1. 'The problem with…': a new series on problematic improvements and problematic problems in healthcare quality and patient safety.

    BMJ Quality & Safety 24(4):246 (2015) PMID 25788293

  2. Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general medicine ward.

    BMJ Quality & Safety 24(4):272 (2015) PMID 25749028 PMCID PMC4387453

    Retrospective record review using trigger tools remains the most widely used method for measuring adverse events (AEs) to identify targets for improvement and measure temporal trends. However, medical records often contain limited information about factors contributing to AEs. We implemented an ...
  3. A Qualitative Analysis of Physician Perspectives on Missed and Delayed Outpatient Diagnosis: The Focus on System-Related Factors.

    Joint Commission journal on quality and patient... 40(10):461 (2014) PMID 26111306

    Delayed and missed diagnoses lead to significant patient harm. Because physician actions are fundamental to the outpatient diagnostic process, a study was conducted to explore physician perspectives on diagnosis. As part of a quality improvement initiative, an integrated health system conducted ...
  4. 'I think we should just listen and get out': a qualitative exploration of views and experiences of Patient Safety Walkrounds.

    BMJ Quality & Safety 23(10):823 (2014) PMID 24407100

    This article is an exploration of views and experiences of Patient Safety Walkrounds, a widely recommended strategy for identifying patient safety problems and improving safety culture. Qualitative analysis of semistructured, in-depth interviews with 11 senior leaders and 33 front-line staff at ...
  5. 'I think we should just listen and get out': a qualitative exploration of views and experiences of Patient Safety Walkrounds.

    BMJ Quality & Safety 23(10):823 (2014) PMID 24407100

    This article is an exploration of views and experiences of Patient Safety Walkrounds, a widely recommended strategy for identifying patient safety problems and improving safety culture. Qualitative analysis of semistructured, in-depth interviews with 11 senior leaders and 33 front-line staff at ...
  6. Simpson's paradox: how performance measurement can fail even with perfect risk adjustment.

    BMJ Quality & Safety 23(9):701 (2014) PMID 25118292

  7. Simpson's paradox: how performance measurement can fail even with perfect risk adjustment.

    BMJ Quality & Safety 23(9):701 (2014) PMID 25118292

  8. Reducing antimicrobial therapy for asymptomatic bacteriuria among noncatheterized inpatients: a proof-of-concept study.

    Clinical Infectious Diseases 58(7):980 (2014) PMID 24577290

    This proof-of-concept study demonstrates that no longer routinely reporting urine culture results from noncatheterized medical and surgical inpatients can greatly reduce unnecessary antimicrobial therapy for asymptomatic bacteriuria without significant additional laboratory workload. Larger stud...
  9. Building knowledge, asking questions.

    BMJ Quality & Safety 23(4):265 (2014) PMID 24365606

  10. Building knowledge, asking questions.

    BMJ Quality & Safety 23(4):265 (2014) PMID 24365606

  11. Reducing antimicrobial therapy for asymptomatic bacteriuria among noncatheterized inpatients: a proof-of-concept study.

    Clinical Infectious Diseases 58(7):980 (2014) PMID 24577290

    This proof-of-concept study demonstrates that no longer routinely reporting urine culture results from noncatheterized medical and surgical inpatients can greatly reduce unnecessary antimicrobial therapy for asymptomatic bacteriuria without significant additional laboratory workload. Larger stud...
  12. Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative study.

    PLoS ONE 9(9):e108585 (2014) PMID 25260030 PMCID PMC4178177

    The surgical safety checklist (SSC) is meant to enhance patient safety but studies of its impact conflict. This study explored factors that influenced SSC adherence to suggest how its impact could be optimized. Participants were recruited purposively by profession, region, hospital type and time...
  13. Impact of stated barriers on proposed warfarin prescription for atrial fibrillation: a survey of Canadian physicians.

    Thrombosis Journal 12:13 (2014) PMID 25161388 PMCID PMC4144316

    Atrial fibrillation (AF) is a common cardiac arrhythmia, and leading cause of ischemic stroke. Despite proven effectiveness, warfarin remains an under-used treatment in atrial fibrillation patients. We sought to study, across three physician specialties, a range of factors that have been argued ...
  14. Impact of stated barriers on proposed warfarin prescription for atrial fibrillation: a survey of Canadian physicians.

    Thrombosis Journal 12:13 (2014) PMID 25161388 PMCID PMC4144316

    Atrial fibrillation (AF) is a common cardiac arrhythmia, and leading cause of ischemic stroke. Despite proven effectiveness, warfarin remains an under-used treatment in atrial fibrillation patients. We sought to study, across three physician specialties, a range of factors that have been argued ...
  15. Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative study.

    PLoS ONE 9(9):e108585 (2014) PMID 25260030 PMCID PMC4178177

    The surgical safety checklist (SSC) is meant to enhance patient safety but studies of its impact conflict. This study explored factors that influenced SSC adherence to suggest how its impact could be optimized. Participants were recruited purposively by profession, region, hospital type and time...
  16. Building capacity for quality: a pilot co-learning curriculum in quality improvement for faculty and resident learners.

    Journal of Graduate Medical Education 5(4):689 (2013) PMID 24455026 PMCID PMC3886476

    Despite a mandate to teach quality improvement (QI) to residents, many training programs lack faculty capacity to deliver a QI curriculum. We piloted a co-learning curriculum in QI to train residents while simultaneously developing QI teachers. We evaluated the curriculum's acceptability and fea...
  17. Building capacity for quality: a pilot co-learning curriculum in quality improvement for faculty and resident learners.

    Journal of Graduate Medical Education 5(4):689 (2013) PMID 24455026 PMCID PMC3886476

    Despite a mandate to teach quality improvement (QI) to residents, many training programs lack faculty capacity to deliver a QI curriculum. We piloted a co-learning curriculum in QI to train residents while simultaneously developing QI teachers. We evaluated the curriculum's acceptability and fea...
  18. Building capacity for quality: a pilot co-learning curriculum in quality improvement for faculty and resident learners.

    Journal of Graduate Medical Education 5(4):689 (2013) PMID 24455026 PMCID PMC3886476

    Despite a mandate to teach quality improvement (QI) to residents, many training programs lack faculty capacity to deliver a QI curriculum. We piloted a co-learning curriculum in QI to train residents while simultaneously developing QI teachers. We evaluated the curriculum's acceptability and fea...
  19. Conventional evaluations of improvement interventions: more trials or just more tribulations?

    BMJ Quality & Safety 22(11):881 (2013) PMID 24077851

  20. Conventional evaluations of improvement interventions: more trials or just more tribulations?

    BMJ Quality & Safety 22(11):881 (2013) PMID 24077851