Scholars@Duke

• Background
• 

  Education, Training, & Certifications

  • Ph.D., University of Texas, Austin 2002
• 

  Previous Appointments & Affiliations

  • Associate Professor in Psychiatry and Behavioral Sciences, Psychiatry & Behavioral Sciences, Adult Psychiatry & Psychology, Psychiatry & Behavioral Sciences 2014 - 2020
  • Instructor, Temporary of Psychiatry and Behavioral Sciences, Psychiatry & Behavioral Sciences, Adult Psychiatry & Psychology, Psychiatry & Behavioral Sciences 2009 - 2013
• 

  Leadership & Clinical Positions at Duke

  • Director, Duke Center for Healthcare Safety and Quality
    Associate Professor, Department of Psychiatry
• Recognition
• 

  In the News

  • DEC 17, 2022

    Duke Health News

    Brief Sessions of Guided Reflections Improve Health Care Worker Burnout

  • SEP 21, 2022

    Duke Health News

    Duke Study Brings the Data on the Deep Toll of COVID on Exhausted Health Care Workers
• Expertise
• 

  Subject Headings

  • Burn out (Psychology)
  • Burnout, Professional
  • Health care teams
  • Organizational resilience
  • Patient Safety
  • Patients--Safety measures
  • Positive psychology
  • Quality Improvement
  • Resilience (Personality trait)
  • Resilience, Psychological
  • Safety Culture
  • Well-being
• Research
• 

  Selected Grants

  • Duke Well-being Essentials Program for the Current and Future Health Workforce awarded by Health Resources and Service Administration 2022 - 2024
  • The WISER NICU Study awarded by Stanford University 2015 - 2020
  • Implementation of a Safety Program in Guatemala awarded by National Institutes of Health 2018 - 2020
  • Solicitation APP 111513, Hospital Engagement Contractor awarded by Lifepoint Hospitals 2014 - 2015
• 

  External Relationships

  • Ascension St. Vincents
  • California Perinatal Quality Care Collaborative
  • Duke AHEC
  • Georgia Hospital Association
  • Inova Fairfax Hospital
  • Sutter Health
  • University of Rochester
• Publications & Artistic Works
• 

