Search Results - "Paull, Douglas E."

Developing surgical and anesthesia resident patient safety competencies through systems-based event analysis. Guide to curricular development and evaluation of longer-term resident perceptions by Bagian, James P., Paull, Douglas E., DeRosier, Joseph M.

“…Previous studies have demonstrated that residents participating in patient safety event investigations become more engaged in future patient safety activities…”
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Choice of First Intervention is Related to Outcomes in the Management of Empyema by Wozniak, Curtis J., MD, Paull, Douglas E., MD, Moezzi, Jazbieh E., MD, Scott, Rosalyn P., MD, Anstadt, Mark P., MD, York, Virginia V., MS, Little, Alex G., MD

“…Background The study determined whether the first procedure; simple drainage (tube thoracostomy, pigtail catheter) or operation (video-assisted thoracic…”
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Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans Health Administration by Paull, Douglas E., M.D, Mazzia, Lisa M., M.D, Neily, Julia, R.N., M.S., M.P.H, Mills, Peter D., Ph.D., M.S, Turner, James R., B.S, Gunnar, William, M.D., J.D, Hemphill, Robin, M.D., M.P.H

“…Abstract Background The Universal Protocol has been associated with the prevention of wrong surgery procedures; however, such events still occur. This article…”
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Resident Well-Being and Patient Safety: Recognizing the Signs and Symptoms of Burnout by Rosenbluth, Susan C., PhD, Freymiller, Earl G., DMD, MD, Hemphill, Robin, MD, PhD, Paull, Douglas E., MD, MS, Stuber, Margaret, MD, Friedlander, Arthur H., DMD

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Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training by Paull, Douglas E., M.D, Mazzia, Lisa M., M.D, Izu, Brent S., M.D, Neily, Julia, R.N., M.S., M.P.H, Mills, Peter D., Ph.D, Bagian, James P., M.D., P.E

“…Abstract Background The purpose of this study was to examine which factors at a medical team training learning session predict future success in the…”
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Briefing guide study: preoperative briefing and postoperative debriefing checklists in the Veterans Health Administration medical team training program by Paull, Douglas E., M.D, Mazzia, Lisa M., M.D, Wood, Scott D., Ph.D, Theis, Max S., M.P.H, Robinson, Lori D., R.N., M.S.N, Carney, Brian, M.D, Neily, Julia, R.N., M.S., M.P.H, Mills, Peter D., Ph.D, Bagian, James P., M.D., P.E

“…Abstract Background The purpose of this study was to examine the outcomes of checklist-driven preoperative briefings and postoperative debriefings during the…”
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Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration by Soncrant, Christina M., MPH, Warner, Lisa J., MHA, RN, CNOR, Neily, Julia, MS, MPH, RN, Paull, Douglas E., MD, MS, Mazzia, Lisa, MD, Mills, Peter D., PhD, Gunnar, William, MD, JD, Hemphill, Robin R., MD, MPH

“…Abstract This quality improvement project describes 22 OR patient falls reported in the Veterans Health Administration between January 2010 and February 2016…”
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The effect of simulation-based crew resource management training on measurable teamwork and communication among interprofessional teams caring for postoperative patients by Paull, Douglas E, Deleeuw, Lori D, Wolk, Seth, Paige, John T, Neily, Julia, Mills, Peter D

“…Many adverse events in health care are caused by teamwork and communication breakdown. This study was conducted to investigate the effect of a point-of-care…”
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Association Between Implementation of a Medical Team Training Program and Surgical Mortality by 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

“…CONTEXT There is insufficient information about the effectiveness of medical team training on surgical outcomes. The Veterans Health Administration (VHA)…”
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Effective followership: A standardized algorithm to resolve clinical conflicts and improve teamwork by Sculli, Gary L., Fore, Amanda M., Sine, David M., Paull, Douglas E., Tschannen, Dana, Aebersold, Michelle, Seagull, F. Jacob, Bagian, James P.

