Using a market model to track advances in patient safety.

David J. Shulkin

Commentary

Using a market model to track advances in patient safety.

March 6, 2005

Shulkin DJ. Jt Comm J Qual Saf. 2003;29(3):146-51.

View more articles from the same authors.

PubMed citation

Available at

Related Resources From the Same Author(s)

Assessing hospital safety on nights and weekends: the SWAN tool.

June 3, 2009

Like night and day — shedding light on off-hours care.

May 21, 2008

Establishing a rapid response team (RRT) in an academic hospital: one year's experience.

November 29, 2006

Addressing the opioid epidemic in the United States: lessons from the Department of Veterans Affairs.

April 5, 2017

Getting doctors to report medical errors: project DISCLOSE.

July 5, 2006

Do hospitals provide lower quality care on weekends?

July 18, 2007

Health information technology is a vehicle, not a destination: a conversation with David J. Brailer.

March 14, 2007

Benefactor or burden: exploring the professional identity of safety professionals.

October 24, 2018

Patient safety: let's measure what matters.

May 21, 2014

Making surgery as safe as it should be: a qualitative study.

December 20, 2023

Association of past and future paid medical malpractice claims.

March 1, 2023

Safe use of electronic health records and health information technology systems: trust but verify.

December 18, 2013

Rethinking peer review: what aviation can teach radiology about performance improvement.

August 31, 2011

Apology and unintended harm in global health.

July 17, 2019

Increased mortality associated with after-hours and weekend admission to the intensive care unit: a retrospective analysis.

April 20, 2011

Randomized trial to improve prescribing safety in ambulatory elderly patients.

September 12, 2007

Unintended doses in radiotherapy—over, under and outside?

April 18, 2018

Management reasoning: beyond the diagnosis.

May 23, 2018

Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services.

February 3, 2016

The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using routinely collected administrative data.

May 27, 2015

Electronic health record-based triggers to detect adverse events after outpatient orthopaedic surgery.

November 18, 2015

Bending the patient safety curve: how much can AI help?

February 1, 2023

Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case studies.

June 8, 2022

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

November 16, 2005

Relationship between quality of care and negligence litigation in nursing homes.

April 13, 2011

Patient safety: where to aim when zero harm is not the target-a case for learning and resilience.

August 31, 2022

Analysis of adverse events in pediatric surgery using criteria validated from the adult population: justifying the need for pediatric-focused outcome measures.

August 11, 2010

Remedies sought and obtained in healthcare complaints.

September 7, 2011

A framework for patient safety: a defense nuclear industry-based high-reliability model.

May 1, 2013

Management of anesthesia equipment failure: a simulation-based resident skill assessment.

August 19, 2009

Missed medication doses in hospitalised patients: a descriptive account of quality improvement measures and time series analysis.

June 26, 2013

Twitter as a tool to enhance student engagement during an interprofessional patient safety course.

May 21, 2014

Medical errors involving trainees: a study of closed malpractice claims from 5 insurers.

October 24, 2007

The incidence and severity of adverse events affecting patients after discharge from the hospital.

March 6, 2005

Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge summary.

May 6, 2009

The Charter on Professionalism for Health Care Organizations.

September 6, 2017

Randomized crossover study evaluating the effect of a hand sanitizer dispenser on the frequency of hand hygiene among anesthesiology staff in the operating room.

July 2, 2014

Medical error disclosure among pediatricians: choosing carefully what we might say to parents.

October 15, 2008

Association between state medical malpractice environment and postoperative outcomes in the United States.

June 21, 2017

The Emergency Medical Services Safety Attitudes Questionnaire.

February 24, 2010

Prevalence and patterns of potentially avoidable hospitalizations in the US long-term care setting.

March 2, 2016

Crisis management on surgical wards: a simulation-based approach to enhancing technical, teamwork, and patient interaction skills.

March 18, 2015

Teamwork in the time of COVID-19.

March 3, 2021

Patient safety climate in US hospitals: variation by management level.

November 12, 2008

A systematic review of simulation for multidisciplinary team training in operating rooms.

February 13, 2013

Case study research: the view from complexity science.

May 4, 2005

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

March 6, 2005

Mislabeled units of umbilical cord blood detected by a quality assurance program at the transplantation center.

October 14, 2009

The Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals—a retrospective record review study.

February 8, 2017

Decision making in trauma settings: simulation to improve diagnostic skills.

March 11, 2015

Does employee safety matter for patients too? Employee safety climate and patient safety culture in health care.

May 20, 2015

Incorporation of quality and safety principles in maintenance of certification: a qualitative analysis of American Board of Medical Specialties member boards.

September 12, 2018

Undertriage of elderly trauma patients to state-designated trauma centers.

October 8, 2008

Incidence, patterns, and prevention of wrong-site surgery.

April 19, 2006

Accidental deaths, saved lives, and improved quality.

October 5, 2005

November 22, 2006

Effectiveness of a pharmacist–nurse intervention on resolving medication discrepancies for patients transitioning from hospital to home health care.

December 9, 2009

Journey to no preventable risk: The Baylor Health Care System patient safety experience.

November 3, 2010

Assessing teamwork attitudes in healthcare: development of the TeamSTEPPS teamwork attitudes questionnaire.

October 6, 2010

The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and aim to do even better.

April 27, 2011

The influence of 'Tall Man' lettering on errors of visual perception in the recognition of written drug names.

March 16, 2011

Inadequate health literacy among paid caregivers of seniors.

January 30, 2005

Prevalence and characteristics of physicians prone to malpractice claims.