  Selected Publications

  • Academic Articles

    • Rehder, Kyle J., K Carrie Adair, Erin Eckert, Richard W. Lang, Allan S. Frankel, Joshua Proulx, and J Bryan Sexton. “Teamwork Before and During COVID-19: The Good, the Same, and the Ugly….” J Patient Saf 19, no. 1 (January 1, 2023): 36–41. https://doi.org/10.1097/PTS.0000000000001070.
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    • Adair, Kathryn C., Emily Levoy, Daniel S. Tawfik, Sofia Palassof, Jochen Profit, Allan Frankel, Michael Leonard, Joshua Proulx, and J Bryan Sexton. “Assessing Leadership Behavior in Health Care: Introducing the Local Leadership Scale of the SCORE Survey.” The Joint Commission Journal on Quality and Patient Safety, December 2022. https://doi.org/10.1016/j.jcjq.2022.12.007.
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    • Adair, Kathryn C., Annemarie Heath, Maureen A. Frye, Allan Frankel, Joshua Proulx, Kyle J. Rehder, Erin Eckert, Caitlin Penny, Franz Belz, and J Bryan Sexton. “The Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) Survey: A Brief, Diagnostic, and Actionable Metric for the Ability to Speak Up in Healthcare Settings.” J Patient Saf 18, no. 6 (September 1, 2022): 513–20. https://doi.org/10.1097/PTS.0000000000001048.
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    • Sexton, J Bryan, Kathryn C. Adair, Joshua Proulx, Jochen Profit, Xin Cui, Jon Bae, and Allan Frankel. “Emotional Exhaustion Among US Health Care Workers Before and During the COVID-19 Pandemic, 2019-2021.” Jama Netw Open 5, no. 9 (September 1, 2022): e2232748. https://doi.org/10.1001/jamanetworkopen.2022.32748.
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    • Rink, Lesley C., Susan G. Silva, Kathryn C. Adair, Tolu O. Oyesanya, Janice C. Humphreys, and J Bryan Sexton. “The Association between Well-being Behaviors and Resilience in Health Care Workers.” West J Nurs Res 44, no. 8 (August 2022): 743–54. https://doi.org/10.1177/01939459211017515.
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    • Hall, Bria J., Melany Puente, Angie Aguilar, Isabelle Sico, Monica Orozco Barrios, Sindy Mendez, Joy Noel Baumgartner, et al. “Implementation challenges to patient safety in Guatemala: a mixed methods evaluation.” Bmj Qual Saf 31, no. 5 (May 2022): 353–63. https://doi.org/10.1136/bmjqs-2020-012552.
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    • Klimmeck, Sabrina, J Bryan Sexton, and René Schwendimann. “Changes in Safety and Teamwork Climate After Adding Structured Observations to Patient Safety WalkRounds.” Jt Comm J Qual Patient Saf 47, no. 12 (December 2021): 783–92. https://doi.org/10.1016/j.jcjq.2021.09.001.
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    • Ravi, Dhurjati, Daniel S. Tawfik, J Bryan Sexton, and Jochen Profit. “Changing safety culture.” J Perinatol 41, no. 10 (October 2021): 2552–60. https://doi.org/10.1038/s41372-020-00839-0.
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    • Pierce, Read G., William J. Maples, Jennifer Krippner, J Bryan Sexton, Pam Adams, Theresa Amerson, Adam Breslow, David Clark, Ronald Paulus, and M Bridget Duffy. “Results from the National Taskforce for Humanity in Healthcare's Integrated, Organizational Pilot Program to Improve Well-Being.” Jt Comm J Qual Patient Saf 47, no. 9 (September 2021): 581–90. https://doi.org/10.1016/j.jcjq.2021.05.010.
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    • Profit, Jochen, Kathryn C. Adair, Xin Cui, Briana Mitchell, Debra Brandon, Daniel S. Tawfik, Joseph Rigdon, et al. “Randomized controlled trial of the "WISER" intervention to reduce healthcare worker burnout.” J Perinatol 41, no. 9 (September 2021): 2225–34. https://doi.org/10.1038/s41372-021-01100-y.
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    • Rehder, Kyle, Kathryn C. Adair, and J Bryan Sexton. “The Science of Health Care Worker Burnout: Assessing and Improving Health Care Worker Well-Being.” Arch Pathol Lab Med 145, no. 9 (September 1, 2021): 1095–1109. https://doi.org/10.5858/arpa.2020-0557-RA.
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    • Tawfik, Daniel S., Amrita Sinha, Mohsen Bayati, Kathryn C. Adair, Tait D. Shanafelt, J Bryan Sexton, and Jochen Profit. “Frustration With Technology and its Relation to Emotional Exhaustion Among Health Care Workers: Cross-sectional Observational Study.” J Med Internet Res 23, no. 7 (July 6, 2021): e26817. https://doi.org/10.2196/26817.
