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　　常立荣，张兰成，刘文成，解放军306医院，品牌质量建设办公室

　　一个医院的发展必须有一个明确的定位。向社会和患者提供怎样的优质服务。优秀的医院精髓是九游官网“以人为本”，以调动人的潜能和创造性为出发点，以全新的视觉进行人性化管理的一种理念。人人做到了九游体育识大体、顾大局，主动为患者着想，为病人提供便捷、高效、优质医疗服务。欢乐促奋进，创新求发展。

　　约翰·霍普金斯医院患者安全和质量部门的高级副总裁彼得·普罗诺弗斯特（Peter Pronovost）称，患者对医院最大的要求就是九游体育官网希望医院把自己当人看。他和该医院的患者关系部主任简·希尔（Jan Hill）一起，从患者来信和建议中列出了一个患者的愿望清单：1.请让我好好睡觉。睡眠可以帮我更好地恢复，所以请尽量不要再晚上测量生命体征，也不要在晚十点到早六点之间抽血。如有特殊情况，请提前通知。

　　2.请护士站降低噪音。这一点很重要，尤其是晚上我们需要睡眠的时候。晚上请关了我房间的电视、收音机、电脑屏幕等，确保这些噪音或光线不会影响我的睡眠。

　　3.不要弄丢我的个人物品。请把我的东西都列个清单，并贴上带我的名字和医疗记录编号的标签，这样我的个人物品才不至于放错。这些物品可以让我的生活更舒适，请像照顾我一样照顾这些我的物品。

　　4.进门前请先敲门。这是对我个人以及我的隐私的尊重。请先向我介绍自己、和我握手或眼神交流，并用我喜欢的方式称呼我。

　　5.确保我的白纸板及时更新。这样我就能知道哪位医生和护士负责我的治疗，也能了解我每天的计划。在床边放一个笔记本，并在首页列出我的姓名、护理病区、病房号和房间电话，这样我就可以把所有资料和卡放到一起。

　　6．如果我病情有变，请及时通知我和我的家人。彼此交流要公开，如有延误请及时通知我，这样有助于我缓解焦虑。

　　7.保持病房清洁。请每天擦地板和桌椅等表面防止细菌传播，及时清理垃圾箱并打扫浴室，让浴室闻起来是干净的。如果你是我的管家，请跟我打招呼，我希望认识照顾我的人。

　　8.听我说话让我参与到自己的治疗中。请使用我能听懂的语言，确保我理解我的治疗计划。

　　9.请在房间和医院提供使用说明。这样我才能知道重要的东西都放在哪里，怎样操作电视，如何点餐，什么时候更换床上用品。我在这里是个客人，这些对我很重要。

　　10.请时刻保持专业素养。你可能是在休息，但是仍是医院的员工，一举一动仍然代表了医院。

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　　附件：彼得·普罗诺弗斯特简历

　　Peter J. Pronovost, M.D., Ph.D., F.C.C.M. The Johns Hopkins University School of Medicine Curriculum Vitae DEMOGRAPHIC AND PERSONAL INFORMATION Current Appointments Senior Vice President, Patient Safety and Quality Johns Hopkins Medicine, Baltimore, Maryland Professor, Department of Anesthesiology and Critical Care Medicine The Johns Hopkins University School of Medicine, Baltimore, Maryland Professor, Department of Surgery The Johns Hopkins University School of Medicine, Baltimore, Maryland Professor, Department of Health Policy and Management The Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland Professor, Department of Nursing The Johns Hopkins University School of Nursing, Baltimore, Maryland Professor with courtesy appointment, Johns Hopkins Carey Business School The Johns Hopkins University, Baltimore, Maryland Director, Armstrong Institute for Patient Safety and Quality Johns Hopkins Medicine, Baltimore, Maryland Director, Division of Adult Critical Care Medicine The Johns Hopkins University School of Medicine, Baltimore, Maryland Core Faculty Program for Medical Technology & Practice Assessment The Johns Hopkins University School of Medicine, Baltimore, Maryland Co-Director, Graduate Seminar in Health Care Management and Leadership Department of Health Policy and Management The Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland Personal Data The Johns Hopkins University School of Medicine Department of Anesthesiology and Critical Care Medicine 1909 Thames Street, 2nd Floor, Baltimore, Maryland 21231 Phone: (410) 502-3231 Fax: (410) 502-3235 e-mail: ppronovo@jhmi.edu CV - Pronovost 2 Education and Training 1983-1987 B.S./Fairfield University Biology/Philosophy Fairfield, CT 1987-1991 M.D./Johns Hopkins University Medicine Baltimore, MD 1991-1992 Intern/Johns Hopkins University Emergency Medicine Baltimore, MD 1992-1995 Resident/Johns Hopkins Hospital Anesthesiology & Critical Care Medicine 1994-1996 Fellow/Johns Hopkins Hospital Critical Care Medicine Baltimore, MD 1997 Certificate/Johns Hopkins University The Business of Medicine Baltimore, MD 1997 Certificate/Massachusetts Institute of Organizational Learning Technology Boston, MA 1997-1999 Ph.D./The Johns Hopkins School of Hygiene and Public Health Clinical Investigation Baltimore, Maryland Professional Experience 1997 - 1998 Instructor Johns Hopkins University Department of Surgery School of Medicine Baltimore, Maryland 1997 - 1998 Instructor Johns Hopkins University Department of Anesthesiology School of Medicine and Critical Care Medicine Baltimore, Maryland 1998 - present Core Faculty Johns Hopkins University Program for Medical Technology School of Medicine and Practice Assessment Baltimore, Maryland 1998 - 2001 Assistant Professor Johns Hopkins University Department of Anesthesiology School of Medicine and Critical Care Medicine Baltimore, Maryland 1998 - 2001 Assistant Professor Johns Hopkins Bloomberg Department of Health Policy School of Public Health and Management Baltimore, Maryland 1998 - 2001 Assistant Professor Johns Hopkins University Department of Surgery School of Medicine Baltimore, Maryland 2001 - 2006 Faculty Institute for Health Institute for Health Care Improvement Care Improvement Boston, Massachusetts 2001 - 2005 Associate Professor Johns Hopkins University Department of Anesthesiology School of Medicine CV - Pronovost 3 and Critical Care Medicine Baltimore, Maryland 2001 - 2005 Associate Professor Johns Hopkins Bloomberg Department of Health Policy School of Public Health and Management Baltimore, Maryland 2001 - 2005 Associate Professor Johns Hopkins University Department of Surgery School of Medicine Baltimore, Maryland 2003 - 2005 Associate Professor Johns Hopkins University Department of Nursing School of Nursing Baltimore, Maryland 2004 - 2009 Co-Director Johns Hopkins University Cardiac Surgical School of Medicine Intensive Care Unit Baltimore, Maryland 2005 - present Professor Johns Hopkins University Department of Anesthesiology School of Medicine And Critical Care Medicine Baltimore, Maryland 2005 – present Professor Johns Hopkins Bloomberg Department of Health Policy School of Public Health and Management Baltimore, Maryland 2005 – present Professor Johns Hopkins University Department of Surgery School of Medicine Baltimore, Maryland 2005 - present Professor Johns Hopkins University Department of Nursing School of Nursing Baltimore, Maryland RESEARCH ACTIVITIES Publications Peer-reviewed original research articles 1. Swoboda S, Castro JA, Earsing KA, Lipsett PA and the SICU Study Group (Breslow MJ, Dorman T, Rosenfeld B, Campbell K, Pronovost P, Dodd-o J). Road trips and resources: there is a better way. Crit Care. (Lond) 1997; 1(3):105-10. 2. Pronovost PJ, Kazandijan VA. A new learning environment: combining clinical research with quality improvement. J Eval Clin Pract. 1999; 5(1):33-40. 3. Pronovost PJ, Jenckes MW, Dorman T, Garrett E, Breslow MJ, Rosenfeld BA, Lipsett PA, Bass E. Organizational characteristics of intensive care units related to outcomes of abdominal aortic surgery. JAMA. 1999; 281(14):1310-17. 4. Pronovost P, Angus DC. Using large-scale databases to measure outcomes in critical care. Crit Care Clin. 1999; 15(3):615-31. CV - Pronovost 4 5. Pronovost P, Dorman T, Sadovnikoff N, Garrett E, Breslow M, Rosenfeld B. The association between preoperative patient characteristics and both clinical and economic outcomes after abdominal aortic surgery. J Cardiothorac Vasc Anesth. 1999; 13(5):549-54. 6. Pronovost P, Angus DC: Determining the value of critical care. Clin Pulm Med. 1999; 6(5):302-8. 7. Pronovost P, Angus D, Miller M. Design consideration in clinical trials on acutely ill patients. Res Pract. 