• Race, Ethnicity, and Source of Payment Can Increase Patient Risk of Adverse Events in Hospitals (The Leapfrog Group, June 7, 2023)
• 795,000 Americans a year die or are permanently disabled after being misdiagnosed (USA Today, July 19, 2023)
• Maryland Patient Safety Center Announces Patient Safety Innovation Awards Winners for 2023 (CityBiz, January 16, 2023)

• Recognizing Excellence in Diagnosis: Recommended Practices for Hospitals (The Leapfrog Group, July, 2022)
• Armstrong Institute Center for Diagnostic Excellence Receives $4 Million AHRQ Grant (2022)

• Maryland Commerce Supports Research Professorships at Eight Higher Education Institutions (Maryland Department of Commerce, October 19, 2021)
• Armstrong Institute Marks 10 Years of Promoting Patient Safety (Dome, October 13, 2021)
• Government Leaders Should Not Skip to the Front of the COVID-19 Vaccine Line (Johns Hopkins Berman Institute of Bioethics, January 22, 2021)

• ASHRM Recognizes Johns Hopkins Medicine VTE Collaborative for the ASHRM 2020 Patient Safety Award (ASHRM, September 9. 2020)
• The Society to Improve Diagnosis in Medicine awards $50,000 to 17 organizations through its Diagnostic Quality Improvement Seed Grant Program (Society to Improve Diagnosis in Medicine, September 9, 2020)
• 5 Questions to Ask Before Getting an Elective Surgery During the Pandemic (USA Today, July 13, 2020)
• Surgery or Medical Procedure? What to Know Before You Go (NY Times, June 30, 2020)
• One in 10 People With Any of These 3 Serious Conditions Will Be Misdiagnosed, a New Study Says—Here's Why (Health.com, May 22, 2020)
• Dr. Albert Wu - Johns Hopkins talks RISE (WMAR Baltimore, April 27, 2020)

• Getting The Diagnosis Wrong (WYPR, August 6, 2019)
• Johns Hopkins Medicine Researchers Identify Health Conditions Likely to be Misdiagnosed (Johns Hopkins Medicine, July 11, 2019)
• Low-Rated US Hospitals are Deadlier Due to Mistakes, Botched Surgery, Infections (USA Today, May 15, 2019)
• Johns Hopkins Medicine hospitals earned A’s and B’s for patient safety from The Leapfrog Group. (Leapfrog Hospital Safety Grade, May 5, 2019)
• When Diagnosing a Patient's Ills, There's Strength in Numbers (Reuters, March 1, 2019)

• Despite Guidelines, More Than 100 Ways PPE Doffing Process Can Fail (Healio, December 15, 2018)
• Johns Hopkins Medicine Hospitals Receive A’s and B’s for Patient Safety in Fall 2018 Leapfrog Hospital Safety Grades (Johns Hopkins Medicine, November 1, 2018)
• AHRQ recruits hospitals for surgical care improvement project (Becker's Healthcare, October 30, 2018)
• Johns Hopkins Medicine names Dr. Allen Kachalia SVP of Patient Safety and Quality (Becker's Healthcare, October 9, 2018)
• The Devastating Effects of Silence (PSQH, October 3, 2018)
• Burnout Tied to Twofold Higher Risk for Medical Errors (Medscape, July 9, 2018)
• 50 Experts Leading the Field of Patient Safety (Becker's Hospital Review, May 23, 2018)
• The Next Generation of Doctors May Be Learning Bad Habits at Teaching Hospitals with Many Safety Violations (Stat, April 20, 2018)
• A Multimodal Intervention Can Help Developing Nations Reduce One of the Most Common Health Care-Acquired Infections (Johns Hopkins Medicine, March 15, 2018)
• Johns Hopkins Researchers Use Big Data Analytics to Target Diagnostic Errors, Improve Quality (FierceHealthcare, January 23, 2018)

2017

• Top Patient Safety Expert, Innovator of Checklists, Departs Johns Hopkins (Baltimore Sun, December 14, 2017)
• Hidden Hospital Dangers: Experts Track Errors That Can Be Fatal or Make Patients Sicker (Post Star, November 18, 2017)
• Medical misdiagnosis: More common than you think(YPR, NPR News Station, October 31, 2017)
• Medically Injured Patients Desire to Know More About Prevention Efforts (Healio, October 11, 2017)                      
• Calculating the Lives That Could Be Saved (U.S. News & World Reports, June 21, 2017)
• Ventilator-Associated Adverse Events Largely Preventable, Study Finds (Becker’s Clinical Leadership & Infection Control, May 23, 2017)
• Johns Hopkins Study Shows One of the Deadliest Hospital-Acquired Infections Is Preventable (Johns Hopkins Medicine, May 22, 2017)
• 9 Mistakes That Can Lead to a Misdiagnosis in the ER (Reader's digest, April, 2017)
• Improving Stroke Diagnosis Accuracy: An Interview With David Newman-Toker, MD, PhD (Neurology Advisor, May 2, 2017)
• Johns Hopkins Awarded Multimillion-Dollar Contract in Effort to Improve Surgical Outcomes For Patients (Johns Hopkins Medicine, February 6, 2017)

