Embedding quality improvement and patient safety - the UCLA value analysis experience.

Joseph C. Gambone; Michael S. Broder

Commentary

Embedding quality improvement and patient safety - the UCLA value analysis experience.

April 18, 2007

Gambone JC, Broder MS. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):581-92.

View more articles from the same authors.

The authors describe an initiative to include technology assessment in evaluation processes conducted by the medical staff committee.

PubMed citation

Available at

Related Resources From the Same Author(s)

Patient Safety in the Traditional and Evolving Nontraditional Office Setting

October 2, 2019

We are going to name names and call you out! Improving the team in the academic operating room environment.

June 21, 2017

Preventing adverse events in cataract surgery: recommendations from a Massachusetts expert panel.

August 8, 2018

Pediatric emergency department discharge prescriptions requiring pharmacy clarification.

August 5, 2015

Ordering interruptions in a tertiary care center: a prospective observational study.

March 22, 2017

Using "near misses" analysis to prevent wrong-site surgery.

October 30, 2013

Procedural timeout compliance is improved with real-time clinical decision support.

September 12, 2018

Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a quasi-experimental study.

May 17, 2006

Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life.

May 10, 2006

Health literacy and mortality among elderly persons.

August 8, 2007

The cost of opioid–related adverse drug events.

October 8, 2014

Interruptions and medication administration in critical care.

July 29, 2015

Label design affects medication safety in an operating room crisis: a controlled simulation study.

April 1, 2015

Ambulatory computerized prescribing and preventable adverse drug events.

June 8, 2016

The impact of improving teamwork on patient outcomes in surgery: a systematic review.

May 2, 2018

Root cause analysis.

February 28, 2007

Medication reconciliation and hypertension control.

March 24, 2010

Evaluation of an electronic dosing calculator to reduce pediatric medication errors.

February 20, 2019

Analysis of lawsuits related to diagnostic errors from point-of-care ultrasound in internal medicine, paediatrics, family medicine and critical care in the USA.

June 24, 2020

Clinical practice guideline: safe medication use in the ICU.

August 30, 2017

Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analysis.

December 8, 2021

Reducing failure to rescue rates in a paediatric in-patient setting: a 9-year quality improvement study.

November 24, 2021

Digital health and patient safety.

April 27, 2016

Trends in opioid use in commercially insured and Medicare Advantage populations in 2007–16: retrospective cohort study.

August 29, 2018

Consensus bundle on prevention of surgical site infections after major gynecologic surgery.

December 21, 2016

Misunderstanding of prescription drug warning labels among patients with low literacy.

June 7, 2006

A retrospective review of crisis events in diagnostic radiology: an analysis of frequency, demographics, etiologies, and outcomes.

June 18, 2014

Reducing inappropriate outpatient medication prescribing in older adults across electronic health record systems.

January 13, 2021

The nuclear power industry as an alternative analogy for safety in anaesthesia and a novel approach for the conceptualisation of safety goals.

November 2, 2005

Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions.

May 26, 2010

Avoiding wrong site surgery: a systematic review.

May 26, 2010

Balancing safety, comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescriptions for geriatric patients.

January 11, 2023

Role of medical students in preventing patient harm and enhancing patient safety.

August 16, 2006

The 100,000 Lives Campaign: setting a goal and a deadline for improving health care quality.

January 25, 2006

Opioid prescribing for opioid-naive patients in emergency departments and other settings: characteristics of prescriptions and association with long-term use.

October 25, 2017

Effect of the 2011 vs 2003 duty hour regulation-compliant models on sleep duration, trainee education, and continuity of patient care among internal medicine house staff: a randomized trial.

April 3, 2013

Disruptive physician behavior: the importance of recognition and intervention and its impact on patient safety.

May 16, 2018

The Broselow tape as an effective medication dosing instrument: a review of the literature.

October 10, 2012

Patient safety and quality in surgery.

October 10, 2007

Preventing complications of central venous catheterization.

March 6, 2005

ACOG SCOPE: Safety Certification in Outpatient Practice Excellence for Women's Health.

September 5, 2012

Iatrogenic harm caused by diagnostic errors in fibrodysplasia ossificans progressiva.

