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1.
Reticulocytosis after hyperbaric oxygen therapy in Jehovah's Witness patient with severe anemia. MedStar authors:
  • Carlin, Katie N
  • Johnson-Arbor, Kelly
  • Verstraete Richard
Year: 2019
Citation:
  • 2019/04/30/
Department:
  • MedStar Institute for Quality and Safety
Form of publication:
  • Poster Presentation
All authors:
  • Verstraete R, Johnson-Arbor K.
Local accession number:
  • C2019_3
2.
Lessons learned from implementing a principled approach to resolution following patient harm. MedStar authors:
  • Mayer, David
  • Smith, Kelly
  • Smith, Larry
Year: 2019
Citation:
  • 2019/04/30/
Department:
  • MedStar Institute for Quality and Safety
Form of publication:
  • Poster Presentation
All authors:
  • Mayer D, Smith L, Smith K.
Local accession number:
  • C2019_235
3.
Engaging patients: promising strategies to bridge the patient safety chasm in primary care. MedStar authors:
  • Baker, Kelley
  • Goeschel, Christine
  • Hatlie, Martin
  • Smith, Kelly
Year: 2019
Citation:
  • 2019/04/30/
Department:
  • MedStar Institute for Quality and Safety
Form of publication:
  • Poster Presentation
All authors:
  • Smith K, Baker K, Hatlie M, Shofer M, Goeschel C.
Local accession number:
  • C2019_261
4.
Improving healthcare diagnosis: From awareness to action. MedStar authors:
  • Calabria, Tony
  • Goeschel, Christine
Year: 2019
Citation:
  • 2019/04/30/
Department:
  • MedStar Institute for Quality and Safety
Form of publication:
  • Poster Presentation
All authors:
  • Goeschel C, Calabria T.
Local accession number:
  • C2019_231
5.
Delayed and missed diagnoses analysis. MedStar authors:
  • Calabria, Tony
  • Goeschel, Christine
Year: 2019
Citation:
  • 2019/04/30/
Department:
  • MedStar Institute for Quality and Safety
Form of publication:
  • Poster Presentation
All authors:
  • Martin J, Goeschel C, Calabria T.
Local accession number:
  • C2019_232
6.
A modified Delphi study to identify the features of high quality measurement plans for healthcare improvement projects. MedStar authors:
  • Goeschel, Christine
PMID:
  • 31937262
Year: 2020
Citation:
  • BMC Medical Research Methodology. 20(1):8, 2020 01 14.
Department:
  • MedStar Institute for Quality and Safety
Medline publication type:
  • Journal Article
Form of publication:
  • Journal Article
All authors:
  • Adeleke Y, Dixon-Woods M, Goeschel C, Pronovost P, Woodcock T
7.
The Telluride experience: Innovative teaching methods applied to patient safety education. MedStar authors:
  • Gonzalez, Stacey
  • Gunderson, Anne
  • Mayer, David
Year: 2019
Citation:
  • 2019/04/30/
Department:
  • MedStar Institute for Quality and Safety
Form of publication:
  • Poster Presentation
All authors:
  • Gunderson A, Gonzalez S, Mayer D.
Local accession number:
  • C2019_290
8.
Better together: Demonstrating the value of partnership between human factors engineers and safety professionals in real-world safety event reviews. MedStar authors:
  • Butler, Rebecca
  • Call, Mark
  • Herold, Mary
  • Howe, Jessica L
  • Mitchell, Travis
  • Stein, Lucy
Year: 2019
Citation:
  • 2019/03/24/
Department:
  • MedStar Institute for Quality and Safety
Form of publication:
  • Poster Presentation
All authors:
  • Herold M, Mitchell T, Howe J, Butler R, Call M, Stein L.
Local accession number:
  • C2019_556
9.
Leadership and a True Culture of Patient Safety. MedStar authors:
  • Hatlie, Martin J
  • Mayer, David B
PMID:
  • 32686486
Year: 2020
Citation:
  • American Journal of Medical Quality. 35(5):427-428, 2020 Sep/Oct.
Department:
  • MedStar Institute for Quality and Safety
Medline publication type:
  • Journal Article
Form of publication:
  • Journal Article
All authors:
  • Hatlie MJ, Mayer DB
10.
