The Joint Commission Journal on Quality and Patient Safety
2012 Author Index A Aboumatar H: See Petrovic MA Agins BD: See Gonzalez CJ Agrawal A. Counting Matters: Lessons from the Root Cause Analysis of a Retained Surgical Item. Dec, 566–574. Ahmed A: See Wong R Ali NMK: See Vetter TR Allam AA: See Wong R Allen S. See Iedema R Alpern R: See Yuan CT Andres E: See Maul L Appel A: See Swenson CJ Archibald L: See Rahman M Aristizabal R: See Santibáñez P Armstrong G, Headrick L, Madigosky W, Ogrinc G. Designing Education to Improve Care. Jan, 5–14. Augustine JJ: See Pines JM; Welch SJ Avrunin GS: See Mertens WC B Baier R: See Yan H Baker DA: See Russ AL Bandari J, Schumacher K, Simon M, Cameron D, Goeschel CA, Holzmueller CG, Makary MA, Welsh RJ, Berenholtz SM. Surfacing Safety Hazards Using Standardized Operating Room Briefings and Debriefings at a Large Regional Medical Center. Apr, 154–160. Banna AE: See Wong R Barney K: See Elder NC Bates DW: See Hug BL Bentley SK: See Melnick ER Berman S. An Interview with Jerod Loeb, PhD. Jul, 296–300. Berenholtz SM: See Bandari J; Bundy DG; Duval-Arnould J; Munoz M Bernard SL: See Sorensen AV Borzecki AM, Cowan AJ, Cevasco M, Shin MH, Shwartz M, Itani K, Rosen AK. Is Development of Postoperative Venous Thromboembolism Related to Thromboprophylaxis Use? A Case-Control Study in the Veterans Health Administration. Aug, 348–358. Bottrell MM: See Foglia MB 1
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Boudreaux AM: See Vetter TR Bradley EH: See Wong R; Yuan CT Brandt J: See Wakefield DS Brenner S: See Fleischut PM Broida RI: See Pines JM Budnitz TL: See Maynard GA Bundy DG, Marsteller JA, Wu AW, Engineer LD, Berenholtz SM, Caughey AH, Silver D, Tian J, Thompson RE, Miller MR, Lehmann CU. Electronic Health Record–Based Monitoring of Primary Care Patients at Risk of Medication-Related Toxicity. May, 216–223. Burns J: See Wakefield DS C Cameron D: See Bandari J Capraro A, Stack A, Harper MB, Kimia A. Detecting Unapproved Abbreviations in the Electronic Medical Record. Apr, 178–183. Cardwell TB: See Gardella JE Cassells LJ: See Mertens WC Cassity C: See Compton J Castle NG, Wagner LM, Sonon K, Ferguson-Rome JC. Measuring Administrators’ and Direct Care Workers’ Perceptions of the Safety Culture in Assisted Living Facilities. Aug, 375–382. Castle NG: See Wagner LM Caughey AH: See Bundy DG Cevasco M: See Borzecki AM Chandler AM: See Mion LC Chang Y: See Munoz M Chanko B: See Foglia MB Chow VS: See Santibáñez P Christov SC: See Mertens WC Ciarkowski S: See Tran M Clarke JR: See Pines JM Clarke LA: See Mertens WC Clements K: See Wakefield DS Cohen AB: See McHugh M Cohen B, Hyman S, Rosenberg L, Larson E. Frequency of Patient Contact with Health Care Personnel and Visitors: Implications for Infection Prevention. Dec, 560–565. Colantuoni E: See Duval-Arnould J
Volume 38 Number 12
The Joint Commission Journal on Quality and Patient Safety
2012 Author Index Compton J, Copeland K, Flanders S, Cassity C, Spetman M, Xiao Y, Kennerly D. Implementing SBAR Across a Large Multihospital Health System. Jun, 261–268. Conway PH: See Goodrich K Conway WA, Hawkins S, Jordan J, Voutt-Goos MJ. The Henry Ford Health System No Harm Campaign: A Comprehensive Model to Reduce Harm and Save Lives. Jul, 318–327. Copeland K: See Compton J Cover R: See Herzer KR Cowan AJ: See Borzecki AM Cruz H: See Gonzalez CJ D Dabney BW: See Kalisch BJ Davis W: See Wakefield DS Despins L: See Wakefield DS Dietrich