2000; 1:47-54. 8. Dorman T, Breslow MJ, Pronovost PJ, Rock P, Rosenfeld BA. Bundle-branch block as a risk factor in non-cardiac surgery. Arch Intern Med. 2000; 160(8):1149-52. 9. Lipsett P, Swoboda S, Dickerson J, Yitalo M, Gordon T, Breslow M, Campbell K, Dorman T, Pronovost P, Rosenfeld B. Survival and functional outcome after prolonged ICU care. Ann Surg. 2000; 231(2):262-68. 10. Pronovost PJ, Morlock L, Davis RO, Cunningham T, Paine L, Scheulen J. Using online and offline change models to improve ICU access and revenues. Jt Comm J Qual Improv. 2000; 26(1):5-17. 11. Pronovost P, Angus DC. Cost reduction and quality improvement: it takes two to tango. Crit Care Med. 2000; 28(2):581-83. 12. Berenholtz S, Pronovost P, Dorman T. Evidence-based anesthesiology. Curr Anesthesiology Rep. 2000; 2:425-31. 13. Rosenfeld BA, Dorman T, Breslow MJ, Pronovost P, Jenckes M, Zhang N, Anderson G, Rubin H. Intensive care unit telemedicine: alternate paradigm for providing continuous intensivist care. Crit Care Med. 2000; 28(12):3925-31. 14. Docimo AB, Pronovost PJ, Davis RO, Concordia EB, Gabrish CE, Adessa MS, Bessman E. Using the online and offline change model to improve efficiency for fast-track patients in an emergency department. Jt Comm J Qual Improv. 2000; 26(9):503-14. 15. Amaravadi RK, Dimick JB, Pronovost PJ, Lipsett PA. ICU nurse-to-patient ratio is associated with complications and resource use after esophagectomy. Intensive Care Med. 2000; 26(12):1857-62. 16. Lipsett PA, Swoboda SM, Campbell KA, Cornwell E 3rd, Dorman T, Pronovost PJ. Sickness impact profile score versus a modified short form survey for functional outcome assessment: acceptability, reliability, and validity in critically ill patients with prolonged intensive care unit stays. J Trauma. 2000; 49(4):737-43. 17. Lipsett PA, Swoboda SM, Dickerson J, Ylitalo M, Gordon T, Breslow M, Campbell K, Dorman T, Pronovost P, Rosenfeld B. Survival and functional outcome after prolonged intensive care unit stay. Ann Surg. 2000; 231(2):262-68. 18. Dimick JB, Pronovost PJ, Heitmiller RF, Lipsett PA. Intensive care unit physician staffing and hospital volume are related to improved outcomes for esophageal resection. Surg Forum. 2000; 51(L1):493-95. 19. Pronovost P, Angus DC. Economics of end-of-life care in the intensive care unit. Crit Care Med. 2001; 29(2 Suppl):N46-51. 20. Dimick JB, Cattaneo S, Lipsett PA, Pronovost PJ, Heitmiller RJ. Hospital volume is related to clinical and economic outcomes of esophageal resection in Maryland. Ann Thorac Surg. 2001; 72(2):334-39. 21. Pronovost PJ, Berenholtz SM, Dorman T, Merritt WT, Martinez EA, Guyatt GH. Evidence-based medicine in anesthesiology. Anesth Analg. 2001; 92(3):787-94. 22. Dimick JD, Pronovost PJ, Heitmiller RF, Lipsett PA. Intensive care unit physician staffing is associated with decreased length of stay, hospital costs, and complications after esophageal resection. Crit Care Med. 2001; 29(4):753-58. 23. Pronovost PJ, Dang D, Dorman T, Lipsett PA, Garrett EA, Jenckes M, Bass EB. Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery. Eff Clin Pract. 2001; 4(5):199-206. 24. Akinci SB, Pronovost P, Dorman T. Sequential compression devices can cause erroneous cardiac output measurements. Anesthesiology. 2001; 95(4):1027-28. 25. Berenholtz S, Pronovost P, Lipsett P, Dawson P, Dorman T. Assessing the effectiveness of critical pathways on reducing resource utilization in the surgical intensive care unit. Intensive Care Med. 2001; 27(6):1029-36. CV - Pronovost 5 26. Pronovost PJ, Miller MR, Dorman T, Berenholtz SM, Rubin H. Developing and implementing measures of quality of care in the intensive care unit. Curr Opin Crit Care. 2001; 7(4):297-03. 27. Pronovost PJ, Waters H, Dorman T. Impact of critical care physician workforce for intensive care unit physician staffing. Curr Opin Crit Care. 2001; 7(6):456-59. 28. Pronovost P, Garrett E, Dorman T, Jenckes M, Webb III TH, Breslow M, Rosenfeld B, Bass E. Variation in complication rates and opportunities for improvement in quality of care for patients having abdominal aortic surgery. Langenbecks Arch Surg. 2001; 386(4):249-56. 29. Dimick JB, Swoboda SM, Pronovost PJ, Lipsett PA. Effect of nurse-to-patient ratio in the intensive care unit on pulmonary complications and resources use after hepatectomy. Am J Crit Care. 2001; 10(6):376-82. 30. Rubin HR, Pronovost P, Diette GB. From a process of care to a measure: the development and testing of a quality indicator. Int J Qual Health Care. 2001; 13(6):489-96. 31. Dimick JB, Pronovost PJ, Lipsett PA. The effect of ICU physician staffing and hospital volume on outcomes after hepatic resection. J Intensive Care Med. 2002; 17:41-7. 32. Randolph AG, Pronovost P. Reorganizing the delivery of intensive care could improve efficiency and save lives. J Eval Clin Pract. 2002; 8(1):1-8. 33. Berenholtz SM, Pronovost PJ, Mullany D, Garrett E, Ness PM, Dorman T, Klag MJ. Predictors of transfusion for spinal surgery in Maryland 1997-2000. Transfusion. 2002; 42(2):183-89. 34. Dang D, Johantgen ME, Pronovost PJ, Jenckes, MW, Bass, EB. Post-operative complications: does intensive care unit staff nursing make a difference? Heart Lung. 2002; 31(3):219-28. 35. Wu CL, Berenholtz SM, Pronovost PJ, Fleisher LA. Systematic review and analysis of postdischarge symptoms after outpatient surgery. Anesthesiology. 2002; 96(4):994-1003. 36. Weller JF, Elliott RA, Pronovost PJ. Spinal anesthesia for a patient with familial hyperkalemic periodic paralysis. Anesthesiology. 2002; 97(1):259-60. 37. Berenholtz SM, Dorman T, Ngo K, Pronovost PJ. Qualitative review of intensive care unit quality indicators. J Crit Care. 2002; 17(1):1-12. 38. Dimick JB, Pronovost PJ, Cowan JA, Ailawadi G, Upchurch GR Jr. The volume-outcome effect for abdominal aortic surgery: differences in case-mix or complications? Arch Surg. 2002; 137(7):828-32. 39. Darer J, Pronovost P, Bass EB. Use and evaluation of critical pathways in hospitals. Eff Clin Pract. 2002; 5(3):114-19. 40. Wu A, Pronovost P, Morlock L. ICU incident reporting systems. J Crit Care. 2002; 17(2):86-94. 41. Kaufmann SC, Wu CL, Pronovost PJ, Jermyn RM, Fleisher LA. The association of intraoperative neuraxial anesthesia on anticipated admission to the intensive care unit. J Clin Anesth. 2002; 14(6):432- 36. 42. Nilsson KR, Berenholtz SM, Dorman T, Garrett E, Lipsett P, Kaufman HS, Pronovost PJ. Preoperative predictors of blood transfusion in colorectal cancer surgery. J Gastrointest Surg. 2002; 6(5):753-62. 43. Pronovost PJ, Jenckes M, To M, Dorman T, Lipsett PA, Berenholtz S, Bass EB. Reducing failed extubations in the intensive care unit. Jt Comm J Qual Improv. 2002; 28(11):595-604. 44. Kim LJ, Martinez EA, Faraday N, Dorman T, Fleisher LA, Perler BA, Williams GM, Chan D, Pronovost PJ. Cardiac troponin I predicts short-term mortality in vascular surgery patients. Circulation. 