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    • Sexton, J Bryan, Kathryn C. Adair, Jochen Profit, Jonathan Bae, Kyle J. Rehder, Tracy Gosselin, Judy Milne, Michael Leonard, and Allan Frankel. “Safety Culture and Workforce Well-Being Associations with Positive Leadership WalkRounds.” Jt Comm J Qual Patient Saf 47, no. 7 (July 2021): 403–11. https://doi.org/10.1016/j.jcjq.2021.04.001.
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    • Tawfik, Daniel S., Tait D. Shanafelt, Liselotte N. Dyrbye, Christine A. Sinsky, Colin P. West, Alexis S. Davis, Felice Su, et al. “Personal and Professional Factors Associated With Work-Life Integration Among US Physicians.” Jama Netw Open 4, no. 5 (May 3, 2021): e2111575. https://doi.org/10.1001/jamanetworkopen.2021.11575.
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    • Sexton, J Bryan, Kathryn C. Adair, Jochen Profit, Judy Milne, Marie McCulloh, Sue Scott, and Allan Frankel. “Perceptions of Institutional Support for "Second Victims" Are Associated with Safety Culture and Workforce Well-Being.” Jt Comm J Qual Patient Saf 47, no. 5 (May 2021): 306–12. https://doi.org/10.1016/j.jcjq.2020.12.001.
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    • McPeek-Hinz, Eugenia, Mina Boazak, J Bryan Sexton, Kathryn C. Adair, Vivian West, Benjamin A. Goldstein, Robert S. Alphin, et al. “Clinician Burnout Associated With Sex, Clinician Type, Work Culture, and Use of Electronic Health Records.” Jama Netw Open 4, no. 4 (April 1, 2021): e215686. https://doi.org/10.1001/jamanetworkopen.2021.5686.
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    • Tawfik, Daniel S., Amrita Sinha, Mohsen Bayati, Kathryn C. Adair, Tait D. Shanafelt, J Bryan Sexton, and Jochen Profit. “Frustration With Technology and its Relation to Emotional Exhaustion Among Health Care Workers: Cross-sectional Observational Study (Preprint),” December 28, 2020. https://doi.org/10.2196/preprints.26817.
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    • Profit, Jochen, Paul J. Sharek, Xin Cui, Courtney C. Nisbet, Eric J. Thomas, Daniel S. Tawfik, Henry C. Lee, David Draper, and J Bryan Sexton. “The Correlation Between Neonatal Intensive Care Unit Safety Culture and Quality of Care.” J Patient Saf 16, no. 4 (December 2020): e310–16. https://doi.org/10.1097/PTS.0000000000000546.
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    • Adair, Kathryn C., Larissa G. Rodriguez-Homs, Sabran Masoud, Paul J. Mosca, and J Bryan Sexton. “Gratitude at Work: Prospective Cohort Study of a Web-Based, Single-Exposure Well-Being Intervention for Health Care Workers.” J Med Internet Res 22, no. 5 (May 14, 2020): e15562. https://doi.org/10.2196/15562.
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    • Adair, Kathryn C., Lindsay A. Kennedy, and J Bryan Sexton. “Three Good Tools: Positively reflecting backwards and forwards is associated with robust improvements in well-being across three distinct interventions.” J Posit Psychol 15, no. 5 (2020): 613–22. https://doi.org/10.1080/17439760.2020.1789707.
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    • Rehder, Kyle J., Kathryn C. Adair, Allison Hadley, Katie McKittrick, Allan Frankel, Michael Leonard, Terri Christensen Frankel, and J Bryan Sexton. “Associations Between a New Disruptive Behaviors Scale and Teamwork, Patient Safety, Work-Life Balance, Burnout, and Depression.” Jt Comm J Qual Patient Saf 46, no. 1 (January 2020): 18–26. https://doi.org/10.1016/j.jcjq.2019.09.004.
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    • Tawfik, Daniel S., Eric J. Thomas, Timothy J. Vogus, Jessica B. Liu, Paul J. Sharek, Courtney C. Nisbet, Henry C. Lee, J Bryan Sexton, and Jochen Profit. “Safety climate, safety climate strength, and length of stay in the NICU.” Bmc Health Serv Res 19, no. 1 (October 22, 2019): 738. https://doi.org/10.1186/s12913-019-4592-1.
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    • Tawfik, Daniel S., Annette Scheid, Jochen Profit, Tait Shanafelt, Mickey Trockel, Kathryn C. Adair, J Bryan Sexton, and John P. A. Ioannidis. “Evidence Relating Health Care Provider Burnout and Quality of Care: A Systematic Review and Meta-analysis.” Ann Intern Med 171, no. 8 (October 15, 2019): 555–67. https://doi.org/10.7326/M19-1152.