MS: See Mion LC Din RZE: See Wong R Dintzis J: See Munoz M Dong L: See Welch SJ Doyle AP: See Herzer KR Droogh JM, Kruger HL, Ligtenberg JJM, Zijlstra JG. Simulator-Based Crew Resource Management Training for Interhospital Transfer of Critically Ill Patients by a Mobile ICU. Dec, 554–559. Duval-Arnould J, Mathews SC, Weeks K, Colantuoni E, Mukherjee A, Nundy S, Watson SR, Holzmueller CG, Lubomski LH, Goeschel CA, Pronovost PJ, Pham JC, Berenholtz SM. Using the Opportunity Estimator Tool to Improve Engagement in a Quality and Safety Intervention. Jan, 41–47. Duncan JR: See Gottumukkala R Dziura JD: See Melnick ER E Ehrenfeld JM, Henneman JP, Peterfreund RA, Sheehan TD, Xue F, Spring S, Sandberg WS. Ongoing Professional Performance Evaluation (OPPE) Using Automatically Captured Electronic Anesthesia Data. Feb, 73–80. Efird L: See Munoz M Elder NC, Barney K. “But What Does It Mean for Me?” December 2012
Primary Care Patients’ Communication Preferences for Test Results Notification. Apr, 168–176. Engineer LD: See Bundy DG Evans AS: See Fleischut PM F Faggiani SL: See Fleischut PM Fahner WJ: See Russ AL Farley H: See Pines JM Fauerbach LL: See Rahman M Fenner Z: See Swenson CJ Ferguson-Rome JC: See Castle NG Fitzpatrick M: See Gottumukkala R Flanders S: See Compton J Fleischut PM, Faggiani SL, Evans AS, Brenner S, Liebowitz RS, Forese L, Kerr GE, Lazar EJ. The Effect of a Novel Housestaff Quality Council on Quality and Patient Safety. Jul, 311–317. Foglia MB, Fox E, Chanko B, Bottrell MM. Preventive Ethics: Addressing Ethics Quality Gaps on a Systems Level. Mar, 103–111. Fong A: See Peng LH Fonseca K: See Siemieniuk RAC Forese L: See Fleischut PM Fox E: See Foglia MB Franklin M: See Pines JM Friedman WA: See Rahman M Fuller DC: See Pines JM G Gandhi TK: See Pernar LIM Garcia E: See Goodrich K Gardella JE, Cardwell TB, Nnadi M. Improving Medication Safety with Accurate Preadmission Medical Lists and Postdischarge Education. Oct, 452–458. Gardent PB: See Splaine ME Gardner R: See Yan H Garrett L: See Patel SJ Gill MJ: See Siemieniuk RAC Gillette-Arroyo J: See Patel SJ Goeschel CA: See Bandari J; Duval-Arnould J Golden SH: See Munoz M Volume 38 Number 12
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2012 Author Index Gonzalez CJ, Rivera CA, Martin RJ, Mergian GA, Cruz H, Agins BD: Using Computer-Based Monitoring and Intervention to Prevent Harmful Combinations of Antiretroviral Drugs in the New York State AIDS Drug Assistance Program. Jun, 269–276. Goodrich K, Garcia E, Conway PH. A History of and a Vision for CMS Quality Measurement Programs. Oct, 465–470. Gottumukkala R, Street M, Fitzpatrick M, Tatineny P, Duncan JR. Improving Team Performance During the Preprocedure Time-Out in Pediatric Interventional Radiology. Sep, 387–394. Gray J, Razmus I. Improving Venous Thromboembolism Prevention Processes and Outcomes at a Community Hospital. Feb, 61–66. Greenwald JL: See Maynard GA H Hafez AR: See Wong R Hahn-Cover K: See Wakefield DS Hammer A: See Swenson CJ Harbrecht M: See Swenson CJ Harper MB: See Capraro A Hasnain-Wynia R: See McHugh M Hathi S: See Wong R Hawkins S: See Conway WA Headrick L: See Armstrong G Henneman EA: See McComb SA Henneman JP: See Ehrenfeld JM Herzer KR, Mirrer M, Xie Y, Steppan J, Li M, Jung C, Cover R, Doyle AP, Mark LJ. Patient Safety Reporting Systems: Sustained Quality Improvement Using a Multidisciplinary Team and “Good Catch” Awards. Aug, 339–347. Hinchey KT: See McComb SA Hoffman F: See Kliger J Holzmueller CG: See See Bandari J; Duval-Arnould J Hong TP: See Peng LH Hoon NS: See Peng LH Horwitz L: See Lovig KO Huang W: See Santibáñez P Hug BL, Keohane C, Seger DL, Yoon C, Bates DW. The Costs of Adverse Drug Events in Community Hospitals. 3