2002; 106(18):2366-71. 45. Pronovost PJ, Angus DC, Dorman T, Robinson KA, Dremsizov TT, Young TL. Physician staffing patterns and clinical outcomes in critically ill patients: a systematic review. JAMA. 2002; 288(17):2151- 62. 46. Martinez EA, Pronovost P. Perioperative beta-blockers in high-risk patients. J Crit Care. 2002; 17(2):105-13. 47. Dorman T, Pronovost, PJ. Intensive care unit errors: detection and reporting to improve outcomes. Curr Opin Anaesth. 2002; 15(2):147-51. 48. Dimick JB, Pronovost PJ, Cowan JA Jr, Lipsett PA. Postoperative complication rates after hepatic resection in Maryland hospitals. Arch Surg. 2003; 138(1):41-6. CV - Pronovost 6 49. Angus DC, Carlet J, 2002 Brussels Roundtable Participants. Surviving intensive care: a report from the 2002 Brussels Roundtable. Intensive Care Med. 2003; 29(3):368-77. 50. Dimick JB, Pronovost PJ, Cowan JA, Lipsett PA. Surgical volume and quality of care for esophageal resection: do high-volume hospitals have fewer complications? Ann Thorac Surg. 2003; 75(2):337-41. 51. Rockeymoore MB, Holzmueller CG, Milstein A, Dorman T, Pronovost PJ. Updating the leapfrog group intensive care unit physician staffing standard. J Clin Outcomes Manag. 2003; 10(1):31-7. 52. Dy SM, Garg PP, Nyberg D, Dawson PB, Pronovost PJ, Morlock L, Rubin HR, Diener-West M, Wu AW. Are critical pathways effective for reducing postoperative length of stay? Med Care. 2003; 41(5):637-48. 53. Beckmann U, Bohringer C, Carless R, Gillies DM, Runciman WB, Wu AW, Pronovost P. Evaluation of two methods for quality improvement in intensive care: facilitated incident monitoring and retrospective medical chart review. Crit Care Med. 2003; 31(4):1006-11. 54. Dimick JB, Pronovost PJ, Cowan JA, Lipsett PA. Complications and costs after high-risk surgery: where should we focus quality improvement initiatives? J Am Coll Surg. 2003; 196(5):671-78. 55. Berenholtz S, Dorman T, Pronovost PJ. Improving quality and safety in the ICU. Contemp Crit Care. 2003; 1(1):1-9. 56. Martinez EA, Kim LJ, Faraday N, Rosenfeld B, Bass EB, Perler BA, Williams GM, Dorman T, Pronovost PJ. Sensitivity of routine intensive care unit surveillance for detecting myocardial ischemia. Crit Care Med. 2003; 31(9):2302-2308. 57. Berenholtz SM, Pronovost PJ. Barriers to translating evidence into practice. Curr Opin Crit Care. 2003; 9(4):321-25. 58. Kozlow JH, Berenholtz SM, Garrett E, Dorman T, Pronovost PJ. Epidemiology and impact of aspiration pneumonia in patients undergoing surgery in Maryland, 1999-2000. Crit Care Med. 2003; 31(7):1930-37. 59. Pronovost PJ, Berenholtz SM, Ngo K, McDowell M, Holzmueller CG, Haraden C, Resar R, Rainey T, Nolan T, Dorman T. Developing and pilot testing quality indicators in the intensive care unit. J Crit Care. 2003; 18(3):145-55. 60. Dimick JB, Pronovost PJ, Cowan JA Jr, Lipsett PA, Stanley JC, Upchurch GR Jr. Variation in postoperative complication rates after high-risk surgery in the United States. Surgery. 2003; 134(4):534- 40. 61. Dimick JB, Cowan JA Jr, Stanley JC, Henke PK, Pronovost PJ, Upchurch GR Jr. Surgeon specialty and provider volumes are related to outcome of intact abdominal aortic aneurysm repair in the United States. J Vas Surg. 2003; 38(4):739-44. 62. Pronovost P, Berenholtz S, Dorman T, Lipsett PA, Simmonds T, Haraden C. Improving communication in the ICU using daily goals. J Crit Care. 2003; 18(2):71-5. 63. Newhouse RP, Mills ME, Johantgen M, Pronovost PJ. Is there a relationship between service integration and differentiation and patient outcomes? Int J Integr Care. 2003; 3:e15. 64. Pronovost PJ, Weast B, Holzmueller, CG, Rosenstein BJ, Kidwell RP, Haller KB, Feroli ER, Sexton JB, Rubin HR. Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center. Qual Saf Health Care 2003; 12(6):405-10. 65. Pronovost PJ, Weast B, Schwarz M, Wyskiel RM, Prow D, Milanovich SN, Berenholtz S, Dorman T, Lipsett P. Medication reconciliation: a practical tool to reduce the risk of medication errors. J Crit Care. 2003; 18(4):201-05. 66. Dimick JB, Pronovost PJ, Cowan JA Jr, Wainess RM, Upchurch GR Jr. Should older patients be selectively referred to high-volume center for abdominal aortic surgery? Vascular. 2004; 12(1):51-6. 67. Miller MR, Pronovost PJ, Burstin HR. Pediatric patient safety in the ambulatory setting. Ambul Pediatr. 2004; 4(1):47-54. 68. Pronovost PJ, Weast B, Bishop K, Paine L, Griffith R, Rosenstein BJ, Kidwell RP, Haller KB, Davis R. Patient safety - senior executive adopt-a-work unit: a model for safety improvement. Jt Comm J Qual Saf. 2004; 30(2):59-68. CV - Pronovost 7 69. Erdek M, Pronovost PJ. Improving assessment and treatment of pain in the critically ill. Int J Qual Health Care. 2004; 16(1):59-64. 70. Berenholtz SM, Milanovich S, Faircloth A, Prow DT, Earsing K, Lipsett P, Dorman T, Pronovost PJ. Improving care for the ventilated patient. Jt Comm J Qual Saf. 2004; 30(4):195-204. 71. Pronovost PJ, Needham DM, Waters H, Birkmeyer CM, Calinawan JR, Birkmeyer JD, Dorman T. Intensive care unit physician staffing: financial modeling of the leapfrog standard. Crit Care Med. 2004; 32(6):1247-53. 72. Pronovost P, Hobson DB, Earsing K, Lins ES, Rinke ML, Emery K, Berenholtz SM, Lipsett PA, Dorman T. A practical tool to reduce medication errors during patient transfer from an intensive care unit. J Clin Outcomes Manag. 2004; 11(1):26, 29-33. 73. Chan MY, Pronovost PJ. Clinical utility of biomarkers in myocardial injury. Curr Opin Anaesthesiol. 2004; 17(1):49-55. 74. Lubomski LH, Pronovost PJ, Thompson DA, Holzmueller CG, Dorman T, Morlock LL, Dickman F, Fahey M, Wu, AWW. Building a better incident reporting system: perspectives from a multi-site project. J Clin Outcomes Manag. 2004; 11(5):275-80. 75. Pronovost PJ, Wu AW, Sexton JB. Acute decompensation after removing a central line: practical approaches to increasing safety in the intensive care unit. Ann Intern Med. 2004; 140(12):1025-33. 76. Needham DM, Bronskill SE, Sibbald WJ, Pronovost PJ, Laupacis A. Mechanical ventilation in Ontario, 1992-2000: incidence, survival, and hospital bed utilization of noncardiac surgery adult patients. Crit Care Med. 2004; 32(7):1504-09. 77. Beckman U, Gillies DM, Berenholtz SM, Wu AW, Pronovost P. Incidents relating to the intra-hospital transfer of critically ill patients. An analysis of the reports submitted to the Australian incident monitoring study in intensive care. Intensive Care Med. 2004; 30(8):1579-85. 78. Pronovost PJ, Rinke ML, Emery K, Dennison C, Blackledge C, Berenholtz SM. Interventions to reduce mortality among patients treated in intensive care units. J Crit Care. 2004; 19(3):158-64. 79. Paine LA, Baker DR, Rosenstein B, Pronovost PJ. The Johns Hopkins Hospital: Identifying and addressing risks and safety issues. Jt Comm J Qual Saf. 2004; 30(10):543-50. 