American Society of Nephrology Annual Meeting; 2015 Nov 7; San Diego, CA.
Sadler AG, Mengeling M, Torner J, Booth B. Hypervigilance In OEF/OIF Servicewomen: Use Of Guns/Weapons For Personal Safety Post-Deployment To Combat Regions. Paper presented at: International Society for Traumatic Stress Studies Annual Symposium; 2015 Nov 5; New Orleans, LA.
Russo E, Sittig DF, Murphy DR, Smith MW, Singh H. Challenges in Patient Safety Improvement Research in the Era of Electronic Health Records:
Lessons from an AHRQ Funded Multi-Site Study. Paper presented at: Agency for Healthcare Research and Quality Annual Conference; 2015 Oct 6; Crystal City, VA.
Singh H. Diagnostic Errors: Improving Understanding and Advancing Quality and Safety. Paper presented at: Agency for Healthcare Research and Quality Annual Conference; 2015 Oct 4; Arlington, VA.
Trafton JA, Henderson P, Paik M, Tavakoli S, Bowe T, Oliver J, Midboe AM, Lewis ET. VA Opioid Therapy Clinical Practice Guideline Adherence Report: Customizable intranet-based report of facility-level adherence to guideline recommended care practice to improve the safety and efficacy of opioid prescribing for pain. 2015 Oct 1. Available from: http://vssc.med.va.gov/VSSCAgreements/Default.aspx?locn=http%3A//vssc.med.va.gov/uat.asp..
Denneson LM, Cromer RD, Jacobson LE, Teo AR, Dobscha SK. Qualitative Content Analysis of VA Healthcare Records of Veteran Women who Died by Suicide. Patient-Safety Center of Inquiry for Suicide Prevention Learning Community Conference Call. 2015 Jul 16.
Pogach L, Maney M, Soroka O, Tseng C, Aron D. An Out of Range (OOR) Glycemic Population Health Safety Measure. Paper presented at: VA HSR&D / QUERI National Meeting; 2015 Jul 8; Philadelphia, PA.
Mody L, Meddings J, Edson BS, McNamara SE, Trautner BW, Stone ND, Krein SL, Saint S. Enhancing Resident Safety by Preventing Healthcare-Associated Infection: A National Initiative to Reduce Catheter-Associated Urinary Tract Infections in Nursing Homes. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America. 2015 Jul 1; 61(1):86-94.
Mull HJ. Capturing the Value of Safety and Quality Improvement. Presented at: AcademyHealth Annual Research Meeting; 2015 Jun 15; Minneapolis, MN.
Sadler AG, Mengeling M, Torner J, Martin B, Booth B. OEF/OIF Servicewomen’s Post-Deployment Readjustment: Mental Health, Sexual Assault and Other Factors Associated with Use of Guns/Weapons for Personal Safety. Poster session presented at: AcademyHealth Annual Research Meeting; 2015 Jun 15; Minneapolis, MN.
Pogach LM, Maney M, Soroka O, Tseng C, Tseng C, Aron D. An Out of Range (OOR) Glycemic Population Health Safety Measure. Poster session presented at: American Diabetes Association Annual Scientific Session; 2015 Jun 1; Boston, MA.
Singh H. Correct and Timely Clinical Diagnosis: An Emerging National Patient Safety Priority – Keynote Speaker. Paper presented at: VA Madison VA Hospital Research Day Annual Assembly; 2015 May 22; Madison, WI.
Saint SK. Enhancing Patient Safety by Preventing Hospital-Acquired Infections. Paper presented at: Saint Francis Health System Grand Rounds; 2015 May 20; Tulsa, OK.
Singh H, Allen JI. Patient safety counterpoint: systems approaches and multidisciplinary strategies at the centerpiece of error prevention. Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association. 2015 May 1; 13(5):824-6.
Vaughan Sarrazin MS, Rose A. Safety of new oral anticoagulants. [Editorial]. BMJ (Clinical research ed.). 2015 Apr 24; 350:h1679.
Belendiuk KA, Baldini LL, Bonn-Miller MO. Narrative review of the safety and efficacy of marijuana for the treatment of commonly state-approved medical and psychiatric disorders. Addiction science & clinical practice. 2015 Apr 21; 10:10.
Singh H. The Latest Safety Frontier: Battling Diagnostic Errors. 2015 Apr 1.
Rubio DA, Stewart D, Hortstman M, Naik AD, Trautner B. Stop the Blame Game: Restructuring Morbidity and Mortality Conference to Teach Patient Safety and Quality Improvement to Internal Medicine Residents – finalist for poster competition. Paper presented at: Society of Hospital Medicine Annual Meeting; 2015 Mar 29; National Harbor, MD.
Sittig DF, Classen DC, Singh H. Patient safety goals for the proposed Federal Health Information Technology Safety Center. Journal of the American Medical Informatics Association : JAMIA. 2015 Mar 1; 22(2):472-8.
Bhise V, Singh H. Measuring Diagnostic Safety of Inpatients: Time to Set Sail in Uncharted Waters. Diagnosis. 2015 Feb 4; 2(1):1-2.
Elnitsky CA, Lind JD, Rugs D, Powell-Cope G. Implications for patient safety in the use of safe patient handling equipment: a national survey. International journal of nursing studies. 2014 Dec 1; 51(12):1624-33.
Meeks DW, Meyer AN, Rose B, Walker YN, Singh H. Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data. BMJ quality & safety. 2014 Dec 1; 23(12):1023-30.
Saint SK. The Art & Science of Leadership, Followership & Culture in enhancing Patient Safety. Paper presented at: Westfall Surgery Center Seminar; 2014 Nov 18; Rochester, NY.
Braun UK. Assessing safety in the home for dementia patients: Can this person live independently? Paper presented at: Wisconsin Alzheimer Institute Annual Update Seminar; 2014 Nov 13; Madison, WI.
Wagner EH, Gupta R, Coleman K. Practice transformation in the safety net medical home initiative: a qualitative look. Medical care. 2014 Nov 1; 52(11 Suppl 4):S18-22.
Singh H. Using Big Data Meaningfully to Improve Quality and Safety at the Point of Care. VA HSR&D Research FORUM. 2014 Oct 31; Research Highlights.
Sales AE. Safety, evidence and work: Leadership to bring these together. Paper presented at: International Nursing Management Conference; 2014 Oct 29; Bodrum, Turkey.
Singh H, Sittig DF. An analysis of electronic health record-related patient safety concerns. 2014 Oct 23.
Schoenfeld P. What are the immediate and delayed safety issues surrounding over the counter and prescription bowel preparations? Paper presented at: American College of Gastroenterology Annual Meeting; 2014 Oct 17; Philadelphia, PA.
Trafton JA. Implementing Guideline Recommendations for Improving the Safety and Effectiveness of Opioid Therapy: Strategies and Lessons Learned From the VHA. Presented at: Conquering Pain Locally, Regionally and Nationally Conference; 2014 Sep 20; Stanford, CA.
Menon S, Smith M, Sittig DF, Petersen NJ, Hysong SJ, Modi V, Singh H. Defining the context of electronic health record (EHR)-based safe test result follow-up: perspectives of Veterans Affairs patient safety managers and IT personnel. Poster session presented at: Diagnostic Error in Medicine Annual International Conference; 2014 Sep 16; Atlanta, GA.
Meyer A, Payne V, Singh H, Graber ML. Patient Safety and Healthcare Improvement at a Glance. In: Panesar S, Carson-Stevens A, Salvilla S, Sheikh A, editors. Diagnostic Errors. Chichester, United Kingdom: John Wiley & Sons, Ltd; 2014. 40-43 p.
Rosen AK, Chen Q, Borzecki AM, Shin M, Itani K, Shwartz M. Using Estimated True Safety Event Rates vs. Flagged Safety Event Rates: Does it Change Hospital Profiling and Payment? Presented at: American Statistical Association Joint Statistical Annual Meeting; 2014 Aug 3; Boston, MA.
Anderson ML, Najavits LM. Does seeking safety reduce PTSD symptoms in women receiving physical disability compensation? Rehabilitation Psychology. 2014 Aug 1; 59(3):349-53.
Rosen AK. Overview of the Agency for Healthcare Research and Quality Patient Safety Indicators. 2014 Jul 8.
Chen Q, Hanchate A, Shwartz M, Borzecki AM, Mull HJ, Shin MH, Rosen AK. Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicator Rates Among Veteran Dual Users. American journal of medical quality : the official journal of the American College of Medical Quality. 2014 Jul 1; 29(4):335-43.