The PRIDx framework to engage payers in reducing diagnostic errors in healthcare. [Review] MedStar authors:
  • Ali, Kisha J
  • Blackall, Leah M
  • Goeschel, Christine
PMID:
  • 37795579
Year: 2023
Citation:
  • Diagnosis. 2023 Oct 05
Department:
  • MedStar Institute for Quality and Safety
Medline publication type:
  • Journal Article
  • Review
Form of publication:
  • Journal Article
All authors:
  • Ali KJ, Goeschel CA, DeLia DM, Blackall LM, Singh H
11.
Race Differences in Reported Harmful Patient Safety Events in Healthcare System High Reliability Organizations. MedStar authors:
  • Krevat, Seth A
  • Pandit, Chinmay
  • Thomas, Angela D
PMID:
  • 30585888
Year: 2020
Citation:
  • Journal of patient safety. 16(4):e235-e239, 2020 12.
Institution:
  • MedStar Health Research Institute
Department:
  • MedStar Institute for Quality and Safety
Medline publication type:
  • Journal Article
Form of publication:
  • Journal Article
All authors:
  • Krevat SA, Pandit C, Thomas AD
12.
Use of hyperbaric oxygenation as an adjunctive treatment for severe pernicious anaemia in a bloodless medicine patient. MedStar authors:
  • Johnson-Arbor, Kelly
PMID:
  • 33846184
Year: 2021
Citation:
  • BMJ Case Reports. 14(4), 2021 Apr 12.
Department:
  • MedStar Institute for Quality and Safety
Medline publication type:
  • Journal Article
Form of publication:
  • Journal Article
All authors:
  • Johnson-Arbor K, Verstraete R
13.
The heart of the matter: Identifying and classifying diagnostic error in patients with cardiovascular disease at MedStar Health. MedStar authors:
  • Calabria, Tony
  • Goeschel, Christine
Year: 2019
Citation:
  • 2019/04/30/
Department:
  • MedStar Institute for Quality and Safety
Form of publication:
  • Poster Presentation
All authors:
  • Schwartz A, Goeschel C, Calabria T.
Local accession number:
  • C2019_230
14.
Measuring the impact of MedStar Franklin Square's Patient and Family Advisory Council for Quality and Safety (PFAQSsr) on hand hygiene compliance. MedStar authors:
  • Hatlie, Martin
  • Nahum, Amando
  • Spielman, Jacqueline
Year: 2019
Citation:
  • 2019/04/30/
Department:
  • MedStar Institute for Quality and Safety
Form of publication:
  • Poster Presentation
All authors:
  • Nahum A, Spielman J, Hatlie M.
Local accession number:
  • C2019_236
15.
Patients First Project: Examining the relationship between high-performing person and family engagement hospitals and quality and safety performance. MedStar authors:
  • Hatlie, Martin
  • Nahum, Amando
Year: 2019
Citation:
  • 2019/04/30/
Department:
  • MedStar Institute for Quality and Safety
Form of publication:
  • Poster Presentation
All authors:
  • Nahum A, Hatlie M.
Local accession number:
  • C2019_237
16.
We want to know: Implementation and findings of a program designed to detect and address patient-reported breakdowns in care. MedStar authors:
  • Bardsley, Joan K
  • Cockey, Kimberly
  • Rosendall, Kelly
  • Smith, Kelly
Year: 2019
Citation:
  • 2019/04/30/
Department:
  • MedStar Institute for Quality and Safety
Form of publication:
  • Poster Presentation
All authors:
  • Smith K, Fisher K, Bardsley J, Cockey K, Rosendall K, Gallagher T, Mazor K.
Local accession number:
  • C2019_259
17.
Patient-safety leadership walkrounds to improve resident reporting and recognition of patient safety events. MedStar authors:
  • Powell, Melanie
Year: 2018
Citation:
  • 2018/04/30/
Department:
  • MedStar Institute for Quality and Safety
Form of publication:
  • Poster Presentation
All authors:
  • Powell M.
Local accession number:
  • B2018233
18.
SHARING Choices: A Pilot Study to Engage Family in Advance Care Planning of Older Adults With and Without Cognitive Impairment in the Primary Care Context. MedStar authors:
  • Cockey, Kimberly
  • Smith, Kelly M
PMID:
  • 33325729
Year: 2021
Citation:
  • American Journal of Hospice & Palliative Medicine. 38(11):1314-1321, 2021 Nov.