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    • Adair, Kathryn C., Larissa G. Rodriguez-Homs, Sabran Masoud, Paul J. Mosca, and J Bryan Sexton. “Gratitude at Work: Prospective Cohort Study of a Web-Based, Single-Exposure Well-Being Intervention for Health Care Workers (Preprint),” July 19, 2019. https://doi.org/10.2196/preprints.15562.
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    • Sexton, J Bryan, and Kathryn C. Adair. “Forty-five good things: a prospective pilot study of the Three Good Things well-being intervention in the USA for healthcare worker emotional exhaustion, depression, work-life balance and happiness.” Bmj Open 9, no. 3 (March 20, 2019): e022695. https://doi.org/10.1136/bmjopen-2018-022695.
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    • Schwartz, Stephanie P., Kathryn C. Adair, Jonathan Bae, Kyle J. Rehder, Tait D. Shanafelt, Jochen Profit, and J Bryan Sexton. “Work-life balance behaviours cluster in work settings and relate to burnout and safety culture: a cross-sectional survey analysis.” Bmj Qual Saf 28, no. 2 (February 2019): 142–50. https://doi.org/10.1136/bmjqs-2018-007933.
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    • Johnston, Bria E., Randall Lou-Meda, Sindy Mendez, Karen Frush, Judy Milne, Tamara Fitzgerald, J Bryan Sexton, and Henry Rice. “Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship.” Bmj Glob Health 4, no. 1 (2019): e001220. https://doi.org/10.1136/bmjgh-2018-001220.
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    • Adair, Kathryn C., Krystina Quow, Allan Frankel, Paul J. Mosca, Jochen Profit, Allison Hadley, Michael Leonard, and J. Bryan Sexton. “The Improvement Readiness scale of the SCORE survey: a metric to assess capacity for quality improvement in healthcare.” Bmc Health Serv Res 18, no. 1 (December 17, 2018): 975. https://doi.org/10.1186/s12913-018-3743-0.
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    • Sexton, J Bryan, Kathryn C. Adair, Michael W. Leonard, Terri Christensen Frankel, Joshua Proulx, Sam R. Watson, Brooke Magnus, et al. “Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout.” Bmj Qual Saf 27, no. 4 (April 2018): 261–70. https://doi.org/10.1136/bmjqs-2016-006399.
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    • Rice, Henry E., Randall Lou-Meda, Anthony T. Saxton, Bria E. Johnston, Carla C. Ramirez, Sindy Mendez, Eli N. Rice, et al. “Building a safety culture in global health: lessons from Guatemala.” Bmj Glob Health 3, no. 2 (2018): e000630. https://doi.org/10.1136/bmjgh-2017-000630.
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    • Tawfik, Daniel S., John Bryan Sexton, Kathryn C. Adair, Heather C. Kaplan, and Jochen Profit. “Context in Quality of Care: Improving Teamwork and Resilience.” Clin Perinatol 44, no. 3 (September 2017): 541–52. https://doi.org/10.1016/j.clp.2017.04.004.
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    • Profit, Jochen, Paul J. Sharek, Peiyi Kan, Joseph Rigdon, Manisha Desai, Courtney C. Nisbet, Daniel S. Tawfik, Eric J. Thomas, Henry C. Lee, and J Bryan Sexton. “Teamwork in the NICU Setting and Its Association with Health Care-Associated Infections in Very Low-Birth-Weight Infants.” Am J Perinatol 34, no. 10 (August 2017): 1032–40. https://doi.org/10.1055/s-0037-1601563.
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    • Sexton, J Bryan, Stephanie P. Schwartz, Whitney A. Chadwick, Kyle J. Rehder, Jonathan Bae, Joanna Bokovoy, Keith Doram, Wayne Sotile, Kathryn C. Adair, and Jochen Profit. “The associations between work-life balance behaviours, teamwork climate and safety climate: cross-sectional survey introducing the work-life climate scale, psychometric properties, benchmarking data and future directions.” Bmj Qual Saf 26, no. 8 (August 2017): 632–40. https://doi.org/10.1136/bmjqs-2016-006032.
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    • Tawfik, Daniel S., Ciaran S. Phibbs, J Bryan Sexton, Peiyi Kan, Paul J. Sharek, Courtney C. Nisbet, Joseph Rigdon, Mickey Trockel, and Jochen Profit. “Factors Associated With Provider Burnout in the NICU.” Pediatrics 139, no. 5 (May 2017). https://doi.org/10.1542/peds.2016-4134.