Schoenfeld P, Pimentel M. Editorial: safety and tolerability of rifaximin for IBS - more information is required; authors' reply. Alimentary pharmacology & therapeutics. 2014 Jul 1; 40(2):209.
Huang DL, Abrass IB, Young BA. Medication safety and chronic kidney disease in older adults prescribed metformin: a cross-sectional analysis. BMC nephrology. 2014 Jun 7; 15:86.
Saleem JJ, Frankel RM, Doebbeling BN, Patterson-Muterko S. Patterns in patient safety with computerized consult management and clinical documentation. [Abstract]. Human Factors and Ergonomics Society Annual Meeting Proceedings. 2014 Jun 1; 3(1):134-141.
Smith M, Murphy D, Laxmisan A, Sittig DF, Singh H. Resilient Practices in Maintaining Safety of Health Information Technologies. Journal of cognitive engineering and decision making. 2014 Jun 1; 8(3):265–82.
Adler G, Bair B, Braun UK, Farrell T, Henry M. Ethical Issues in Clinical Practice: Driving, Firearms, and Home Safety. Speaker on “Determining the Ability to Live Safely at Home". Presented at: American Geriatrics Society Annual Meeting; 2014 May 17; Orlando, FL.
Menon S, Smith M, Sittig DF, Petersen NJ, Hysong SJ, Modi V, Singh H. Defining the Context of Electronic Health Record (EHR)-Based Safe Test Result Follow-Up: Perspectives of Veterans Affairs Patient Safety Managers and IT Personnel. Poster session presented at: Baylor College of Medicine Quality and Safety Annual Conference; 2014 May 15; Houston, TX.
Mull HJ, Borzecki AM, Chen Q, Shin MH, Rosen AK. Using AHRQ patient safety indicators to detect postdischarge adverse events in the Veterans Health Administration. American journal of medical quality : the official journal of the American College of Medical Quality. 2014 May 1; 29(3):213-9.
Saint S, Gaies E, Fowler KE, Harrod M, Krein SL. Introducing a catheter-associated urinary tract infection (CAUTI) prevention guide to patient safety (GPS). American journal of infection control. 2014 May 1; 42(5):548-50.
Singh H, Smith MW, Sittig DF. Supporting the Assessment of Electronic Health Records to Improve Patient Safety. [Newsletter]. 2014 May 1; (6).
Sittig DF, Ash JS, Singh H. The SAFER guides: empowering organizations to improve the safety and effectiveness of electronic health records. The American journal of managed care. 2014 May 1; 20(5):418-23.
Virani S. Effectiveness, Efficiency, Safety, and Equity in the Delivery of Cardiovascular Care: Lessons Learned from the Department of Veterans Affairs and National Cardiovascular Disease Registries. Paper presented at: VA HSR&D Informatics, Decision-Enhancement and Analytic Sciences Center Annual Meeting; 2014 Apr 24; Salt Lake City, UT.
Powell-Cope GM. Connecting Patient Safety and Worker Safety through Culture. Paper presented at: Safe Patient Handling and Movement Annual Conference; 2014 Mar 25; Orlando, FL.
Russ AL. Redesigning Order Checks to Improve Safety. [Cyberseminar]. 2014 Mar 12.
Krein SL. Enhancing Patient Safety by Preventing Catheter-Associated Urinary Tract Infection. [Cyberseminar]. 2014 Mar 4.
Fischer M, Sovern KM, Kourany WM. Quality and Safety Initiatives at the Veterans Health Administration. American Society of Nephrology Kidney News. 2014 Feb 1; 6(2):8-9.
Meeks DW, Takian A, Sittig DF, Singh H, Barber N. Exploring the sociotechnical intersection of patient safety and electronic health record implementation. Journal of the American Medical Informatics Association : JAMIA. 2014 Feb 1; 21(e1):e28-34.
Singh H, Ash JS, Sittig DF. Safety Assurance Factors for EHR Resilience Guides (SAFER). Presented at: Office of the National Coordinator for Health Information Technology Clinical Decision Support Federal Collaboratory; 2014 Jan 30; Washington, DC.
Groves PS. The relationship between safety culture and patient outcomes: results from pilot meta-analyses. Western Journal of Nursing Research. 2014 Jan 1; 36(1):66-83.
Menon S, Singh H, Meyer AN, Belmont E, Sittig DF. Electronic health record-related safety concerns: a cross-sectional survey. Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management. 2014 Jan 1; 34(1):14-26.
Turakhia MP, Holmes T. Regarding "feasibility and safety of same-day discharge after implantable cardioverter defibrillator placement for primary prevention". Pacing and Clinical Electrophysiology. 2014 Jan 1; 37(1):131.
Vanderman A, Moss J, Jackson GL, Bryan, III W, Jackson GL, Sloane R, Hastings SN. Evaluating the Impact of Medication Safety Alerts on Prescribing Patterns of Potentially Inappropriate Medications for Older Adult Veterans in Primary Care Setting. Poster session presented at: American Society of Health-System Pharmacists Annual Summer Meeting; 2013 Dec 12; Orlando, FL.
Meeks D, Takian A, Sittig DF, Singh H, Barber N. Sociotechnical Analysis of Patient Safety Concerns Involving Electronic Health Record Implementation. Poster session presented at: Kelsey Research Foundation Health Services and Outcomes Research Annual Conference; 2013 Dec 10; Houston, TX.
Singh H. Becoming a Patient Safety Researcher. 2013 Dec 1.
Arthur PB, Mann WC. A Question of Safety: Hazards of In-Home Data Collection. Poster session presented at: Gerontological Society of America Annual Scientific Meeting; 2013 Nov 23; New Orleans, LA.
Dobscha SK. Virtual Hopebox and Safety Planning. Paper presented at: VA / Department of Defense Suicide Prevention Annual Education Summit; 2013 Nov 21; Washington, DC.
Arthur PB, Mann WC. A Question of Safety: Hazards of In-Home Data Collection. Cary, NC: Oxford Univ. Press, Inc.; 2013 Nov 1. 53. Available from: https://academic.oup.com/gerontologist/issue/53/S1.
Trafton JA, Henderson P, Paik M, Tavakoli S, Bowe T, Oliver J, Midboe AM, Lewis ET. VA Opioid Therapy Clinical Practice Guideline Adherence Report/Too: Customizable intranet-based report of facility-level adherence to guideline recommended care practice to improve the safety and efficacy of opioid prescribing for pain (Updated quarterly). 2013 Oct 1.
Saint SK. Enhancing Patient Safety by Disrupting the Lifecycle of the Urinary Catheter. Paper presented at: Greater New York Hospital Association Annual Meeting; 2013 Sep 17; New York, NY.
Saint SK. Enhancing Patient Safety by Disrupting the Lifecycle of the Urinary Catheter. Paper presented at: Healthcare Association of New York State Meeting; 2013 Sep 16; Albany, NY.
Borzecki AM, Cevasco M, Chen Q, Shin M, Itani KM, Rosen AK. Improving identification of postoperative respiratory failure missed by the patient safety indicator algorithm. American journal of medical quality : the official journal of the American College of Medical Quality. 2013 Jul 1; 28(4):315-23.
Weitlauf JC. Veterans, Trauma and the Science of safety. Federal practitioner : for the health care professionals of the VA, DoD, and PHS. 2013 Jun 1; 30(3):4S.
Chen Q, Borzecki AM, Cevasco M, Shin MH, Shwartz M, Itani KM, Rosen AK. Examining the relationship between processes of care and selected AHRQ patient safety indicators postoperative wound dehiscence and accidental puncture or laceration using the VA electronic medical record. American journal of medical quality : the official journal of the American College of Medical Quality. 2013 May 1; 28(3):206-13.
Schoenfeld P. Safety of MiraLAX/Gatorade bowel preparation has not been established in appropriately designed studies. Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association. 2013 May 1; 11(5):582.
Singh H. Safe and Effective Communication to Prevent Diagnostic Errors. Patient Safety & Quality Healthcare. Patient Safety & Quality Healthcare. 2013 May 1; 10(3):14-16.
Whitaker RG, Reiter KL, Weinberger M, Stearns SC. Colorectal cancer surgery outcomes for vulnerable patients in safety-net versus non-safety-net hospitals. Journal of health care for the poor and underserved. 2013 May 1; 24(2):718-29.