2016

• Johns Hopkins Opens New Center to Reduce Diagnostic Errors (Johns Hopkins Medicine, October 31, 2016)
• Johns Hopkins Awarded $16 Million Contract in Effort to Improve Antibiotic Prescribing And Fight Superbugs (Johns Hopkins Medicine, October 18. 2016)
• Ensuring Transparency in Health Care Provider Performance (Johns Hopkins Medicine, September 19. 2016)
• Public Reporting Measures Fail To Describe the True Safety of Hospitals (Johns Hopkins Medicine, May 10, 2016)
• Putting Patient Safety and Quality Data Where You Might Not Expect It: Johns Hopkins Medicine Goes Performance-transparent with Dashboards (Becker’s Hospital Review, January 4, 2016)

2015

• Putting Care Back in the ICU (WYNC – Only Human, December 15, 2015)
• Hospital Penalties Based on Total Number of Blood Clots May Be Unfairly Imposed, Study Shows (Johns Hopkins Medicine, July 29, 2015)
• Johns Hopkins and the Queen’s Health Systems Collaborate to Advance Patient Safety and Quality in Hawaii (Johns Hopkins Medicine, July 6, 2015)
• For Safer Care, Simple Steps, Consistently Applied, Yield Substantial Improvements in Colorectal Surgery (Johns Hopkins Medicine, June 8, 2015)
• Johns Hopkins Patient Safety Experts Call for Changes in Policy to Reduce Serious, Preventable Safety Harms to Hospitalized Patients (Johns Hopkins Medicine, June 8, 2015)
• New Web Resource to Help Patients and Families Understand Johns Hopkins Medicine Quality and Safety Data (Johns Hopkins Medicine, May, 18, 2015)
• Mining Patients’ Wisdom for Safer Care (U.S. News & World Report, May 4, 2015)
• Johns Hopkins Medicine and All Children’s Hospital Leaders Recognized as Top Experts in Patient Safety (Johns Hopkins Medicine, April 29, 2015)
• Intensive Care Unit Interventions Developed at Johns Hopkins Sharply Reduce Bloodstream Infections in Abu Dhabi Hospitals (Johns Hopkins Medicine, April 20, 2015)
• ‘Real-Time’ Feedback and ‘Pay for Performance’ Improve Physician Practice and Hospital Safety (Johns Hopkins Medicine, April 17, 2015)
• Meet the Cancer Patient in Room 52: His Name is Joseph, But Call Him Joe (The Washington Post, April 8, 2015)
• Intensive Care Gets Friendlier with Apps, Devices (The Wall Street Journal, March 16, 2015)
• National Hospital Rating Systems Show Little Agreement – What’s A Consumer To Do? (WTOP Radio, March 11, 2015)
• Can You Find the 'Best' Hospital For You? (CNN, March 4, 2015)
• National Hospital Rating Systems Disagree on Best and Worst Hospitals (Johns Hopkins Medicine, March 3, 2015)
• Hospital Rating Systems Differ on Best and Worst (The New York Times, March 2, 2015)
• CDC Unveils Videos to Help with Ebola, Infectious Disease ID, Handling (Modern Healthcare, February 17, 2015)
• Hopkins Helps Make Training Videos on Ebola and Infectious Disease Care (The Baltimore Sun, February 17, 2015)
• Johns Hopkins Study Finds Early Physical Rehabilitation in the ICU Leads to Better Patient Outcomes (Johns Hopkins Medicine, January 8, 2015)
• Physical Recovery in Critically Ill Patients Can Predict Remission of General Anxiety and PTSD Symptoms (Johns Hopkins Medicine, January 7, 2015)
• Johns Hopkins Medicine Charts Successful Path for Improving Patient Safety at Large Health Systems (Johns Hopkins Medicine, January 5, 2015)

2014

• CDC Charges Johns Hopkins to Lead Development of Ebola Training Module for Nurses, Physicians and Health Care Workers (Johns Hopkins Medicine, October, 24, 2014)
• Hopkins Picked to Create Ebola Training Tool (The Baltimore Sun, October 24, 2014)
• Three Johns Hopkins Medicine Hospitals Recognized by the Delmarva Foundation for Medical Care for Their Commitment to Quality Improvement (Johns Hopkins Medicine, September 4, 2014)
• Two Johns Hopkins Leaders Recognized for Shaping Health Care (Johns Hopkins Medicine, August, 25, 2014)
• Ambitious Checklist App Comes as Hospitals Struggle with Basic Checklists (Modern Healthcare, June 21, 2014)
• ER doctors commonly miss more strokes among women, minorities and younger patients (Johns Hopkins Medicine, April, 3, 2014)
• Longer stay in hospital ICU has lasting impact on quality of life (Johns Hopkins Medicine, April 2, 2014)
• Bringing in the Inside Expert: SCCM Award Honors Interactive Family-Centered Care (Critical Connections (v13: no2), April/May 2014)

2013

• Joint Commission designates three Johns Hopkins Medicine hospitals as 'Top Performers' in Quality and Safety (Johns Hopkins Medicine, October 30, 2013)
  
• Captain “Sully” Sullenberger and Johns Hopkins Tackle Patient Safety (Forbes, October 2, 2013)
• Johns Hopkins Awarded $2.1 Million to Improve Post-Hospital Care for Chronic Obstructive Pulmonary Disease (Johns Hopkins Medicine, October 2, 2013)
• Johns Hopkins Awarded $7.3 Million to Prevent Ventilator-Associated Pneumonia (Johns Hopkins Medicine, September 24, 2013)
• Children with Cancer More Likely to Develop Central Line Infections at Home than at Hospital (Medical Daily, July 25, 2013)
• Patient Safety Expert Peter Pronovost Named #5 Most Influential Physician Executive by Modern Healthcare (Johns Hopkins Medicine, April 24, 2013
• Diagnostic Errors More Common, Costly and Harmful than Treatment Mistakes (Johns Hopkins Medicine, April 23, 2013)
• Diagnostic Errors are Leading Cause of Successful Malpractice Claims (The Washington Post, April 22, 2013)
• What Hospital Rankings Mean for You (Everyday Health, March 21, 2013)
• Is It a Stroke or Benign Dizziness? A Simple Bedside Test Can Tell (Johns Hopkins Medicine, March 5, 2013)
• PTSD Symptoms Common among ICU Survivors (Johns Hopkins Medicine, February 26, 2013)
• How to Fix Hospital Horror Stories that Start in the ICU (Marketplace, Feb. 15, 2013)

