- Email: [email protected]
2004 Author Index
Joint Commission
Journal on Quality and Safety
2004 Author Index A Adams M.: See Haan C.K. Ahern M.: See Benedetti R. Aho L.: See Gross P.A. Alemi F., Neuhauser D.: Time-Between Control Charts for Monitoring Asthma Attacks. Feb., 95–102. Andrs K., Brooks J.W., Savage L., Cohen N.M.: Performance Improvement with a Multidisciplinary Clinical Guideline for Patients Undergoing Minimally Invasive Thoracic Surgery. Feb., 89–94. Anton T.: See Gross P.A. Ashtyani H.: See Gross P.A.
B Bagian J.P.: See Mills P.D. Baker D.R.: See Paine L.A. Banks S.: See Barr J.K. Barr J.K., Banks S., Waters W.J., Petrillo M.: Methodological Issues in Public Reporting of Patient Perspectives on Hospital Quality. Oct., 567–578. Bart de Bruijn J.H., See Beersen N. Bates D.W.: See Feifer C. Beardall R.W.: See Goel A. Beersen N., Bart de Bruijn J.H., Dekkers M.A., Ten Have P., Hekster G.B., Redekop W.K., Spincemaille G., Theuvenet P.J., Berg M., Klazinga N.S.: Developing a National Continuous Quality Improvement System for Neuromodulation Treatment in the Netherlands. Jun., 310–321. Benage M.K.: See Cohen M.M. Benczo C., Gaudy D., White T.M.: “Keeping Each Patient Safe”: Quality Safety Teaching/Learning Packets. Dec., 676–680. Benedetti R., Flock B., Pedersen S., Ahern M.: Improved Clinical Outcomes for Feefor-Service Physician Practices Participating in a Diabetes Care Collaborative. Apr., 187–194. Berenholtz S.M., Milanovich S., Faircloth A., Prow D.T., Earsing K., Lipsett P., Dorman T., Pronovost P.J.: Improving Care for the Ventilated Patient. Apr., 195–204. Berman S.: An Interview with Peter Pronovost. Dec., 659–664. Berg M.: See Beersen N. Bijwadia J.S.: See Lindsay M.E. Bishop K.: See Pronovost P.J. Bodenheimer T., Wang M.C., Rundall T.G., Shortell S.M., Gillies R.R., Oswald N., Casalino L.P., Robinson J.C.: What Are the Facilitators and Barriers in Physician
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Organizations’ Use of Care Management Processes? Sep., 505–514. Bommarito K.: See Jeffe D.B. Braslow J.T.: See Sherman S.E. Brooks J.W.: See Andrs K. Brower K.: See Heffner J.E. Brown G.S. (Jeb), Hermann R., Jones E., Wu J.: Using Self-Report to Improve Substance Abuse Risk Assessment in Behavioral Health Care. Aug., 448–454. Brown J.P.: Closing the Communication Loop: Using Readback/Hearback to Support Patient Safety. Aug., 460–464. Brown S.: See Heffner J.E. Brust P.: See Sullivan J. Burroughs T.E.: See Cohen M.M. Burroughs T.E.: See Jeffe D.B.
C Campbell D.: See Stevenson J.G. Caplan S.: See Fairbanks R.J. Carayon P., Schultz K., Schoofs Hundt A.: Righting Wrong Site Surgery. Jul., 405–410. Carlyle R.: See Wang A. Casalino L.P.: See Bodenheimer T. Cen L.: See Weller W.E. Chapman A.: See Sherman S.E. Cheadle A.D.: See Goldberg H.I. Chernos S.: See Reiling J.G. Chilcott J.: See Lindblad B. Clancy C.: See O’Malley A.S. Clanton M.: See Salem-Schatz S. Cochran B.F.: See Schade C.P. Cohen M.M., Kimmel N.L., Benage M.K., Hoang C.C., Burroughs T.E., Roth C.A.: Implementing a Hospitalwide Patient Safety Program for Cultural Change. Aug., 424–431. Cohen N.M.: See Andrs K. Cohn F., Rudman W.J.: Fixing Broken Bones and Broken Homes: Domestic Violence as a Patient Safety Issue. Nov., 636–646. Cook R.: See Haan C.K. Cornwell T.: See Muramatsu N. Crabtree B.F.: See Solberg L.I. Crain A.L.: See Sperl-Hillen J.M.
D Daniel D.M., Norman J., Davis C., Lee H., Hindmarsh M.F., McCulloch D.K., Wagner E.H., Sugarman J.R.: Case Studies from Two Collaboratives on Diabetes in Washington State. Feb., 103–108. Daniel D.M., Norman J., Davis C., Lee H., Hindmarsh M.F., McCulloch D.K., Wagner E.H., Sugarman J.R.: A State-Level
December 2004
Application of the Chronic Illness Breakthrough Series: Results from Two Collaboratives on Diabetes in Washington State. Feb., 69–79. Davis C.: See Daniel D.M.Jack (Feb.,L. Case Cox, MD Studies). Louis H. Diamond, MB, ChB Davis C.: See Daniel D.M. (Feb., Results). J. Hatlie, Esq Davis E.: See JaghabMartin D. Davis R.: See Pronovost P.J. Gina Pugliese, RN, MS Davis R.B.: See Weingart S.N. Nancy J. Wilson, Dekkers M.A.: See Beersen N. MD, MPH Demiris G., Patrick T.B., Mitchell J.A., Waldren S.E.: To Telemedically Err Is Human. Sep., 521–527. DeRosier J.M.: See Mills P.D. Dorman T.: See Berenholtz S.M. Draper S., Nielsen G.A., Noland M.: Using “No Problem Found” in Infusion Pump Programming as a Springboard for Learning About Human Factors Engineering. Sep., 515–520. Duffy T.: See Schall M.W. Dunagan W.C.: See Jeffe D.B. Dziedzic L.: See Ruggiero C.
E Earsing K.: See Berenholtz S.M. Eisenberg J.M.: See Tang N. Ellis R.: See Heffner J.E. Engebretson K.I.: See Sperl-Hillen J.M. Escoto K.H., Hallock M., Wagner J., Karsh B.: Using Variance Analysis to Detect Hazards in Bar-Code–Assisted Medication Preparation. Nov., 622–628. Eytan T.A.: See Goldberg H.I. Ezhuthachan S.: See Salem-Schatz S.