Singh H, Ash JS, Sittig DF. Safety Assurance Factors for Electronic Health Record Resilience (SAFER): study protocol. BMC medical informatics and decision making. 2013 Apr 12; 13:46.
Halpin HA, McMenamin SB, Simon LP, Jacobsen D, Vanneman M, Shortell S, Milstein A. Impact of participation in the California Healthcare-Associated Infection Prevention Initiative on adoption and implementation of evidence-based practices for patient safety and health care-associated infection rates in a cohort of acute care general hospitals. American journal of infection control. 2013 Apr 1; 41(4):307-11.
Groves P, Bunch J. The Relationship between Safety Culture and Patient Outcomes: Results from Pilot Meta-analysis. Poster session presented at: Midwest Nursing Research Society Annual Conference; 2013 Mar 8; Chicago, IL.
Saint SK. Implementing Change: The Art and Science of Leaders, Followers, and Bundles in Enhancing Patient Safety. Paper presented at: Colorado Hospital Association Annual Meeting; 2013 Mar 6; Greenwood Village, CO.
Miake-Lye IM, Hempel S, Ganz DA, Shekelle PG. Inpatient fall prevention programs as a patient safety strategy: a systematic review. Annals of internal medicine. 2013 Mar 5; 158(5 Pt 2):390-6.
Shekelle PG. Nurse-patient ratios as a patient safety strategy: a systematic review. Annals of internal medicine. 2013 Mar 5; 158(5 Pt 2):404-9.
Shekelle PG, Wachter RM, Pronovost P, Schoelles K, McDonald KM, Dy SM. Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. Rockville, MD: Agency for Healthcare Research and Quality (US); 2013 Mar 5. 945 p. Report No.: 13-E001-EF.
Wachter RM, Pronovost P, Shekelle P. Strategies to improve patient safety: the evidence base matures. Annals of internal medicine. 2013 Mar 5; 158(5 Pt 1):350-2.
Singh H. Understanding the Complex Journey of Improving Quality and Safety through Health IT. Paper presented at: Max Super Specialty Hospital / Society for Ultrasound in Anesthesia Healthcare Meeting; 2013 Jan 23; New Delhi, India.
Rivard PE, Parker VA, Rosen AK. Quality improvement for patient safety: project-level versus program-level learning. Health care management review. 2013 Jan 1; 38(1):40-50.
Sauer BC, Hepler CD. Application of system-level root cause analysis for drug quality and safety problems: a case study. Research in social & administrative pharmacy : RSAP. 2013 Jan 1; 9(1):49-59.
Sittig DF, Kahol K, Singh H. Sociotechnical evaluation of the safety and effectiveness of point-of-care mobile computing devices: a case study conducted in India. Studies in health technology and informatics. 2013 Jan 1; 192:515-9.
Sittig DF, Singh H. A red-flag-based approach to risk management of EHR-related safety concerns. Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management. 2013 Jan 1; 33(2):21-6.
Sittig DF, Singh H. Electronic health records and patient safety (SAFER). Poster session presented at: Institute for Healthcare Improvement on Quality Improvement in Health Care National Forum; 2012 Dec 11; Orlando, FL.
Gavin-Dreschnack D, Schulz BW, Phillips SL, Moore DH. Feasibility and Safety Testing of Enclosed Walkers. Poster session presented at: Gerontological Society of America Annual Scientific Meeting; 2012 Nov 14; San Diego, CA.
Sittig DF, Singh H. Electronic health records and national patient-safety goals. The New England journal of medicine. 2012 Nov 8; 367(19):1854-60.
Hartmann CW, Meterko M, Zhao S, Palmer J, Berlowitz DR. A New Instrument for Assessing Safety Climate in VA Nursing Homes: You Can’t Improve What You Can’t Measure. Poster session presented at: Gerontological Society of America Annual Scientific Meeting; 2012 Nov 4; Charlotte, NC.
Sittig DF, Ash JS, Wright A, Singh H. Safer electronic health records: Using the science of informatics to develop safety assessment guides. Poster session presented at: American Medical Informatics Association Annual Symposium; 2012 Nov 3; Chicago, IL.
Saint SK. Implementing Socio-Adaptive Change: Enhancing Patient Safety by Preventing CAUTI. Paper presented at: California Department of Public Health State Meeting; 2012 Oct 16; Los Angeles, CA.
Miltner RS, Patrician PA, Dawson M, Jukkala A. Incorporating quality and safety education into a nursing administration curriculum. The Journal of nursing administration. 2012 Oct 1; 42(10):478-82.
Gill AC, Nelson EA, Kathuria N, Singh H. Teaching patient safety to medical students: Lessons learned in the development, implementation and evaluation of a required UME course. Poster session presented at: University Health System Consortium; 2012 Sep 12; Orlando, FL.
Singh H. The complex intersection of EHRs and patient safety. HIT forum - the Delhi Chapter of IAMI. Presented at: Indian Association for Medical Informatics Biennial Conference; 2012 Sep 3; New Delhi, India.
Singh H. Health information technology related errors and their implications for patient safety. Poster session presented at: International Conference on Transforming Healthcare with Information Technology; 2012 Aug 31; Hyderabad, India.
Dong D, Cunningham FE, Longo L, Jiang R, Glassman P, Good CB. Near real-time safety surveillance of dabigatran in the Department of Veterans Affairs. Poster session presented at: Pharmacoepidemiology and Therapeutic Risk Management Annual International Conference; 2012 Aug 23; Barcelona, Spain.
Smith EG, Zhao S, Rosen AK. Using the patient safety indicators to detect potential safety events among US veterans with psychotic disorders: clinical and research implications. International journal for quality in health care : journal of the International Society for Quality in Health Care. 2012 Aug 1; 24(4):321-9.
Singh H. Evaluating and improving the safety of your electronic health record SAFER: Safety Assurance Factors for EHR Resilience. Poster session presented at: American Hospital Association Health Forum Annual Leadership Summit; 2012 Jul 19; San Francisco, CA.
Hartmann CW, Meterko M, Zhao S, Palmer J, Berlowitz DR. Community Living Center employees' perceptions of resident safety climate: Validation of a novel instrument and results from a national survey. Paper presented at: VA HSR&D / QUERI National Meeting; 2012 Jul 16; National Harbor, MD.
Hoover D, Laxmisan A, Sittig D, Singh H. Research needs in health information technology safety based on case studies from the VA National Center for Patient Safety. Presented at: VA HSR&D National Meeting; 2012 Jul 16; Washington, DC.
Russ AL, Zillich AJ, McManus MS, Doebbeling BN, Saleem JJ. 9 Factors that Influence Prescribers' Response to VA Medication Safety Checks at the Point-of-Care. Paper presented at: VA HSR&D / QUERI National Meeting; 2012 Jul 14; National Harbor, MD.
Mull HJ, Borzecki AM, Loveland S, Shin M, Chen Q, Rosen AK. Detecting Adverse Events with AHRQ Patient Safety Indicators: Assessing the Usefulness of Post-Discharge Administrative Data in the Veterans Health Administration. Poster session presented at: AcademyHealth Annual Research Meeting; 2012 Jun 24; Orlando, FL.
Tsai TT. Beyond Quality Metrics: Cardiovascular Safety, Clinical Research and the Future of ACC National Cardiovascular Data Registries, FDA. Paper presented at: Cardiac Safety Research Consortium Thinktank Trans-Radial Education and Therapeutics Meeting; 2012 Jun 4; Silver Springs, MD.
Singh H. Have we made progress in improving the safety of outpatient care? James A. Baker III Institute for Public Policy-Baylor College of Medicine Joint Program in Health Policy Research. [Newsletter]. 2012 Jun 1; 7(2).
Kollef M, Restrepo MI, Jolson H, Clavel M, Michiels B, Kaniga K, Cirillo I, Redman R. A phase 3, double-blind, double-dummy study assessing the safety and efficacy of a short course of doripenem 1 Gram in the treatment of subjects with ventilator-associated pneumonia. Poster session presented at: American Thoracic Society Annual International Conference; 2012 May 18; San Francisco, CA.
Humphreys K. Federal policy on criminal offenders who have substance use disorders: how can we maximize public health and public safety? Substance Abuse. 2012 May 17; 33(1):5-8.
Saint SK. Implementing Change in Infection Prevention: The Art & Science of Leadership and Followership in Enhancing Veteran Safety. Paper presented at: VA Infection Prevention and Control National Conference; 2012 May 17; Dallas, TX.