Institution:
  • MedStar Health Research Institute
Department:
  • MedStar Institute for Quality and Safety
Medline publication type:
  • Journal Article
Form of publication:
  • Journal Article
All authors:
  • Aufill J, Cockey K, Dy SM, Echavarria D, Funkhouser T, Guo A, Hussain N, Scerpella D, SHARING Choices Investigators, Sloan DH, Smith KM, Wolff JL
19.
Designing diabetes self-management education for hospitalized behavioral health patients. MedStar authors:
  • Baker, Kelley
  • Bardsley, Joan K
  • Bourges, Clayton
  • Magee, Michelle
  • Smith, Kelly
Year: 2019
Citation:
  • 2019/04/30/
Department:
  • MedStar Institute for Quality and Safety
Form of publication:
  • Poster Presentation
All authors:
  • Bardsley J, Smith K, Baker K, Bourges C, Magee M.
Local accession number:
  • C2019_258
20.
Using empathic communication training to advance CANDOR implementation in Iowa. MedStar authors:
  • Hatlie, Martin
  • McDonald, Timothy
Year: 2019
Citation:
  • 2019/04/30/
Department:
  • MedStar Institute for Quality and Safety
Form of publication:
  • Poster Presentation
All authors:
  • McDonald T, Hatlie M.
Local accession number:
  • C2019_233
21.
Disclosing medical errors: prioritising the needs of patients and families. MedStar authors:
  • Hemmelgarn, Carole
PMID:
  • 37336571
Year: 2023
Citation:
  • BMJ Quality & Safety. 32(10):557-561, 2023 10.
Department:
  • MedStar Institute for Quality and Safety
Medline publication type:
  • Comment
  • Editorial
Form of publication:
  • Journal Article
All authors:
  • Gallagher TH, Hemmelgarn C, Benjamin EM
22.
Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies' Report Improving Diagnosis in Health Care. MedStar authors:
  • Heimlich, Layla
  • Hill, Mary A
  • Hunte, Haslyn
  • Smith, Kelly M
PMID:
  • 35405723
Year: 2022
Citation:
  • Journal of patient safety. 2022 Apr 08
Institution:
  • MedStar Washington Hospital Center
Department:
  • Library
  • MedStar Institute for Quality and Safety
Medline publication type:
  • Journal Article
Form of publication:
  • Journal Article
All authors:
  • Giardina TD, Heimlich SL, Hill MA, Hunte H, Singh H, Smith KM
23.
Qualitative findings from a pilot stage implementation of a novel organizational learning tool toward operationalizing the Safety-II paradigm in health care. MedStar authors:
  • Fairbanks, Rollin JT
  • Hettinger, Aaron Z
  • Krevat, Seth A
PMID:
  • 31450045
Year: 2020
Citation:
  • Applied Ergonomics. 82:102913, 2020 Jan.
Institution:
  • MedStar Institute for Innovation
  • MedStar Washington Hospital Center
Department:
  • Emergency Medicine
  • MedStar Institute for Quality and Safety
Medline publication type:
  • Journal Article
Form of publication:
  • Journal Article
All authors:
  • Bisantz AM, Fairbanks RJ, Hegde S, Hettinger AZ, Jackson CD, Krevat SA, Wreathall J
24.
The current diabetes education experience: Findings of a cross-sectional survey of adults with type 2 diabetes. MedStar authors:
  • Baker, Kelley M
  • Baral, Neelam
  • Magee, Michelle
  • Nassar, Carine M
PMID:
  • 36584557
Year: 2023
Citation:
  • Patient Education & Counseling. 108:107615, 2023 Mar.
Institution:
  • MedStar Diabetes Institute
  • MedStar Health Research Institute
  • MedStar Washington Hospital Center
Department:
  • Medicine/Internal Medicine
  • MedStar Institute for Quality and Safety
Medline publication type:
  • Journal Article
Form of publication:
  • Journal Article
All authors:
  • Baker KM Nassar CM Baral N Magee MF
25.
Understanding Nursing Workflow for Inpatient Education Delivery: Time and Motion Study. MedStar authors:
  • Baker, Kelley M
  • Magee, Michelle
  • Smith, Kelly M
PMID:
  • 34345775
Year: 2019
Citation:
  • JMIR Nursing. 2(1):e15658, 2019 Jan-Dec.