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    • Tawfik, D. S., J. B. Sexton, P. Kan, P. J. Sharek, C. C. Nisbet, J. Rigdon, H. C. Lee, and J. Profit. “Burnout in the neonatal intensive care unit and its relation to healthcare-associated infections.” J Perinatol 37, no. 3 (March 2017): 315–20. https://doi.org/10.1038/jp.2016.211.
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    • Doram, Keith, Whitney Chadwick, Joni Bokovoy, Jochen Profit, Janel D. Sexton, and J Bryan Sexton. “Got spirit? The spiritual climate scale, psychometric properties, benchmarking data and future directions.” Bmc Health Serv Res 17, no. 1 (February 11, 2017): 132. https://doi.org/10.1186/s12913-017-2050-5.
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    • Haerkens, Marck Htm, Wouter van Leeuwen, J Bryan Sexton, Peter Pickkers, and Johannes G. van der Hoeven. “Validation of the Dutch language version of the Safety Attitudes Questionnaire (SAQ-NL).” Bmc Health Serv Res 16, no. a (August 15, 2016): 385. https://doi.org/10.1186/s12913-016-1648-3.
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    • Fan, Caleb J., Timothy M. Pawlik, Tania Daniels, Nora Vernon, Katie Banks, Peggy Westby, Elizabeth C. Wick, J Bryan Sexton, and Martin A. Makary. “Association of Safety Culture with Surgical Site Infection Outcomes.” J Am Coll Surg 222, no. 2 (February 2016): 122–28. https://doi.org/10.1016/j.jamcollsurg.2015.11.008.
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    • Gupta, Rajan T., J Bryan Sexton, Judy Milne, and Donald P. Frush. “Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic interventional ultrasound practice.” Ajr Am J Roentgenol 204, no. 1 (January 2015): 105–10. https://doi.org/10.2214/AJR.14.12775.
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    • Profit, Jochen, Paul J. Sharek, Amber B. Amspoker, Mark A. Kowalkowski, Courtney C. Nisbet, Eric J. Thomas, Whitney A. Chadwick, and J Bryan Sexton. “Burnout in the NICU setting and its relation to safety culture.” Bmj Qual Saf 23, no. 10 (October 2014): 806–13. https://doi.org/10.1136/bmjqs-2014-002831.
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    • Sexton, J Bryan, Paul J. Sharek, Eric J. Thomas, Jeffrey B. Gould, Courtney C. Nisbet, Amber B. Amspoker, Mark A. Kowalkowski, René Schwendimann, and Jochen Profit. “Exposure to Leadership WalkRounds in neonatal intensive care units is associated with a better patient safety culture and less caregiver burnout.” Bmj Qual Saf 23, no. 10 (October 2014): 814–22. https://doi.org/10.1136/bmjqs-2013-002042.
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    • Zimmermann, Natalie, Kaspar Küng, Susan M. Sereika, Sandra Engberg, Bryan Sexton, and René Schwendimann. “Assessing the Safety Attitudes Questionnaire (SAQ), German language version in Swiss university hospitals--a validation study.” Bmc Health Serv Res 13 (September 10, 2013): 347. https://doi.org/10.1186/1472-6963-13-347.
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    • Block, Michael, Jean F. Ehrenworth, Virginia M. Cuce, Njoki Ng’ang’a, Jacqueline Weinbach, Shelley Saber, Milija Milic, et al. “Measuring handoff quality in labor and delivery: development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ).” Jt Comm J Qual Patient Saf 39, no. 5 (May 2013): 213–20. https://doi.org/10.1016/s1553-7250(13)39028-x.
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    • Lyndon, A., J. B. Sexton, K. R. Simpson, A. Rosenstein, K. A. Lee, and R. M. Wachter. “Erratum: Predictors of likelihood of speaking up about safety concerns in labour and delivery (BMJ Quality and Safety (2012) 21 (791-799)).” Bmj Quality and Safety 22, no. 2 (February 1, 2013): 182. https://doi.org/10.1136/bmjqs.2010.050211.
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    • Schwendimann, René, Natalie Zimmermann, Kaspar Küng, Dietmar Ausserhofer, and Bryan Sexton. “Variation in safety culture dimensions within and between US and Swiss Hospital Units: an exploratory study.” Bmj Qual Saf 22, no. 1 (January 2013): 32–41. https://doi.org/10.1136/bmjqs-2011-000446.