Tsai TT. Radiation Safety and Radiation Reduction Techniques, University of Michigan Hospitals. Paper presented at: University of Michigan Cath Lab Annual Conference; 2012 May 7; Ann Arbor, MI.
Kobylinski AL. Are US pharmacy schools producing healthcare professionals that will uphold a culture of safety? Paper presented at: Great Lakes Pharmacy Resident Annual Conference; 2012 Apr 25; West Lafayette, IN.
Elnitsky CA, Besterman-Dahan K. Safety Culture in the Safe Patient Handling Initiative. Presented at: Safe Patient Handling and Movement Annual Conference; 2012 Mar 22; Orlando, FL.
Powell-Cope GM. Intersection of Patient Safety and Staff Safety. Presented at: Safe Patient Handling and Movement Annual Conference; 2012 Mar 20; Orlando, FL.
Saint SK. Implementing Change: Enhancing Patient Safety by Preventing Healthcare-Associated Infection. Paper presented at: Emory Healthcare Hospital Medicine Grand Rounds; 2012 Mar 6; Atlanta, GA.
Murphy D, Singh H. Converting EHR Data into Knowledge: The Benefits of Clinical Data Warehouses in Quality and Safety Research. Society of General Internal Medicine FORUM Magazine. 2012 Mar 4; 35(3):1-2.
Flanders SA, Saint S. Enhancing the safety of hospitalized patients: who is minding the antimicrobials? Archives of internal medicine. 2012 Jan 9; 172(1):38-40.
Dichter ME, Gelles RJ. Women's perceptions of safety and risk following police intervention for intimate partner violence. Violence Against Women. 2012 Jan 1; 18(1):44-63.
Frankel RM, Kobylinski AL, Zillich AJ. Are Pharmacy Schools producing healthcare professionals that will uphold a culture of safety? Poster session presented at: American Society of Health-System Pharmacists Clinical Midyear Meeting; 2011 Dec 10; New Orleans, LA.
Carey K, Stefos T. Measuring the cost of hospital adverse patient safety events. Health economics. 2011 Dec 1; 20(12):1417-30.
Singh H, Classen DC, Sittig DF. Creating an oversight infrastructure for electronic health record-related patient safety hazards. Journal of Patient Safety. 2011 Dec 1; 7(4):169-74.
Hartmann CW, Palmer JA, Berlowitz DR. Development of a New Resident Safety Climate Survey for VA Community Living Centers (Nursing Homes). Poster session presented at: Gerontological Society of America Annual Scientific Meeting; 2011 Nov 19; New Orleans, LA.
Hanks D. Management eBrief-d: Public Presentation of Health System or Facility Data about Quality and Safety. 2011 Nov 7; 4(45).
Doebbeling BN, Zillich AJ. Risk for Non-adherence and Other Drug Therapy problems among ambulatory patients utilizing a safety-net health system. Pharmacotherapy. 2011 Oct 31; 31(10):419e.
Imperiale TF, Sherer EA, Balph JA, Cardwell JD, Qi R. Provider acceptance, safety, and effectiveness of a computer-based decision tool for colonoscopy preparation. International journal of medical informatics. 2011 Oct 1; 80(10):726-33.
Tamuz M, Giardina TD, Thomas EJ, Menon S, Singh H. Rethinking resident supervision to improve safety: from hierarchical to interprofessional models. Journal of hospital medicine. 2011 Oct 1; 6(8):445-52.
Doebbeling BN, Zillich AJ. Risk for non-adherence and other drug therapy problems among ambulatory patients utilizing a safety-net health-system. Poster session presented at: American College of Clinical Pharmacy Annual Meeting; 2011 Sep 12; Chicago, IL.
Bonn-Miller MO, Boden MT, Kimerling R, Trafton JA. Effectiveness of screening and treatment for PTSD in SUD patients: A trial utilizing seeking safety. Presented at: VA Mental Health Annual Conference; 2011 Aug 23; Baltimore, MD.
Hwang U, Morrison RS, Richardson LD, Todd KH. A painful setback: misinterpretation of analgesic safety in older adults may inadvertently worsen pain care. Archives of internal medicine. 2011 Jun 27; 171(12):1127; author reply 1127-8.
Sternke EA. The Mind-Body Connection and its Implications for Patient Safety for Patients with Comorbid Pain and Depression. Paper presented at: VA National Center for Patient Safety / VA Patient Safety Fellows Annual Conference; 2011 Jun 8; Washington, DC.
Chen Q, Rosen AK, Cevasco M, Shin M, Itani KM, Borzecki AM. Detecting patient safety indicators: How valid is "foreign body left during procedure" in the Veterans Health Administration? Journal of the American College of Surgeons. 2011 Jun 1; 212(6):977-83.
French DD, Margo CE. Age-related macular degeneration, anti-vascular endothelial growth factor agents, and short-term mortality: a postmarketing medication safety and surveillance study. Retina (Philadelphia, Pa.). 2011 Jun 1; 31(6):1036-42.
Rosen AK, Itani KM. Validating the patient safety indicators in the Veterans Health Administration: are they ready for prime time? Journal of the American College of Surgeons. 2011 Jun 1; 212(6):921-3.
Powell-Cope GM, Joseph IV. Safety Huddles. Presented at: Safe Patient Handling and Movement Annual Conference; 2011 Mar 30; Lake Buena Vista, FL.
Evans J, Zivin K, Weintraub D, Mamo D, Kales HC. Psychopharmacology in Older Adults: Safety, Risk and Opportunities. "Examining the Link Between Antipsychotics and Mortality in VA National Data". Paper presented at: American Association for Geriatric Psychiatry Annual Meeting; 2011 Mar 18; San Antonio, TX.
Saint SK. Enhancing Patient Safety by Translating Infection Prevention Research into Practice. Paper presented at: Baylor College of Medicine Infectious Diseases Journal Club; 2011 Mar 9; Houston, TX.
Highsmith MJ, Kahle JT, Bongiorni DR, Sutton BS, Groer S, Kaufman KR. Clarification of content. Re: Highsmith MJ, Kahle JT, Bongiorni DR, Sutton BS, Groer S and Kaufman KR. Safety, energy efficiency, and cost efficacy of the C-Leg for transfemoral amputees: a review of the literature. Prosthet Orthot Int 2010; 34(4):362-377. [Letter to the Editor]. Prosthetics and Orthotics International. 2011 Mar 1; 35(1):113.
Borzecki AM, Cevasco M, Shin M, Chen Q, Rosen AK. Valid is the AHRQ Patient Safety Indicator Postoperative Metabolic Derangements? Poster session presented at: VA HSR&D National Meeting; 2011 Feb 18; National Harbor, MD.
Hartmann CW, Palmer J, Berlowitz DR. Resident safety climate in Community Living Centers: A new survey and implementation toolkit. Poster session presented at: VA HSR&D National Meeting; 2011 Feb 18; National Harbor, MD.
Feil DG, Rajan M, Soroka O, Miller DR, Pogach LM. Increased Risk of Hypoglycemia in Older Patients with Dementia and Cognitive Impairment: do HEDIS Performance Measures Risk Safety? Paper presented at: VA HSR&D National Meeting; 2011 Feb 17; National Harbor, MD.
Borzecki A, Shin M, Cevasco M, Rosen AK. How Valid is the AHRQ Patient Safety Indicator Postoperative Metabolic Derangements? Presented at: VA HSR&D National Meeting; 2011 Feb 16; National Harbor, MD.
Rosenbloom MH, Brown J, Berlowitz DR, Budson AE. Safety and tolerability of galantamine SA in dementia patients transitioned from donepezil. The Consultant pharmacist : the journal of the American Society of Consultant Pharmacists. 2011 Feb 1; 26(2):108-10.
Krein SL, Damschroder LJ, Kowalski CP, Forman J, Hofer TP, Saint S. The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study. Social science & medicine (1982). 2010 Nov 1; 71(9):1692-701.
Singh H, Garber M, Moy E. Improving quality and the patient safety: Identifying, preventing, and reducing diagnostic error in health care. Poster session presented at: Agency for Healthcare Research and Quality Annual Conference; 2010 Sep 26; Bethesda, MD.
Powell-Cope GM, Proctor R. Use of Safety Huddles. Presented at: West Coast Safe Patient Handling Annual Conference; 2010 Sep 21; San Diego, CA.
Weitlauf JC, Frayne SM. How do beliefs about safety of the vaginal examination impact Veterans' reactions to cervical cancer screening? Paper presented at: VA HSR&D Field-Based Women's Health Meeting; 2010 Jul 1; Washington, DC.