Institution:
  • MedStar Health Research Institute
  • MedStar Washington Hospital Center
Department:
  • Medicine/Endocrinology
  • MedStar Institute for Quality and Safety
Medline publication type:
  • Journal Article
Form of publication:
  • Journal Article
All authors:
  • Baker KM, Magee MF, Smith KM
26.
Creating a Care for the Caregiver Program in a Ten-Hospital Health System. [Review] MedStar authors:
  • Brown, Mary-Michael
  • Morales, Crystal L
PMID:
  • 31685112
Year: 2019
Citation:
  • Critical Care Nursing Clinics of North America. 31(4):461-473, 2019 Dec.
Institution:
  • Nursing Practice Innovation
Department:
  • MedStar Health
  • MedStar Institute for Quality and Safety
Medline publication type:
  • Journal Article
  • Review
Form of publication:
  • Journal Article
All authors:
  • Brown MM, Morales CL
27.
HIV testing in patients who are HCV positive: Compliance with CDC guidelines in a large healthcare system. MedStar authors:
  • Basch, Peter
  • Desale, Sameer
  • Fernandez, Stephen J
  • Fishbein, Dawn
  • Fleisher, Ilan
  • Geboy, Alexander G
  • Nichols, Whitney
PMID:
  • 34077476
Year: 2021
Citation:
  • PLoS ONE [Electronic Resource]. 16(6):e0252412, 2021.
Institution:
  • MedStar Health Research Institute
  • MedStar Heart & Vascular Institute
  • MedStar Washington Hospital Center
Department:
  • Medicine/Infectious Diseases
  • MedStar Institute for Quality and Safety
Medline publication type:
  • Journal Article
Form of publication:
  • Journal Article
All authors:
  • Basch P, Desale S, Fernandez S, Fishbein DA, Fleisher I, Geboy AG, Nichols W
28.
Evidence That Nurses Need to Participate in Diagnosis: Lessons From Malpractice Claims. MedStar authors:
  • Goeschel, Chris
PMID:
  • 32217927
Year: 2021
Citation:
  • Journal of patient safety. 17(8):e959-e963, 2021 12 01.
Department:
  • Assistant Vice President
  • MedStar Institute for Quality and Safety
Medline publication type:
  • Journal Article
Form of publication:
  • Journal Article
All authors:
  • Cahill M, Gleason KT, Goeschel C, Graber M, Greenberg P, Harkless G, Jones R, Rhodes C
29.
Identification of Risk Factors for Testing of Hepatitis C in Non-Birth Cohort Patients: Is Universal Screening Necessary?. MedStar authors:
  • Basch, Peter
  • Fernandez, Stephen J
  • Fishbein, Dawn
  • Zeymo, Alexander
PMID:
  • 32732681
Year: 2020
Citation:
  • Journal of Addiction Medicine. 2020 Jul 20
Institution:
  • MedStar Health Research Institute
  • MedStar Heart & Vascular Institute
  • MedStar Washington Hospital Center
Department:
  • Medicine/Infectious Diseases
  • MedStar Institute for Quality and Safety
Medline publication type:
  • Journal Article
Form of publication:
  • Journal Article
All authors:
  • Basch P, Fernandez S, Fishbein D, Fleisher I, Geboy A, Hafeez M, Nichols W, Perez I, Smart A, Zeymo A
30.
Discoveries and opportunities for improvement identified during a multi-site mortality review project. MedStar authors:
  • Calabria, Tony
  • Goeschel, Christine
  • Owings, Karen
  • Schreiber, Matthew P
Year: 2019
Citation:
  • 2019/04/30/
Department:
  • Medicine/Pulmonary/Critical Care
  • MedStar Institute for Quality and Safety
Form of publication:
  • Poster Presentation
All authors:
  • Calabria T, Schreiber M, Owings K, Goeschel C.
Local accession number:
  • C2019_234
31.
SHARING Choices: Design and rationale for a pragmatic trial of an advance care planning intervention for older adults with and without dementia in primary care. MedStar authors:
  • Cockey, Kimberley
  • Giovannetti, Erin Rand
  • Sharma, Neha
  • Smith, Kelly M
  • Walker, Kathryn A
PMID:
  • 35690262
Year: 2022
Citation:
  • Contemporary Clinical Trials. 119:106818, 2022 Jun 08.
