William Gunnar, MD, JD, FACHE, Director, Veterans Affairs National Center for Patient Safety

2020 ◽  
Vol 65 (6) ◽  
pp. 382-385
Keyword(s):  
Patient Safety ◽  
Veterans Affairs

Association of Hospital Employee Satisfaction with Patient Safety and Satisfaction within Veterans Affairs Medical Centers

2019 ◽  
Vol 132 (4) ◽  
pp. 530-534.e1 ◽  
Author(s):  
Ravinder Kang ◽  
Samuel T. Kunkel ◽  
Jesse A. Columbo ◽  
Philip P. Goodney ◽  
Sandra L. Wong
Keyword(s):  
Patient Safety ◽  
Employee Satisfaction ◽  
Veterans Affairs ◽  
Hospital Employee ◽  
Medical Centers ◽  
Veterans Affairs Medical Centers

Eliminating Critical Incident Tracking Network Patient Safety Events at a Veterans Affairs Institution Through Crew Resource Management Training

2016 ◽  
Vol 32 (5) ◽  
pp. 480-484 ◽  
Author(s):  
SreyRam Kuy ◽  
Ramon A. L. Romero
Keyword(s):  
Patient Safety ◽  
Resource Management ◽  
Adverse Events ◽  
Critical Incident ◽  
Medical Center ◽  
Crew Resource Management ◽  
Management Training ◽  
Veterans Affairs ◽  
Crew Resource Management Training ◽  
The Impact

The objective of this study was to determine whether rates of Critical Incident Tracking Network (CITN) patient safety adverse events change after implementation of crew resource management (CRM) training at a Veterans Affairs (VA) hospital. CRM training was conducted for all surgical staff at a VA hospital. Compliance with briefing and debriefing checklists was assessed for all operating room procedures. Tracking of adverse patient safety events utilizing the VA CITN events was performed. There was 100% adherence to performance of briefings and debriefings after initiation of CRM training. There were 3 CITN events in the year prior to implementation of CRM training; following CRM training, there have been zero CITN events. Following CRM training, CITN events were eliminated, and this has been sustained for 2.5 years. This is the first study to demonstrate the impact of CRM training on CITN events, specifically, in a VA medical center.

Thyroid and Parathyroid Operations in Veterans Affairs and Selected University Medical Centers: Results of the Patient Safety in Surgery Study

2007 ◽  
Vol 204 (6) ◽  
pp. 1222-1234 ◽  
Author(s):  
Bruce Lee Hall ◽  
Mitzi Hirbe ◽  
Yan Yan ◽  
Shukri F. Khuri ◽  
William G. Henderson ◽  
...  
Keyword(s):  
Patient Safety ◽  
Veterans Affairs ◽  
Medical Centers

Bariatric Operations in Veterans Affairs and Selected University Medical Centers: Results of the Patient Safety in Surgery Study

2007 ◽  
Vol 204 (6) ◽  
pp. 1261-1272 ◽  
Author(s):  
David B. Lautz ◽  
Timothy D. Jackson ◽  
Kerri A. Clancy ◽  
Cesar E. Escareno ◽  
Tracy Schifftner ◽  
...  
Keyword(s):  
Patient Safety ◽  
Veterans Affairs ◽  
Medical Centers

Breast Cancer Surgery in Veterans Affairs and Selected University Medical Centers: Results of the Patient Safety in Surgery Study

2007 ◽  
Vol 204 (6) ◽  
pp. 1235-1241 ◽  
Author(s):  
Leigh Neumayer ◽  
Tracy L. Schifftner ◽  
William G. Henderson ◽  
Shukri F. Khuri ◽  
Mahmoud El-Tamer
Keyword(s):  
Breast Cancer ◽  
Patient Safety ◽  
Veterans Affairs ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Medical Centers

Department of Veterans Affairs Patient Safety Program

2002 ◽  
Vol 30 (5) ◽  
pp. 296-302 ◽  
Author(s):  
Erik Stalhandske ◽  
James P. Bagian ◽  
John Gosbee
Keyword(s):  
Patient Safety ◽  
Veterans Affairs ◽  
Department Of Veterans Affairs ◽  
Safety Program

A Guide to Evaluation of Quality Improvement and Patient Safety Educational Programs: Lessons From the VA Chief Resident in Quality and Safety Program

2018 ◽  
Vol 34 (3) ◽  
pp. 251-259 ◽  
Author(s):  
Rebecca L. Butcher ◽  
Kathleen L. Carluzzo ◽  
Bradley V. Watts ◽  
Karen E. Schifferdecker
Keyword(s):  
Patient Safety ◽  
Quality Improvement ◽  
Chief Resident ◽  
Veterans Affairs ◽  
Teaching Skills ◽  
Quality And Safety ◽  
Department Of Veterans Affairs ◽  
Safety Program ◽  
Medical Education Program ◽  
Multiple Levels

With the recent proliferation of quality improvement (QI) and patient safety (PS) education programs, guidance is needed on how to assess the effectiveness of these programs. Without a systematic approach, evaluation efforts may end up being disjointed, lead to excess participant burden, or yield unhelpful feedback because of poor fit with program priorities. This article presents a framework for developing a multilevel evaluation infrastructure using examples from the evaluation of the national Department of Veterans Affairs Chief Resident in Quality and Safety program, a 1-year, post-accreditation program to develop leadership and teaching skills in QI and PS. It illustrates how to apply the framework to establish evaluation priorities and methods, and shares sample results and how they are used to guide program improvements and track important outcomes at multiple levels. The framework is particularly relevant to other nonaccredited advanced QI/PS programs, yet offers useful considerations for evaluating any advanced medical education program.

Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program

2016 ◽  
Vol 31 (6) ◽  
pp. 598-600 ◽  
Author(s):  
Bradley V. Watts ◽  
Douglas E. Paull ◽  
Linda C. Williams ◽  
Julia Neily ◽  
Robin R. Hemphill ◽  
...  
Keyword(s):  
Patient Safety ◽  
Chief Resident ◽  
Veterans Affairs ◽  
Department Of Veterans Affairs ◽  
Safety Program ◽  
Quality And Patient Safety
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