Weitlauf JC, Frayne SM, Finney JW, Moos RH, Jones S, Hu K, Spiegel D. Sexual violence, posttraumatic stress disorder, and the pelvic examination: how do beliefs about the safety, necessity, and utility of the examination influence patient experiences? Journal of women's health. 2010 Jul 1; 19(7):1271-80.
Carey K. Measuring the Cost of Hospital Adverse Patient Safety Events. Paper presented at: AcademyHealth Annual Research Meeting; 2010 Jun 29; Boston, MA.
Pogach L, Aron D. Balancing hypoglycemia and glycemic control: a public health approach for insulin safety. JAMA : the journal of the American Medical Association. 2010 May 26; 303(20):2076-7.
Gerlock AA, Buccheri R, Buffum MD, Trygstad L, Dowling GA. Responding to command hallucinations to harm: the unpleasant voices scale and harm command safety protocol. Journal of Psychosocial Nursing and Mental Health Services. 2010 May 1; 48(5):26-33.
Doebbeling BN, Zillich AJ, Jaynes HA, Schmelz AN, Gonzalvo JD. A qualitative study of communication between physicians and pharmacists: Implications for Patient Safety. Poster session presented at: Society of General Internal Medicine Annual Meeting; 2010 Apr 28; Minneapolis, MN.
Saint SK. Enhancing Patient Safety by Translating Infection Prevention Research into Practice. Paper presented at: John H. Stroger Jr. Hospital Grand Rounds; 2010 Apr 23; Chicago, IL.
Halbesleben JR, Savage GT, Wakefield DS, Wakefield BJ. Rework and workarounds in nurse medication administration process: implications for work processes and patient safety. Health care management review. 2010 Apr 1; 35(2):124-33.
Nelson AL. Linking Patient Safety and Caregiver Safety. Presented at: Safe Patient Handling and Movement Annual Conference; 2010 Apr 1; Lake Buena Vista, FL.
Singer SJ, Rosen A, Zhao S, Ciavarelli AP, Gaba DM. Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. Health care management review. 2010 Apr 1; 35(2):134-46.
Powell-Cope GM. Safety Huddles. Presented at: Safe Patient Handling and Movement Annual Conference; 2010 Mar 31; Lake Buena Vista, FL.
Saint SK. Enhancing Patient Safety by Translating Catheter-associated Urinary Tract Infection Research into Practice. Paper presented at: North Carolina Center for Hospital Quality and Patient Safety Meeting; 2010 Mar 12; Raleigh, NC.
Locke CL, McEuen J, Felder RS, Lesselroth B, Barrett TW, Stevens B, Pope DS. Adherence, Safety, and Effectiveness of a Paper Versus Electronic Insulin Infusion Protocol in Acute Care. Poster session presented at: National Association of Clinical Nurse Specialists Annual Conference; 2010 Mar 5; Portland, OR.
Young G, Meterko M, White B, Sautter K, Bokhour B, Baker E, Silver J. Pay-for-performance in safety net settings: issues, opportunities, and challenges for the future. Journal of Healthcare Management / American College of Healthcare Executives. 2010 Mar 1; 55(2):132-41; discussion 141-2.
Zillich AJ. How Physicians and Pharmacists Communicate: Implications for Patient Safety. Poster session presented at: VA HSR&D Career Development Annual Meeting; 2010 Feb 25; San Francisco, CA.
Weitlauf JC. How do women’s beliefs about the safety of the pelvic examination influence
experiences with cervical cancer screening? Impact of posttraumatic stress disorder. Poster session presented at: VA HSR&D Career Development Annual Meeting; 2010 Feb 14; San Francisco, CA.
Saint SK. Enhancing Patient Safety by Preventing Hospital-Acquired Infection. Paper presented at: VA West Los Angeles VAMC Grand Rounds; 2010 Jan 13; Los Angeles, CA.
Singh H. A human factors engineering approach to improve safety of test result management. Paper presented at: International Medical Informatics Association Working Group on Human Factors Engineering for Healthcare Informatics Symposium; 2009 Nov 12; Sonoma, CA.
Weitlauf JC, Frayne SM, Finney JW, Moos RH. Beliefs about the safety and necessity of the examination: Impact of sexual violence and PTSD on women’s perceptions of the pelvic examination. Poster session presented at: International Society for Traumatic Stress Studies Annual Meeting; 2009 Nov 5; Atlanta, GA.
Kaafarani HM, Rosen AK. Using administrative data to identify surgical adverse events: an introduction to the Patient Safety Indicators. American journal of surgery. 2009 Nov 1; 198(5 Suppl):S63-8.
Lee TA, Pickard AS, Au D, Bartle B, Weiss KB. Medication Safety in COPD Patients: The Risk of Mortality Associated with Treatment in Veterans with Newly Diagnosed COPD. Paper presented at: American College of Chest Physicians Annual International Scientific Assembly (CHEST); 2009 Oct 28; Philadelphia, PA.
Krein SL. Implementing Evidence to Prevent Catheter-Associated Urinary Tract Infection and Enhance Patient Safety. Paper presented at: University of Michigan School of Nursing Dean's Lecture and Research Day Conference; 2009 Oct 15; Ann Arbor, MI.
Wakefield DS, Wakefield BJ. Are verbal orders a threat to patient safety? Postgraduate Medical Journal. 2009 Sep 1; 85(1007):460-3.
Saleem JJ. RN Stacking: Cognitive Workflow Management Process with Implications for Patient Safety and Quality Care. Presented at: Midwest Nursing Research Society Annual Conference; 2009 Aug 15; Chicago, IL.
Bossi KE. HSR&D Pub eBriefs-e, Aug 09, OEF/OIF, Alcohol Use, Patient Safety, HIV. 2009 Aug 3; 1(5).
Borzecki AM, Borzecki AM. Validating the Patient Safety Indicators in the Veterans Health Administration. Presented at: AcademyHealth Annual Research Meeting; 2009 Jun 30; Chicago, IL.
Frakt AB, Pizer SD, Iezzoni L. Holes in the Safety Net: Trends in Uninsurance Rates for Individuals with Functional Impairment or Chronic Illness. Poster session presented at: AcademyHealth Annual Research Meeting; 2009 Jun 29; Chicago, IL.
Goldman D, Ostroff S, Petersen L, Werner RM. Public reporting of quality and safety measures, pay for performance and no pay for adverse outcomes: timely interventions to improve performance and accountability or insufficiently tested strategies with potential unintended consequences? [roundtable]. Presented at: AcademyHealth Annual Research Meeting; 2009 Jun 28; Chicago, IL.
Sawhney MK, Sittig DF, Petersen LA, Thomas EJ, Hysong SJ, Singh H. Improving Outpatient Safety through Effective Electronic Communication. Poster session presented at: Agency for Healthcare Research and Quality National Research Service Award Trainees Research Conference; 2009 Jun 27; Chicago, IL.
Rall M, Gaba DM. Human performance and patient safety. In: Miller R, editor. Anesthesia. 7 ed. New York, NY: Elsevier; 2009. Chapter 6. 93-150 p.
Saleem JJ. RN Stacking: Cognitive Workflow Management Process With Implications for Patient Safety and Quality Care. Presented at: National Patient Safety Foundation Patient Safety Annual Congress; 2009 May 18; Orlando, FL.
Lee KW, Everett TH, Wilson EE, Guerra JM, Varosy PD, Olgin JE. Safety profiles and lesion size of different radiofrequency ablation technologies: a comparison of large tip, open and closed irrigation catheters. Journal of Cardiovascular Electrophysiology. 2009 Mar 1; 20(3):325-35.
Chaney EF, Simon B, Bonner L, Simons C, Ober S, Rubenstein LV, Cody M. Ensuring Patient Safety and Confidentiality in Multi-Site Quality Improvement Research: A Proactive Partnership Approach to Risk Management. Presented at: VA HSR&D National Meeting; 2009 Feb 12; Washington, DC.
Cook BA, Warshaw EM. Role of topical calcineurin inhibitors in the treatment of seborrheic dermatitis: a review of pathophysiology, safety, and efficacy. American journal of clinical dermatology. 2009 Jan 1; 10(2):103-18.
Cordasco KM, Asch SM, Franco I, Mangione CM. Health literacy and English language comprehension among elderly inpatients at an urban safety-net hospital. Journal of Health and Human Services Administration. 2009 Jan 1; 32(1):30-50.
