Selected Publications

• article

  1. Tools to engage patients and family members in diagnostic safety: we see the trees, but what about the forest?.  BMJ quality & safety.  2026
  2. Beyond the operating room: Holistic support for frail surgical patients..  Journal of clinical anesthesia.  -. 2025
  3. Assessing the impact of a semi-structured intraoperative anaesthesia handoff cognitive aid on surgical patient outcomes: study protocol for a cluster randomised trial..  BMJ open.  15:-. 2025
  4. Can handoffs bridge the interprofessional divide to build a team?.  BMJ quality & safety.  34:637-639. 2025
  5. Intraoperative pain management shared decision making with a patient with a complex pain and mental health history: A case report..  JCA Advances.  2. 2025
  6. Using Safety-I, II, and III to level up patient safety..  Current opinion in anaesthesiology.  38:741-747. 2025
  7. Application of a Systems Theory-Based Accident Analysis Technique to Perioperative Safety Reports From the COVID-19 Pandemic..  Journal of patient safety.  21:445-451. 2025
  8. Overcoming Professional Silos and Threats to Psychological Safety: A Conceptual Framework for Successful Team-Based Morbidity and Mortality Conferences..  Joint Commission journal on quality and patient safety.  51:415-422. 2025
  9. Implementation Mapping to Guide Adoption of a Semi-Structured Intraoperative Anesthesia Handoff Tool..  JCA Advances.  2. 2025
  10. Bringing team science to the ambulatory diagnostic process: how do patients and clinicians develop shared mental models?.  Diagnosis (Berlin, Germany).  12:25-34. 2024
  11. Practical quality improvement changes for a low-resourced pediatric unit..  Frontiers in public health.  -. 2024
  12. Sustainable improvement in upstream and downstream outcomes for intubated patients three years after an airway-based educational intervention in a low-resource pediatric intensive care unit..  International journal of pediatric otorhinolaryngology.  -. 2024
  13. Guide to perioperative checklist design, implementation, and integration..  Journal of clinical anesthesia.  -. 2024
  14. Geriatric Assessment in Colorectal Surgery: A Systematic Review..  The Journal of surgical research.  720-734. 2024
  15. A Qualitative Study of the Work Systems and Culture Around End-of-Day Intraoperative Anesthesia Handoffs in a Tertiary Care Center..  Anesthesia and analgesia.  139:1056-1063. 2023
  16. Perspectives on Perioperative Team-Based Morbidity and Mortality Conferences: A Mixed Methods Study..  Joint Commission journal on quality and patient safety.  50:139-148. 2023
  17. Perioperative Team-Based Morbidity and Mortality Conferences: A Systematic Review of the Literature..  Annals of surgery open : perspectives of surgical history, education, and clinical approaches.  4:-. 2023
  18. Taking a Resilience Engineering Approach to Perioperative Handoffs..  Joint Commission journal on quality and patient safety.  49:431-434. 2023
  19. A Systems Theoretic Process Analysis of the Medication Use Process in the Operating Room..  Anesthesiology.  133:332-341. 2020