“…In healthcare, the sustained presence of hierarchy between team members has been cited as a common contributor to communication breakdowns. Hierarchy serves to…”
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Handovers During Anesthesia Care: Patient Safety Risk or Opportunity for Improvement? by Bagian, James P, Paull, Douglas E

“…Optimal patient care and clinical outcomes depend not only on technical knowledge and skill but, even more importantly, on ready access to critical information…”
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Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients by Giardina, Traber Davis, King, Beth J, Ignaczak, Aartee P, Paull, Douglas E, Hoeksema, Laura, Mills, Peter D, Neily, Julia, Hemphill, Robin R, Singh, Hardeep

“…Delays in diagnosis and treatment are widely considered to be threats to outpatient safety. However, few studies have identified and described what factors…”
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Retained Guidewires in the Veterans Health Administration: Getting to the Root of the Problem by Cherara, Leila, Sculli, Gary L., Paull, Douglas E., Mazzia, Lisa, Neily, Julia, Mills, Peter D.

“…The aims of this study were to investigate the demographics, causes, and contributing factors of retained guidewires (GWs) and to make specific recommendations…”
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The Pursuing Excellence Collaborative: Engaging First-Year Residents and Fellows in Patient Safety Event Investigations by Paull, Douglas E., Newton, Robin C., Tess, Anjala V., Bagian, James P., Kelz, Rachel R., Weiss, Kevin B.

“…Resident and fellow engagement in patient safety event investigations (PSEIs) can benefit both the clinical learning environment's ability to improve patient…”
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Anesthesia Adverse Events Voluntarily Reported in the Veterans Health Administration and Lessons Learned by Neily, Julia, Silla, Elda S, Sum-Ping, Sam (John) T, Reedy, Roberta, Paull, Douglas E, Mazzia, Lisa, Mills, Peter D, Hemphill, Robin R

“…BACKGROUND:Anesthesia providers have long been pioneers in patient safety. Despite remarkable efforts, anesthesia errors still occur, resulting in…”
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A Review of Adverse Event Reports From Emergency Departments in the Veterans Health Administration by Gill, Sonia, Mills, Peter D., Watts, Bradley V., Paull, Douglas E., Tomolo, Anne

“…BACKGROUNDPrevious work assessing the frequency of adverse events in emergency medicine has been limited. The emergency department (ED) provides an initial…”
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How Well Do Incident Reporting Systems Work on Inpatient Psychiatric Units? by Reilly, Clifford A., Cullen, Sara Wiesel, Watts, Bradley V., Mills, Peter D., Paull, Douglas E., Marcus, Steven C.

“…Adverse events and medical errors have been shown to be a persistent issue in health care. However, little research has been conducted regarding the efficacy…”
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Wrong-side thoracentesis: lessons learned from root cause analysis by Miller, Kristen E, Mims, Maisha, Paull, Douglas E, Williams, Linda, Neily, Julia, Mills, Peter D, Lee, Caryl Z, Hemphill, Robin R

“…Despite the recognized value of the Joint Commission's Universal Protocol and the implementation of time-outs, incorrect surgical procedures are still among…”
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Root Cause Analyses of Reported Adverse Events Occurring During Gastrointestinal Scope and Tube Placement Procedures in the Veterans Health Association by Soncrant, Christina, Mills, Peter D., Neily, Julia, Paull, Douglas E., Hemphill, Robin R.

“…OBJECTIVEThis study describes reported adverse events related to gastrointestinal (GI) scope and tube placement procedures (between January 2010 and June…”
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Sharing Lessons Learned to Prevent Adverse Events in Anesthesiology Nationwide by Soncrant, Christina, Neily, Julia, Sum-Ping, Sam John T., Wallace, Arthur W., Mariano, Edward R., Leissner, Kay B., Mills, Peter D., Mazzia, Lisa, Paull, Douglas E.

“…OBJECTIVESThe Veterans Health Administration (VHA) lessons learned process for Anesthesia adverse events was developed to alert the field to the occurrences…”
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