2012

• Surgical "Never" Events Occur at Least 4,000 Times a Year (Johns Hopkins Medicine, December 19, 2012)
• Armstrong Institute to Aid The Leapfrog Group in Grading the Safety and Quality of U.S. Hospitals (Johns Hopkins Medicine, December 12, 2012)
• Johns Hopkins' Armstrong Institute Receives $8.9 Million Patient Safety Grant (Johns Hopkins Medicine, August 28, 2012)
• Johns Hopkins Patient Safety Team Finds "Fatal Flaws" in the ICU May Account for as Many Deaths as Breast Cancer (Johns Hopkins Medicine, August 27, 2012)
• Pilot Program Slashes Colorectal Surgical Site Infections by 33 Percent (Johns Hopkins Medicine, July 30, 2012)
• Johns Hopkins Patient Safety Expert Peter Pronovost Wins Dual National Honors (Johns Hopkins Medicine, April 25, 2012)
• Study Shows Reducing Breath Size and Pressure from ICU Ventilator Increases Long-Term Survival in People with Acute Lung Injury (Johns Hopkins Medicine, March 27, 2012)
• Public Disclosure of Hospital Infection Rates Vary by State (Johns Hopkins Medicine, March 16, 2012)
• Armstrong Institute and Abu Dhabi Health Services Company to Collaborate on Enhancing Patient Safety (Johns Hopkins Medicine, March 14, 2012)
• Checklists that Patients and Doctors Follow Can Improve Hospital Care (The Washington Post, March 5, 2012)
• Q&A With Johns Hopkins' Dr. Peter Pronovost: How Clinical Communities Can Reduce Harm (Becker’s Clinical Quality & Infection Control, Feb. 28, 2012)

2011

• Johns Hopkins Collaborates with Lockheed Martin to Build Next-Generation ICU (Johns Hopkins Medicine, December 14, 2011)
• Long-Lasting Depressive Symptoms, Physical Impairment Often Follow ICU Stays (Johns Hopkins Medicine, December 9, 2011)
• Hospital Readmissions After Colon Surgery Common, Costly - and Preventable (Johns Hopkins Medicine, November 16, 2011)
• Armstrong Institute Awarded $10 Million Contract to Reduce Surgical Infections (Johns Hopkins Medicine, November 2, 2011)
• Temporary Staff Poses Increased Safety Risk to Patients (Johns Hopkins Medicine, August 25, 2011)
• Program Reduces Infections, Saves Lives and Money (Johns Hopkins Medicine, August 22, 2011)
• Surgical Complications 12 Times More Likely in Obese Patients (Johns Hopkins Medicine, June 20, 2011)
• Rating Hospital Quality Means Asking the Right Questions, Experts Say (Johns Hopkins Medicine, June 16, 2011)
• Pronovost Named Director of New Hopkins Patient Safety Institute (Johns Hopkins Medicine, June 7, 2011)
• Johns Hopkins Establishes Armstrong Institute for Patient Safety and Quality (Johns Hopkins Medicine, May 26, 2011)
• Johns Hopkins receives $10 Million to Open Patient Safety Institute (The Baltimore Sun, May 26, 2011)
• The Secret to Fighting Infections (The Wall Street Journal, March 27, 2011)

2010

• Doctor Leads Quest for Safer Ways to Care for Patients (The New York Times, March 8, 2010)

2009

• As Easy as 1-2-3? (The Wall Street Journal, Oct. 27, 2009)
• Safety Gurus: Penalize Doctors Who Don’t Follow Rules (The Wall Street Journal, Oct. 1, 2009)

2007

• The Checklist (The New Yorker, Dec. 10, 2007)