F Fairbanks R.J., Caplan S.: Poor Interface Design and Lack of Usability Testing Facilitate Medical Error. Oct., 579–584. Faircloth A. See Berenholtz S.M. Farbstein K.: See Weingart S.N. Feifer C., Fifield J., Ornstein S., Karson A.S., Bates D.W., Jones K.R., Vargas P.A.: From Research to Daily Clinical Practice: What Are the Challenges in “Translation”? May, 235–245. Feifer C., Ornstein S.M.: Strategies for Increasing Adherence to Clinical Guidelines and Improving Patient Outcomes in Small Primary Care Practices. Aug., 432–441. Feldman J.: See Gross P.A. Feldstein A., Simon S.R., Schneider J., Krall M., Laferriere D., Smith D.H., Sittig D.F.,
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Soumerai S.B.: How to Design Computerized Alerts to Ensure Safe Prescribing Practices. Nov., 602–613. Fetterolf D.: See Wilson T.W. Fifield J.: See Feifer C. Fine J.M.: See Tu G.S. Flock B.: See Benedetti R. Fraser S.W.: See Hamby L. Fraser V.J.: See Jeffe D.B. Fulton M.A.: See Goodpasture H.
G Gallagher B.K.: See Weller W.E. Gallagher T.H.: See Jeffe D.B. Garbutt J.: See Jeffe D.B. Garcia D.: See Sherman S.E. Gaudy D.: See Benczo C. Ghazarian P.G.: See Goodpasture H. Gillies R.R.: See Bodenheimer T. Golembiewski J.: See Stevenson J.G. Goel A., MacLean C.D., Walrath D., Rubin A., Huston D., Jones M.C., Niquette T., Kennedy A.G., Beardall R.W., Littenberg B.: Adapting Root Cause Analysis to Chronic Medical Conditions. Apr., 175–186. Goldberg H.I., Lessler D.S., Mertens K., Eytan T.A., Cheadle A.D.: SelfManagement Support in a WebBased Medical Record: A Pilot Randomized Controlled Trial. Nov., 629–635. Goodpasture H., Nguyen-Dang C.-T., Lee T.H., Ghazarian P.G., Fulton M.A.: Miscoding as a Cause of Elevated Simple Pneumonia Mortality. Jun., 335–341. Gosbee J.: Introduction to the Human Factors Engineering Series. Apr., 215–219. Gosbee J.: Who Left the Defibrillator On? May, 282–285. Gosbee J.W.: Conclusion: You Need Human Factors Engineering Expertise to See Design Hazards That Are Hiding in “Plain Sight!” Dec., 696–700. Gosbee L.L.: Nuts! I Can’t Figure Out How to Use My Life-Saving Epinephrine AutoInjector! Apr., 220–223. Grady J.: See Lyder C.H. Green C.R.: See Stevenson J.G. Griffith R.: See Pronovost P.J. Grondin L.: See Stevenson J.G. Gross P.A., Aho L., Ashtyani H., Levine J., McGee M., Moran S., Anton T., Feldman J., Kuyumjian A., Skurnick J.: Extending the Nurse Practitioner Concurrent Intervention Model to CommunityAcquired Pneumonia and Chronic Obstructive Pulmonary Disease. Jul., 377–386. Groszek J.: See Szumlas S. Gruen J.: See Wilson T.W.
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H Haan C.K., Adams M., Cook R.: Improving the Quality of Data in Your Database: Lessons from a Cardiovascular Center. Dec., 681–688. Haller K.B.: See Pronovost P.J. Halliday A.: See Jaghab D. Hallock M.: See Hamilton Escoto K.H. Hamby L., Fraser S.W.: Using Patient Waiting-Time Data to Improve the Hospital Bed-Assignment Process. Jan., 42–46. Hannan E.L.: See Weller W.E. Harris C.B.: See Jeffe D.B. Haun D.E., Leach A.: Information-to-Go: Publishing Organization-Specific Information for Personal Digital Assistants. May, 286–289. Heffner J.E., Brower K., Ellis R., Brown S.: Using Intranet-Based Order Sets to Standardize Clinical Care and Prepare for Computerized Physician Order Entry. Jul., 366–376. Hekster G.B.: See Beersen N. Hermann R.: See Brown G.S. (Jeb). Hibbard J., Pawlson L.G.: Why Not Give Consumers a Framework for Understanding Quality? Jun., 347–351. Hill P.R.: See Jeffe D.B. Hindmarsh M.F.: See Daniel D.M. (Feb., Case Studies). Hindmarsh M.F.: See Daniel D.M. (Feb., Results). Hoang C.C.: See Cohen M.M. Hochman R.F.: See Yates G.R. Holmboe E.S.: See Tu G.S. Howard R.J.: See Rozich J.D. Hroscikoski M.C.: See Solberg L.I. Hroscikoski M.C.: See Sperl-Hillen J.M. Huschka T.R.: See Naessens J.M. Huston D.: See Goel A.
I Israelski E.W., Muto W.H.: Human Factors Risk Management as a Way to Improve Medical Device Safety: A Case Study of the Therac-25 Radiation Therapy System. Dec., 689–695.
J Jaghab D., Kostner L., Davis E., Halliday A.: Using a Distance-Learning Program to Educate Staff on the Joint Commission National Patient Safety Goals. Dec., 671–675. Jeffe D.B., Dunagan W.C., Garbutt J., Burroughs T.E., Gallagher T.H., Hill P.R., Harris C.B., Bommarito K., Fraser V.J.: Using Focus Groups to Understand Physicians’ and Nurses’ Perspectives on Error Reporting in Hospitals. Sep., 471–479.
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Jones E.: See Brown G.S. (Jeb). Jones K.R.: See Feifer C. Jones M.C.: See Goel A. Justeson J.M.: See Rozich J.D.
K Karsh B.: See Hamilton Escoto K.H. Karson A.S.: See Feifer C. Kennedy A.G.: See Goel A. Kennedy A.G., Littenberg B.: A Modified Outpatient Prescription Form to Reduce Prescription Errors. Sep., 480–487. Kidwell R.P.: See Pronovost P.J. Kimmel N.L.: See Cohen M.M. Kitt S.: See Szumlas S. Klazinga N.S.: See Beersen N. Knutzen B.L.: See Reiling J.G. Korabathina R.: See O’Malley A.S. Kostner L.: See Jaghab D. Krall M.: See Feldstein A. Krishnamurthy A.: See Schall M.W. Kuyumjian A.: See Gross P.A.