Weir CR, McCarthy CA. Using implementation safety indicators for CPOE implementation. Joint Commission Journal on Quality and Patient Safety. 2009 Jan 1; 35(1):21-8.
Bowlby L, Rodgers P, Colquhoun J, Crowley M, McNeil D, Burgess L. Improving patient safety and care via eBrowser protocol in the C-II prescription process. Poster session presented at: Duke University Health System Patient Safety Center Duke Medicine Annual Patient Safety and Quality Conference; 2008 Dec 12; Durham, NC.
Singh H. Implementing and Using EHRs in Ways that Reliably Increase Patient Safety. Paper presented at: Agency for Healthcare Research and Quality Electronic Health Record Safety Institute Annual Meeting; 2008 Oct 22; Washington, DC.
Singh. Patient Safety: Medical Errors: A Snapshot. Paper presented at: University of Texas School of Public Health Annual Workshop; 2008 Sep 16; Houston, TX.
Garber AM. Is having more preapproval data the best way to assure drug safety? Health affairs (Project Hope). 2008 Sep 1; 27(5):w371-3.
Berger H. Safety and Efficiency in the Operating Room. Paper presented at: VA VISN 11 VHA Inpatient Flow (FIX) Initiative Meeting; 2008 Aug 6; Ann Arbor, MI.
Hartmann CW, Rosen AK, Shao S, Meterko M, Shokeen P, Gaba D. Organizational culture and safety climate in U.S. Veterans Administration hospitals. Presented at: International Union of Psychological Science Annual Congress; 2008 Jul 20; Berlin, Germany.
Dolor, Touchette, Masica, Schumock, Smith. Evaluation of a Medication Therapy Management Program Modeled on Patient Safety in Medicare Beneficiaries at High Risk of Adverse Drug Events. Poster session presented at: Agency for Healthcare Research and Quality Practice-Based Research Network Annual Meeting; 2008 Jun 11; Bethesda, MD.
Rosen A, Loveland S, Romano P, Rosenbaum P, Silber J, Volpp K. Rates of patient safety indicators (PSIs) among VA patients in the first two years following ACGME resident duty hour reform. Paper presented at: AcademyHealth Annual Research Meeting; 2008 Jun 8; Washington, DC.
Volpp KG. A delicate balance: physician work hours, patient safety, and organizational efficiency. Circulation. 2008 May 20; 117(20):2580-2.
Werner RM, Goldman LE, Dudley RA. Comparison of change in quality of care between safety-net and non-safety-net hospitals. JAMA : the journal of the American Medical Association. 2008 May 14; 299(18):2180-7.
Kaafarani HMA, Itani KMF, Rosen AK, Zhoa S, Hartmann CW, Gaba DM. How does patient safety culture compare in the operating room and post anesthesia care unit to the rest of the hospital? Presented at: American College of Surgeons Spring Meeting; 2008 May 4; Dallas, TX.
Najavits LN. Seeking Safety: A Treatment for PTSD and Substance Abuse. Paper presented at: National Alliance on Mental Illness National Convention; 2008 May 2; Los Angeles, CA.
Lee TA, Pickard AS, Bartle B, Weiss KB. COPD medication safety: risk of respiratory and cardiovascular deaths associated with treatment. Poster session presented at: American Thoracic Society Annual International Conference; 2008 May 1; Toronto, Canada.
Lee TA, Pickard AS, Bartle B, Weiss KB. Medication Safety in COPD Patients: The Risk of Respiratory and Cardiovascular Deaths Associated with Treatment in Veterans with COPD. Paper presented at: VA HSR&D National Meeting; 2008 Feb 14; Baltimore, MD.
Elder NC, Brungs SM, Nagy M, Kudel I, Render ML. Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. Quality & Safety in Health Care. 2008 Feb 1; 17(1):25-30.
Wald HL, Epstein AM, Radcliff TA, Kramer AM. Extended use of urinary catheters in older surgical patients: a patient safety problem? Infection control and hospital epidemiology : the official journal of the Society of Hospital Epidemiologists of America. 2008 Feb 1; 29(2):116-24.
Weeks WB, West AN, Rosen AK, Bagian JP. Comparing measures of patient safety for inpatient care provided to veterans within and outside the VA system in New York. Quality & Safety in Health Care. 2008 Feb 1; 17(1):58-64.
West AN, Weeks WB, Bagian JP. Rare adverse medical events in VA inpatient care: reliability limits to using patient safety indicators as performance measures. Health services research. 2008 Feb 1; 43(1 Pt 1):249-66.
Gurm HS, Nallamothu BK, Yadav J. Safety of carotid artery stenting for symptomatic carotid artery disease: a meta-analysis. European heart journal. 2008 Jan 1; 29(1):113-9.
Harrison TK, Gaba DM. New Vistas in Patient Safety and Simulation. Anesthesia Clinics. [Book Review]. Anesthesia and analgesia. 2008 Jan 1; 106(1):354.
Gaba DM. Out of this nettle, danger, we pluck this flower, safety: healthcare vs. aviation and other high-hazard industries. Simulation in healthcare : journal of the Society for Simulation in Healthcare. 2007 Dec 1; 2(4):213-7.
Levin C, Warshaw E. Triclosan: an update on safety. Dermatitis. 2007 Dec 1; 18(4):234-5.
Singh H. Patient Safety: medical errors: a snapshot. Paper presented at: University of Texas School of Public Health / Health Outcomes Annual Workshop; 2007 Nov 20; Houston, TX.
Handler SM, Perara S, Olshansky EF, Studenski SA, Nace DA, Fridsma D, Hanlon JT. Emerging research on resident safety in the nursing home setting: identifying modifiable barriers to medication error reporting in the nursing home setting. Paper presented at: Gerontological Society of America Annual Scientific Meeting; 2007 Nov 15; San Francisco, CA.
Singer S, Meterko M, Baker L, Gaba D, Falwell A, Rosen AK. Workforce perceptions of hospital safety culture: development and validation of the patient safety climate in healthcare organizations survey. Health services research. 2007 Oct 1; 42(5):1999-2021.
Weeks B, Schmidek M, Wallace E, Dimick B. JCAHO accreditation associated with improved surgical outcomes: use of the accreditation process to improve patient safety. Paper presented at: Patient Safety Research Annual Conference; 2007 Sep 24; Porto, Portugal.
Tigue CC, McKoy JM, Evens AM, Trifilio SM, Tallman MS, Bennett CL. Granulocyte-colony stimulating factor administration to healthy individuals and persons with chronic neutropenia or cancer: an overview of safety considerations from the Research on Adverse Drug Events and Reports project. Bone marrow transplantation. 2007 Aug 1; 40(3):185-92.
Johnson RG, Arozullah AM, Neumayer L, Henderson WG, Hosokawa P, Khuri SF. Multivariable predictors of postoperative respiratory failure after general and vascular surgery: results from the patient safety in surgery study. Journal of the American College of Surgeons. 2007 Jun 1; 204(6):1188-98.
Speroff. Partnerships in Implementing Patient Safety (PIPS): Safe Critical Care - Testing Improvement Strategies: Toolkits. Paper presented at: National Patient Safety Foundation Patient Safety Annual Congress; 2007 May 4; Washington, DC.
Neily, Mills D, Watts V, Dunn J, Williams, Bagian P, Weeks B. Development of an interprofessional fellowship program for patient safety. Poster session presented at: National Patient Safety Foundation Patient Safety Annual Congress; 2007 May 3; Washington, DC.
Speroff. Safety Culture in Intensive Care Units Varies by Hospital Size: Results from a Partnerships in Implementing Patient Safety (PIPS) Study. Poster session presented at: National Patient Safety Foundation Patient Safety Annual Congress; 2007 May 3; Washington, DC.
Cordasco KM, Gatchell MS, Ponce NA. Geographical proximity to a safety net clinic as a predictor of health care utilization among the uninsured in California. Poster session presented at: Society of General Internal Medicine Annual Meeting; 2007 Apr 26; Toronto, Canada.
West N, Weeks B, Bagian P. AHRQ's patient safety indicators in nine years of VA inpatient data: Low reliability limits their use as performance measures. Poster session presented at: VA HSR&D National Meeting; 2007 Feb 22; Arlington, VA.
Weir, Nebeker, Rappaport. Perceived threats to Safety Using Electronic Documentation. Presented at: VA HSR&D National Meeting; 2007 Feb 21; Arlington, VA.