• Ahmed F.A., Choudhary R.A., Khan H., Ayub F., Hassan S.S.U., Munir T., Asif F., Ajani K., Jaffer M., Tharani Z., Aboumatar H.J., Haider A., Latif A., Incorporating Patient Safety and Quality Course Into the Nursing Curriculum: An Assessment of Student Gains. (2023) Journal of patient safety, 19 (6), pp. 408 - 414. DOI: 10.1097/PTS.0000000000001146
• Arbaje A.I., Greyson S., Keita Fakeye M., Hohl D., Carl K., Hsu Y.-J., Leff B. Using stakeholder intervention refinement teams to develop approaches for real-time integration of patient-reported safety information during older adults’ hospital-to-home-health care transitions (2023) Journal of Patient Safety and Risk Management.  DOI: 10.1177/25160435231199975
• ul Hassan S.S., Ali W., Khan H., Raja A.R., Hassan M., Haque G., Ayub F., Waqar M.A., Latif A. Confronted With Death: Factors Affecting End of Life Decisions in the Intensive Care Unit (2023) Omega (United States), DOI: 10.1177/00302228231198360
• Rebman A.W., Yang T., Wang L., Marsteller J.A., Murphy S.M.E., Uriyo M., Aucott J.N. Outpatient visits before and after Lyme disease diagnosis in a Maryland employer-based health plan (2023) BMC Health Services Research, 23 (1), art. no. 919. DOI: 10.1186/s12913-023-09909-3
• Shaikh U., Kim J.M., Yin S.H. Implementing Strategies to Prevent Home Medication Administration Errors in Children With Medical Complexity (2023) Clinical Pediatrics. DOI: 10.1177/00099228231196750
• Patel P.K., Advani S.D., Kofman A.D., Lo E., Maragakis L.L., Pegues D.A., Pettis A.M., Saint S., Trautner B., Yokoe D.S., Meddings J. Strategies to prevent catheter-associated urinary tract infections in acute-care hospitals: 2022 Update (2023) Infection Control and Hospital Epidemiology, 44 (8), pp. 1209 – 1231. DOI: 10.1017/ice.2023.137
• Quirós R.E., Mesalles M.E., Escobar E.D., Torrez J.C.T., Cosgrove S.E., Fabre V. Ambulatory Antibiotic Use Patterns in Bolivia: Identifying Targets for Future Antibiotic Stewardship Efforts in Latin America (2023) Antimicrobial Stewardship and Healthcare Epidemiology, 3 (1), art. no. e138. DOI: 10.1017/ash.2023.411
• Härkänen M, Pineda AL, Tella S, Mahat S, Panella M, Ratti M, Vanhaecht K, Strametz R, Carrillo I, Rafferty AM, Wu AW, Anttila VJ, Mira JJ. The impact of emotional support on healthcare workers and students coping with COVID-19, and other SARS-CoV pandemics - a mixed-methods systematic review. BMC Health Serv Res. 2023 Jul 13;23(1):751. doi: 10.1186/s12913-023-09744-6. PMID: 37443003; PMCID: PMC10339499.
• Shamim F., Sohaib M., Samad K., Khan M.F., Manji A.A., Latif A. Ease of Intubation with McGrath Videolaryngoscope and Incidence of Adverse Events during Tracheal Intubation in COVID-19 Patients: A Prospective Observational Study (2023) Journal of Critical Care Medicine, 9 (3), pp. 162 – 169. DOI: 10.2478/jccm-2023-0020
• Edlow J.A., Carpenter C.R., Newman-Toker D., Bellolio F. Response to “Give us some GRACE, we can't take the HINT” (2023) Academic Emergency Medicine. DOI: 10.1111/acem.14778
• Newman-Toker DE, Nassery N, Schaffer AC, et al. Burden of serious harms from diagnostic error in the USA. BMJ Quality & Safety. Published Online First: 17 July 2023. doi: 10.1136/bmjqs-2021-014130
• Härkänen, M., Pineda, A.L., Tella, S. et al. The impact of emotional support on healthcare workers and students coping with COVID-19, and other SARS-CoV pandemics – a mixed-methods systematic review. BMC Health Serv Res 23, 751 (2023). https://doi.org/10.1186/s12913-023-09744-6
• Rosen MA, Bertram AK, Tung M, Desai SV, Garibaldi BT. Use of a Real-Time Locating System to Assess Internal Medicine Resident Location and Movement in the Hospital. JAMA Netw Open. 2022 Jun 1;5(6):e2215885. doi: 10.1001/jamanetworkopen.2022.15885. PMID: 35675075; PMCID: PMC9178434. 
• Marsteller JA, Dukhanin V, Kang SY, Russell LE, Vass M, Zhang A, Sharma R, Bass EB, Snyder C. Measuring Healthcare Organization Characteristics in Cancer Care Delivery Research. Technical Brief No. 43. (Prepared by the Johns Hopkins University Evidence-based Practice Center under Contract No. 75Q80120D00003.) AHRQ Publication No. 23-EHC025. Rockville, MD: Agency for Healthcare Research and Quality; June 2023. DOI: www.doi.org/10.23970/AHRQEPCTB43
• Anping Xie, Danielle W. Koontz, Elizabeth A. Colantuoni, Annie Voskertchian, Marlene R. Miller, James C. Fackler, Aaron M. Milstone, Charlotte Z. Woods-Hill,
  Application of Participatory Ergonomics to the Dissemination of a Quality Improvement Program for Optimizing Blood Culture Use,
  The Joint Commission Journal on Quality and Patient Safety, 2023, ISSN 1553-7250, https://doi.org/10.1016/j.jcjq.2023.06.004.
• Saraswathula A, Merck SJ, Bai G, et al. The Volume and Cost of Quality Metric Reporting. JAMA. 2023;329(21):1840–1847. doi:10.1001/jama.2023.7271
• ECRI. Building a better safety-event-reporting system—Johns Hopkins Armstrong Institute for Patient Safety and Quality meets the challenge. Device Evaluation. May 17, 2023.
• Wiegand AA, Sheikh T, Zannath F, et al “It’s probably an STI because you’re gay”: a qualitative study of diagnostic error experiences in sexual and gender minority individuals. BMJ Quality & Safety. Published Online First: 10 May 2023. doi: 10.1136/bmjqs-2022-015629
• Soneru CN, Fernandez AM, Bradford V, Staffa SJ, Raman VT, Cravero J, Zurakowski D, Meier PM; Pediatric Anesthesia COVID-19 Collaborative. A survey of the global impact of COVID-19 on the practice of pediatric anesthesia: A study from the pediatric anesthesia COVID-19 Collaborative Group. Paediatr Anaesth. 2021 Jun;31(6):720-729. doi: 10.1111/pan.14174. Epub 2021 May 3. PMID: 33687737; PMCID: PMC8250770. 
• Smith L.L., Fallon S.A., Virk Z.Q., Salinas A.B., Curless M.S., Cosgrove S.E., Maragakis L.L., Rock C., Klein E.Y. Healthcare personnel interactive pathogen exposure response system (2023) Infection Control and Hospital Epidemiology, 44 (8), pp. 1358 – 1360. DOI: 10.1017/ice.2022.261
• Wu AW, Kachalia AB. Creating a “just culture”: More work to be done. Journal of Patient Safety and Risk Management. 2023;28(2):56-58. doi:10.1177/25160435231168152
• Xie A, Hsu Y-J, Speed TJ, et al. The use of telemedicine for perioperative pain management during the COVID-19 pandemic. Journal of Telemedicine and Telecare. 2023;0(0). doi:10.1177/1357633X231162399
• Yuan Zhou, Amith Viswanatha, Ammar Abdul Motaleb, Prabin Lamichhane, Kay-Yut Chen, Richard Young, Ayse P. Gurses, Yan Xiao,
  A predictive decision analytics approach for primary care operations management: A case study of double-booking strategy design and evaluation,
  Computers & Industrial Engineering, Volume 177, 2023, 109069, ISSN 0360-8352, https://doi.org/10.1016/j.cie.2023.109069.
• Chen K, Lang Y, Zhou Y, Kosmari L, Daniel K, Gurses A, Xiao Y. Assessing Interventions on Crowdsourcing Platforms to Nudge Patients for Engagement Behaviors in Primary Care Settings: Randomized Controlled Trial. J Med Internet Res 2023;25:e41431 doi: 10.2196/41431 PMID: 37440308 PMCID: 10375278