80. Berenholtz SM, Pronovost PJ, Lipsett PA, Hobson D, Earsing K, Farley JE, Milanovich S, GarrettMayer E, Winters BD, Rubin HR, Dorman T, Perl TM. Eliminating catheter-related bloodstream infections in the intensive care unit. Crit Care Med. 2004; 32(10):2014-20. 81. Needham DM, Thompson DA, Holzmueller CG, Dorman T, Lubomski LH, Wu AW, Morlock LL, Pronovost PJ. A system factors analysis of airway events from the intensive care unit safety reporting system (ICUSRS). Crit Care Med. 2004; 32(11):2227-33. 82. Faraday N, Martinez EA, Scharpf RB, Kasch-Semenza L, Dorman T, Pronovost PJ, Perler B, Gerstenblith G, Bray PF, Fleisher LA. Platelet gene polymorphisms and cardiac risk assessment in vascular surgical patients. Anesthesiology. 2004; 101(6):1291-97. 83. Shermock KM, Horn E, Lipsett PA, Pronovost PJ, Dorman T. Number needed-to-treat and cost of recombinant human erythropoietin to avoid one transfusion-related adverse event in critically ill patients. Crit Care Med. 2005; 33(3):497-503. 84. Needham DM, Bronskill SE, Calinawan JR, Sibbald WJ, Pronovost PJ, Laupacis A. Projected incidence of mechanical ventilation in Ontario to 2026: preparing for the aging baby boomers. Crit Care Med. 2005; 33(3):574-79. 85. Wu AW, Holzmueller CG, Lubomski LH, Thompson DA, Fahey M, Dorman T, Morlock LL, Engineer L, Dickman F, Steinwachs DM, Pronovost PJ. Development of the ICU safety reporting system. Journal of Patient Safety. 2005; 1(1):23-32. 86. Pronovost P, Weast B, Rosenstein B, Sexton JB, Holzmueller CG, Paine L, Davis R, Rubin HR. Implementing and validating a comprehensive unit-based safety program. J Patient Saf. 2005; 1(1):33- 40. 87. Newhouse RP, Johantgen M, Pronovost PJ, Johnson E. Perioperative nurses and patient outcomes— mortality, complications, and length of stay. AORNJ. 2005; 31(5):508-509, 513-522, 525-28. CV - Pronovost 8 88. Holzmueller CG, Pronovost PJ, Dickman F, Thompson DA, Wu AW, Lubomski LH, Fahey M, Steinwachs DM, Engineer L, Jaffrey A, Morlock LL, Dorman T. Creating the web-based intensive care unit safety reporting system (ICUSRS). J Am Med Inform Assoc. 2005; 12(2):130-39. 89. Pronovost P, Goeschel C. Improving ICU care: It takes a team. Healthc Exec. 2005; 20(2):14-16,18,20. 90. Dy SM, Garg P, Nyberg D, Dawson PB, Pronovost PJ, Morlock L, Rubin H, Wu AW. Critical pathway effectiveness: assessing the impact of patient, hospital care, and pathway characteristics using qualitative comparative analysis. Health Serv Res. 2005; 40(2):499-516. 91. Weiss ES, Makary MA, Wang T, Syin D, Pronovost PJ, Chang D, Cornwell EE 3rd. Prevalence of blood-borne pathogens in an urban, university-based general surgical practice. Ann Surg. 2005; 241(5):803-807; discussion 807-09. 92. Needham DM, Dowdy DW, Mendez-Tellez PA, Herridge MS, Pronovost PJ. Studying outcomes of intensive care unit survivors: measuring exposures and outcomes. Intensive Care Med. 2005; 31(9):1153-60. 93. Dowdy DW, Needham DM, Mendez-Tellez PA, Herridge MS, Pronovost PJ. Studying outcomes of intensive care unit survivors: the role of the cohort study. Intensive Care Med. 2005; 31(7):914-921. 94. Dowdy DW, Eid MP, Sedrakyan A, Mendez-Tellez PA, Pronovost PJ, Herridge MS, Needham DM. Quality of life in adult survivors of critical illness: a systematic review of the literature. Intensive Care Med. 2005; 31(5):611-20. 95. Resar R, Pronovost P, Simmonds T, Rainey T, Nolan T. Using a Bundle Approach to Improve ventilator care processes and observations on ventilator-associated pneumonia. Jt Comm J Qual Patient Saf. 2005; 31(5):243-48. 96. Needham DM, Scales DC, Laupacis A, Pronovost PJ. A systematic review of the Charlson comorbidity index using Canadian administrative databases: A perspective on risk adjustment in critical care research. J Crit Care. 2005; 20(1):12-9. 97. Pronovost PJ, Thompson DA, Holzmueller CG, Dorman T, Rudolph BA. Evaluating the impact of the leapfrog group’s standard for intensive care unit physician staffing. Semin Anesth Perioper Med Pain. 2005; 24:50-8. 98. Miller MR, Pronovost P, Donithan M, Zeger S, Zhan C, Morlock L, Meyer G. Relationship between performance measurement and accreditation: implications for quality of care and patient safety. Am J Med Qual. 2005; 20(5):239-52. 99. Burda S, Hobson D, Pronovost PJ. What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medical histories. Qual Saf Health Care. 2005; 14(6):414-6. 100. Needham DM, Dennison CR, Dowdy DW, Mendez-Tellez PA, Ciesla N, Desai SV, Sevranski J, Shanholtz C, Sharfstein D, Herridge MS, Pronovost PJ. Study protocol: the improving care of acute lung injury patients (ICAP) study. Crit Care. 2006; 10(1):R9. 101. Pronovost PJ, Needham DM, Waters H, Birkmeyer CM, Calinawan JR, Birkmeyer JD, Dorman T. Intensive care unit physician staffing: financial modeling of the leapfrog standard. Crit Care Med. 2006; 34(3 Suppl):S18-S24. 102. Kennedy P, Pronovost P. Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st century. Crit Care Med. 2006; 34(3 Suppl):S1-6. 103. Makary MA, Pronovost PJ, Weiss ES, Millman EA, Chang D, Baker SP, Cornwell, Syin D, Freischlag JA. Sharpless Surgery: A prospective study of the feasibility of performing operations using non-sharp techniques in an urban, university-based surgical practice. World J Surg 2006; 30(7):1-7. 104. Pronovost PJ, King J, Holzmueller CG, Sawyer M, Bivens S, Michael M, Haig K, Paine L, Moore D, Miller M. A web-based tool for the comprehensive unit-based safety program (CUSP). Jt Comm J Qual Patient Saf. 2006; 32(3):119-29. 105. Dowdy DW, Eid MP, Dennison CR, Mendez-Tellez PA, Herridge MS, Guallar E, Pronovost PJ, Needham DM. Quality of life after acute respiratory distress syndrome: a meta-analysis. Intensive Care Med. 2006; 32(8):1115-24. CV - Pronovost 9 106. Daumit GL, Pronovost PJ, Anthony CB, Guallar E, Steinwachs DM, Ford DE. Adverse events during medical and surgical hospitalizations for persons with schizophrenia. Arch Gen Psychiatry. 2006; 63(3):267-72. 107. Needham DM, Bronskill SE, Rothwell DM, Sibbald WJ, Pronovost PJ, Laupacis A, Stukel TA. Hospital volume and mortality for mechanical ventilation of medical and surgical Patients: A population-based analysis using administrative data. Crit Care Med. 2006; 34(9):2349-54. 108. Pronovost PJ, Holzmueller CG, Martinez E, Cafeo CL, Hunt D, Dickson C, Awad M, Makary MA. A practical tool to learn from defects in patient care. Jt Comm J Qual Patient Saf. 2006; 32(2):102-8. 109. Thompson DA, Makary MA, Dorman T, Pronovost PJ. Clinical and economic outcomes of hospital acquired pneumonia in intra-abdominal surgery patients. Ann Surg. 2006; 243(4): 547-52. 110. Makary MA, Sexton JB, Freischlag JA, Holzmueller CG, Millman EA, Rowen L, Pronovost PJ. Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. J Am Coll Surg. 2006; 202(5):746-52. 