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Mar, 120–126. Hyman S: See Cohen B I Iedema R., Allen S. Anatomy of an Incident Disclosure: The Importance of Dialogue. Oct, 435–442. Inzucchi SE: See Lovig KO Itani K: See Borzecki AM J Jain SH: See Sandhu E James BC: See Welch SJ Johnson ES: See Thorp ML Jordan J: See Conway WA Jung C: See Herzer KR K Kalisch BJ, McLaughlin M, Dabney BW. Patient Perceptions of Missed Nursing Care. Apr, 161–167. Kang R: See McHugh M Karliner LS: See Tuot DS Kaucky C: See Sikka R Kellett J. Editorial: Will Continuous Surveillance Monitoring of Vital Signs Provide Cheaper, Safer, and Better Hospital Care for All? Sep, 428–431. Kelly JJ: See Pines JM Kemmerer T: See Munoz M Kennerly D: See Compton J Kenney L: See Pratt S Keohane C: See Hug BL Kerr GE: See Fleischut PM Kerr KM: See Maynard GA Kessler LA: See Mion LC Kimia A: See Capraro A Klauer K: See Pines JM Kleppel R: See McComb SA Kliger J, Singer S, Hoffman F, O’Neil E. Spreading a Medication Administration Intervention Organizationwide in Six Hospitals. Feb, 51–60. Kolios-Morris V: See Nair BG Kollmannsberger C: See Santibáñez P Kosiborod M: See Lovig KO Volume 38 Number 12
The Joint Commission Journal on Quality and Patient Safety
2012 Author Index Kotlyar S: See Melnick ER Kruger HL: See Droogh JM Krumholz HM: See Lovig KO; Wong R Kulstad E: See Sikka R L Lacroix SE: See Pernar LIM Larson E: See Cohen B Lazar EJ: See Fleischut PM Lee A, Mills P, Neily J. Using Root Cause Analysis to Reduce Falls with Injury in Community Settings. Aug, 366–374. Lehmann CU: See Bundy DG Levey AS: See Thorp ML Li M: See Herzer KR Liebowitz RS: See Fleischut PM Ligtenberg JJM: See Droogh JM Lin A: See Patel SJ Lin CJ, Nowalk MP, Zimmerman RK. Estimated Costs Associated with Improving Influenza Vaccination for Health Care Personnel in a Multihospital Health System. Feb, 67-72. Linnander EL: See Wong R Lipska K: See Lovig KO Longhurst CA: See Patel SJ Lopez M: See Tuot DS Lovig KO, Horwitz L, Lipska K, Kosiborod M, Krumholz HM, Inzucchi SE. Discontinuation of Antihyperglycemic Therapy After Acute Myocardial Infarction: Medical Necessity or Medical Error? Sep, 403–407. Lubomski LH: See Duval-Arnould J M Mackenzie ER: See Phipps E Madigosky W: See Armstrong G Main DS: See Swenson CJ Makary MA: See Bandari J Maraghi ME: See Wong R Marquard JL: See Mertens WC Mark JD: See Patel SJ Mark LJ: See Herzer KR Marsteller JA: See Bundy DG Martin RJ: See Gonzalez CJ December 2012
Martinez EA: See Petrovic MA Mathews SC: See Duval-Arnould J Maul L, Regenstein M, Andres E, Wright R, Wynia MK. Using A Risk Assessment Approach to Determine Which Factors Influence Whether Partially Bilingual Physicians Rely on Their Non-English Language Skills or Call an Interpreter. Jul, 328–336. Maynard GA, Budnitz TL, Nickel WK, Greenwald JL, Kerr KM, Miller JA, Resnic JN, Rogers KM, Schnipper JL, Stein JM, Whitcomb WF, Williams MV. Mentored Implementation: Building Leaders and Achieving Results Through a Collaborative Improvement Model. Jul, 301–310. McComb SA, Henneman EA, Hinchey KT, Richardson CJ, Peto RR, Kleppel R, Rose DN. Improving Teamwork on General Medical Units: When Teams Do Not Work