November 23, 2005

Using proactive risk assessment (HFMEA) to improve patient safety and quality associated with intraocular lens selection and implantation in cataract surgery.

September 18, 2019

Patient-centered approach for improving prescription drug warning labels.

September 24, 2008

Paediatric family activated rapid response interventions; qualitative systematic review.

January 18, 2023

Nonhospital health care–associated hepatitis B and C virus transmission: United States, 1998-2008.

February 18, 2009

A systems approach to morbidity and mortality conference.

July 28, 2010

Quality and safety implications of emergency department information systems.

July 17, 2013

Inpatient suicide and suicide attempts in Veterans Affairs hospitals.

August 20, 2008

Transferring aviation practices into clinical medicine for the promotion of high reliability.

July 26, 2017

ASPEN parenteral nutrition safety consensus recommendations: translation into practice.

May 14, 2014

Understanding the multidimensional effects of resident duty hours restrictions: a thematic analysis of published viewpoints in surgery.

August 9, 2017

Predictors of misunderstanding pediatric liquid medication instructions.

December 9, 2009

The investigation and analysis of critical incidents and adverse events in healthcare.

May 25, 2005

Diagnostic delays and errors in head and neck cancer patients: opportunities for improvement.

April 27, 2016

Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study.

June 20, 2018

Enhancing electronic health record usability in pediatric patient care: a scenario-based approach.

March 13, 2013

Literacy and misunderstanding prescription drug labels.

December 13, 2006

An empirical model to estimate the potential impact of medication safety alerts on patient safety, health care utilization, and cost in ambulatory care.

September 23, 2009

Improving patient understanding of prescription drug label instructions.

January 21, 2009

Effect of crew resource management on diabetes care and patient outcomes in an inner-city primary care clinic.

August 29, 2007

The evolution of patient safety procedures in an oral surgery department

December 11, 2019

Meta-analyses of the effects of standardized handoff protocols on patient, provider, and organizational outcomes.

February 22, 2017

Severe staffing and personal protective equipment shortages faced by nursing homes during the COVID-19 pandemic.

September 16, 2020

Qualities and attributes of a safe practitioner: identification of safety skills in healthcare.

January 26, 2011

An appeal for evidence-based resident duty hours reform.

September 27, 2017

Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients.

April 2, 2014

Preventability of voluntarily reported or trigger tool–identified medication errors in a pediatric institution by information technology: a retrospective cohort study.

June 10, 2015

Computerized clinical decision support for medication prescribing and utilization in pediatrics.

September 26, 2012

Defining the technical skills of teamwork in surgery.

August 16, 2006

How accurately do older adult emergency department patients recall their medications?

August 12, 2020

Effect of a real-time pediatric ICU safety bundle dashboard on quality improvement measures.

September 2, 2015

Characteristics of medical professional liability claims in patients with cardiovascular diseases.

April 21, 2010

Simulation in the executive suite: lessons learned for building patient safety leadership.

January 6, 2016

Leadership behavior associations with domains of safety culture, engagement, and healthcare worker well-being.

February 1, 2023

Combined impact of Medicare's hospital pay for performance programs on quality and safety outcomes is mixed.

August 10, 2022

What patients think doctors know: beliefs about provider knowledge as barriers to safe medication use.

August 14, 2013

Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs.

December 5, 2018

Understanding the types and effects of clinical interruptions and distractions recorded in a multihospital patient safety reporting system.

October 17, 2018

Safe use of cellular telephones in hospitals: fundamental principles and case studies.

November 16, 2005

ASPEN parenteral nutrition safety consensus recommendations.

December 11, 2013

Monitoring the harm associated with use of anticoagulants in pediatric populations through trigger-based automated adverse-event detection.

March 11, 2015

Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of prescribing medication errors.

October 6, 2010

The effects of hospital safety scores, total price, out-of-pocket cost, and household income on consumers' self-reported choice of hospitals.

November 29, 2017

Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation.

November 21, 2007

Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room.

April 11, 2007

Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety.

June 8, 2005

Surgical never events and contributing human factors.

July 8, 2015

Framework for analysing risk and safety in clinical medicine.

July 17, 2013

Framework for analysing risk and safety in clinical medicine.