L Laferriere D.: See Feldstein A. Leach A.: See Haun D.E. Lee H.: See Daniel D.M. (Feb., Case Studies). Lee H.: See Daniel D.M. (Feb., Results). Lee T.H.: See Goodpasture H. Lessler D.S.: See Goldberg H.I. Levesque O.: See Schall M.W. Levine J.: See Gross P.A. Lewis A.: See Wilson T.W. Lindblad B., Chilcott J., Rolls L.: Mary Lanning Memorial Hospital: Communication Is Key. Oct., 551–558. Lindsay M.E., Bijwadia J.S., Schauer W.W., Rozich J.D.: Shifting Care of Chronic Ventilator-Dependent Patients from the Intensive Care Unit to the Nursing Home. May, 257–265. Lindsay M.E.: See Rozich J.D. Lipsett P.: See Berenholtz S.M. Littenberg B.: See Goel A. Littenberg B.: See Kennedy A.G. Lovinger G., Nielsen D.M.: Introduction to the American Hospital Quest for QualitySM Awards. Oct., 531–533. Luttrell R.C.: See Salem-Schatz S. Lyder C.H., Grady J., Mathur D., Petrillo M.K., Meehan T.P.: Preventing Pressure Ulcers in Connecticut Hospitals by Using the Plan-Do-Study-Act Model of Quality Improvement. Apr., 205–214.
M Macken P.D.: See Rozich J.D. MacLean C.D.: See Goel A. Majumdar S.R., Simpson S.H., Marrie T.J.: Physician-Perceived Barriers to Adopting a Critical Pathway for CommunityAcquired Pneumonia. Jul., 387–395.
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Marrie T.J.: See Majumdar S.R. Mathur D.: See Lyder C.H. McCulloch D.K.: See Daniel D.M. (Feb., Case Studies). McCulloch D.K.: See Daniel D.M. (Feb., Results). McCullough S.: See Reiling J.G. McGee M.: See Gross P.A. McKnight S.D.: See Mills P.D. Meehan T.P.: See Lyder C.H. Meehan T.P.: See Tu G.S. Mensah E.: See Muramatsu N. Mehta P.: See Schall M.W. Mertens K.: See Goldberg H.I. Meyer G.S.: See O’Malley A.S. Meyer G.S.: See Tang N. Milanovich S.: See Berenholtz S.M. Miller R.: See Reiling J.G. Mills P.D., DeRosier J.M., Neily J., McKnight S.D., Weeks W.B., Bagian J.P.: A Cognitive Aid for Cardiac Arrest: You Can’t Use It if You Don’t Know About It. Sep., 488–496. Mills P.D., Weeks W.B.: Characteristics of Successful Quality Improvement Teams: Lessons from Five Collaborative Projects in the VHA. Mar., 152–162. Mitchell J.A.: See Demiris G. Mohsenifar Z.: See Tu G.S. Moran S.: See Gross P.A. Muramatsu N., Mensah E., Cornwell T.: A Physician House Call Program for the Homebound. May, 266–276. Murray M.: See Schall M.W. Muto W.H.: See Israelski E.W.
N Naessens J.M., Scott C.G., Huschka T.R., Schutt D.C.: Do Complication Screening Programs Detect Complications Present at Admission? Mar., 133–142. Nash D.B.: See Wilson T.W. Neily J.: See Mills P.D. Neuhauser D.: See Alemi F. Newland S.: See Stevenson J.G. Newman C.: See Salem-Schatz S. Nguyen-Dang C.-T.: See Goodpasture H. Nielsen D.M.: See Lovinger G. Nielsen G.A.: See Draper S. Niquette T.: See Goel A. Noland M.: See Draper S. Norman J.: See Daniel D.M. (Feb., Case Studies). Norman J.: See Daniel D.M. (Feb., Results).
O O’Connor P.J.: See Solberg L.I. O’Connor P.J.: See Sperl-Hillen J.M. O’Malley A.S., Clancy C., Thompson J., Korabathina R., Meyer G.S.: Clinical Practice Guidelines and Performance Indicators as Related—But Often Misunderstood—Tools. Mar., 163–171.
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Ornstein S.M.: See Feifer C. Oswald N.: See Bodenheimer T.
P Paine L.: See Pronovost P.J. Paine L.A., Baker D.R., Rosenstein B., Pronovost P.J.: The Johns Hopkins Hospital: Identifying and Addressing Risks and Safety Issues. Oct., 543–550. Palmer R.H.: See Salem-Schatz S. Parlier R.: See Schall M.W. Patel M.: See Wilson T.W. Patrick T.B.: See Demiris G. Patterson E.S., Rogers M.L., Render M.L.: Fifteen Best Practice Recommendations for Bar-Code Medication Administration in the Veterans Health Administration. Jul., 355–365. Pawlson L.G.: See Hibbard J. Payson C.: See Szumlas S. Pearlman M.: See Stevenson J.G. Pedersen S.: See Benedetti R. Perry S.J.: An Overlooked Alliance: Using Human Factors Engineering to Reduce Patient Harm. Aug., 455–459. Peterson L.E.: See Salem-Schatz S. Petrillo M.K.: See Lyder C.H. Petrillo M.: See Barr J.K. Petzel R.: See Schall M.W. Phillips R.S.: See Weingart S.N. Popiel R.G.: See Wilson T.W. Porterfield D.: See Wang A. Pronovost P.J., Weast B., Bishop K., Paine L., Griffith R., Rosenstein B.J., Kidwell R.P., Haller K.B., Davis R.: Senior Executive Adopt-a-Work Unit: A Model for Safety Improvement. Feb., 59–68. Pronovost P.J.: See Berenholtz S.M. Pronovost P.J.: See Paine L.A. Prow D.T.: See Berenholtz S.M.
R Reaves J.: See Wang A. Redekop W.K.: See Beersen N. Reiling J.G., Knutzen B.L., Wallen T.K., McCullough S., Miller R., Chernos S.: Enhancing the Traditional Hospital Design Process: A Focus on Patient Safety. Mar., 115–124. Render M.L.: See Patterson E.S. Resar R.K.: See Rozich J.D. Rich V.: See Sullivan J. Robinson J.C.: See Bodenheimer T. Rogers M.L.: See Patterson E.S. Rolls L.: See Lindblad B. Rosenstein B.: See Paine L.A. Rosenstein B.J. See Pronovost P.J. Roth C.A.: See Cohen M.M. Rozich J.D., Howard R.J., Justeson J.M., Macken P.D., Lindsay M.E., Resar R.K.: Standardization as a Mechanism to Improve Safety in Health Care. Jan., 5–14.
December 2004
Rozich J.D.: See Lindsay M.E. Rubin A.: See Goel A. Rudman W.J.: See Cohn F. Ruggiero C., Dziedzic L.: Promoting a Healing Environment: Quiet Time in the Intensive Care Unit. Aug., 465–467. Rundall T.G.: See Bodenheimer T.