• Gurses, A. P., Perry, S. J., Pennathur, P., Sax, H., Bell, M., & Roth (Chair), E. (2022). Human Factors Engineering in Infection Prevention & Control: Opportunities, Examples, and the Future. Proceedings of the Human Factors and Ergonomics Society Annual Meeting, 66(1), 565–569. https://doi.org/10.1177/1071181322661004
• Wu AW. Pursuing a saboteur of patient safety: The hidden curriculum. Journal of Patient Safety and Risk Management. 2022;27(5):199-200. doi:10.1177/25160435221129332

• Wooldridge AR, Carman E-M, Xie A. Human Factors and Ergonomics (HFE) applications in responses to the COVID-19 pandemic: lessons learned and considerations for methods. Applied Ergonomics. 2022; 102: 103733. Health IT and medical device design.

• Xie A, Hsu Y-J, Speed TJ, Villanueva M, Hanna I, Slupek DA, Khasawneh A, Shechter R, Hanna MN. Patient engagement and prescription opioid use in perioperative pain management. Journal of Opioid Management. 2022; 18(5):421-433.

• Xiao Y, Smith A, Abebe E, Hannum SM, Wessell AM, Gurses AP. Understanding Hazards for Adverse Drug Events Among Older Adults After Hospital Discharge: Insights From Frontline Care Professionals.J Patient Saf. 2022 Dec 1;18(8):e1174-e1180. doi: 10.1097/PTS.0000000000001046. PMID: 35617608; PMCID: PMC9679039.

• Low R, Wu AW. Veterinary healthcare needs to talk more about error: For the wellbeing of our patients and medical teams. J Vet Intern Med. 2022 Nov;36(6):2199-2202. doi: 10.1111/jvim.16554. Epub 2022 Nov 3. Erratum in: J Vet Intern Med. 2023 Jan;37(1):391. PMID: 36326173; PMCID: PMC9708451.

• Wooldridge AR, Carayon P, Hoonakker P, Hose BZ, Shaffer DW, Brazelton T, Eithun B, Rusy D, Ross J, Kohler J, Kelly MM, Springman S, Gurses AP. Team Cognition in Handoffs: Relating System Factors, Team Cognition Functions and Outcomes in Two Handoff Processes. Hum Factors. 2022 Jun 5:187208221086342. doi: 10.1177/00187208221086342. Epub ahead of print. Erratum in: Hum Factors. 2022 Nov 14;:187208221140877. PMID: 35658721.

• Rosen MA, Himmelfarb CD, Bauer T, Mullins CD. Expanding the learning health system model to be health literate. J Comp Eff Res. 2022 Oct;11(15):1079-1083. doi: 10.2217/cer-2022-0002. Epub 2022 Aug 23. PMID: 35997765; PMCID: PMC9490504.

• Austin, J. Matthew PhD; Bane, Anne MSN, RN†; Gooder, Valerie PhD, RN; Saltsman, Connie PharmD, MBA, CPHIMS, FHIMSS; Wilson, Marisa DNSc, MHSc, RN, CPHIMS, RN-BC, FAMIA, FAAN∥; Stewart, Kathryn Burggraf MPH; Derk, Jordan MPH; Danforth, Melissa BA; Michalek, Christina BS, RPh, FASHP. Development of the Leapfrog Group’s Bar Code Medication Administration Standard to Address Hospital Inpatient Medication Safety. Journal of Patient Safety 18(6):p 526-530, September 2022. | DOI: 10.1097/PTS.0000000000001052

• Strauss AT, Sidoti CN, Purnell TS, Sung HC, Jackson JW, Levin S, Jain VS, Malinsky D, Segev DL, Hamilton JP, Garonzik-Wang J, Gray SH, Levan ML, Scalea JR, Cameron AM, Gurakar A, Gurses AP. Multicenter study of racial and ethnic inequities in liver transplantation evaluation: Understanding mechanisms and identifying solutions.Liver Transpl. 2022 Dec;28(12):1841-1856. doi: 10.1002/lt.26532. Epub 2022 Jul 28. PMID: 35726679; PMCID: PMC9796377.

