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1

Human factors and ergonomics in patient safety curriculum

Linda Williams, Bradley V. Watts, Scott McKnight, James P. Bagian

Journal:

Human Factors and Ergonomics in Manufacturing & Service Industries

Year:

2012

Language:

english

File:

PDF, 248 KB

english, 2012

2

Using Health Care Failure Mode and Effect Analysis™: The VA National Center for Patient Safety’s Prospective Risk Analysis System

DeRosier, Joseph, Stalhandske, Erik, Bagian, James P., Nudell, Tina

Journal:

The Joint Commission Journal on Quality Improvement

Year:

2002

Language:

english

File:

PDF, 482 KB

english, 2002

3

Medical Team Training: Applying Crew Resource Management in the Veterans Health Administration

Dunn, Edward J., Mills, Peter D., Neily, Julia, Crittenden, Michael D., Carmack, Amy L., Bagian, James P.

Journal:

The Joint Commission Journal on Quality and Patient Safety

Year:

2007

Language:

english

File:

PDF, 69 KB

english, 2007

4

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

Douglas E. Paull, Lisa M. Mazzia, Brent S. Izu, Julia Neily, Peter D. Mills, James P. Bagian

Journal:

The American Journal of Surgery

Year:

2009

Language:

english

File:

PDF, 274 KB

english, 2009

5

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

Sculli, Gary L., Fore, Amanda M., Sine, David M., Paull, Douglas E., Tschannen, Dana, Aebersold, Michelle, Seagull, F. Jacob, Bagian, James P.

Journal:

Journal of Healthcare Risk Management

Year:

2015

Language:

english

File:

PDF, 1.19 MB

english, 2015

6

Framework for Alarm Management Process Maturity

Welch, James, Rayo, Michael, Kanter, Benjamin, Bagian, Tandi, Jacobs, Katrina, Shanawani, Hassan, Jaffe, Rory, Conti, Marlyn, Razzano, Lynn

Journal:

Biomedical Instrumentation & Technology

Year:

2016

Language:

english

File:

PDF, 1.70 MB

english, 2016

7

The Veterans Affairs Root Cause Analysis System in Action

Bagian, James P., Gosbee, John, Lee, Caryl Z., Williams, Linda, McKnight, Scott D., Mannos, Dea M.

Journal:

The Joint Commission Journal on Quality Improvement

Year:

2002

Language:

english

File:

PDF, 131 KB

english, 2002

8

Patient Safety Solutions Preamble - May 2007

Abdellatif, Ahmed, Bagian, James P., Barajas, Enrique Ruelas, Cohen, Michael, Cousins, Diane, Denham, Charles R., Essinger, Kaj, Gegelashvili, Giorgi, Glenister, Helen, Hoffman, Carolyn, Horvath, Dian

Journal:

The Joint Commission Journal on Quality and Patient Safety

Year:

2007

Language:

english

File:

PDF, 257 KB

english, 2007

9

Tactical Combat Casualty Care 2007: Evolving Concepts and Battlefield Experience

Butler, Frank K., Butler, Frank K., Holcomb, John B., Giebner, Stephen D., McSwain, Norman E., Bagian, James

Journal:

Military Medicine

Year:

2007

Language:

english

File:

PDF, 141 KB

english, 2007

10

Health care and patient safety: The failure of traditional approaches – how human factors and ergonomics can and MUST help

James P. Bagian

Journal:

Human Factors and Ergonomics in Manufacturing & Service Industries

Year:

2012

Language:

english

File:

PDF, 228 KB

english, 2012

11

Patient safety: lessons learned

James P. Bagian

Journal:

Pediatric Radiology

Year:

2006

Language:

english

File:

PDF, 79 KB

english, 2006

12

Using the six sigma process to implement the centers for disease control and prevention guideline for hand hygiene in 4 intensive care units

Noel E. Eldridge, Susan S. Woods, Robert S. Bonello, Kay Clutter, LeAnn Ellingson, Mary Ann Harris, Barbara K. Livingston, James P. Bagian, Linda H. Danko, Edward J. Dunn, Renee L. Parlier, Cheryl Ped

Journal:

Journal of General Internal Medicine

Year:

2006

Language:

english

File:

PDF, 445 KB

english, 2006

13

Counterheroism, Common Knowledge, and Ergonomics: Concepts from Aviation That Could Improve Patient Safety