S Salem-Schatz S., Peterson L.E., Palmer R.H., Clanton M., Ezhuthachan S., Luttrell R.C., Newman C., Westbury R.: Barriers to First-Week Follow-up of Newborns: Findings from Parent and Clinician Focus Groups. Nov., 593–601. Sanderson J.: See Schall M.W. Savage L.: See Andrs K. Sayles S.M.: See Yates G.R. Scanlon M.: Computer Physician Order Entry and the Real World: We’re Only Humans. Jun., 342–346. Schade C.P., Cochran B.F., Stephens M.K.: Using Statewide Audit and Feedback to Improve Hospital Care in West Virginia. Mar., 143–151. Schall M.W., Duffy T., Krishnamurthy A., Levesque O., Mehta P., Murray M., Parlier R., Petzel R., Sanderson J.: Improving Patient Access to the Veterans Health Administration’s Primary Care and Specialty Clinics. Aug., 415–423. Schauer W.W.: See Lindsay M.E. Schoofs Hundt A.: See Carayon P. Schultz K.: See Carayon P. Schneider J.: See Feldstein A. Schutt D.C.: See Naessens J.M. Schyve P.M.: An Interview with Lucian Leape. Dec., 653–658. Schyve P.M.: Editorial: Microsystems, Macrosystems, and Kernicterus. Nov., 591–592. Scott C.G.: See Naessens J.M. Seleznick M.J.: See Warner E.A. Sherman S.E., Chapman A., Garcia D., Braslow J.T.: Improving Recognition of Depression in Primary Care: A Study of Evidence-Based Quality Improvement. Feb., 80–88. Shojania K.G.: See Wachter R.M. Shortell S.M.: See Bodenheimer T. Simon S.R.: See Feldstein A. Simpson S.H.: See Majumdar S.R. Sittig D.F.: See Feldstein A. Skurnick J.: See Gross P.A. Smith D.H.: See Feldstein A. Solberg L.I., Hroscikoski M.C., Sperl-Hillen J.M., O’Connor P.J., Crabtree B.F.: Key Issues in Transforming Health Care Organizations for Quality: The Case of Advanced Access. Jan., 15–24. Solberg L.I.: See Sperl-Hillen J.M. Soumerai S.B.: See Feldstein A.
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Sperl-Hillen J.M., Solberg L.I., Hroscikoski M.C., Crain A.L., Engebretson K.I., O’Connor P.J.: Do All Components of the Chronic Care Model Contribute Equally to Quality Improvement? Jun., 303–309. Sperl-Hillen J.M.: See Solberg L.I. Spincemaille G.: See Beersen N. Sriratanaban J., Wanavanichkul Y.: Hospitalwide Quality Improvement in Thailand. May, 246–256. Stack K.: See Szumlas S. Stein S.J., Sarff L., Tyler R.: Shorter Catheters—A Simple Solution to a Rare but Deadly Complication. Apr., 224–229. Stephens M.K.: See Schade C.P. Stevenson J.G., Pearlman M., Green C.R., Newland S., Grondin L., Thompson M., Golembiewski J., Campbell D.: Altering Meperidine Prescribing Patterns in a University Teaching Hospital. May, 277–281. Stockmeier C.A.: See Yates G.R. Sugarman J.R.: See Daniel D.M. (Feb., Case Studies). Sugarman J.R.: See Daniel D.M. (Feb., Results). Sullivan J., Brust P., Wren P.J., Rich V.: A Staffing-Effectiveness Methodology for Analyzing Human Resource and Clinical/Service Screening Indicator Data. Jun., 322–330. Szumlas S., Groszek J., Kitt S., Payson C., Stack K.: Take a Second Glance: A Novel Approach to Inpatient Fall Prevention. Jun., 295–302.
T Tang N., Eisenberg J.M., Meyer G.S.: The Roles of Government in Improving Health Care Quality and Safety. Jan., 47–55.
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Ten Have P.: See Beersen N. Thar W.: See Wilson T.W. Theuvenet P.J.: See Beersen N. Thompson J.: See O’Malley A.S. Thompson M.: See Stevenson J.G. Tu G.S., Meehan T.P., Fine J.M., Wang Y., Holmboe E.S., Mohsenifar Z., Weingarten S.R.: Which Strategies Facilitate Improvement in Quality of Care for Elderly Hospitalized Pneumonia Patients? Jan., 25–35.
V Vargus P.A.: See Feifer C.
W Wachter R.M. and Shojania K.G.: The Faces of Errors: A Case-Based Approach to Educating Providers, Policymakers, and the Public about Patient Safety. Dec., 665–670. Wagner E.H.: See Daniel D.M. (Feb., Case Studies). Wagner E.H.: See Daniel D.M. (Feb., Results). Wagner J.: See Hamilton Escoto K.H. Waldren S.E.: See Demiris G. Wallen T.K.: See Reiling J.G. Walrath D.: See Goel A. Wanavanichkul Y.: See Sriratanaban J. Wang A., Wolf M., Carlyle R., Wilkerson J., Porterfield D., Reaves J.: The North Carolina Experience with the Diabetes Health Disparities Collaboratives. Jul., 396–404. Wang M.C.: See Bodenheimer T. Wang Y.: See Tu G.S. Warner E.A., Seleznick M.J.: Using Medical Record Reminders to Improve Pneumococcal Vaccination Rates. Jun., 331–334.
December 2004
Waters W.J.: See Barr J.K. Weast B.: See Pronovost P.J. Weeks W.B.: See Mills P.D. Weingart S.N., Farbstein K., Davis R.B., Phillips R.S.: Using a Multihospital Survey to Examine the Safety Culture. Mar., 125–132. Weingarten S.R.: See Tu G.S. Weller W.E., Gallagher B.K., Cen L., Hannan E.L.: Readmissions for Venous Thromboembolism: Expanding the Definition of Patient Safety Indicators. Sep., 497–504. Westbury R.: See Salem-Schatz S. White T.M.: See Benczo C. Wilkerson J.: See Wang A. Willeumier D.: Advocate Health Care: A Systemwide Approach to Quality and Safety. Oct., 559–566. Wilson T.W., Gruen J., Thar W., Fetterolf D., Patel M., Popiel R.G., Lewis A., Nash D.B.: Assessing Return on Investment of Defined-Population Disease Management Interventions. Nov., 614–621. Wolf M.: See Wang A. Woodall S.C.: Remote Order Entry and Video Verification: Reducing After-Hours Medication Errors in a Rural Hospital. Aug., 442–447. Woodley K.S.: Improving Ambulatory Surgical Pain Management. Jan., 36–41. Wren P.J.: See Sullivan J. Wu J.: See Brown G.S. (Jeb).
Y Yates G.R., Hochman R.F., Sayles S.M., Stockmeier C.A.: Sentara Norfolk General Hospital: Accelerating Improvement by Focusing on Building a Culture of Safety. Oct., 534–542.