Gaba DM, Singer SJ, Rosen AK. Safety culture: is the "unit" the right "unit of analysis"? Critical care medicine. 2007 Jan 1; 35(1):314-6.
Horvath KJ, Harvey RM, Trudeau SA. A home safety program for community-based wanderers: Outcomes from the Veterans Home Safety Project. In: Safe and Ethical Approaches for Wandering Behaviors: A Practice Guide. New York, NY: Springer; 2007. Chapter 14. 259-276 p.
Naik AD. Continuing Medical Education on the Leading Edge of Reform in Bedside to Practice Translation of Quality and Safety. Medical Encounter. 2007 Jan 1; 21(1):11-14.
McCrory DC. Time to question long-term safety of routine scheduled inhaled beta-2-agonist treatment for COPD. Journal of general internal medicine. 2006 Oct 1; 21(10):1123-4.
Sung S, Forman-Hoffman V, Wilson MC, Cram P. Direct reporting of laboratory test results to patients by mail to enhance patient safety. Journal of general internal medicine. 2006 Oct 1; 21(10):1075-8.
Rivard PE, Rosen AK, Carroll JS. Enhancing patient safety through organizational learning: Are patient safety indicators a step in the right direction? Health services research. 2006 Aug 1; 41(4 Pt 2):1633-53.
Just S, Schepers G, Piotrowski MM, Saint S, Kauffman CA. Improving the safety of intravenous admixtures: lessons learned from a Pentostam overdose. Joint Commission Journal on Quality and Patient Safety. 2006 Jul 1; 32(7):366-72.
Barry KL, Blow F. Substance Safety. In: Gorin SS, Arnold J, editors. Health Promotion in Practice. San Francisco, CA: Jossey-Bass 2006; 2006.
Saint S. Enhancing Patient Safety by Preventing Catheter-Related Infection. Paper presented at: VA Career Development Award Program Annual Conference; 2006 Feb 1; Arlington, VA.
Anzueto A, Niederman MS, Pearle J, Restrepo MI, Heyder A, Choudhri SH. Community-Acquired Pneumonia Recovery in the Elderly (CAPRIE): efficacy and safety of moxifloxacin therapy versus that of levofloxacin therapy. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America. 2006 Jan 1; 42(1):73-81.
Schmidek JM, Weeks WB. What do we know about financial returns on investments in patient safety? A literature review. Joint Commission Journal on Quality and Patient Safety. 2005 Dec 1; 31(12):690-9.
Rosen CS, Alvarez J, Polizzi C, Drescher KD. Counseling for public safety workers after 9/11. Poster session presented at: International Society for Traumatic Stress Studies Annual Meeting; 2005 Nov 1; Toronto, Canada.
Hayward RA, Asch SM, Hogan MM, Hofer TP, Kerr EA. Sins of omission: getting too little medical care may be the greatest threat to patient safety. Journal of general internal medicine. 2005 Aug 1; 20(8):686-91.
Hysong SJ, Best RG, Moore FI. Patient safety in primary care: the relationship between human error consequence and physician discretion. Paper presented at: AcademyHealth Annual Research Meeting; 2005 Jun 26; Boston, MA.
Popescu I. Patient safety on the primary care setting: the case of diagnostic results reporting. Paper presented at: VA Quality Scholars Annual Symposium; 2005 May 13; Hanover, NH.
Renaud B, Coma E, Labarere J, Hayon J, Longo C, Blancher M, Fine MJ, Roupe E. Effectiveness and safety of using the pneumonia severity index to triage patients with pneumonia in the emergency department: a multicenter European study. Paper presented at: Society of General Internal Medicine Annual Meeting; 2005 May 1; New Orleans, LA.
Ensrud KE, Recker R, Masarachia P, Lombardi A, Kimmel D. Efficacy and safety of 10 years alendronate treatment of postmenopausal women: the FIT Long-term Extension Study (FLEX). Paper presented at: National Osteoporosis Foundation International Annual Symposium; 2005 Apr 1; Washington, DC.
Hudson TJ, Henderson KL, Owen RR. A research-clinical partnership to improve safety of antipsychotic medications. Poster session presented at: International Congress on Schizophrenia Research; 2005 Apr 1; Savannah, GA.
Mohanty SA, Diamant AL, Lagomasino IT, Asch S. Are Public/Private Partnerships Delivering Better Public Mental Health Services for the Safety Net Population? Paper presented at: Society of General Internal Medicine Annual Meeting; 2005 Apr 1; New Orleans, LA.
Joseph AM, Fu SS. Safety issues in pharmacotherapy for smoking in patients with cardiovascular disease. Progress in Cardiovascular Diseases. 2005 Mar 1; 45(6):429-41.
Orengo CA, Fullerton L, Kunik ME. Safety and efficacy of testosterone gel 1% augmentation in depressed men with partial response to antidepressant therapy. Journal of geriatric psychiatry and neurology. 2005 Mar 1; 18(1):20-4.
Hudson TJ, Henderson KL, Owen RR. A research-clinical partnership to improve safety of antipsychotic medications. Poster session presented at: VA HSR&D National Meeting; 2005 Feb 1; Baltimore, MD.
Gavin-Dreschnack D. Effects of wheelchair posture on patient safety. Rehabilitation Nursing : The Official Journal of The Association of Rehabilitation Nurses. 2004 Nov 1; 29(6):221-6.
Gordon AJ. Improving patient safety: the physician pinch [invited paper]. [Editorial]. Bulletin of the Allegheny County Medical Society. 2004 Nov 1; 93(11):528-531.
Schoenfeld P. Review article: the safety profile of tegaserod. Alimentary pharmacology & therapeutics. 2004 Nov 1; 20 Suppl 7:25-30.
Weinger MB. Using Simulations to Improve Patient Safety. Paper presented at: Sharp HealthCare Patient Safety Annual Conference; 2004 Sep 12; San Diego, CA.
Asch SM, Wasserman J. Improving safety net financing. Paper presented at: LA Health Collaborative Annual Meeting; 2004 Sep 1; Los Angeles, CA.
David WS, Cotton AJ, Simpson TL, Weitlauf JC. Making a case for personal safety: perceptions of vulnerability and desire for self-defense training among female veterans. Journal of interpersonal violence. 2004 Sep 1; 19(9):991-1001.
Chou R, Peterson K, Helfand M. Comparative efficacy and safety of skeletal muscle relaxants for spasticity and musculoskeletal conditions: a systematic review. Journal of pain and symptom management. 2004 Aug 1; 28(2):140-75.
Hudson TJ, Henderson KL, Owen RR, Armitage TL, Fort C. Development of a performance measure to improve safety of antipsychotic medications. Paper presented at: Agency for Healthcare Research and Quality Translating Research Into Practice and Policy Annual Meeting; 2004 Jul 12; Washington, DC.
Hasler WL, Schoenfeld P. Safety profile of tegaserod, a 5-HT4 receptor agonist, for the treatment of irritable bowel syndrome. Drug Safety. 2004 Jul 1; 27(9):619-31.
Neily J, Mills PD, Surott-Kimberly BC, Weeks WB. Listserv use enhances quality and safety in multisite quality improvement efforts. Biomedical Instrumentation & Technology / Association For The Advancement of Medical Instrumentation. 2004 Jul 1; 38(4):316-21.
Rutberg H, Weeks WB. [Extensive initiatives for improved patient safety in the USA]. Lakartidningen. 2004 Jun 24; 101(26-27):2276-9.
Hudson TJ, Henderson KL, Owen RR. Use of a performance measure to improve safety of antipsychotic medications. Paper presented at: Complexities of Co-Occurring Conditions Annual Conference; 2004 Jun 10; Washington, DC.
Rivard P, Zhao S, Loveland S, Christiansen C, Elixhauser A, Rosen A. Estimating Increased Mortality, Cost and Length of Stay Associated with Safety Events: An Application of Patient Safety Indicators in the Veterans Health Administration. Paper presented at: AcademyHealth Annual Research Meeting; 2004 Jun 4; San Diego, CA.
Abraham NS, Raman M, Thompson K. Treatment efficacy and safety related to the use of proprofol vs. conventional sedation in the performance of colonoscopy: a meta-analysis of published randomized controlled trials. Paper presented at: Digestive Disease Week Annual Meeting; 2004 May 16; New Orleans, LA.
Weinger MB. Simulation in Patient Safety Research. Paper presented at: National Patient Safety Foundation Annual Patient Safety Congress; 2004 May 6; Boston, MA.