• Rosen MA, Bertram AK, Tung M, Desai SV, Garibaldi BT. Use of a Real-Time Locating System to Assess Internal Medicine Resident Location and Movement in the Hospital.JAMA Netw Open. 2022 Jun 1;5(6):e2215885. doi: 10.1001/jamanetworkopen.2022.15885. PMID: 35675075; PMCID: PMC9178434.
• Durojaiye A, Fackler J, McGeorge N, Webster K, Kharrazi H, Gurses A.Examining Diurnal Differences in Multidisciplinary Care Teams at a Pediatric Trauma Center Using Electronic Health Record Data: Social Network Analysis. J Med Internet Res. 2022 Feb 4;24(2):e30351. doi: 10.2196/30351. PMID: 35119372; PMCID: PMC8857698.
• Wu A, Mair A, Papieva I, Taha A, Dhingra N. Third Time’s the Charm: Strengthening Global Efforts to Reduce Medication-Related Harm. Journal of Patient Safety and Risk Management. 2022;27(4):157-159. doi:10.1177/25160435221120362
• Wu AW. Supply and Demand: Meeting the Need for Graduate Training in Patient Safety. Journal of Patient Safety and Risk Management. 2022;27(3):97-99. doi:10.1177/25160435221106271
• Wu AW, Norvell M. To improve patient safety, lean in. Journal of Patient Safety and Risk Management. 2022;27(1):3-5. doi:10.1177/25160435221081661

• Wooldridge AR, Carayon P, Hoonakker P, Hose BZ, Schroeer K, Brazelton T, Eithun B, Rusy D, Ross J, Kohler J, Kelly MM, Dean S, Springman S, Rahal R, Gurses AP. Care transition of trauma patients: Processes with articulation work before and after handoff. Appl Ergon. 2022 Jan;98:103606. doi: 10.1016/j.apergo.2021.103606. Epub 2021 Oct 9. PMID: 34638036; PMCID: PMC10373374.

• Soneru CN, Fernandez AM, Bradford V, Staffa SJ, Raman VT, Cravero J, Zurakowski D, Meier PM; Pediatric Anesthesia COVID-19 Collaborative. A survey of the global impact of COVID-19 on the practice of pediatric anesthesia: A study from the pediatric anesthesia COVID-19 Collaborative Group. Paediatr Anaesth. 2021 Jun;31(6):720-729. doi: 10.1111/pan.14174. Epub 2021 May 3. PMID: 33687737; PMCID: PMC8250770.

• Wu AW, McIntyre J. Patient safety in long-term care facilities and the COVID-19 pandemic. Journal of Patient Safety and Risk Management. 2021;26(6):234-236. doi:10.1177/25160435211059871
• Wu AW. Having a patient in the room changes the discussion. Journal of Patient Safety and Risk Management. 2021;26(5):192-194. doi:10.1177/25160435211050802
• Wu AW. The masks are off–maintaining gains in patient safety post COVID-19. Journal of Patient Safety and Risk Management. 2021;26(4):147-149. doi:10.1177/25160435211039057
• J. Matthew Austin, Kristina Weeks, Peter J. Pronovost, Health System Leaders’ Role in Addressing Racism: Time to Prioritize Eliminating Health Care Disparities, The Joint Commission Journal on Quality and Patient Safety, Volume 47, Issue 4, 2021, Pages 265-267, ISSN 1553-7250, https://doi.org/10.1016/j.jcjq.2020.11.010.

• Chang BH, Hsu Y-J, Rosen MA, Gurses AP, Huang S, Xie A, Speck K, Marsteller JA, Thompson DA. Reducing three infections across cardiac surgery programs: A multi-site across-unit collaboration. American Journal of Medical Quality. 2020; 35(1):37-45.

• Xie A, Koontz DW, Voskertchian A, Fackler JC, Milstone AM, Woods-Hill CZ. Survey-based work system assessment to facilitate large-scale dissemination of healthcare quality improvement programs. Pediatric Quality & Safety. 2020; 5(2):e288.

• Wu AW, Sax H, Letaief M, et al. COVID-19: The dark side and the sunny side for patient safety. Journal of Patient Safety and Risk Management. 2020;25(4):137-141. doi:10.1177/2516043520957116
• Austin JM, Kachalia A. The State of Health Care Quality Measurement in the Era of COVID-19: The Importance of Doing Better. JAMA. 2020;324(4):333–334. doi:10.1001/jama.2020.11461
• Wu AW, Buckle P, Haut ER, et al. Supporting the Emotional Well-being of Health Care Workers During the COVID-19 Pandemic. Journal of Patient Safety and Risk Management. 2020;25(3):93-96. doi:10.1177/2516043520931971
• Austin JM, Derk JM, Kachalia A, Pronovost PJ. Assessing the Agreement of Hospital Performance on 3 National Mortality Ratings for 2 Common Inpatient Conditions. JAMA Intern Med. 2020;180(6):904–905. doi:10.1001/jamainternmed.2020.0450
• Gurses AP, Tschudy MM, McGrath-Morrow S, et al. Overcoming COVID-19: What can human factors and ergonomics offer? Journal of Patient Safety and Risk Management. 2020;25(2):49-54. doi:10.1177/2516043520917764

• Gurses AP, Dietz AS, Nowakowski E, Andonian J, Schiffhauer M, Billman C, Abashian AM, Trexler P, Osei P, Benishek LE, Xie A, Pronovost P, Rosen MA, Maragakis LL. Human factors-based risk analysis to improve the safety of doffing enhanced personal protective equipment. Infection Control and Hospital Epidemiology. 2019; 40(2):178-186.