GERAINT H. LEWIS, RHEMA VAITHIANATHAN, PETER M. HOCKEY, GUY HIRST, JAMES P. BAGIAN

Journal:

Milbank Quarterly

Year:

2011

Language:

english

File:

PDF, 170 KB

english, 2011

14

Rare Adverse Medical Events in VA Inpatient Care: Reliability Limits to Using Patient Safety Indicators as Performance Measures

Alan N. West, William B. Weeks, James P. Bagian

Journal:

Health Services Research

Year:

2008

Language:

english

File:

PDF, 139 KB

english, 2008

15

Using the Six Sigma Process to Implement the Centers for Disease Control and Prevention Guideline for Hand Hygiene in 4 Intensive Care Units

Noel E. Eldridge, Susan S. Woods, Robert S. Bonello, Kay Clutter, LeAnn Ellingson, Mary Ann Harris, Barbara K. Livingston, James P. Bagian, Linda H. Danko, Edward J. Dunn, Renee L. Parlier, Cheryl Ped

Journal:

Journal of General Internal Medicine

Year:

2006

Language:

english

File:

PDF, 592 KB

english, 2006

16

Do Older Rural and Urban Veterans Experience Different Rates of Unplanned Readmission to VA and Non-VA Hospitals?

William B. Weeks, Richard E. Lee, Amy E. Wallace, Alan N. West, James P. Bagian

Journal:

The Journal of Rural Health

Year:

2009

Language:

english

File:

PDF, 132 KB

english, 2009

17

Search and Rescue Is Search and Rescue—Or, the Basics Still Apply

James P. Bagian

Journal:

Wilderness & Environmental Medicine

Year:

2005

Language:

english

File:

PDF, 52 KB

english, 2005

18

Response to Tishler and Reiss' review of inpatient suicide

Peter D. Mills, James P. Bagian

Journal:

General Hospital Psychiatry

Year:

2009

Language:

english

File:

PDF, 45 KB

english, 2009

19

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

Douglas E. Paull, Lisa M. Mazzia, Scott D. Wood, Max S. Theis, Lori D. Robinson, Brian Carney, Julia Neily, Peter D. Mills, James P. Bagian

Journal:

The American Journal of Surgery

Year:

2010

Language:

english

File:

PDF, 473 KB

english, 2010

20

Differences in Nurse and Surgeon Perceptions of Teamwork: Implications for Use of a Briefing Checklist in the OR

Brian T. Carney, Priscilla West, Julia Neily, Peter D. Mills, James P. Bagian

Journal:

Year:

2010

Language:

english

File:

PDF, 210 KB

english, 2010

21

The Role of the Operating Room Nurse Manager in the Successful Implementation of Preoperative Briefings and Postoperative Debriefings in the VHA Medical Team Training Program

Lori D. Robinson, Douglas E. Paull, Lisa M. Mazzia, Lisa Falzetta, James Hay, Julia Neily, Peter D. Mills, Brian Carney, James P. Bagian

Journal:

Journal of PeriAnesthesia Nursing

Year:

2010

Language:

english

File:

PDF, 155 KB

english, 2010

22

Department of Veterans Affairs Patient Safety Program

Erik Stalhandske, James P. Bagian, John Gosbee

Journal:

American Journal of Infection Control

Year:

2002

Language:

english

File:

PDF, 112 KB

english, 2002

23

Systemic Vulnerabilities to Suicide among Veterans from the Iraq and Afghanistan Conflicts: Review of Case Reports from a National Veterans Affairs Database

Peter D. Mills, Samuel J. Huber, Bradley Vince Watts, James P. Bagian

Journal:

Suicide and Life-Threatening Behavior

Year:

2011

Language:

english

File:

PDF, 187 KB

english, 2011

24

Counterheroism, Common Knowledge, and Ergonomics: Concepts from Aviation That Could Improve Patient Safety

GERAINT H. LEWIS, RHEMA VAITHIANATHAN, PETER M. HOCKEY, GUY HIRST and JAMES P. BAGIAN

Journal:

Milbank Quarterly

Year:

2011

Language:

english

File:

PDF, 1.97 MB

english, 2011

25

Earth observations during space shuttle right STS‐29: Discovery's Voyage to the earth

Lulla, Kamlesh, Helfert, Michael, Whitehead, Victor, Amsbury, David, Coats, Michael, Blaha, John, Buchli, James, Springer, Robert, Bagian, James, Evans, Cindy

Journal:

Geocarto International

Year:

1989

Language:

english

File:

PDF, 2.54 MB

english, 1989

26

Improving Clinical Learning Environments for Tomorrow's Physicians

Nasca, Thomas J., Weiss, Kevin B., Bagian, James P.