111. Sexton JB, Holzmueller CG, Pronovost PJ. Thomas EJ, McFerran S, Nunes J, Thompson DA, Knight AP, Penning DH, Fox HE. Variation in caregiver perceptions of teamwork climate in labor and delivery units. J Perinatol. 2006; 26(8):463-70. 112. Makary MA, Holzmueller CG, Thompson D, Rowen L, Heitmiller ES, Maley WR, Black JH, Stegner K, Freischlag JA, Ulatowski JA, Pronovost PJ. Operating room briefings: working on the same page. Jt Comm J Qual Patient Saf. 2006; 32(6):351-55. 113. Makary MA, Holzmueller CG, Sexton JB, Thompson DA, Martinez EA, Freischlag JA, Ulatowski JA, Heitmiller ES, Rowen L, Pronovost PJ. Operating room debriefings. Jt Comm J Qual Patient Saf. 2006; 32(7):407-10, 357. 114. Nelson JE, Mulkerin CM, Adams LL, Pronovost PJ. Improving comfort and communication in the ICU: a practical new tool for palliative care performance measurement and feedback. Qual Saf Health Care. 2006; 15 (4):264-71. 115. Pronovost PJ, Berenholtz SM, Goeschel CA, Needham DM, Sexton JB, Thompson DA, Lubomski LH, Marsteller JA, Makary MA, Hunt E. Creating high reliability in health care organizations. Health Serv Res. 2006; 41(4 Part II):1599-1617. 116. Stokes SL, Wu AW, Pronovost PJ. Ethical and practical aspects of disclosing adverse events in the emergency department. Emerg Med Clin N Am. 2006; 24(3):703-14. 117. Zhan C, Friedman B, Mosso A, Pronovost P. Medicare payment for selected adverse events: building the business case for investing in patient safety. Health Aff (Millwood).2006; 25(5):1386-93. 118. Sexton JB, Makary MA, Tersigni AR, Pryor D, Hendrich A, Thomas EJ, Holzmueller CG, Knight AP, Wu Y, Pronovost, PJ. Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel. Anesthesiology. 2006; 105(5):877-84. 119. Thompson DA, Needham DM, Pronovost PJ. Clinical and economic outcomes of postoperative hospital-acquired Pneumonia patients who receive invasive diagnostic testing or ventilation. J Clin Outcomes Mange 2006; 13(12):685-91. 120. Pronovost PJ, Holzmueller CG, Clattenburg L, Berenholtz S, Martinez EA, Paz JR, Needham DM. Team care: beyond open and closed intensive care units. Curr Opin Crit Care. 2006; 12(6):604-8. 121. Pronovost PJ, Thompson DA, Holzmueller CG, Lubomski LH, Dorman T, Dickman F, Fahey M, Steinwachs DM, Engineer L, Sexton JB, Wu AW, Morlock LL. Toward learning from patient safety reporting systems. J Crit Care. 2006; 201(4):305-15. 122. Pronovost P, Needham D, Berenholtz S, Sinopoli D, Chu H, Cosgrove S, Sexton B, Hyzy R, Welsh R, Roth G, Bander J, Kepros J, Goeschel C. An intervention to decrease catheter-related bloodstream infections in the ICU. N Eng J Med. 2006; 355(26):2725-2732. 123. Nilsson KR, Berenholtz SM, Garrett-Mayer E, Dorman T, Klag MJ, Pronovost PJ. Association between venous thromboembolism and perioperative allogeneic transfusion. Arch Surg. 2007; 142(2):126-32; discussion 133. CV - Pronovost 10 124. Makary MA, Mukherjee A, Sexton JB, Syin D, Goodrich E, Hartman E, Rowen L, Behrens DC, Marohn M, Pronovost PJ. Operating room briefings and wrong-Site surgery. J Am Coll Surg. 2007; 204(2):236-243. 125. Pronovost P, Holzmueller CG, Young J, Whitney P, Wu AW, Thompson DA, Lubomski LH, Morlock LL. Using incident reporting to improve patient safety: a conceptual model. J Patient Saf. 2007; 3(1):27- 33. 126. Diaz-Navarlaz T, Pronovost P, Beortegui E, Segui-Gomez M. Benefits of direct observation in medication administration to detect errors. J Patient Saf. 2007; 3(4):200-207. 127. Weis ES, Cornwell EE 3rd, Wang T, Syin D, Millman EA, Pronovost PJ, Chang D, Makary MA. Human immunodeficiency virus and hepatitis testing and prevalence among surgical patients in an urban university hospital. Am J Surg. 2007; 193(1):55-60. 128. Michaels RK, Makary MA, Dahab Y, Frassica FJ, Heitmiller E, Rowen LC, Crotreau R, Brem H, Pronovost PJ. Achieving the national quality forum's "Never events": prevention of wrong site, wrong procedure, and wrong patient operations. Ann Surg. 2007; 245(4):526-32. 129. Makary MA, Epstein J, Pronovost PJ, Millman EA, Hartman EC, Freischlag JA. Surgical specimen identification errors: a new measure of quality in surgical care. Surgery. 2007; 141(4):450-5. 130. Heitmiller E, Martinez E, Pronovost PJ. Identifying and learning from mistakes. Anesthesiology. 2007; 106(4):654-6. 131. Miller MR, Robinson KA, Lubomski LH, Rinke ML, Pronovost PJ. Medication errors in pediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy recommendations. Qual Saf Health Care. 2007; 16(2):116-26. 132. Amarasingham R, Pronovost PJ, Diener-West M, Goeschel C, Dorman T, Thiemann DR, Powe NR. Measuring clinical information technology in the ICU setting: application in a quality improvement collaborative. J Am Med Inform Assoc. 2007; 14(3):288-94. 133. Ritsema TS, Kelen GD, Pronovost PJ, Pham JC. The national trend in quality of emergency department pain management for long bone fractures. Acad Emerg Med. 2007; 14(2):163-9. 134. Pronovost P, Thompson DA, Holzmueller CG, Dorman T, Morlock LL. Impact of the leapfrog group's intensive care unit physician staffing standard. J Crit Care 2007; 22(2):89-96. 135. Makary MA, Al-Attar A, Holzmueller CG, Sexton JB, Syin D, Gilson MM, Sulkowski MS, Pronovost PJ. Needle stick injuries among surgeons in training. N Engl J Med. 2007; 56(26):2693- 9. 136. Winters BD, Pham JC, Hunt EA, Guallar E, Berenholtz S, Pronovost PJ. Rapid response systems: a systematic review. Crit Care Med. 2007; 35(5):1238-43. 137. Aboumatar HJ, Blackledge CG Jr, Dickson C, Heitmiller E, Freischlag J, Pronovost PJ. A deive study of morbidity and mortality conferences and their conformity to medical incident analysis models: results of the morbidity and mortality conference improvement study phase 1. Am J Med Qual. 2007; 22(4):232-8. 138. Stonemetz J, Pham JC, Marino RJ, Ulatowski JA, Pronovost PJ. Effect of concurrent computerized documentation of comorbid conditions on the risk of mortality index. JCOM. 2007; 14(9):499-503. 139. Berenholtz SM, Pronovost PJ, Ngo K, Barie PS, Hitt J, Kuti JL, Septimus E, Lawler N, Schilling L, Dorman T. For the core sepsis measurement team. Developing quality measures for sepsis care in the ICU. The Joint Commission Journal on Quality and Patient Safety. 2007; 33(9):559-68. 140. Pronovost PJ, Thompson DA, Holzmueller CG, Dorman T, Morlock LL. The organization of intensive care unit physician services. Crit Care Med. 2007; 35(10):2256-61. 141. Sinopoli DJ, Needham DM, Thompson DA, Holzmueller CG, Dorman T, Lubomski LH, Wu AW, Morlock LL, Makary MA, Pronovost PJ. Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study. J Crit Care. 2007; 22(3):177-83. 142. Fan E, Shahid S, Kondreddi VP, Bienvenu OJ, Mendez-Tellez PA, Pronovost PJ, Needham DM. Informed consent in the critically ill: a 2-step approach incorporating delirium screening. Crit Care Med 2007; 35(12):1-6. 