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2004 Author Index A Adams M.: See Haan C.K. Ahern M.: See Benedetti R. Aho L.: See Gross P.A. Alemi F., Neuhauser D.: Time-Between Control Charts for Monitoring Asthma Attacks. Feb., 95–102. Andrs K., Brooks J.W., Savage L., Cohen N.M.: Performance Improvement with a Multidisciplinary Clinical Guideline for Patients Undergoing Minimally Invasive Thoracic Surgery. Feb., 89–94. Anton T.: See Gross P.A. Ashtyani H.: See Gross P.A.
B Bagian J.P.: See Mills P.D. Baker D.R.: See Paine L.A. Banks S.: See Barr J.K. Barr J.K., Banks S., Waters W.J., Petrillo M.: Methodological Issues in Public Reporting of Patient Perspectives on Hospital Quality. Oct., 567–578. Bart de Bruijn J.H., See Beersen N. Bates D.W.: See Feifer C. Beardall R.W.: See Goel A. Beersen N., Bart de Bruijn J.H., Dekkers M.A., Ten Have P., Hekster G.B., Redekop W.K., Spincemaille G., Theuvenet P.J., Berg M., Klazinga N.S.: Developing a National Continuous Quality Improvement System for Neuromodulation Treatment in the Netherlands. Jun., 310–321. Benage M.K.: See Cohen M.M. Benczo C., Gaudy D., White T.M.: “Keeping Each Patient Safe”: Quality Safety Teaching/Learning Packets. Dec., 676–680. Benedetti R., Flock B., Pedersen S., Ahern M.: Improved Clinical Outcomes for Feefor-Service Physician Practices Participating in a Diabetes Care Collaborative. Apr., 187–194. Berenholtz S.M., Milanovich S., Faircloth A., Prow D.T., Earsing K., Lipsett P., Dorman T., Pronovost P.J.: Improving Care for the Ventilated Patient. Apr., 195–204. Berman S.: An Interview with Peter Pronovost. Dec., 659–664. Berg M.: See Beersen N. Bijwadia J.S.: See Lindsay M.E. Bishop K.: See Pronovost P.J. Bodenheimer T., Wang M.C., Rundall T.G., Shortell S.M., Gillies R.R., Oswald N., Casalino L.P., Robinson J.C.: What Are the Facilitators and Barriers in Physician
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Organizations’ Use of Care Management Processes? Sep., 505–514. Bommarito K.: See Jeffe D.B. Braslow J.T.: See Sherman S.E. Brooks J.W.: See Andrs K. Brower K.: See Heffner J.E. Brown G.S. (Jeb), Hermann R., Jones E., Wu J.: Using Self-Report to Improve Substance Abuse Risk Assessment in Behavioral Health Care. Aug., 448–454. Brown J.P.: Closing the Communication Loop: Using Readback/Hearback to Support Patient Safety. Aug., 460–464. Brown S.: See Heffner J.E. Brust P.: See Sullivan J. Burroughs T.E.: See Cohen M.M. Burroughs T.E.: See Jeffe D.B.
C Campbell D.: See Stevenson J.G. Caplan S.: See Fairbanks R.J. Carayon P., Schultz K., Schoofs Hundt A.: Righting Wrong Site Surgery. Jul., 405–410. Carlyle R.: See Wang A. Casalino L.P.: See Bodenheimer T. Cen L.: See Weller W.E. Chapman A.: See Sherman S.E. Cheadle A.D.: See Goldberg H.I. Chernos S.: See Reiling J.G. Chilcott J.: See Lindblad B. Clancy C.: See O’Malley A.S. Clanton M.: See Salem-Schatz S. Cochran B.F.: See Schade C.P. Cohen M.M., Kimmel N.L., Benage M.K., Hoang C.C., Burroughs T.E., Roth C.A.: Implementing a Hospitalwide Patient Safety Program for Cultural Change. Aug., 424–431. Cohen N.M.: See Andrs K. Cohn F., Rudman W.J.: Fixing Broken Bones and Broken Homes: Domestic Violence as a Patient Safety Issue. Nov., 636–646. Cook R.: See Haan C.K. Cornwell T.: See Muramatsu N. Crabtree B.F.: See Solberg L.I. Crain A.L.: See Sperl-Hillen J.M.
D Daniel D.M., Norman J., Davis C., Lee H., Hindmarsh M.F., McCulloch D.K., Wagner E.H., Sugarman J.R.: Case Studies from Two Collaboratives on Diabetes in Washington State. Feb., 103–108. Daniel D.M., Norman J., Davis C., Lee H., Hindmarsh M.F., McCulloch D.K., Wagner E.H., Sugarman J.R.: A State-Level
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Application of the Chronic Illness Breakthrough Series: Results from Two Collaboratives on Diabetes in Washington State. Feb., 69–79. Davis C.: See Daniel D.M.Jack (Feb.,L. Case Cox, MD Studies). Louis H. Diamond, MB, ChB Davis C.: See Daniel D.M. (Feb., Results). J. Hatlie, Esq Davis E.: See JaghabMartin D. Davis R.: See Pronovost P.J. Gina Pugliese, RN, MS Davis R.B.: See Weingart S.N. Nancy J. Wilson, Dekkers M.A.: See Beersen N. MD, MPH Demiris G., Patrick T.B., Mitchell J.A., Waldren S.E.: To Telemedically Err Is Human. Sep., 521–527. DeRosier J.M.: See Mills P.D. Dorman T.: See Berenholtz S.M. Draper S., Nielsen G.A., Noland M.: Using “No Problem Found” in Infusion Pump Programming as a Springboard for Learning About Human Factors Engineering. Sep., 515–520. Duffy T.: See Schall M.W. Dunagan W.C.: See Jeffe D.B. Dziedzic L.: See Ruggiero C.
E Earsing K.: See Berenholtz S.M. Eisenberg J.M.: See Tang N. Ellis R.: See Heffner J.E. Engebretson K.I.: See Sperl-Hillen J.M. Escoto K.H., Hallock M., Wagner J., Karsh B.: Using Variance Analysis to Detect Hazards in Bar-Code–Assisted Medication Preparation. Nov., 622–628. Eytan T.A.: See Goldberg H.I. Ezhuthachan S.: See Salem-Schatz S.