Journal:

New England Journal of Medicine

Year:

2014

Language:

english

File:

PDF, 367 KB

english, 2014

27

An Examination of Mortality and Other Adverse Events Related to Electroconvulsive Therapy Using a National Adverse Event Report System

Watts, Bradley V., Groft, Alicia, Bagian, James P., Mills, Peter D.

Journal:

Year:

2011

Language:

english

File:

PDF, 98 KB

english, 2011

28

The Accreditation System After the “Next Accreditation System”

Nasca, Thomas J., Weiss, Kevin B., Bagian, James P., Brigham, Timothy P.

Journal:

Academic Medicine

Year:

2014

Language:

english

File:

PDF, 256 KB

english, 2014

29

Association Between Implementation of a Medical Team Training Program and Surgical Mortality

Neily, Julia, Mills, Peter D., Young-Xu, Yinong, Carney, Brian T., West, Priscilla, Berger, David H., Mazzia, Lisa M., Paull, Douglas E., Bagian, James P.

Journal:

JAMA The Journal of the American Medical Association

Year:

2010

Language:

english

File:

PDF, 204 KB

english, 2010

30

The Clinical Learning Environment

Weiss, Kevin B., Bagian, James P., Nasca, Thomas J.

Journal:

JAMA The Journal of the American Medical Association

Year:

2013

Language:

english

File:

PDF, 48 KB

english, 2013

31

Cerebral Blood Flow: Comparison of Ground-Based and Spaceflight Data and Correlation with Space Adaptation Syndrome

Bagian, James P., Hackett, Peter

Journal:

Journal of Clinical Pharmacology

Year:

1991

Language:

english

File:

PDF, 910 KB

english, 1991

32

First Intramuscular Administration in the U.S. Space Program

Bagian, James P.

Journal:

Journal of Clinical Pharmacology

Year:

1991

Language:

english

File:

PDF, 172 KB

english, 1991

33

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

Gagnier, Joel J., Derosier, Joseph M., Maratt, Joseph D., Hake, Mark E., Bagian, James P.

Journal:

International Journal for Quality in Health Care

Year:

2016

Language:

english

File:

PDF, 289 KB

english, 2016

34

The Future of Graduate Medical Education

Bagian, James P.

Journal:

Academic Medicine

Year:

2015

Language:

english

File:

PDF, 267 KB

english, 2015

35

Scenario 10: cold water immersion

Journal:

Wilderness & Environmental Medicine

Year:

1998

Language:

english

File:

PDF, 210 KB

english, 1998

36

A Retrospective Study of Promethazine and Its Failure to Produce the Expected Incidence of Sedation During Space Flight

Bagian, James P., Ward, David F.

Journal:

Journal of Clinical Pharmacology

Year:

1994

Language:

english

File:

PDF, 362 KB

english, 1994

37

Reducing Avoidable Deaths Among Veterans: Directing Private-Sector Surgical Care to High-Performance Hospitals

Weeks, William B., West, Alan N., Wallace, Amy E., Lee, Richard E., Goodman, David C., Dimick, Justin B., Bagian, James P.

Journal:

American Journal of Public Health

Year:

2007

Language:

english

File:

PDF, 109 KB

english, 2007

38

No Excuses: The Reality That Demands Action

Denham, Charles, Bagian, James, Daley, Jennifer, Edgman-Levitan, Susan, Gelinas, Lillee, OʼLeary, Dennis, Sheridan, Sue, Wachter, Robert

Journal:

Journal of Patient Safety

Year:

2005

Language:

english

File:

PDF, 160 KB

english, 2005

39

Improved Hand Hygiene to Prevent Health Care-Associated Infections

Abdellatif, Ahmed, Bagian, James P., Barajas, Enrique Ruelas, Cohen, Michael, Cousins, Diane, Denham, Charles R., Essinger, Kaj, Gegelashvili, Giorgi, Glenister, Helen, Hoffman, Carolyn, Horvath, Dian

Journal:

The Joint Commission Journal on Quality and Patient Safety

Year:

2007

Language:

english

File:

PDF, 353 KB

english, 2007

40

Developing and Deploying a Patient Safety Program in a Large Health Care Delivery System: You Can’t Fix What You Don’t Know About

Bagian, James P., Lee, Caryl, Gosbee, John, DeRosier, Joseph, Stalhandske, Erik, Eldridge, Noel, Williams, Rodney, Burkhardt, Mary

Journal:

The Joint Commission Journal on Quality Improvement

Year:

2001

Language:

english

File:

PDF, 75 KB

english, 2001

41

Using aggregate root cause analysis to improve patient safety.