143. Syin D, Woreta T, Chang DC, Cameron JL, Pronovost PJ, Makary MA. Publication bias in surgery: implications for informed consent. J Surg Res. 2007; 143(1):88-93. CV - Pronovost 11 144. Berenholtz SM, Pronovost PJ. Monitoring patient safety. Crit Care Clin. 2007; 23(3):659-73. 145. Berenholtz SM, Pustavoitau A, Schwartz SJ, Pronovost PJ. How safe is my intensive care unit? Methods for monitoring and measurement. Curr Opin Crit Care. 2007; 13(6):703-8. 146. Dennison CR, Mendez-Tellez PA, Wang W, Pronovost PJ, Needham DM. Barriers to low tidal volume ventilation in acute respiratory distress syndrome: survey development, validation, and results. Critical Care Medicine. 2007; 35(12):2747-54. 147. Syin D, Magnuson T, Flum D, Steele K, Griffith J, Nicholson W, Uddin S, Millman A, Schweitzer M, Pawlik T, Chang D, Pronovost P, Makary M. Pregnancy outcomes after bariatric surgery. Bariatric Nursing and Surgical Patient Care. 2007; 2(2):113-18. 148. Needham DM, Wang W, Desai SV, Mendez-Tellez PA, Dennison CR, Sevransky J, Shanholtz C, Ciesla N, Spillman K, Pronovost PJ. Intensive care unit exposures for long-term outcomes research: development and deion of exposures for 150 patients with acute lung injury. J Crit Care. 2007; 22(4):275-84. 149. Robinson KA, Dennison CR, Wayman DM, Pronovost PJ, Needham DM. Systematic review identifies number of strategies important for retaining study participants. J Clin Epidemiol. 2007; 60(8):757-65. 150. Sevransky J, Nour S, Needham DM, Hollenberg S, Pronovost P, Sulsa GM. Hemodynamic goals in randomized clinical trials in sepsis: a systematic review of the literature. Crit Care. 2007; 11(3):R76. 151. Pham JC, Kelen GD, Pronovost PJ. National study on the quality of emergency department care in the treatment of acute myocardial infarction and pneumonia. Acad Emerg Med. 2007; 14(10):856-63. 152. Stevens RD, Dowdy DW, Michaels RK, Mendez-Tellez PA, Pronovost PJ, Needham DM. Neuromuscular dysfunction acquired in critical illness: a systematic review. Intensive Care Med. 2007; 33(11):1876-91. 153. Sexton JB, Paine LA, Manfuso J, Holzmueller CG, Martinez EA, Moore D, Hunt DG, Pronovost PJ. A check-up for safety culture in “my patient care area”. Jt Comm J Qual Patient Saf. 2007; 33(11):699- 703, 645. 154. Haut ER, Noll K, Efron DT, Berenholtz SM, Haider A, Cornwell EE 3rd, Pronovost PJ. Can increased incidence of deep vein thrombosis (DVT) be used as a marker of quality care in the absence of standardized screening? The potential effect of surveillance bias on reported DVT rates after trauma. J Trauma. 2007; 63(5):1132-5; discussion 1135-7. 155. Diaz-Navarlaz T, Pronovost P, Beortegui E, Segui-Gomez M. Benefits of direct observation in medication administration to detect errors. J Patient Saf. 2007; 3(4):200-207. 156. Lipshutz AKM, Morlock LL, Shore AD, Hicks RW, Dy SM, Pronovost PJ, Winters BD. Medication errors associated with code situations in U.S. hospitals: direct and collateral damage. Jt Comm J Qual Patient Saf. 2008; 34(1):46-56. 157. Shahid FE, Kondreddi VP, Bienvenu OJ, Mendez-Tellez PA, Pronovost PJ, Needham DM. Informed consent in the critically ill: a two-step approach incorporating delirium screening. Crit Care Med. 2008; 36(1):94-9. 158. Chang DC, Handly N, Abdullah F, Efron D, Haut ER, Haider AH, Pronovost PJ, Cornwell EE. The occurrence of potential patient safety events among trauma patients: are they random? Ann Surg. 2008; 247(2):327-334. 159. Kardooni S, Haut ER, Chang DC, Pierce CA, Efron DT, Haider AH, Pronovost PJ, Cornwell EE 3rd. Hazards of benchmarking complications with the national trauma data bank: numerators in search of denominators. J Trauma. 2008; 64(2):273-79. 160. Umoh NJ, Fan E, Mendez-Tellez PA, Sevransky JE, Dennison CR, Shanholtz C, Pronovost PJ, Needham DM. Patient and ICU organizational factors associated with low tidal volume ventilation in acute lung injury. Crit Care Med. 2008; 36(5):1463-8. 161. Pierce CA, Hunt ER, Kardooni S, Chang DC, Efron DT, Haider A, Pronovost PJ, Cornwell EE 3rd. Surveillance bias and deep vein thrombosis in the national trauma data bank: the more we look, the more we find. J Trauma. 2008; 64(4):932-6. CV - Pronovost 12 162. McKee C, Berkowitz I, Cosgrove SE, Bradley K, Beers C, Perl TM, Winner L, Pronovost PJ, Miller MR. Reduction of catheter-associated bloodstream infections in pediatric patients: experimentation and reality. Pediatr Crit Care Med. 2008; 9(1):40-6. 163. Kass N, Pronovost PJ, Sugarman J, Goeschel CA, Lubomski LH, Faden R. Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research. Jt Comm J Qual Patient Saf. Forum. 2008; 34(6):349-53. 164. Pronovost PJ, Rosenstein BJ, Paine L, Miller MR, Haller K, Davis R, Demski R, Garrett MR. Paying the piper: investing in infrastructure for patient safety. Jt Comm J Qual Patient Saf. 2008; 34(6):342-48. 165. Pronovost PJ, Berenholtz SM, Goeschel C, Thom I, Watson SR, Holzmueller CG, Lyon JS, Lubomski LH, Thompson DA, Needham D, Hyzy R, Welsh R, Roth G, Bander J, Morlock L, Sexton JB. Improving patient safety in intensive care units in Michigan. J Crit Care. 2008; 23(2):207-21. 166. Brooke BS, Perler BA, Dominici F, Makary MA, Pronovost PJ. Reduction of in-hospital mortality among California hospitals meeting Leapfrog evidence-based standards for abdominal aortic aneurysm repair. J Vasc Surg. 2008; 47(6):1155-64. 167. Wachter RM, Flanders SA, Fee C, Pronovost PJ. Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure. Ann Intern Med. 2008; 149(1):29-32. 168. Thompson DA, Cowan J, Holzmueller H, Bass E, Pronovost PJ. Planning and implementing a systemsbased patient safety curriculum in medical education. Am J Med Qual. 2008; 23(4):271-78. 169. Sevranski JE, Martin GS, Mendez-Tellez P, Shanholtz C, Brower R, Pronovost PJ, Needham DM. Pulmonary versus non-pulmonary sepsis and mortality in acute lung injury. Chest. 2008; 134(3): 534-8. 170. Rodriguez-Paz JM, Mark LJ, Herzer KR, Michelson JD, Gorgan KL, Herman J, Hunt D, Wardlow L, Armour EP, Pronovost PJ. A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards and improving patient safety. Anesth Analg. 2009; 108(1):202-10. 171. Ogrinc G, Mooney SE, Estrada C, Foster T, Goldman D, Hall LW, Huizinga MM, Liu SK, Mills P, Neily J, Nelson W, Pronovost PJ, Provost L, Rubenstein LV, Speroff T, Splaine M, Thomson R, Tomolo AM, Watts B. The SQUIRE (Standards for Quality Improvement Reporting Excellence) guidelines for quality improvement reporting: explanation and elaboration. Qual Saf Health Care. 2008; 17: i13-i32. 172. Davidoff F, Batalden P, Stevens D, Ogrinc G, Mooney S: SQUIRE development group. Publication guidelines for quality improvement in health care: evolution of the SQUIRE project. Qual Saf Health Care. 2008; 17 Suppl 1:i3-9. 173. Pronovost PJ, Berenholtz SM, Needham DM. Translating evidence into practice: a model for large scale knowledge translation. BMJ. 2008; 337:a1714. 