Faceto-Face. Oct, 471–478. McDonald SM: See Wagner LM McGrath S: See Pyke J McHugh M, Kang R, Cohen AB, Restuccia JD, HasnainWynia R. Reporting Information on Emergency Department Crowding to the Hospital Board and Delivery of Time-Sensitive Care. May, 229–234. McKethan A: See Sandhu E McLaughlin M: See Kalisch BJ Meisl H: See Pines JM Melnick ER, Szlezak CM, Bentley SK, Dziura JD, Kotlyar S, Post LA. CT Overuse for Mild Traumatic Brain Injury. Nov, 483–489. Mergian GA: See Gonzalez CJ Mertens WC, Christov SC, Avrunin GS, Clarke LA, Osterweil LJ, Cassells LJ, Marquard JL. Using Process Elicitation and Validation to Understand and Improve Chemotherapy Ordering and Delivery. Nov, 497–505. Miller C: See Tuot DS Miller JA: See Maynard GA Miller MR: See Bundy DG Miller ST: See Mion LC Mills P: See Lee A Mion LC, Chandler AM, Waters TM, Dietrich MS, Kessler LA, Miller ST, Shorr RI. Is It Possible to Identify Risks for Injurious Falls in Hospitalized Patients? Sep, 408–414. Volume 38 Number 12
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2012 Author Index Mirrer M: See Herzer KR Mukherjee A: See Duval-Arnould J Munoz M, Pronovost P, Dintzis J, Kemmerer T, Wang N, Chang Y, Efird L, Berenholtz SM, Golden SH. Implementing and Evaluating a Multicomponent Inpatient Diabetes Management Program: Putting Research into Practice. May, 195–206. Muoneke R: See Thorp ML
N Nair BG, Peterson GN, Newman S, Wu W, Kolios-Morris V, Schwid HA: Improving Documentation of a Beta-Blocker Quality Measure Through an Anesthesia Information Management System and Real-Time Notification of Documentation Errors. Jun, 283–288. Neily J: See Lee A Nelson WA: See Splaine ME Newman S: See Nair BG Ng A: See Peng LH Nickel WK: See Maynard GA Nnadi M: See Gardella JE Nordin T: See Santibáñez P Nowalk MP: See Lin CJ Nundy S: See Duval-Arnould J O Ogrinc G: See Armstrong G O’Neil E: See Kliger J Osterweil LJ: See Mertens WC P Patel SJ, Longhurst CA, Lin A, Garrett L, Gillette-Arroyo J, Mark JD, Wood MS, Sharek PJ. Integrating the Home Management Plan of Care for Children with Asthma into an Electronic Medical Record. Aug, 359–365. Peng LH, Fong A, Phaik CS, Hong TP, Hoon NS, Xuan CLT, Yick K, Ng A. Improving Presurgical Pupil Dilation for Cataract Surgery Patients. Sep, 420–425. Pernar LIM, Shaw TJ, Pozner CN, Vogelgesang KR, Lacroix SE, Gandhi TK, Peyre SE. Using an Objective Structured Clinical Examination to Test Adherence to Joint 5
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Commission National Patient Safety Goal–Associated Behaviors. Sep, 414–419. Peterfreund RA: See Ehrenfeld JM Peterson GN: See Nair BG Peto RR: See McComb SA Petrik AF: See Thorp ML Petrovic MA, Martinez EA, Aboumatar H. Implementing a Perioperative Handoff Tool to Improve Postprocedural Patient Transfers. Mar, 135–142. Peyre SE: See Pernar LIM Phaik CS: See Peng LH Pham JC: See Duval-Arnould J Phelan MP: See Pines JM Phibbs S: See Swenson CJ Phipps E, Turkel M, Mackenzie ER, Urrea C. He Thought the “Lady in the Door” Was the “Lady in the Window”: A Qualitative Study of Patient Identification Practices. Mar, 127–134. Pines JM, Kelly JJ, Meisl H, Augustine JJ, Broida RI, Clarke JR, Farley H, Franklin M, Fuller DC, Klauer K, Phelan MP, Schuur JD, Stone-Griffith S, Thallner E, Wears RL: Procedural Safety in Emergency Care: A Conceptual Model and Recommendations. Nov, 516-526. Post LA: See Melnick ER Pozner CN: See Pernar LIM Pratt S, Kenney L, Scott SD, Wu AW. How to