Neily, Julia, Ogrinc, Greg, Mills, Peter, Williams, Rodney, Stalhandske, Erik, Bagian, James, Weeks, William B

Journal:

The Joint Commission Journal on Quality and Safety

Year:

2003

Language:

english

File:

PDF, 305 KB

english, 2003

42

System Innovation: Veterans Health Administration National Center for Patient Safety

Heget, Jeffrey R., Bagian, James P., Lee, Caryl Z., Gosbee, John W.

Journal:

The Joint Commission Journal on Quality Improvement

Year:

2002

Language:

english

File:

PDF, 84 KB

english, 2002

43

Making the Business Case for Patient Safety

Weeks, William B., Bagian, James P.

Journal:

The Joint Commission Journal on Quality and Safety

Year:

2003

Language:

english

File:

PDF, 120 KB

english, 2003

44

Using Aggregate Root Cause Analysis to Improve Patient Safety

Neily, Julia, Ogrinc, Greg, Mills, Peter, Williams, Rodney, Stalhandske, Erik, Bagian, James, Weeks, William B.

Journal:

The Joint Commission Journal on Quality and Safety

Year:

2003

Language:

english

File:

PDF, 393 KB

english, 2003

45

Assuring Medication Accuracy at Transitions in Care

Abdellatif, Ahmed, Bagian, James P., Barajas, Enrique Ruelas, Cohen, Michael, Cousins, Diane, Denham, Charles R., Essinger, Kaj, Gegelashvili, Giorgi, Glenister, Helen, Hoffman, Carolyn, Horvath, Dian

Journal:

The Joint Commission Journal on Quality and Patient Safety

Year:

2007

Language:

english

File:

PDF, 447 KB

english, 2007

46

Patient Identification

Abdellatif, Ahmed, Bagian, James P., Barajas, Enrique Ruelas, Cohen, Michael, Cousins, Diane, Denham, Charles R., Essinger, Kaj, Gegelashvili, Giorgi, Glenister, Helen, Hoffman, Carolyn, Horvath, Dian

Journal:

The Joint Commission Journal on Quality and Patient Safety

Year:

2007

Language:

english

File:

PDF, 385 KB

english, 2007

47

Awareness and Use of a Cognitive Aid for Anesthesiology

Neily, Julia, DeRosier, Joseph M., Mills, Peter D., Bishop, Michael J., Weeks, William B., Bagian, James P.

Journal:

The Joint Commission Journal on Quality and Patient Safety

Year:

2007

Language:

english

File:

PDF, 295 KB

english, 2007

48

Look-Alike, Sound-Alike Medication Names

Abdellatif, Ahmed, Bagian, James P., Barajas, Enrique Ruelas, Cohen, Michael, Cousins, Diane, Denham, Charles R., Essinger, Kaj, Gegelashvili, Giorgi, Glenister, Helen, Hoffman, Carolyn, Horvath, Dian

Journal:

The Joint Commission Journal on Quality and Patient Safety

Year:

2007

Language:

english

File:

PDF, 337 KB

english, 2007

49

Control of Concentrated Electrolyte Solutions

Abdellatif, Ahmed, Bagian, James P., Barajas, Enrique Ruelas, Cohen, Michael, Cousins, Diane, Denham, Charles R., Essinger, Kaj, Gegelashvili, Giorgi, Glenister, Helen, Hoffman, Carolyn, Horvath, Dian

Journal:

The Joint Commission Journal on Quality and Patient Safety

Year:

2007

Language:

english

File:

PDF, 269 KB

english, 2007

50

Performance of Correct Procedure at Correct Body Site

Abdellatif, Ahmed, Bagian, James P., Barajas, Enrique Ruelas, Cohen, Michael, Cousins, Diane, Denham, Charles R., Essinger, Kaj, Gegelashvili, Giorgi, Glenister, Helen, Hoffman, Carolyn, Horvath, Dian

Journal:

The Joint Commission Journal on Quality and Patient Safety

Year:

2007

Language:

english

File:

PDF, 759 KB

english, 2007

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