July 17, 2013

Visual acuity, literacy, and unintentional misuse of nonprescription medications.

June 13, 2018

Evidence review conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for colorectal surgery.

May 9, 2018

Awareness and use of a cognitive aid for anesthesiology.

September 19, 2007

An experimental study in nurse-physician relationships.

August 2, 2006

Analysing potential harm in Australian general practice: an incident-monitoring study.

March 27, 2005

Hospital surveys by the Centers for Medicare and Medicaid Services: an analysis of more than 34,000 deficiencies.

June 2, 2021

Speaking the same language. AHRQ seeks common method of safety reporting.

August 31, 2005

Parenteral nutrition errors and potential errors reported over the past 10 years.

March 14, 2018

Colonoscopic withdrawal times and adenoma detection during screening colonoscopy.

January 10, 2007

Computerized surveillance of adverse drug events in hospital patients.

March 27, 2005

Related Resources

Implementing a safer and more reliable system to monitor test results at a teaching university-affiliated facility in a family medicine group: a quality improvement process report.

November 1, 2023

Patient Safety Innovations

The e-Autopsy/e-Biopsy: A Systematic Chart Review to Increase Safety and Diagnostic Accuracy Innovation

August 30, 2023

Experimental evidence for structured information-sharing networks reducing medical errors.

August 9, 2023

Classification of health information technology safety events in a pediatric tertiary care hospital.

June 7, 2023

Hospital ‘black boxes’ put surgical practices under the microscope.

March 29, 2023

Using community detection techniques to identify themes in COVID-19-related patient safety event reports.

December 7, 2022

Routine multidisciplinary review of severe maternal morbidity is associated with a reduction in preventable cases of severe maternal morbidity.

March 30, 2022

An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting.

December 8, 2021

Artificial intelligence for identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident reporters' views.

November 24, 2021

Patient Safety Innovations

Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors

September 29, 2021

Analysis of results from event investigations in industrial and patient safety contexts.

April 7, 2021

Annual Perspective

AHRQ PSNet Annual Perspective: Impact of the COVID-19 Pandemic on Patient Safety

March 30, 2021

Development and validation of a deep learning model for detection of allergic reactions using safety event reports across hospitals.

December 9, 2020

Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care.

November 11, 2020

A machine learning approach to reclassifying miscellaneous patient safety event reports.

July 29, 2020

The limits of current A.I. in health care: patient safety policing in hospitals.

June 17, 2020

Beyond 'find and fix': improving quality and safety through resilient healthcare systems.

April 15, 2020

Adapting rapid assessment procedures for implementation research using a team-based approach to analysis: a case example of patient quality and safety interventions in the ICU.

April 1, 2020

Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center

January 15, 2020

Patient Safety Primers

Patient Safety 101

September 7, 2019

Intravenous infusion administration: a comparative study of practices and errors between the United States and England and their implications for patient safety.

July 10, 2019

WebM&M Cases

Duplicate Insulin Order

March 1, 2019

Dissecting communication barriers in healthcare: a path to enhancing communication resiliency, reliability, and patient safety.

November 28, 2018

Latent risk assessment tool for health care leaders.

April 25, 2018

Smart pumps in practice: survey results reveal widespread use, but optimization is challenging.

April 18, 2018

Strategies for optimizing OR drug safety.

April 4, 2018

Reducing interdisciplinary communication failures through secure text messaging: a quality improvement project.

March 21, 2018

Emerging trends in perinatal quality and risk with recommendations for patient safety.

February 14, 2018

Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review.

November 8, 2017

Recognition and prevention of nosocomial malnutrition: a review and a call to action!

October 11, 2017

See More About The Topic

Hospitals

Quality Improvement Strategies

Error Analysis

Technologic Approaches

Embedding quality improvement and patient safety - the UCLA value analysis experience.

The e-Autopsy/e-Biopsy: A Systematic Chart Review to Increase Safety and Diagnostic Accuracy Innovation

Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors

Patient Safety 101

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Embedding quality improvement and patient safety - the UCLA value analysis experience.

The e-Autopsy/e-Biopsy: A Systematic Chart Review to Increase Safety and Diagnostic Accuracy Innovation

Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors

Patient Safety 101

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site