Develop a Second Victim Support Program: A Toolkit for Health Care Organizations. May, 235–240. Pronovost PJ: See Duval-Arnould J; Munoz M Puterman ML: See Santibáñez P Pyke J, Taenzer AH, Renaud CE, McGrath SP. Developing a Continuous Monitoring Infrastructure for Detection of Inpatient Deterioration. Sep, 428–431. R Ragan R: See Wakefield DS Rahman M, Whiting JH, Fauerbach LL, Archibald L, Friedman WA. Reducing Ventriculostomy-Related Infections to Near Zero: The Eliminating Ventriculostomy Infection Study. Oct, 459–464. Razmus I: See Gray J Regenstein M: See Maul L Volume 38 Number 12
The Joint Commission Journal on Quality and Patient Safety
2012 Author Index Renaud CE: See Pyke J Resnic JN: See Maynard GA Restuccia JD: See McHugh M Richardson CJ: See McComb SA Rivera CA: See Gonzalez CJ Rogers KM: See Maynard GA Rose DN: See McComb SA Rosen AK: See Borzecki AM Rosenberg L: See Cohen B Runzer N: See Santibáñez P Russ AL, Weiner M, Russell SA, Baker DA, Fahner WJ, Saleem JJ: Design and Implementation of a Hospital-Based Usability Laboratory: Insights from a Department of Veterans Affairs Laboratory for Health Information Technology. Dec, 531–540. Russell SA: See Russ AL S Saleem JJ: See Russ AL Sandburg WS: See Ehrenfeld JM Sandhu E, Weinstein S, McKethan A, Jain SH. Secondary Uses of Electronic Health Record Data: Benefits and Barriers. Jan, 34–40. Santibáñez P, Aristizabal R, Puterman ML, Chow VS, Huang W, Kollmannsberger C, Nordin T, Runzer N, Tyldesley S. Operations Research Methods Improve Chemotherapy Patient Appointment Scheduling. Dec, 541–553. Savitz LA: See Welch SJ Schenkel SM: Editorial: Doing and Documenting. Nov, 513–514. Schnipper JL: See Maynard GA Schumacher K: See Bandari J Schuur JD: See Pines JM Schwid HA: See Nair BG Scott SD: See Pratt S Seger DL: See Hug BL Shakpeh J: See Yuan CT Sharek PJ: See Patel SJ Shaw TJ: See Pernar LIM Sheehan M: See Swenson CJ Sheehan TD: See Ehrenfeld JM Shin MH: See Borzecki AM December 2012
Shorr RI: See Mion LC Shwartz M: See Borzecki AM Siemieniuk RAC, Fonseca K, Gill MJ: Using Root Cause Analysis and Form Redesign to Reduce Incorrect Ordering of HIV Tests. Nov, 506–512. Sikka R, Sweis R, Kaucky C, Kulstad E. Automated Dispensing Cabinet Alert Improves Compliance with Obtaining Blood Cultures Before Antibiotic Administration for Patients Admitted with Pneumonia. May, 224–228. Silver D: See Bundy DG Simon M: See Bandari J Singer S: See Kliger J Smith DH: See Thorp ML Snow G: See Welch SJ Snyder SR: See Thorp ML Sonon K: See Castle NG Sorensen AV, Bernard SL. Accelerating What Works: Using Qualitative Research Methods in Developing a Change Package for a Learning Collaborative. Feb, 89–95. Spetman M: See Compton J Splaine ME, Nelson WA, Gardent PB. Editorial: Broadening Implementation of a Preventive Ethics Approach. Mar, 99–102. Spring S: See Ehrenfeld JM Stack A: See Capraro A Stein JM: See Maynard GA Steinmann W: See Wakefield DS Steppan J: See Herzer KR Stevenson JG: See Tran M Stone-Griffith S: See Pines JM Street M: See Gottumukkala R Sweis R: See Sikka R Swenson CJ, Appel A, Sheehan M, Hammer A, Fenner Z, Phibbs S, Harbrecht M, Main DS. Using Information Technology to Improve Adult Immunization Delivery in an Integrated Urban Health System. Jan, 15–23. Szlezak CM: See Melnick ER T Taenzer AH: See Pyke J Tatineny P: See Gottumukkala R Volume 38 Number 12
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The Joint Commission Journal on Quality and Patient Safety
