Root Cause Analysis of Serious Adverse Events Among Older Patients in the Veterans Health Administration

By Lee Alexandra   Mills Peter D.   Neily Julia   Hemphill Robin R.  

Joint Commission Journal on Quality and Patient Safety, Vol. 40, Iss. 6, 2014-06 ,pp. : 253-262

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Actions and Implementation Strategies to Reduce Suicidal Events in the Veterans Health Administration

By Mills Peter D.   Neily Julia   Luan Diana   Osborne Andrea   Howard Kierston  

Joint Commission Journal on Quality and Patient Safety, Vol. 32, Iss. 3, 2006-03 ,pp. : 130-141

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Medical Team Training: Applying Crew Resource Management in the Veterans Health Administration

By Dunn Edward J.   Mills Peter D.   Neily Julia   Crittenden Michael D.   Carmack Amy L.   Bagian James P.  

Joint Commission Journal on Quality and Patient Safety, Vol. 33, Iss. 6, 2007-06 ,pp. : 317-325

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System Innovation: Veterans Health Administration National Center for Patient Safety

By Heget Jeffrey R.   Bagian James P.   Lee Caryl Z.   Gosbee John W.  

Joint Commission Journal on Quality and Patient Safety, Vol. 28, Iss. 12, 2002-12 ,pp. : 660-665

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Using a Framework for Spread: The Case of Patient Access in the Veterans Health Administration

By Nolan Kevin   Schall Marie W.   Erb Fabiane   Nolan Thomas  

Joint Commission Journal on Quality and Patient Safety, Vol. 31, Iss. 6, 2005-06 ,pp. : 339-347

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