• Xie A, Woods-Hill CZ, King AF, Enos-Graves H, Ascenzi A, Gurses AP, Klaus SA, Fackler JC, Milstone AM. Work system assessment to facilitate the dissemination of a quality improvement program for optimizing blood culture use: a case study using a human factors engineering approach. Journal of the Pediatric Infectious Diseases Society. 2019; 8(1):39-45.

• Kelly MM, Xie A, Li Y, Cartmill R, Cox ED, Brown LR, Wetterneck T, Carayon P. System factors influencing the use of a family-centered rounds checklist. Pediatric Quality & Safety. 2019; 4(4):e196. 

• Wu AW. The golden moment after an adverse event. Journal of Patient Safety and Risk Management. 2019;24(5):179-180. doi:10.1177/2516043519884849
• Aboumatar H, Naqibuddin M, Chung S, et al. Effect of a Hospital-Initiated Program Combining Transitional Care and Long-term Self-management Support on Outcomes of Patients Hospitalized With Chronic Obstructive Pulmonary Disease: A Randomized Clinical Trial. JAMA. 2019;322(14):1371–1380. doi:10.1001/jama.2019.11982
• Wu AW. Time to take a breath: Rebalancing the human and technical aspects of patient safety. Journal of Patient Safety and Risk Management. 2019;24(3):93-95. doi:10.1177/2516043519858250

• Xie A, Rock C, Hsu Y-J, Osei P, Andonian J, Scheeler V, Keller SC, Cosgrove SE, Gurses AP. Improving daily patient room cleaning: an observational study using a human factors engineering approach. IISE Transactions on Occupational Ergonomics and Human Factors. 2018; 6(3-4):178-191.

• Mane KK, Rubenstein KB, Nassery N, Sharp AL, Shamim EA, Sangha NS, Hassoon A, Fanai M, Wang Z, Newman-Toker DE. Diagnostic performance dashboards: tracking diagnostic errors using big data. BMJ Quality & Safety 2018;27:567-570.
• Gurses AP, Rosen MA, Pronovost PJ. Improving guideline compliance and healthcare safety using human factors engineering: The case of Ebola. Journal of Patient Safety and Risk Management. 2018;23(3):93-95. doi:10.1177/2516043518762839
• Diagnostic performance dashboards: tracking diagnostic errors using big data, BMJ Qual Saf Published Online First: 17 March 2018. doi: 10.1136/bmjqs-2018-007945, Mane KK, Rubenstein KB, Nassery N, et al