Butt AA, Aldridge KE, Sanders CV. Infections related to the ingestion of seafood. Part II: parasitic infections and food safety. The Lancet Infectious Diseases. 2004 May 1; 4(5):294-300.
Butler J, Emerman C, Peacock WF, Mathur VS, Young JB. The efficacy and safety of B-type natriuretic peptide (nesiritide) in patients with renal insufficiency and acutely decompensated congestive heart failure. Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association. 2004 Feb 1; 19(2):391-9.
Hoffman J, Hurdle JF. Improving Medication Safety-Automating Chart Review. Paper presented at: American Society of Health-System Pharmacists Midyear Clinical Meeting; 2003 Dec 1; New Orleans, LA.
Chan AS, Martins S, Bosworth HB, Oddone EZ, Schlipak MG, Goldstein KM. Clinician feedback of a guideline-based decision support systems and identification of areas for improvement in patient safety and quality of clinical information. Paper presented at: Society for Medical Decision Making Annual Meeting; 2003 Oct 1; Chicago, IL.
Monga M, Hoffman RM, MacDonald R, Wilt TJ. Efficacy and safety of transurethral microwave thermotherapy for symptomatic BPH: A systematic meta-analysis. Paper presented at: Endourology and Shockwave Lithotripsy World Annual Congress; 2003 Sep 21; Montréal, Canada.
Hurdle JF, Weir CR, Roth B, Hoffman JM, Nebeker JR. Advanced Computer support for drug delivery: evidence based medication safety. Paper presented at: Scientific Basis of Health Services International Annual Conference; 2003 Sep 1; Washington, DC.
Tsilimingras D, Rosen AK, Berlowitz DR. Patient safety in geriatrics: a call for action. The journals of gerontology. Series A, Biological sciences and medical sciences. 2003 Sep 1; 58(9):M813-9.
Best RG, Downey R. Job burnout as a precursor to intention to turnover. [Presented at the 5th Interdisciplinary Conference sponsored by the American Psychological Association and the National Institute for Occupational Safety and Health]. Paper presented at: American Psychological Association Work, Stress, and Health: New Challenges in a Changing Workplace Annual Conference; 2003 Mar 20; Toronto, Canada.
Bent S, Tiedt TN, Odden MC, Shlipak MG. The relative safety of ephedra compared with other herbal products. Annals of internal medicine. 2003 Mar 18; 138(6):468-71.
Weinger MB, Gonzales DC, Slagle J, Syeed M. Non-routine events and factors affecting anesthesia patient safety. Paper presented at: VA HSR&D National Meeting; 2003 Feb 12; Washington, DC.
Weinger MB, Slagle J, Jain S, Ordonez N. Retrospective data collection and analytical techniques for patient safety studies. Journal of Biomedical Informatics. 2003 Feb 1; 36(1-2):106-19.
Felker BL, Sloan KL, Dominitz JA, Barnes RF. The safety of valproic acid use for patients with hepatitis C infection. The American journal of psychiatry. 2003 Jan 1; 160(1):174-8.
Howard SK, Rosekind MR, Katz JD, Berry AJ. Fatigue in anesthesia: implications and strategies for patient and provider safety. Anesthesiology. 2002 Nov 1; 97(5):1281-94.
Gaba DM, Howard SK. Patient safety: fatigue among clinicians and the safety of patients. The New England journal of medicine. 2002 Oct 17; 347(16):1249-55.
Christiansen C. Proposed Framework for Evaluating the Safety of Dietary Supplements. Washington, DC: National Academy Press; 2002 Sep 19. 1-156 p. Report No.: NI000760.
Christiansen C. Combining Information from Clinical Trials and Observational Studies to Evaluate Safety. Paper presented at: American Statistical Association Joint Statistical Annual Meeting; 2002 Aug 12; New York, NY.
Wachter RM, Shojania KG, Saint S, Markowitz AJ, Smith M. Learning from our mistakes: quality grand rounds, a new case-based series on medical errors and patient safety. Annals of internal medicine. 2002 Jun 4; 136(11):850-2.
Piotrowski MM, Saint S, Hinshaw DB. The Safety Case Management Committee: expanding the avenues for addressing patient safety. Joint Commission Journal on Quality Improvement. 2002 Jun 1; 28(6):296-305.
Saint S, Savel RH, Matthay MA. Enhancing the safety of critically ill patients by reducing urinary and central venous catheter-related infections. American journal of respiratory and critical care medicine. 2002 Jun 1; 165(11):1475-9.
Berlowitz D. Using Quality Improvements to Enhance Patient Safety and Pressure Ulcer Treatment. Paper presented at: Advanced Wound Care and Wound Healing Society (SAWC / WHS) Spring Symposium; 2002 Apr 29; Baltimore, MD.
Crawford M, Good CB, Trilli L. Safety and efficacy of thiazolidinediones in a VA hospital. Paper presented at: American Society of Health-System Pharmacists Midyear Clinical Meeting; 2001 Dec 6; New Orleans, LA.
Berlowitz D. Using Quality Improvement to Enhance Patient Safety and Pressure Ulcer Prevention. Paper presented at: Advances in Skin and Wound Care Clinical Annual Symposium; 2001 Sep 22; Orlando, FL.
Rall M, Manser T, Guggenberger H, Gaba DM, Unertl K. [Patient safety and errors in medicine: development, prevention and analyses of incidents]. Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : Ains. 2001 Jun 1; 36(6):321-30.
Diamant A, Asch S, Ford W, Gelberg L. Women's clinical preventive services in the safety net: Who is missing out? Paper presented at: Society of General Internal Medicine Annual Meeting; 2001 Apr 15; San Diego, CA.
Rubin DL, Maniscalco PM. The EMS safety officer: incident accountability. Emergency Medical Services. 2001 Apr 1; 30(4):52-5.
Saint S. Enhancing patient safety: The University of Michigan experience. Paper presented at: Georgia Healthcare Leadership Council Annual Meeting; 2000 Nov 1; Atlanta, GA.
Cooper JB, Gaba DM, Liang B, Woods D, Blum LN. The National Patient Safety Foundation agenda for research and development in patient safety. Medgenmed [Electronic Resource] : Medscape General Medicine. 2000 Jul 11; 2(3):E38.
Gaba DM. Anaesthesiology as a model for patient safety in health care. BMJ (Clinical research ed.). 2000 Mar 18; 320(7237):785-8.
Wilt T. The efficacy and safety of saw palmetto for treatment of benign prostatic hyperplasia. Paper presented at: University of North Carolina at Chapel Hill on the Efficacy and Safety of Medicinal Herbs International Annual Conference; 2000 Mar 12; Chapel Hill, NC.
Holodniy M, Koch J, Mistal M, Schmidt JM, Khandwala A, Pennington JE, Porter SB. A double blind, randomized, placebo-controlled phase II study to assess the safety and efficacy of orally administered SP-303 for the symptomatic treatment of diarrhea in patients with AIDS. The American journal of gastroenterology. 1999 Nov 1; 94(11):3267-73.
Fink H, Macdonald R, Rutks I, Schow D, Wilt T. Efficacy and safety of pharmacologic treatments for male erectile dysfunction: a systematic review. Paper presented at: Society of General Internal Medicine Annual Meeting; 1999 May 24; San Francisco, CA.
Fink H, Macdonald R, Rutks I, Schow D, Wilt T. Efficacy and safety of medical interventions for male erectile dysfunction: a systematic review. Paper presented at: VA HSR&D National Meeting; 1999 Feb 25; Washington, DC.
Pirraglia PA, Peterson JC, Hartman GS, Yao FS, Thomas SJ, Charlson ME. The efficacy and safety of a pharmacologic protocol for maintaining coronary artery bypass patients at a higher mean arterial pressure during cardiopulmonary bypass. The Journal of Extra-Corporeal Technology. 1998 Jun 1; 30(2):64-72.
Healzer JM, Howard SK, Gaba DM. Attitudes toward production pressure and patient safety: a survey of anesthesia residents. [news]. [Editorial]. Journal of clinical monitoring and computing. 1998 Feb 1; 14(2):145-146.
Phillips E, Bauman C. Safety surveillance of esterified estrogens-methyltestosterone (Estratest and Estratest HS) replacement therapy in the United States. Clinical therapeutics. 1997 Sep 1; 19(5):1070-84.
Marottoli RA. Crashes: outcome of choice in assessing driver safety? Alzheimer disease and associated disorders. 1997 Jun 1; 11 Suppl 1:28-30.