Enhancing physicians' use of clinical guidelines.

Peter Pronovost

Commentary

Enhancing physicians' use of clinical guidelines.

January 8, 2014

Pronovost P. JAMA. 2013;310(23):2501-2.

View more articles from the same authors.

This commentary outlines recommendations to augment guideline development to increase physician adherence.

PubMed citation

Free full text

Related journal article

Related Resources From the Same Author(s)

Learning accountability for patient outcomes.

July 21, 2010

We need leaders: the 48th Annual Rovenstine Lecture.

May 19, 2010

An interview with Peter Pronovost

November 2, 2005

Building a highway to quality health care.

September 7, 2016

Progress in patient safety: a glass fuller than it seems.

August 28, 2013

A piece of my mind. From shame to guilt to love.

January 6, 2016

"Never events" and the quest to reduce preventable harm.

June 3, 2015

Measuring preventable harm: helping science keep pace with policy.

April 1, 2009

Balancing "no blame" with accountability in patient safety.

October 7, 2009

Rethinking rapid response teams.

September 29, 2010

Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st century.

March 1, 2006

Forum: The 100,000 Lives Campaign: a scientific and policy review [with IHI response].

November 1, 2006

Toward a safer health care system: the critical need to improve measurement.

April 27, 2016

Rapid response systems: should we still question their implementation?

May 8, 2013

Organising a manuscript reporting quality improvement or patient safety research.

August 21, 2013

Science-based training in patient safety and quality.

June 27, 2012

Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry.

June 6, 2012

Physician motivation: listening to what pay-for-performance programs and quality improvement collaboratives are telling us.

November 11, 2015

Patient safety and the problem of many hands.

March 30, 2016

Did hospital engagement networks actually improve care?

September 3, 2014

Physician autonomy and informed decision making: finding the balance for patient safety and quality.

January 14, 2009

Setting priorities for patient safety: ethics, accountability, and public engagement.

September 2, 2009

Underreporting of patient safety incidents reduces health care's ability to quantify and accurately measure harm reduction.

November 17, 2010

Viewing health care delivery as science: challenges, benefits, and policy implications.

October 13, 2010

The need for systems integration in health care.

March 9, 2011

The checklist--a tool for error management and performance improvement.

November 29, 2006

Preventing patient harms through systems of care.

August 22, 2012

Diagnostic errors--The next frontier for patient safety.

March 18, 2009

Fostering transparency in outcomes, quality, safety, and costs.

October 12, 2016

Re-examining high reliability: actively organising for safety.

May 18, 2016

Time for transparent standards in quality reporting by health care organizations.

August 16, 2017

Time to accelerate integration of human factors and ergonomics in patient safety.

January 11, 2012

Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges.

July 21, 2010

The wisdom and justice of not paying for "preventable complications."

May 14, 2008

A public health approach to patient safety reporting systems is urgently needed.

June 8, 2011

Tracking progress in patient safety: an elusive target.

August 16, 2006

Why don't we know whether care is safe?

April 10, 2013

Strategies to improve patient safety: the evidence base matures.

March 6, 2013

A framework for encouraging patient engagement in medical decision making.

August 29, 2012

Using a logic model to design and evaluate quality and patient safety improvement programs.

July 25, 2012

From heroism to safe design: leveraging technology.

February 12, 2014

Learning from defects to enhance morbidity and mortality conferences.

March 25, 2009

Hospital board checklist to improve culture and reduce central line–associated bloodstream infections.

November 3, 2010

Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure.

July 16, 2008

A framework for health care organizations to develop and evaluate a safety scorecard.

November 7, 2007

Medicare payment for selected adverse events: building the business case for investing in patient safety.

September 27, 2006

Ethical and practical aspects of disclosing adverse events in the emergency department.

October 4, 2006

Changing the narratives for patient safety.

June 28, 2017

Cardiac surgical ICU care: eliminating "preventable" complications.

September 11, 2013

Fifteen years after To Err Is Human: a success story to learn from.

January 13, 2016

Establishing an ambulatory medicine quality and safety oversight structure: leveraging the fractal model.

March 9, 2016

Measurement as a performance driver: the case for a national measurement system to improve patient safety.

April 26, 2017

On the CUSP: Stop BSI: evaluating the relationship between central line–associated bloodstream infection rate and patient safety climate profile.

November 12, 2014

Impact of attending physician workload on patient care: a survey of hospitalists.

February 6, 2013

Disclosing medical errors to patients: it's not what you say, it's what they hear.

July 22, 2009

Integrating CUSP and TRIP to improve patient safety.

November 24, 2010

Patient-assisted incident reporting: including the patient in patient safety.

June 1, 2011

Benefits of direct observation in medication administration to detect errors.

January 9, 2008

How safe is my intensive care unit? Methods for monitoring and measurement.

November 21, 2007

Conflict of interest, Dr Charles Denham and the Journal of Patient Safety.

December 3, 2014

National study on the distribution, causes, and consequences of voluntarily reported medication errors between the ICU and non-ICU settings.

January 16, 2013

Safety strategies in an academic radiation oncology department and recommendations for action.

January 30, 2005

Patient safety reporting: a qualitative study of thoughts and perceptions of experts 15 years after 'To Err is Human.'

August 12, 2015

Rural hospital nursing: better environments = shared vision and quality/safety engagement.