F Fairbanks R.J., Caplan S.: Poor Interface Design and Lack of Usability Testing Facilitate Medical Error. Oct., 579–584. Faircloth A. See Berenholtz S.M. Farbstein K.: See Weingart S.N. Feifer C., Fifield J., Ornstein S., Karson A.S., Bates D.W., Jones K.R., Vargas P.A.: From Research to Daily Clinical Practice: What Are the Challenges in “Translation”? May, 235–245. Feifer C., Ornstein S.M.: Strategies for Increasing Adherence to Clinical Guidelines and Improving Patient Outcomes in Small Primary Care Practices. Aug., 432–441. Feldman J.: See Gross P.A. Feldstein A., Simon S.R., Schneider J., Krall M., Laferriere D., Smith D.H., Sittig D.F.,
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Soumerai S.B.: How to Design Computerized Alerts to Ensure Safe Prescribing Practices. Nov., 602–613. Fetterolf D.: See Wilson T.W. Fifield J.: See Feifer C. Fine J.M.: See Tu G.S. Flock B.: See Benedetti R. Fraser S.W.: See Hamby L. Fraser V.J.: See Jeffe D.B. Fulton M.A.: See Goodpasture H.
G Gallagher B.K.: See Weller W.E. Gallagher T.H.: See Jeffe D.B. Garbutt J.: See Jeffe D.B. Garcia D.: See Sherman S.E. Gaudy D.: See Benczo C. Ghazarian P.G.: See Goodpasture H. Gillies R.R.: See Bodenheimer T. Golembiewski J.: See Stevenson J.G. Goel A., MacLean C.D., Walrath D., Rubin A., Huston D., Jones M.C., Niquette T., Kennedy A.G., Beardall R.W., Littenberg B.: Adapting Root Cause Analysis to Chronic Medical Conditions. Apr., 175–186. Goldberg H.I., Lessler D.S., Mertens K., Eytan T.A., Cheadle A.D.: SelfManagement Support in a WebBased Medical Record: A Pilot Randomized Controlled Trial. Nov., 629–635. Goodpasture H., Nguyen-Dang C.-T., Lee T.H., Ghazarian P.G., Fulton M.A.: Miscoding as a Cause of Elevated Simple Pneumonia Mortality. Jun., 335–341. Gosbee J.: Introduction to the Human Factors Engineering Series. Apr., 215–219. Gosbee J.: Who Left the Defibrillator On? May, 282–285. Gosbee J.W.: Conclusion: You Need Human Factors Engineering Expertise to See Design Hazards That Are Hiding in “Plain Sight!” Dec., 696–700. Gosbee L.L.: Nuts! I Can’t Figure Out How to Use My Life-Saving Epinephrine AutoInjector! Apr., 220–223. Grady J.: See Lyder C.H. Green C.R.: See Stevenson J.G. Griffith R.: See Pronovost P.J. Grondin L.: See Stevenson J.G. Gross P.A., Aho L., Ashtyani H., Levine J., McGee M., Moran S., Anton T., Feldman J., Kuyumjian A., Skurnick J.: Extending the Nurse Practitioner Concurrent Intervention Model to CommunityAcquired Pneumonia and Chronic Obstructive Pulmonary Disease. Jul., 377–386. Groszek J.: See Szumlas S. Gruen J.: See Wilson T.W.
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H Haan C.K., Adams M., Cook R.: Improving the Quality of Data in Your Database: Lessons from a Cardiovascular Center. Dec., 681–688. Haller K.B.: See Pronovost P.J. Halliday A.: See Jaghab D. Hallock M.: See Hamilton Escoto K.H. Hamby L., Fraser S.W.: Using Patient Waiting-Time Data to Improve the Hospital Bed-Assignment Process. Jan., 42–46. Hannan E.L.: See Weller W.E. Harris C.B.: See Jeffe D.B. Haun D.E., Leach A.: Information-to-Go: Publishing Organization-Specific Information for Personal Digital Assistants. May, 286–289. Heffner J.E., Brower K., Ellis R., Brown S.: Using Intranet-Based Order Sets to Standardize Clinical Care and Prepare for Computerized Physician Order Entry. Jul., 366–376. Hekster G.B.: See Beersen N. Hermann R.: See Brown G.S. (Jeb). Hibbard J., Pawlson L.G.: Why Not Give Consumers a Framework for Understanding Quality? Jun., 347–351. Hill P.R.: See Jeffe D.B. Hindmarsh M.F.: See Daniel D.M. (Feb., Case Studies). Hindmarsh M.F.: See Daniel D.M. (Feb., Results). Hoang C.C.: See Cohen M.M. Hochman R.F.: See Yates G.R. Holmboe E.S.: See Tu G.S. Howard R.J.: See Rozich J.D. Hroscikoski M.C.: See Solberg L.I. Hroscikoski M.C.: See Sperl-Hillen J.M. Huschka T.R.: See Naessens J.M. Huston D.: See Goel A.
I Israelski E.W., Muto W.H.: Human Factors Risk Management as a Way to Improve Medical Device Safety: A Case Study of the Therac-25 Radiation Therapy System. Dec., 689–695.
J Jaghab D., Kostner L., Davis E., Halliday A.: Using a Distance-Learning Program to Educate Staff on the Joint Commission National Patient Safety Goals. Dec., 671–675. Jeffe D.B., Dunagan W.C., Garbutt J., Burroughs T.E., Gallagher T.H., Hill P.R., Harris C.B., Bommarito K., Fraser V.J.: Using Focus Groups to Understand Physicians’ and Nurses’ Perspectives on Error Reporting in Hospitals. Sep., 471–479.
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Jones E.: See Brown G.S. (Jeb). Jones K.R.: See Feifer C. Jones M.C.: See Goel A. Justeson J.M.: See Rozich J.D.
K Karsh B.: See Hamilton Escoto K.H. Karson A.S.: See Feifer C. Kennedy A.G.: See Goel A. Kennedy A.G., Littenberg B.: A Modified Outpatient Prescription Form to Reduce Prescription Errors. Sep., 480–487. Kidwell R.P.: See Pronovost P.J. Kimmel N.L.: See Cohen M.M. Kitt S.: See Szumlas S. Klazinga N.S.: See Beersen N. Knutzen B.L.: See Reiling J.G. Korabathina R.: See O’Malley A.S. Kostner L.: See Jaghab D. Krall M.: See Feldstein A. Krishnamurthy A.: See Schall M.W. Kuyumjian A.: See Gross P.A.