Institution:
  • MedStar Health Research Institute
Department:
  • AVP, Palliative Care
  • MedStar Health
  • MedStar Institute for Quality and Safety
Medline publication type:
  • Journal Article
Form of publication:
  • Journal Article
All authors:
  • Boyd CM, Cockey K, Colburn J, Cotter V, Dy SM, Giovannetti ER, Hussain N, McGuire M, Roth DL, Saylor MA, Scerpella DL, SHARING Choices investigators, Sharma N, Sloan DH, Smith KM, Walker KA, Wolff JL
32.
Diabetes Education for Behavioral Health Inpatients: Challenges and Opportunities. MedStar authors:
  • Baker, Kelley M
  • Bardsley, Joan
  • Magee, Michelle
  • Smith, Kelly M
PMID:
  • 31587608
Year: 2019
Citation:
  • Journal of the American Psychiatric Nurses Association. :1078390319878781, 2019 Oct 05
Institution:
  • MedStar Health Research Institute
  • MedStar Washington Hospital Center
Department:
  • AVP, Core Scientific Services
  • Medicine/Endocrinology
  • MedStar Institute for Quality and Safety
Medline publication type:
  • Journal Article
Form of publication:
  • Journal Article
All authors:
  • Baker KM, Bardsley JK, Magee MF, Smith KM
33.
The active role of interpreters in medical discourse - An observational study in emergency medicine. MedStar authors:
  • Benda, Natalie
  • Butler, Rebecca L
  • Fairbanks, Rollin JT
PMID:
  • 34052053
Year: 2021
Citation:
  • Patient Education & Counseling. 2021 May 24
Institution:
  • MedStar Institute for Innovation
Department:
  • MedStar Institute for Quality and Safety
  • National Center for Human Factors in Healthcare
Medline publication type:
  • Journal Article
Form of publication:
  • Journal Article
All authors:
  • Benda NC, Bisantz AM, Butler RL, Fairbanks RJ, Higginbotham J
34.
Using Machine Learning to Capture Quality Metrics from Natural Language: A Case Study of Diabetic Eye Exams. MedStar authors:
  • Anderson, Ryan E
  • Blumenthal, H Joseph
  • Fong, Allan
PMID:
  • 34598298
Year: 2021
Citation:
  • Methods of Information in Medicine. 60(3-04):110-115, 2021 09.
Institution:
  • MedStar Institute for Innovation
Department:
  • MedStar Institute for Quality and Safety
  • National Center for Human Factors in Healthcare
Medline publication type:
  • Journal Article
Form of publication:
  • Journal Article
All authors:
  • Anderson RE, Blumenthal HJ, Fong A, Scoulios N
35.
Usability and Accessibility of Publicly Available Patient Safety Databases. MedStar authors:
  • Fong, Allan
  • Howe, Jessica L
  • Krevat, Seth A
  • Ratwani, Raj M
  • Sheehan, Julia G
PMID:
  • 35482411
Year: 2022
Citation:
  • Journal of patient safety. 2022 Apr 28
Institution:
  • MedStar Institute for Innovation
Department:
  • MedStar Institute for Quality and Safety
  • National Center for Human Factors in Healthcare
Medline publication type:
  • Journal Article
Form of publication:
  • Journal Article
All authors:
  • Fong A, Howe JL, Krevat SA, Ratwani RM, Sheehan JG
36.
Redesigning Hospital Diabetes Education: A Qualitative Evaluation With Nursing Teams. MedStar authors:
  • Baker, Kelley M
  • Bardsley, Joan
  • Magee, Michelle
  • McCartney, Patricia Robin
  • Smith, Kelly M
PMID:
  • 30028413
Year: 2019
Citation:
  • Journal of Nursing Care Quality. 34(2):151-157, 2019 Apr/Jun.
Institution:
  • MedStar Health Research Institute
  • MedStar Washington Hospital Center
Department:
  • AVP, Core Scientific Services
  • Medicine/Endocrinology
  • MedStar Institute for Quality and Safety
  • Nursing
Medline publication type:
  • Journal Article
Form of publication:
  • Journal Article
All authors:
  • Baker KM, Bardsley JK, Magee M, McCartney P, Smith KM
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