April 29, 2009

Reality check for checklists.

August 19, 2009

Overview of progress on patient safety.

January 12, 2011

View the world through a different lens: shadowing another provider.

October 8, 2008

The Johns Hopkins Hospital: identifying and addressing risks and safety issues.

March 6, 2005

Identifying potential predictors of a safe attending physician workload: a survey of hospitalists.

October 30, 2013

Major cultural-compatibility complex: considerations on cross-cultural dissemination of patient safety programmes.

February 22, 2012

Board quality scorecards: measuring improvement.

August 10, 2011

Implementing a team-based daily goals sheet in a non-ICU setting.

July 1, 2009

How to use an article about quality improvement.

December 1, 2010

A framework for operationalizing risk: a practical approach to patient safety.

May 2, 2018

Handoffs, safety culture, and practices: evidence from the hospital survey on patient safety culture.

August 24, 2016

Sustaining reductions in central line-associated bloodstream infections in Michigan intensive care units: a 10-year analysis.

July 13, 2016

An ethnographic study of health information technology use in three intensive care units.

August 30, 2017

The role of South--North partnerships in promoting shared learning and knowledge transfer.

September 6, 2017

Cost-effectiveness of a quality improvement programme to reduce central line–associated bloodstream infections in intensive care units in the USA.

October 15, 2014

National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia.

August 25, 2010

Infection preventionist checklist to improve culture and reduce central line–associated bloodstream infections.

December 8, 2010

The Daily Goals Communication Sheet: a simple and novel tool for improved communication and care.

October 8, 2008

Medication errors in paediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy recommendations.

April 18, 2007

Defining and measuring patient safety.

March 6, 2005

The safe day call: reducing silos in health care through frontline risk assessment.

September 24, 2014

Surgical never events in the United States.

January 9, 2013

Are temporary staff associated with more severe emergency department medication errors?

September 7, 2011

Explaining Michigan: developing an ex post theory of a quality improvement program.

August 3, 2011

Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis.

February 16, 2011

Improving communication in the ICU using daily goals.

March 10, 2010

Simulation of in-hospital pediatric medical emergencies and cardiopulmonary arrests: highlighting the importance of the first 5 minutes.

January 16, 2008

A morning briefing: setting the stage for a clinically and operationally good day.

August 10, 2005

Towards high-reliability organising in healthcare: a strategy for building organisational capacity.

June 7, 2017

Rating the raters: the inconsistent quality of health care performance measurement.

March 2, 2016

The potential of Twitter as a data source for patient safety.

January 27, 2016

Impact of the Comprehensive Unit-Based Safety Program (CUSP) on safety culture in a surgical inpatient unit.

June 2, 2010

Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study.

December 22, 2010

Clinical review: Checklists—translating evidence into practice.

January 27, 2010

Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research.

May 28, 2008

Surgical specimen identification errors: a new measure of quality in surgical care.

April 11, 2007

Related Resources

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update.

June 22, 2022

The problem with 'My Five Moments for Hand Hygiene'.

August 25, 2021

Pain management best practices from multispecialty organizations during the COVID-19 pandemic and public health crises.

April 29, 2020

How should U.S. hospitals prepare for Coronavirus disease 2019 (COVID-19)?

April 8, 2020

When a vital sign leads a country astray—the opioid epidemic.

September 4, 2019

Managing the risks of direct oral anticoagulants.

August 7, 2019

Teaching medical students to recognise and report errors.

July 10, 2019

Limits on opioid prescribing leave patients with chronic pain vulnerable.

May 15, 2019

Standardising the classification of harm associated with medication errors: the Harm Associated with Medication Error Classification (HAMEC).

May 15, 2019

Reducing avoidable medication-related harm: what will it take?

May 8, 2019

New mother number 14.

March 20, 2019

I-PASS mentored implementation handoff curriculum: champion training materials.

March 13, 2019

FactFinders.

February 27, 2019

Infection prevention in the operating room anesthesia work area.

January 30, 2019

ASH Clinical Practice Guidelines on Venous Thromboembolism.

January 9, 2019

Development of a conceptual map of negative consequences for patients of overuse of medical tests and treatments.

September 19, 2018

Parenteral opioid shortage—treating pain during the opioid-overdose epidemic.

August 29, 2018

Preparing clinicians for transitioning patients across care settings and into the home through simulation.

July 25, 2018

A call to bridge across silos during care transitions.

May 30, 2018

World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia.

May 23, 2018

The elusive and illusive quest for diagnostic safety metrics.

May 16, 2018

Obstetric Care Consensus No. 5: Severe Maternal Morbidity: Screening and Review.

May 9, 2018

Incorporating medication indications into the prescribing process.

May 9, 2018

Bedside computer vision—moving artificial intelligence from driver assistance to patient safety.

April 18, 2018

War games and diagnostic errors.

January 18, 2017

Strategies for flipping the script on opioid overprescribing.

November 23, 2016

Statement on the prevention of retained foreign bodies after surgery.

October 1, 2016

JAMA professionalism: disclosure of medical error.

August 24, 2016

What price must we pay for safety? Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared consumers.

August 24, 2016

See More About The Topic

Physicians

Quality and Safety Professionals

Medicine

Active Errors

Practice Guidelines

Enhancing physicians' use of clinical guidelines.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Enhancing physicians' use of clinical guidelines.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

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