L Laferriere D.: See Feldstein A. Leach A.: See Haun D.E. Lee H.: See Daniel D.M. (Feb., Case Studies). Lee H.: See Daniel D.M. (Feb., Results). Lee T.H.: See Goodpasture H. Lessler D.S.: See Goldberg H.I. Levesque O.: See Schall M.W. Levine J.: See Gross P.A. Lewis A.: See Wilson T.W. Lindblad B., Chilcott J., Rolls L.: Mary Lanning Memorial Hospital: Communication Is Key. Oct., 551–558. Lindsay M.E., Bijwadia J.S., Schauer W.W., Rozich J.D.: Shifting Care of Chronic Ventilator-Dependent Patients from the Intensive Care Unit to the Nursing Home. May, 257–265. Lindsay M.E.: See Rozich J.D. Lipsett P.: See Berenholtz S.M. Littenberg B.: See Goel A. Littenberg B.: See Kennedy A.G. Lovinger G., Nielsen D.M.: Introduction to the American Hospital Quest for QualitySM Awards. Oct., 531–533. Luttrell R.C.: See Salem-Schatz S. Lyder C.H., Grady J., Mathur D., Petrillo M.K., Meehan T.P.: Preventing Pressure Ulcers in Connecticut Hospitals by Using the Plan-Do-Study-Act Model of Quality Improvement. Apr., 205–214.
M Macken P.D.: See Rozich J.D. MacLean C.D.: See Goel A. Majumdar S.R., Simpson S.H., Marrie T.J.: Physician-Perceived Barriers to Adopting a Critical Pathway for CommunityAcquired Pneumonia. Jul., 387–395.
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Marrie T.J.: See Majumdar S.R. Mathur D.: See Lyder C.H. McCulloch D.K.: See Daniel D.M. (Feb., Case Studies). McCulloch D.K.: See Daniel D.M. (Feb., Results). McCullough S.: See Reiling J.G. McGee M.: See Gross P.A. McKnight S.D.: See Mills P.D. Meehan T.P.: See Lyder C.H. Meehan T.P.: See Tu G.S. Mensah E.: See Muramatsu N. Mehta P.: See Schall M.W. Mertens K.: See Goldberg H.I. Meyer G.S.: See O’Malley A.S. Meyer G.S.: See Tang N. Milanovich S.: See Berenholtz S.M. Miller R.: See Reiling J.G. Mills P.D., DeRosier J.M., Neily J., McKnight S.D., Weeks W.B., Bagian J.P.: A Cognitive Aid for Cardiac Arrest: You Can’t Use It if You Don’t Know About It. Sep., 488–496. Mills P.D., Weeks W.B.: Characteristics of Successful Quality Improvement Teams: Lessons from Five Collaborative Projects in the VHA. Mar., 152–162. Mitchell J.A.: See Demiris G. Mohsenifar Z.: See Tu G.S. Moran S.: See Gross P.A. Muramatsu N., Mensah E., Cornwell T.: A Physician House Call Program for the Homebound. May, 266–276. Murray M.: See Schall M.W. Muto W.H.: See Israelski E.W.
N Naessens J.M., Scott C.G., Huschka T.R., Schutt D.C.: Do Complication Screening Programs Detect Complications Present at Admission? Mar., 133–142. Nash D.B.: See Wilson T.W. Neily J.: See Mills P.D. Neuhauser D.: See Alemi F. Newland S.: See Stevenson J.G. Newman C.: See Salem-Schatz S. Nguyen-Dang C.-T.: See Goodpasture H. Nielsen D.M.: See Lovinger G. Nielsen G.A.: See Draper S. Niquette T.: See Goel A. Noland M.: See Draper S. Norman J.: See Daniel D.M. (Feb., Case Studies). Norman J.: See Daniel D.M. (Feb., Results).
O O’Connor P.J.: See Solberg L.I. O’Connor P.J.: See Sperl-Hillen J.M. O’Malley A.S., Clancy C., Thompson J., Korabathina R., Meyer G.S.: Clinical Practice Guidelines and Performance Indicators as Related—But Often Misunderstood—Tools. Mar., 163–171.
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Ornstein S.M.: See Feifer C. Oswald N.: See Bodenheimer T.
P Paine L.: See Pronovost P.J. Paine L.A., Baker D.R., Rosenstein B., Pronovost P.J.: The Johns Hopkins Hospital: Identifying and Addressing Risks and Safety Issues. Oct., 543–550. Palmer R.H.: See Salem-Schatz S. Parlier R.: See Schall M.W. Patel M.: See Wilson T.W. Patrick T.B.: See Demiris G. Patterson E.S., Rogers M.L., Render M.L.: Fifteen Best Practice Recommendations for Bar-Code Medication Administration in the Veterans Health Administration. Jul., 355–365. Pawlson L.G.: See Hibbard J. Payson C.: See Szumlas S. Pearlman M.: See Stevenson J.G. Pedersen S.: See Benedetti R. Perry S.J.: An Overlooked Alliance: Using Human Factors Engineering to Reduce Patient Harm. Aug., 455–459. Peterson L.E.: See Salem-Schatz S. Petrillo M.K.: See Lyder C.H. Petrillo M.: See Barr J.K. Petzel R.: See Schall M.W. Phillips R.S.: See Weingart S.N. Popiel R.G.: See Wilson T.W. Porterfield D.: See Wang A. Pronovost P.J., Weast B., Bishop K., Paine L., Griffith R., Rosenstein B.J., Kidwell R.P., Haller K.B., Davis R.: Senior Executive Adopt-a-Work Unit: A Model for Safety Improvement. Feb., 59–68. Pronovost P.J.: See Berenholtz S.M. Pronovost P.J.: See Paine L.A. Prow D.T.: See Berenholtz S.M.
R Reaves J.: See Wang A. Redekop W.K.: See Beersen N. Reiling J.G., Knutzen B.L., Wallen T.K., McCullough S., Miller R., Chernos S.: Enhancing the Traditional Hospital Design Process: A Focus on Patient Safety. Mar., 115–124. Render M.L.: See Patterson E.S. Resar R.K.: See Rozich J.D. Rich V.: See Sullivan J. Robinson J.C.: See Bodenheimer T. Rogers M.L.: See Patterson E.S. Rolls L.: See Lindblad B. Rosenstein B.: See Paine L.A. Rosenstein B.J. See Pronovost P.J. Roth C.A.: See Cohen M.M. Rozich J.D., Howard R.J., Justeson J.M., Macken P.D., Lindsay M.E., Resar R.K.: Standardization as a Mechanism to Improve Safety in Health Care. Jan., 5–14.
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Rozich J.D.: See Lindsay M.E. Rubin A.: See Goel A. Rudman W.J.: See Cohn F. Ruggiero C., Dziedzic L.: Promoting a Healing Environment: Quiet Time in the Intensive Care Unit. Aug., 465–467. Rundall T.G.: See Bodenheimer T.