174. Lubomski LH, Marsteller JA, Hsu YJ, Goeschel CG, Pronovost PJ. The team checkup tool: evaluating QI team activities and giving feedback to senior leaders. Jt Comm J Qual Patient Saf. 2008; 34(10):619- 23, 561. 175. Thompson DA, Holzmueller CG, Lubomski L, Pronovost PJ. View the world through a different lens: shadowing another provider. Jt Comm J Qual Patient Saf. 2008; 34(10):614-8, 561. 176. Schwartz JM, Nelson KL, Saliski M, Hunt EA, Pronovost PJ. The daily goals communication sheet: a simple and novel tool for improved communication and care. Jt Comm J Qual Patient Saf. 2008; 34(10):608-13, 561. 177. Marsteller JA, Holzmueller CG, Makary M, Sexton JB, Thompson DA, Lubomski LH, Pronovost PJ. Developing process-support tools for patient safety: finding the balance between validity and feasibility. Jt Comm J Qual Patient Saf. 2008; 34(10):604-7, 561. 178. Davidoff F, Batalden P, Stevens D, Ogrinc G, Mooney S: SQUIRE Development Group. Publication guidelines for improvement studies in health care: evolution of the SQUIRE Project. Ann Intern Med. 2008; 4;149(9):670-6. CV - Pronovost 13 179. Nundy S, Mukherjee A, Sexton JB, Pronovost PJ, Knight A, Rowen LC, Duncan M, Syin D, Makary MA. Impact of preoperative briefings on operating room delays: a preliminary report. Arch Surg. 2008; 143(11):1068-72. 180. Pronovost P. Interventions to decrease catheter-related bloodstream infections in the ICU: The Keystone Intensive Care Unit Project. Am J Infect Control. 2008; 36(10):S171.e1-5. 181. Hunt EA, Patel S, Vera K, Shaffner DH, Pronovost PJ. Survey of pediatric resident experience with resuscitation training and attendance at actual cardiopulmonary arrest. Pediatr Crit Care Med. 2009; 10(1):96-105. 182. Davidoff F, Batalden P, Stevens D, Ogrinc G, Mooney SE; SQUIRE development group. Publication guidelines for quality improvement studies in health care: evolution of the SQUIRE project. BMJ. 2009; 338:a3152. doi: 10.1136/bmj.a3152. 183. Sapirstein A, Lone N, Latif A, Fackler J, Pronovost P. Tele-ICU paradox or panacea. Best Practice in Clinical Anaesthesiology. 2009; 23(1): 115-26. 184. Pronovost PJ, Goeschel CA, Marsteller JA, Sexton JB, Pham JC, Berenholtz SM. Framework for patient safety research and improvement. Circulation. 2009; 119(2):330-7. 185. Lee BH, Lehmann CU, Jackson EV, Kost-Byerly S, Rothman S, Kozlowski L, Miller MR, Pronovost PJ, Yaster M. Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety analgesic preion practice in the transition from the hospital to home. J Pain. 2009; 10(2):160-6. 186. Pronovost PJ, Goeschel CA, Olsen KL, Pham JC, Miller MR, Berenholtz SM, Sexton JB, Marstellar JA, Morlock LL, Wu AW. Reducing health care hazards: lessons from the commercial aviation safety team. Health Affairs. Web Exclusive. 2009; 28(3):w479-98. 187. Needham DM, Sinopoli DJ, Dinglas VD, Berenholtz SM, Korupolu R, Watson SR, Lubomski L, Goeschel C, Pronovost PJ. Improving data quality control in quality improvement projects. Int J Qual Health Care. 2009; 21:145-50. 188. Soong C, Fan E, Howell E, Maloney R, Pronovost PJ, Wilton D, Wright S. Characteristics of hospitalists programs in the United States and Canada. J Clin Outcomes Manage. 2009;16(2):69-74. 189. Hogue CW Jr, Stearns JD, Colantuoni E, Robinson KA, Stierer T, Mitter N, Pronovost PJ, Needham DM. The impact of obesity on outcomes after critical illness: a meta-analysis. Intensive Care Med. 2009; 35(7):1152-70. 190. Pronovost PJ, Sexton JB, Pham JC, Goeschel CA, Winters BD, Miller MR. Measurement of quality and assurance of safety in the critically ill. Clin Chest Med. 2009;30(1):169-79. 191. Rodriguez-Paz JM, Kennedy M, Salas E, Wu AW, Sexton JB, Hunt EA, Pronovost PJ. Beyond “See One, Do One, Teach One”: toward a different training paradigm. Qual Saf Health Care. 2009; 18(1):63- 8. republished Postgrad Med J. 2009; 85(1003):244-9. 192. Herzer KR, Rodriguez-Paz JM, Doyle PA, Flint PW, Feller-Kopman DJ, Herman J, Bristow RE, Cover R, Pronovost PJ, Mark LJ. A practical framework for patient care teams to prospectively identify and mitigate clinical hazards. Jt Comm J Qual Patient Saf. 2009; 35(2):72-81. 193. Fackler JC, Watts C, Grome A, Miller T, Crandall B, Pronovost P. Critical care physician cognitive task analysis: an exploratory study. Crit Care. 2009; 13(2):R33. 194. Nelson JE, Walker AS, Luhrs CA, Cortez TB, Pronovost PJ. Family meetings made simpler: a toolkit for the ICU. J Crit Care. 2009; 24(4):626.e7-14. 195. Berenholtz SM, Hartsell TL, Pronovost PJ. Learning from defects to enhance morbidity and mortality conferences. Am J Med Qual. 2009; 24(3):192-5. 196. Gay EB, Pronovost PJ, Bassett RD, Nelson JE. The intensive care unit family meeting: making it happen. J Crit Care. 2009; 34(4):629.e1-12. 197. Haut ER, Chang DC, Pierce CA, Colantuoni E, Efron DT, Haider AH, Cornwell EE 3rd, Pronovost PJ. Predictors of posttraumatic Deep Vein Thrombosis (DVT): hospital practice versus patient factors-an analysis of the National Trauma Data Bank (NTDB). J Trauma. 2009; 66(4):994-1001. 198. Newhouse RP, Morlock L, Pronovost P, Colantuoni E, Johantgen M. Rural hospital nursing: better environments = shared vision and quality/safety engagement. J Nurs Adm. 2009; 39(4):189-95. CV - Pronovost 14 199. Murphy DJ, Howard D, Muriithi A, Mendez-Tellez P, Sevransky J, Shanholtz C, Netzer, Pronovost, PJ, Needham DM. Red blood cell transfusion practices in acute lung injury: what do patient factors contribute? Crit Care Med. 2009; 37:1935-40. 200. Kiser AK, Pronovost PJ. Management of diseases without current treatment options: something can be done. JAMA. 2009; 301(16):1708-9. 201. Hunt EA, Vera K, Diener-West M, Haggerty JA, Nelson KL, Shaffner DH, Pronovost PJ. Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents during simulated cardiopulmonary arrests. Resuscitation. 2009; 80(7):819-25. 202. Berenholtz SM, Hartsell TL, Pronovost PJ. Learning from defects to enhance morbidity and mortality conferences. Am J Med Qual. 2009; 24(3):192-95. 203. Skapik JL, Pronovost PJ, Miller MR, Thompson DA, Wu AW. Pediatric safety incidents from an intensive care reporting system. J Patient Saf. 2009; 5(2):95-101. 204. Berenholtz SB, Schumacher K, Hayanga AJ, Simon M, Goeschel C, Pronovost PJ, Shanley CJ, Welsh RJ. Implementing standardized operating room briefings and debriefings at a large regional medical center. Jt Comm J Qual Patient Saf. 2009; 35(8):391-7. 205. Newman-Toker DE, Pham JC, Winters BD, Pronovost PJ. Diagnostic errors in critical care settings: managing information overload. ICU Management, 2009; 9(2): 6-11. 206. Holzmueller CG, Timmel J, Kent PS, Schulick RD, Pronovost PJ. Implementing a team-based daily goals sheet in a non-ICU Setting. Jt Comm J Qual Patient Saf. 2009; 35(7):384-88. 