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    • Schwendimann, René, Judy Milne, Karen Frush, Dietmar Ausserhofer, Allan Frankel, and J Bryan Sexton. “A closer look at associations between hospital leadership walkrounds and patient safety climate and risk reduction: a cross-sectional study.” Am J Med Qual 28, no. 5 (2013): 414–21. https://doi.org/10.1177/1062860612473635.
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    • Daugherty, Elizabeth Lee, Lori A. Paine, Lisa L. Maragakis, J Bryan Sexton, and Cynthia S. Rand. “Safety culture and hand hygiene: linking attitudes to behavior.” Infect Control Hosp Epidemiol 33, no. 12 (December 2012): 1280–82. https://doi.org/10.1086/668432.
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    • Marsteller, Jill A., J Bryan Sexton, Yea-Jen Hsu, Chun-Ju Hsiao, Christine G. Holzmueller, Peter J. Pronovost, and David A. Thompson. “A multicenter, phased, cluster-randomized controlled trial to reduce central line-associated bloodstream infections in intensive care units*.” Crit Care Med 40, no. 11 (November 2012): 2933–39. https://doi.org/10.1097/CCM.0b013e31825fd4d8.
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    • Lyndon, Audrey, J Bryan Sexton, Kathleen Rice Simpson, Alan Rosenstein, Kathryn A. Lee, and Robert M. Wachter. “Predictors of likelihood of speaking up about safety concerns in labour and delivery.” Bmj Qual Saf 21, no. 9 (September 2012): 791–99. https://doi.org/10.1136/bmjqs-2010-050211.
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    • Uddin, Sayeedha G., Jill A. Marsteller, J Bryan Sexton, Susan E. Will, and Harold E. Fox. “Provider attitudes toward clinical protocols in obstetrics.” Am J Med Qual 27, no. 4 (July 2012): 335–40. https://doi.org/10.1177/1062860611422757.
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    • Devriendt, Els, Koen Van den Heede, Joke Coussement, Eddy Dejaeger, Kurt Surmont, Dirk Heylen, René Schwendimann, et al. “Content validity and internal consistency of the Dutch translation of the Safety Attitudes Questionnaire: an observational study.” Int J Nurs Stud 49, no. 3 (March 2012): 327–37. https://doi.org/10.1016/j.ijnurstu.2011.10.002.
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    • Profit, Jochen, Jason Etchegaray, Laura A. Petersen, J Bryan Sexton, Sylvia J. Hysong, Minghua Mei, and Eric J. Thomas. “Neonatal intensive care unit safety culture varies widely.” Arch Dis Child Fetal Neonatal Ed 97, no. 2 (March 2012): F120–26. https://doi.org/10.1136/archdischild-2011-300635.
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    • Profit, Jochen, Jason Etchegaray, Laura A. Petersen, J Bryan Sexton, Sylvia J. Hysong, Minghua Mei, and Eric J. Thomas. “The Safety Attitudes Questionnaire as a tool for benchmarking safety culture in the NICU.” Arch Dis Child Fetal Neonatal Ed 97, no. 2 (March 2012): F127–32. https://doi.org/10.1136/archdischild-2011-300612.
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    • Thomas, E., K. Mazzocco, S. Graham, D. Petitti, K. Fong, D. Bonacum, J. Brookey, R. Lasky, and B. Sexton. “An empiric study of surgical team behaviours, patient outcomes, and a programme based on its results,” January 1, 2012, 261–82.
    • Vigorito, Margaret Cornell, Lynn McNicoll, Laura Adams, and Bryan Sexton. “Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented plans.” Jt Comm J Qual Patient Saf 37, no. 11 (November 2011): 509–14. https://doi.org/10.1016/s1553-7250(11)37065-1.
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    • Paine, L. A., B. J. Rosenstein, J. B. Sexton, P. Kent, C. G. Holzmueller, and P. J. Pronovost. “Republished paper: Assessing and improving safety culture throughout an academic medical centre: A prospective cohort study.” Postgraduate Medical Journal 87, no. 1028 (June 1, 2011): 428–35. https://doi.org/10.1136/pgmj.2009.039347rep.
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    • Sexton, J Bryan, Sean M. Berenholtz, Christine A. Goeschel, Sam R. Watson, Christine G. Holzmueller, David A. Thompson, Robert C. Hyzy, Jill A. Marsteller, Kathy Schumacher, and Peter J. Pronovost. “Assessing and improving safety climate in a large cohort of intensive care units.” Crit Care Med 39, no. 5 (May 2011): 934–39. https://doi.org/10.1097/CCM.0b013e318206d26c.