2012 Author Index Thallner E: See Pines JM Thomas EJ. An Interview with Kenneth Shine, MD. Jul, 292–295. Thompson RE: See Bundy DG Thorp ML, Smith DH, Johnson ES, Vupputuri S, Weiss JW, Petrik AF, Yang X, Levey AS, Wasse H, Muoneke R, Snyder SR: Proteinuria Among Patients with Chronic Kidney Disease: A Performance Measure for Improving Patient Outcomes. Jun, 277–282. Tian J: See Bundy DG Tomarken JL: See Yuan CT Tran M, Ciarkowski S, Wagner D, Stevenson JG. A Case Study on the Safety Impact of Implementing Smart Patient-Controlled Analgesic Pumps at a Tertiary Care Academic Medical Center. Mar, 112–119. Tregnago M: See Wakefield DS Tuot DS, Lopez M, Miller C, Karliner LS. Impact of an Easy-Access Telephonic Interpreter Program in the Acute Care Setting: An Evaluation of a Quality Improvement Intervention. Feb, 81–88. Turkel M: See Phipps E Tyldesley S: See Santibáñez P U Urrea C: See Phipps E V Van Kooy M. Editorial: Advanced Data Analytics in Performance Improvement. Oct, 443. Vetter TR, Ali NMK, Boudreaux AM: A Case-Control Study of an Intraoperative Corneal Abrasion Prevention Program: Holding the Gains Made with a Continuous Quality Improvement Effort. Nov, 490–496. Vogelgesang KR: See Pernar LIM Voutt-Goos MJ: See Conway WA Vupputuri S: See Thorp ML W Wagner D: See Tran M Wagner LM, McDonald SM, Castle NG. Relationship Between Nursing Home Safety Culture and Joint Commission Accreditation. May, 207–215. 7
December 2012
Wagner LM: See Castle NG Walsh D: See Yuan CT Wakefield BJ: See Wakefield DS Wakefield DS, Clements K, Wakefield BJ, Burns J, HahnCover K. A Framework for Analyzing Data from the Electronic Health Record: Verbal Orders as a Case in Point. Oct, 444–451. Wakefield DS, Ragan R, Brandt J, Tregnago M: Making the Transition to Nursing Bedside Shift Reports. Jun, 243–253. Wakefield DS, Wakefield BJ, Despins L, Brandt J, Davis W, Clements K, Steinmann W. A Review of Verbal Order Policies in Acute Care Hospitals. Jan, 24–33. Wang N: See Munoz M Wasse H: See Thorp ML Waters TM: See Mion LC Watson SR: See Duval-Arnould J Weeks K: See Duval-Arnould J Weiner M: See Russ AL Weinstein S: See Sandhu E Weiss JW: See Thorp ML Welch SJ, Augustine JJ, Dong L, Savitz LA, Snow G, James BC. Volume-Related Differences in Emergency Department Performance. Sep, 395–402. Welsh RJ: See Bandari J Whitcomb WF: See Maynard GA Whiting JH: See Rahman M Williams MV: See Maynard GA Wong R, Hathi S, Linnander EL, Banna AE, Maraghi ME, Din RZE, Ahmed A, Hafez AR, Allam AA, Krumholz HM, Bradley EH. Building Hospital Management Capacity to Improve Patient Flow for Cardiac Catheterization at a Cardiovascular Hospital in Egypt. Apr, 147–153. Wood MS: See Patel SJ Wright R: See Maul L Wu AW: See Bundy DG; Pratt S Wu W: See Nair BG Wynia MK: See Maul L
Volume 38 Number 12
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2012 Author Index X Xiao Y: See Compton J Xie Y: See Herzer KR Xuan CLT: See Peng LH Xue F: See Ehrenfeld JM
Y Yan H, Gardner R, Baier R. Beyond the Focus Group: Understanding Physicians’ Barriers to Electronic Medical Records. Apr, 184–191. Yang X: See Thorp ML Yick K: See Peng LH Yoon C: See Hug BL Yuan CT, Walsh D, Tomarken JL, Alpern R, Shakpeh J, Bradley EH: Incorporating the World Health Organization Surgical Safety Checklist into Practice at Two Hospitals in Liberia. Jun, 254-260. Z Zijlstra JG: See Droogh JM Zimmerman RK: See Lin CJ
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