207. Brooke BS, Dominici F, Makary MA, Pronovost PJ. Use of beta-blockers during aortic aneurysm repair: bridging the gap between evidence and effective practice. Health Aff. 2009; 28(4):1199-209. 208. Wu AW, Huang IC, Stokes S, Pronovost PJ. Disclosing medical errors to patients: it’s not what you say, it’s what they hear. J Gen Intern Med. 2009; J Gen Intern Med. 2009; 24(9):1012-7. 209. Berenholtz SM, Pham JC, Garrett-Mayer E, Atchison CW, Kostuik JP, Cohen DB, Nundy S, Dorman T, Ness PM, Pronovost PJ, Kebaish KM. Effect of epsilon aminocaproic acid on red-cell transfusion requirements in major spinal surgery. Spine. 2009; 34(19):2096-103. 210. Stonemetz J, Pham J, Marino R, Ulatowski J, Pronovost P. Financial impact of concurrent coding. Physician Exec. 2009; 35(5):38-45. 211. Sevransky JE, Martin GS, Shanholtz C, Mendez-Tellez PA, Pronovost PJ, Brower R, Needham DM. Mortality in sepsis versus non-sepsis induced acute lung injury. Crit Care. 2009; 13(5):R150. 212. Pham JC, Ho GK, Hill PM, McCarthy ML, Pronovost PJ. National study of patient, visit, and hospital characteristics associated with leaving an emergency department without being seen; predicting LWBS. Acad Emerg Med. 2009; 16(10):949-55. 213. Gurses AP, Murphy DJ, Martinez EA, Berenholtz SM, Pronovost PJ. A practical tool to identify and eliminate barriers to compliance with evidence-based guidelines. Jt Comm J Qual Patient Saf. 2009; 35(10):526-32. 214. Baker DR, Pronovost PJ, Morlock LL, Geocadin RG, Holzmueller CG. Patient flow variability and unplanned readmissions to an intensive care unit. Crit Care Med. 2009; 37(11):2882-7. 215. Watson SR, George G, Martin M, Bogan B, Goeschel C, Pronovost PJ. Preventing central lineassociated bloodstream infections and improving safety culture: a statewide experience. Jt Comm J Qual Patient Saf. 2009; 35(12):593-97. 216. Winters BD, Gurses AP, Lehmann H, Sexton JB, Rampersad CJ, Pronovost PJ. Clinical review: checklists – translating evidence into practice. Crit Care. 2009; 13(210): 1-9. 217. Sexton JD, Pennebaker JW, Holzmueller CG, Wu AW, Berenholtz SM, Swoboda SM, Pronovost PJ, Sexton JB. Care for the caregiver: benefits of expressive writing for nurses in the United States. Progress in Palliative Care. 2009; 17(6):307-12. 218. Hyzy RC, Flanders SA, Pronovost PJ, Berenholtz SM, Watson S, George C, Goeschel C, Maselli J, Auerbach AD. Characteristics of intensive care units in Michigan: not an open and closed case. J Hops Med. 2010; 5(1):4-9. CV - Pronovost 15 219. Brooke BS, Meguid RA, Makary MA, Perler BA, Pronovost PJ, Pawlik TM. Improving surgical outcomes through adoption of evidence-based process measures: intervention specific or associated with overall hospital quality? Surgery. 2010; 147(4):481-90. 220. Abdullah F, Zhang Y, Lardaro T, Black M, Colombani PM, Chrouser K, Pronovost PJ, Chang DC. Analysis of 23 million US hospitalizations: uninsured children have higher all-cause in-hospital mortality. J Public Health (Oxf). 2010; 32(2):236-44. 221. Martinez EA, Marstellar JA, Thompson DA, Gurses AP, Goeschel CA, Lubomski LH, Kim GR, Bauer L, Pronovost PJ. The Society of Cardiovascular Anesthesiologists’ FOCU Initiative: Locating Errors through Networked Surveillance (LENS) Project Vision. Anesth Analg. 2010: 110(2):307-11. 222. Pronovost PJ, Goeschel CA, Colantuoni E, Watson S, Lubomski LH, Berenholtz SM, Thompson DA, Sinopoli DJ, Cosgrove S, Sexton JB, Marstellar JA, Hyzy RC, Welsh R, Posa P, Schumacher K, Needham D. Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observations study. BMJ. 2010; 340:c309. 223. Nelson JE, Puntillo KA, Pronovost PJ, Walker AS, McAdam JL, Ilaoa D, Penrod J. In their own words: patients and families define high-quality palliative care in the intensive care unit. Crit Care Med. 2010; 38(8):808:18. 224. Howard J, Levy F, Patch M, Craven CK, McCarthy M, Mareiniss DP, Epstein-Peterson ZD, Wong V, Pronovost P. New legal protections for reporting patient errors under the Patient Safety Quality Improvement Act: analysis of provider awareness. J Patient Saf. 2010; 6(3):147-52. 225. Winters BD, Eberlein M, Leung J, Needham DM, Pronovost PJ, Sevransky JE. Long-term mortality and quality of life in sepsis: a systematic review. Crit Care Med. 2010; 38(5):1276-83. 226. Khaykin E, Ford DE, Pronovost PJ, Dixon L, Daumit GL. National estimates of adverse events during non-psychiatric hospitalizations for persons with schizophrenia. General Hospital Psychiatry. 2010; 38(3):808-18. 227. Romig M, Latif A, Pronovost P, Sapirstein A. Centralized triage for multiple intensive care units: the central intensivist physician. Am J Med Qual. 2010; 25(5):343-5. 228. Rogers RS, Pronovost P, Isaac T, Schoenfeld A, Leape L, Iezzoni LI, Blumenthal D. Systematically seeking clinicians' insights to identify new safety measures for intensive care units and general surgery services. Am J Med Qual. 2010; 25(5):359-64. 229. Pham JC, Colantuoni E, Dominici F, Shore A, Macrae C, Scobie S, Fletcher M, Cleary K, Goeschel CA, Pronovost PJ. The harm susceptibility model: a method to prioritize risks identified in patient safety reporting systems. Qual Saf Health Care. 2010; 19(5):440-5. 230. Taylor HA, Pronovost PJ, Sugarman J. Ethics, oversight, and quality improvement initiatives. Qual Saf Health Care. 2010; 19(4):271-4. 231. Pham JC, Kim GR, Natterman JP, Cover RM, Goeschel CA, Wu AW, Pronovost PJ. ReCasting the RCA: an improved model for performing root cause analyses. Am J Med Qual. 2010; 25(3):186-91. 232. Pathak S. Holzmueller CG, Haller KB, Pronovost PJ. A mile in their shoes: interdisciplinary education at the Johns Hopkins University School of Medicine. Am J Med Qual. 2010; 25(6):462-7. 233. Murphy DJ, Needham DM, Goeschel C, Fan E, Cosgrove SE, Pronovost PJ. Monitoring and reducing central line-associated bloodstream infections: a national survey of state hospital associations. Am J Med Qual. 2010; 25(4):255-60. 234. Makary MA, Segev DL, Pronovost PJ, Syin D, Bandeen-Roche K, Patel P, Takenaga R, Devgan L, Holzmueller CG, Tian J, Fried LP. Frailty as a predictor of surgical outcomes in older patients. J Am Coll Surg. 2010; 210(6):901-8. 235. Mendez-Tellez P, Damluji A, Ammerman D, Colantuoni E, Fan E, Sevransky JE, Shanholtz C, Gallant JE, Pronovost PJ, Needham DM. Human immunodeficiency virus infection and hospital mortality in acute lung injury patients Critical Care Medicine. 2010; 38:1530-1535. 236. Timmel J, Kent PS, Holzmueller CG, Paine L, Schulick RD, Pronovost PJ. Impact of the Comprehensive Unit-Based Safety Program (CUSP) on safety culture in a surgical inpatient unit. Jt Comm J Qual Patient Saf. 2010; 36(6):252-260. CV - Pronovost 16 237. Goeschel CA, Wachter RM, Pronovost PJ. Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges. Chest. 2010; 138(1):171-8. 238. de Korne Dirk F, van Wijngaarden, Jeroen DH, Hiddema, U Frans, Bleeker, Fred G, Pronovost Peter J, Klazing Niek S