S Salem-Schatz S., Peterson L.E., Palmer R.H., Clanton M., Ezhuthachan S., Luttrell R.C., Newman C., Westbury R.: Barriers to First-Week Follow-up of Newborns: Findings from Parent and Clinician Focus Groups. Nov., 593–601. Sanderson J.: See Schall M.W. Savage L.: See Andrs K. Sayles S.M.: See Yates G.R. Scanlon M.: Computer Physician Order Entry and the Real World: We’re Only Humans. Jun., 342–346. Schade C.P., Cochran B.F., Stephens M.K.: Using Statewide Audit and Feedback to Improve Hospital Care in West Virginia. Mar., 143–151. Schall M.W., Duffy T., Krishnamurthy A., Levesque O., Mehta P., Murray M., Parlier R., Petzel R., Sanderson J.: Improving Patient Access to the Veterans Health Administration’s Primary Care and Specialty Clinics. Aug., 415–423. Schauer W.W.: See Lindsay M.E. Schoofs Hundt A.: See Carayon P. Schultz K.: See Carayon P. Schneider J.: See Feldstein A. Schutt D.C.: See Naessens J.M. Schyve P.M.: An Interview with Lucian Leape. Dec., 653–658. Schyve P.M.: Editorial: Microsystems, Macrosystems, and Kernicterus. Nov., 591–592. Scott C.G.: See Naessens J.M. Seleznick M.J.: See Warner E.A. Sherman S.E., Chapman A., Garcia D., Braslow J.T.: Improving Recognition of Depression in Primary Care: A Study of Evidence-Based Quality Improvement. Feb., 80–88. Shojania K.G.: See Wachter R.M. Shortell S.M.: See Bodenheimer T. Simon S.R.: See Feldstein A. Simpson S.H.: See Majumdar S.R. Sittig D.F.: See Feldstein A. Skurnick J.: See Gross P.A. Smith D.H.: See Feldstein A. Solberg L.I., Hroscikoski M.C., Sperl-Hillen J.M., O’Connor P.J., Crabtree B.F.: Key Issues in Transforming Health Care Organizations for Quality: The Case of Advanced Access. Jan., 15–24. Solberg L.I.: See Sperl-Hillen J.M. Soumerai S.B.: See Feldstein A.
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Sperl-Hillen J.M., Solberg L.I., Hroscikoski M.C., Crain A.L., Engebretson K.I., O’Connor P.J.: Do All Components of the Chronic Care Model Contribute Equally to Quality Improvement? Jun., 303–309. Sperl-Hillen J.M.: See Solberg L.I. Spincemaille G.: See Beersen N. Sriratanaban J., Wanavanichkul Y.: Hospitalwide Quality Improvement in Thailand. May, 246–256. Stack K.: See Szumlas S. Stein S.J., Sarff L., Tyler R.: Shorter Catheters—A Simple Solution to a Rare but Deadly Complication. Apr., 224–229. Stephens M.K.: See Schade C.P. Stevenson J.G., Pearlman M., Green C.R., Newland S., Grondin L., Thompson M., Golembiewski J., Campbell D.: Altering Meperidine Prescribing Patterns in a University Teaching Hospital. May, 277–281. Stockmeier C.A.: See Yates G.R. Sugarman J.R.: See Daniel D.M. (Feb., Case Studies). Sugarman J.R.: See Daniel D.M. (Feb., Results). Sullivan J., Brust P., Wren P.J., Rich V.: A Staffing-Effectiveness Methodology for Analyzing Human Resource and Clinical/Service Screening Indicator Data. Jun., 322–330. Szumlas S., Groszek J., Kitt S., Payson C., Stack K.: Take a Second Glance: A Novel Approach to Inpatient Fall Prevention. Jun., 295–302.
T Tang N., Eisenberg J.M., Meyer G.S.: The Roles of Government in Improving Health Care Quality and Safety. Jan., 47–55.
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Ten Have P.: See Beersen N. Thar W.: See Wilson T.W. Theuvenet P.J.: See Beersen N. Thompson J.: See O’Malley A.S. Thompson M.: See Stevenson J.G. Tu G.S., Meehan T.P., Fine J.M., Wang Y., Holmboe E.S., Mohsenifar Z., Weingarten S.R.: Which Strategies Facilitate Improvement in Quality of Care for Elderly Hospitalized Pneumonia Patients? Jan., 25–35.
V Vargus P.A.: See Feifer C.
W Wachter R.M. and Shojania K.G.: The Faces of Errors: A Case-Based Approach to Educating Providers, Policymakers, and the Public about Patient Safety. Dec., 665–670. Wagner E.H.: See Daniel D.M. (Feb., Case Studies). Wagner E.H.: See Daniel D.M. (Feb., Results). Wagner J.: See Hamilton Escoto K.H. Waldren S.E.: See Demiris G. Wallen T.K.: See Reiling J.G. Walrath D.: See Goel A. Wanavanichkul Y.: See Sriratanaban J. Wang A., Wolf M., Carlyle R., Wilkerson J., Porterfield D., Reaves J.: The North Carolina Experience with the Diabetes Health Disparities Collaboratives. Jul., 396–404. Wang M.C.: See Bodenheimer T. Wang Y.: See Tu G.S. Warner E.A., Seleznick M.J.: Using Medical Record Reminders to Improve Pneumococcal Vaccination Rates. Jun., 331–334.
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Waters W.J.: See Barr J.K. Weast B.: See Pronovost P.J. Weeks W.B.: See Mills P.D. Weingart S.N., Farbstein K., Davis R.B., Phillips R.S.: Using a Multihospital Survey to Examine the Safety Culture. Mar., 125–132. Weingarten S.R.: See Tu G.S. Weller W.E., Gallagher B.K., Cen L., Hannan E.L.: Readmissions for Venous Thromboembolism: Expanding the Definition of Patient Safety Indicators. Sep., 497–504. Westbury R.: See Salem-Schatz S. White T.M.: See Benczo C. Wilkerson J.: See Wang A. Willeumier D.: Advocate Health Care: A Systemwide Approach to Quality and Safety. Oct., 559–566. Wilson T.W., Gruen J., Thar W., Fetterolf D., Patel M., Popiel R.G., Lewis A., Nash D.B.: Assessing Return on Investment of Defined-Population Disease Management Interventions. Nov., 614–621. Wolf M.: See Wang A. Woodall S.C.: Remote Order Entry and Video Verification: Reducing After-Hours Medication Errors in a Rural Hospital. Aug., 442–447. Woodley K.S.: Improving Ambulatory Surgical Pain Management. Jan., 36–41. Wren P.J.: See Sullivan J. Wu J.: See Brown G.S. (Jeb).
Y Yates G.R., Hochman R.F., Sayles S.M., Stockmeier C.A.: Sentara Norfolk General Hospital: Accelerating Improvement by Focusing on Building a Culture of Safety. Oct., 534–542.
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