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    • Berenholtz, Sean M., Julius C. Pham, David A. Thompson, Dale M. Needham, Lisa H. Lubomski, Robert C. Hyzy, Robert Welsh, et al. “Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit.” Infect Control Hosp Epidemiol 32, no. 4 (April 2011): 305–14. https://doi.org/10.1086/658938.
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    • Paine, Lori A., Beryl J. Rosenstein, J Bryan Sexton, Paula Kent, Christine G. Holzmueller, and Peter J. Pronovost. “Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study.” Qual Saf Health Care 19, no. 6 (December 2010): 547–54. https://doi.org/10.1136/qshc.2009.039347.
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    • Etchegaray, Jason M., J Bryan Sexton, Robert L. Helmreich, and Eric J. Thomas. “Job satisfaction ratings: measurement equivalence across nurses and physicians.” West J Nurs Res 32, no. 4 (June 2010): 530–39. https://doi.org/10.1177/0193945909355148.
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    • Huang, David T., Gilles Clermont, Lan Kong, Lisa A. Weissfeld, J Bryan Sexton, Kathy M. Rowan, and Derek C. Angus. “Intensive care unit safety culture and outcomes: a US multicenter study.” Int J Qual Health Care 22, no. 3 (June 2010): 151–61. https://doi.org/10.1093/intqhc/mzq017.
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    • Nordén-Hägg, Annika, J Bryan Sexton, Sofia Kälvemark-Sporrong, Lena Ring, and Åsa Kettis-Lindblad. “Assessing safety culture in pharmacies: the psychometric validation of the Safety Attitudes Questionnaire (SAQ) in a national sample of community pharmacies in Sweden.” Bmc Clin Pharmacol 10 (April 11, 2010): 8. https://doi.org/10.1186/1472-6904-10-8.
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    • Pronovost, Peter J., Christine A. Goeschel, Elizabeth Colantuoni, Sam Watson, Lisa H. Lubomski, Sean M. Berenholtz, David A. Thompson, et al. “Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study.” Bmj 340 (February 4, 2010): c309. https://doi.org/10.1136/bmj.c309.
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    • Sexton, J. D., J. W. Pennebaker, C. G. Holzmueller, A. W. Wu, S. M. Berenholtz, S. M. Swoboda, P. J. Pronovost, and J. B. Sexton. “Care for the caregiver: Benefits of expressive writing for nurses in the United States.” Progress in Palliative Care 17, no. 6 (December 1, 2009): 307–12. https://doi.org/10.1179/096992609X12455871937620.
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    • Thomas, E., K. Mazzocco, S. Graham, D. Petitti, K. Fong, D. Bonacum, J. Brookey, R. Lasky, and B. Sexton. “An empiric study of surgical team behaviours, patient outcomes, and a programme based on its results,” December 1, 2009, 261–82.
    • Mazzocco, Karen, Diana B. Petitti, Kenneth T. Fong, Doug Bonacum, John Brookey, Suzanne Graham, Robert E. Lasky, J Bryan Sexton, and Eric J. Thomas. “Surgical team behaviors and patient outcomes.” Am J Surg 197, no. 5 (May 2009): 678–85. https://doi.org/10.1016/j.amjsurg.2008.03.002.
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    • Pronovost, Peter J., J Bryan Sexton, Julius Cuong Pham, Christine A. Goeschel, Bradford D. Winters, and Marlene R. Miller. “Measurement of quality and assurance of safety in the critically ill.” Clin Chest Med 30, no. 1 (March 2009): 169–x. https://doi.org/10.1016/j.ccm.2008.09.004.
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    • Rodriguez-Paz, J. M., M. Kennedy, E. Salas, A. W. Wu, J. B. Sexton, E. A. Hunt, and P. J. Pronovost. “Beyond "see one, do one, teach one": toward a different training paradigm.” Qual Saf Health Care 18, no. 1 (February 2009): 63–68. https://doi.org/10.1136/qshc.2007.023903.
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    • Pronovost, Peter J., Christine A. Goeschel, Jill A. Marsteller, J Bryan Sexton, Julius C. Pham, and Sean M. Berenholtz. “Framework for patient safety research and improvement.” Circulation 119, no. 2 (January 20, 2009): 330–37. https://doi.org/10.1161/CIRCULATIONAHA.107.729848.
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    • Winters, Bradford D., Ayse P. Gurses, Harold Lehmann, J Bryan Sexton, Carlyle Jai Rampersad, and Peter J. Pronovost. “Clinical review: checklists - translating evidence into practice.” Crit Care 13, no. 6 (2009): 210. https://doi.org/10.1186/cc7792.