• Al Danaf J., Chang B.H., Shaear M., Johnson K.M., Miller S., Nester L., Williams A.W., Aboumatar H.J. Surfacing and addressing hospitalized patients’ needs: Proactive nurse rounding as a tool. Journal of Nursing Management. 2017 Dec 15.
• H. Aboumatar, M. Naqibuddin, S. Chung, et al. Better Respiratory Education and Treatment Help Empower (BREATHE) study: Methodology and baseline characteristics of a randomized controlled trial testing a transitional care program to improve patient-centered care delivery among chronic obstructive pulmonary disease patients, in Contemporary Clinical Trials, Volume 62, 2017, Pages 159-167, ISSN 1551-7144
• Keller, S. C., Gurses, A. P., Werner, N., Hohl, D., Hughes, A., Leff, B., & Arbaje, A. I. (2017). Older Adults and Management of Medical Devices in the Home: Five Requirements for Appropriate Use. Population health management.
• Weaver, S. J., Benishek, L. E., Leeds, I., & Wick, E. C. (2017). The Relationship Between Teamwork and Patient Safety. In Surgical Patient Care (pp. 51-66). Springer International Publishing.
• Hunt, E. A., Duval-Arnould, J. M., Chime, N. O., Jones, K., Rosen, M., Hollingsworth, M., ... & Jung, J. (2017). Integration of in-hospital cardiac arrest contextual curriculum into a basic life support course: a randomized, controlled simulation study. Resuscitation, 114, 127-132.
• Alexander Andrea Tarnutzer, MD, Seung-Han Lee, MD, Karen A. Robinson, PhD, Zheyu Wang, PhD, Jonathan A. Edlow, MD* and David E. Newman-Toker, MD, PhD. ED misdiagnosis of cerebrovascular events in the era of modern neuroimaging, The Official Journal of the American Academy of Neurology, 2017 March.
• Aboumatar, H. J., Weaver, S. J., Rees, D., Rosen, M. A., Sawyer, M. D., & Pronovost, P. J. (2017). Towards high-reliability organising in healthcare: a strategy for building organisational capacity. BMJ Qual Saf, bmjqs-2016.
• Newman-Toker DE. Missed stroke in acute vertigo and dizziness: It is time for action, not debate. Ann Neurol. 2016 Jan;79(1):27-31. doi: 10.1002/ana.24532. Epub 2015 Dec 12. PMID: 26418192; PMCID: PMC9041814.
• Aboumatar, Hanan J. MD, MPH; Chang, Bickey H. MHA; Al Danaf, Jad MD, MPH; Shaear, Mohammad MD; Namuyinga, Ruth MD, MPH; Elumalai, Sathyanarayanan BTech, MS; Marsteller, Jill A. PhD, MPP; Pronovost, Peter J. MD, PhD. Promising Practices for Achieving Patient-centered Hospital Care: A National Study of High-performing US Hospitals. Medical Care 53(9):p 758-767, September 2015. | DOI: 10.1097/MLR.0000000000000396
• Aboumatar H.J., Chang B.H., Danaf J.D., Shaear M., Namuyinga R., Elumalai S., Marsteller J.A., Pronovost P.J. Promising Practices for Achieving Patient-centered Hospital Care: A National Study of High Performing United States Hospitals. Medical Care. 2015 Jun 30.
• Moy E, Barrett M, Coffey R, Hines A, Newman-Toker DE. Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and facility characteristics. Diagnosis. 2015 Feb;2(1):29-40.
• Brown S.M., Rozenblum R., Aboumatar H., Fagan M.B., Milic M., Lee B.S., Turner K., Frosch D.L. Defining patient and family engagement in the intensive care unit. American Journal of Respiratory and Critical Care Medicine. 2015 Feb 1; 191(3):358-60.
• Samuel M. Brown, , Ronen Rozenblum, Hanan Aboumatar, Maureen B. Fagan, Michelle Milic, Barbara Sarnoff Lee, Kathleen Turner, and Dominick L. Frosch, Defining Patient and Family Engagement in the Intensive Care Unit. Am J Respir Crit Care Med 2015 Feb 1;191(3):358-60. doi: 10.1164
• Sundi D, Cohen JE, Cole AP, Neuman BP, Cooper J, Faisal FA, Ross AE, Schaeffer EM. Establishment of a new prostate cancer multidisciplinary clinic: Format and initial experience. Prostate. 2015 Feb;75(2):191-9. doi: 10.1002/pros.22904. Epub 2014 Oct 13.
• Moy, Ernest, Barrett, Marguerite, Coffey, Rosanna, Hines, Anika L. and Newman-Toker, David E.. "Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and facility characteristics" Diagnosis, vol. 2, no. 1, 2015, pp. 29-40. https://doi.org/10.1515/dx-2014-0053
• Newman-Toker DE, Moy E, Valente E, Coffey R, Hines A. Missed diagnosis of stroke in the ED: a cross-sectional analysis of a large population-based sample. Diagnosis. 2014 Apr;1(2):155-166.
• Newman-Toker DE. A unified conceptual model for diagnostic errors: underdiagnosis, overdiagnosis, and misdiagnosis. Diagnosis. 2014 1(1): 43–48.
• Newman-Toker, David E., Moy, Ernest, Valente, Ernest, Coffey, Rosanna and Hines, Anika L.. "Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based sample" Diagnosis, vol. 1, no. 2, 2014, pp. 155-166. https://doi.org/10.1515/dx-2013-0038
• Newman-Toker DE. A unified conceptual model for diagnostic errors: underdiagnosis, overdiagnosis, and misdiagnosis. Diagnosis. 2014 1(1): 43–48.
• Soares KC, Cosgrove DC, Herman JM, Pawlik TM. Multidisciplinary Clinic in the Management of Hepatocellular Carcinoma. Annals of Surgical Oncology. 2014; 21: 1059-1061.
• Aboumatar H.J., Carson K.A., Beach M.C., Roter D.L., Cooper L.A. The impact of health literacy on desire for participation in healthcare, medical visit communication, and patient reported outcomes among patients with hypertension. Journal of General Internal Medicine. 2013 Nov 28(11):1469-76.
• Aboumatar H.J., Chang B., Hanna M., Siddiqui Z. (Eds). Best Practices in Patient-Centered Care Conference Proceedings. Best Practices in Patient-Centered Care Conference; 2013 Sept 26-27; Baltimore. Baltimore: Johns Hopkins University; 2014.
• Aboumatar H.J., Cooper L.A. Contextualizing patient-centered care to fulfill its promise of better health outcomes: beyond who, what, and why. Annals of Internal Medicine. 2013 Apr 16; 158(8):628-9.
•  Saber Tehrani AS, Lee HW, Mathews SC, Shore A, Makary M, Pronovost PJ, Newman-Toker DE. 25-year summary of US malpractice claims for diagnostic errors 1986-2010: an analysis from the National Practitioner Data Bank. BMJ Quality and Safety. 2013 Aug;22(8):672-80
• Newman-Toker DE, McDonald KM, Meltzer DO. How much diagnostic safety can we afford… and how should we decide? A health economics perspective. BMJ Qual Saf. 2013 22 Suppl 2 (2013), ii11-ii20.
• Aboumatar H., Pronovost P. Making hospital care patient-centered: the three patient questions framework. American Journal of Medical Quality. 2013 Jan-Feb; 28(1):78-80.
• Zhang J, Mavros MN, Cosgrove D, et al. Impact of a single-day multidisciplinary clinic on the management of patients with liver tumors. Current Oncology. 2013; 20: e123-e131.
• Kattah JC, Talkad AV, Wang DZ, Hsieh YH, Newman-Toker DE. HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor exam more sensitive than early MRI diffusion-weighted imaging. Stroke. 2009 Nov;40(11):3504-3510.
• Newman-Toker DE, Pronovost PJ. Diagnostic errors: the next frontier for patient safety. JAMA. 2009 Mar; 301(10):1060-62.
• Pawlik TM, Laheru D, Hruban RH, et al. Evaluating the impact of a single-day multidisciplinary clinic on the management of pancreatic cancer. Annals of Surgical Oncology. 2008; 15:2081-2088.