February 3, 2016

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

September 2, 2015

Cognitive and system factors contributing to diagnostic errors in radiology.

October 9, 2013

Identification of doctors at risk of recurrent complaints: a national study of healthcare complaints in Australia.

May 1, 2013

Failure to notify reportable test results: significance in medical malpractice.

December 21, 2011

The burden of opioid-related mortality in the United States.

July 18, 2018

Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional health care team training across GME and CME.

August 30, 2017

Relationship of safety climate and safety performance in hospitals.

April 1, 2009

CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse event.

April 5, 2023

Improving sleep hygiene of medical interns: can the sleep, alertness, and fatigue education in residency program help?

September 26, 2007

Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice.

May 4, 2005

Implications of the failure to identify high-risk electrocardiogram findings for the quality of care of patients with acute myocardial infarction: results of the Emergency Department Quality in Myocardial Infarction (EDQMI) study.

November 8, 2006

Remote video auditing with real-time feedback in an academic surgical suite improves safety and efficiency metrics: a cluster randomised study.

February 10, 2016

Creating champions for health care quality and safety.

January 6, 2010

Comparing safety climate in naval aviation and hospitals: implications for improving patient safety.

April 21, 2010

An evaluation of hand hygiene in an intensive care unit: are visitors a potential vector for pathogens?

June 24, 2015

Introductions during time-outs: do surgical team members know one another's names?

May 24, 2017

Eight critical factors in creating and implementing a successful simulation program.

January 15, 2014

Does error and adverse event reporting by physicians and nurses differ?

August 27, 2008

Risk factors for retained instruments and sponges after surgery.

March 6, 2005

Composite measures for profiling hospitals on bariatric surgery performance.

October 30, 2013

Technology-enhanced simulation for health professions education: a systematic review and meta-analysis.

September 14, 2011

Isolation precautions for visitors.

April 29, 2015

The safety of emergency care systems: results of a survey of clinicians in 65 US emergency departments.

March 4, 2009

The National Emergency Department Safety Study: study rationale and design.

January 9, 2008

Resident participation does not affect surgical outcomes, despite introduction of new techniques.

September 22, 2010

Hospital safety climate and safety outcomes: is there a relationship in the VA?

March 10, 2010

Context-sensitive decision support (infobuttons) in electronic health records: a systematic review.

August 31, 2016

Exploring the causes of junior doctors' prescribing mistakes: a qualitative study.

October 22, 2014

Correlation between the number of patient-reported adverse events, adverse drug events, and quality of life in older patients: an observational study.

November 2, 2022

Patient safety climate in 92 US hospitals: differences by work area and discipline.

February 4, 2009

Who pays for medical errors? An analysis of adverse event costs, the medical liability system, and incentives for patient safety improvement.

February 6, 2008

The effects of on-duty napping on intern sleep time and fatigue.

June 21, 2006

Guided prescription of psychotropic medications for geriatric inpatients.

May 18, 2005

Policy and the future of adverse event detection using information technology.

March 6, 2005

Thirty-day outcomes support implementation of a surgical safety checklist.

January 9, 2013

Outcomes of daytime procedures performed by attending surgeons after night work.

September 2, 2015

Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent.

July 11, 2018

Related Resources

Is WHO's surgical safety checklist being hyped?

August 21, 2019

A decade of preventing harm.

June 19, 2019

Blind spots in the science of safety.

May 8, 2019

Abandon the term "second victim."

April 10, 2019

Why do hundreds of US women die annually in childbirth?

March 27, 2019

Use of a public health law framework to improve medication safety by anesthesia providers.

March 20, 2019

Overcoming human barriers to safety event reporting in radiology.

March 6, 2019

Teamwork- Part 1: Divided We Fall; Part 2: Cursed By Knowledge: Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem Problem.

March 6, 2019

Reversing the rise in maternal mortality.

January 16, 2019

Challenges and opportunities for improving patient safety through human factors and systems engineering.

December 5, 2018

Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety.

November 7, 2018

Measuring shared mental models in healthcare.

November 7, 2018

Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events.

September 26, 2018

Improving pediatric electronic health record usability and safety through certification: seize the day.

September 26, 2018

"No-go considerations" for in situ simulation safety.

June 13, 2018

Learning to overcome hierarchical pressures to achieve safer patient care: an interprofessional simulation for nursing, medical, and physician assistant students.

September 6, 2017

Headline-grabbing study brings attention back to medical errors.

August 24, 2016

Wrong site surgery: a critical incident analysis of a near miss.

March 16, 2016

Understanding psychological safety in health care and education organizations: a comparative perspective.

March 16, 2016

Speak up! Addressing the paradox plaguing patient-centered care.

February 17, 2016

Improving diagnosis in health care—the next imperative for patient safety.

November 18, 2015

Patient safety: the what, how, and when.

November 18, 2015

Aiming higher to enhance professionalism: beyond accreditation and certification.

May 27, 2015

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

September 24, 2014

Standardization in patient safety: the WHO High 5s project.

June 4, 2014

The next organizational challenge: finding and addressing diagnostic error.

March 5, 2014

Healthcare-associated infections: a national patient safety problem and the coordinated response.

February 19, 2014

Healthcare personnel attire in non–operating-room settings.

February 12, 2014

Reducing Avoidable Readmissions Effectively campaign: a statewide collaborative.

February 5, 2014

Mandatory influenza vaccination for health care workers as the new standard of care: a matter of patient safety and nonmaleficent practice.

Using a market model to track advances in patient safety.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Using a market model to track advances in patient safety.

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