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    • Pronovost, Peter J., Christine A. Goeschel, Kyle L. Olsen, Julius C. Pham, Marlene R. Miller, Sean M. Berenholtz, J Bryan Sexton, et al. “Reducing health care hazards: lessons from the commercial aviation safety team.” Health Aff (Millwood) 28, no. 3 (2009): w479–89. https://doi.org/10.1377/hlthaff.28.3.w479.
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    • Frankel, Allan, Sarah Pratt Grillo, Mary Pittman, Eric J. Thomas, Lisa Horowitz, Martha Page, and Bryan Sexton. “Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of patient safety.” Health Serv Res 43, no. 6 (December 2008): 2050–66. https://doi.org/10.1111/j.1475-6773.2008.00878.x.
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    • Nundy, Shantanu, Arnab Mukherjee, J Bryan Sexton, Peter J. Pronovost, Andrew Knight, Lisa C. Rowen, Mark Duncan, Dora Syin, and Martin A. Makary. “Impact of preoperative briefings on operating room delays: a preliminary report.” Arch Surg 143, no. 11 (November 2008): 1068–72. https://doi.org/10.1001/archsurg.143.11.1068.
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    • Marsteller, Jill A., Christine G. Holzmueller, Martin Makary, J Bryan Sexton, David A. Thompson, Lisa H. Lubomski, and Peter J. Pronovost. “Developing process-support tools for patient safety: finding the balance between validity and feasibility.” Jt Comm J Qual Patient Saf 34, no. 10 (October 2008): 604–561. https://doi.org/10.1016/s1553-7250(08)34075-6.
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    • Pronovost, Peter J., Sean M. Berenholtz, Christine Goeschel, Irie Thom, Sam R. Watson, Christine G. Holzmueller, Julie S. Lyon, et al. “Improving patient safety in intensive care units in Michigan.” J Crit Care 23, no. 2 (June 2008): 207–21. https://doi.org/10.1016/j.jcrc.2007.09.002.
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    • Sexton, J Bryan, Lori A. Paine, James Manfuso, Christine G. Holzmueller, Elizabeth A. Martinez, Dana Moore, David G. Hunt, and Peter J. Pronovost. “A check-up for safety culture in "my patient care area".” Jt Comm J Qual Patient Saf 33, no. 11 (November 2007): 699–645. https://doi.org/10.1016/s1553-7250(07)33081-x.
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    • Thomas, E. J., B. Taggart, S. Crandell, R. E. Lasky, A. L. Williams, L. J. Love, J. B. Sexton, J. E. Tyson, and R. L. Helmreich. “Teaching teamwork during the Neonatal Resuscitation Program: a randomized trial.” J Perinatol 27, no. 7 (July 2007): 409–14. https://doi.org/10.1038/sj.jp.7211771.
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    • Makary, Martin A., Ali Al-Attar, Christine G. Holzmueller, J Bryan Sexton, Dora Syin, Marta M. Gilson, Mark S. Sulkowski, and Peter J. Pronovost. “Needlestick injuries among surgeons in training.” N Engl J Med 356, no. 26 (June 28, 2007): 2693–99. https://doi.org/10.1056/NEJMoa070378.
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    • Makary, Martin A., Arnab Mukherjee, J Bryan Sexton, Dora Syin, Emmanuelle Goodrich, Emily Hartmann, Lisa Rowen, Drew C. Behrens, Michael Marohn, and Peter J. Pronovost. “Operating room briefings and wrong-site surgery.” J Am Coll Surg 204, no. 2 (February 2007): 236–43. https://doi.org/10.1016/j.jamcollsurg.2006.10.018.
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    • Wu, A. W., J. B. Sexton, and P. J. Pronovost. “Response [6].” Chest 131, no. 4 (January 1, 2007): 1269–70. https://doi.org/10.1378/chest.06-2939.
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    • Huang, David T., Gilles Clermont, J Bryan Sexton, Crystal A. Karlo, Rachel G. Miller, Lisa A. Weissfeld, Kathy M. Rowan, and Derek C. Angus. “Perceptions of safety culture vary across the intensive care units of a single institution.” Crit Care Med 35, no. 1 (January 2007): 165–76. https://doi.org/10.1097/01.CCM.0000251505.76026.CF.
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    • Modak, Isitri, J Bryan Sexton, Thomas R. Lux, Robert L. Helmreich, and Eric J. Thomas. “Measuring safety culture in the ambulatory setting: the safety attitudes questionnaire--ambulatory version.” J Gen Intern Med 22, no. 1 (January 2007): 1–5. https://doi.org/10.1007/s11606-007-0114-7.
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    • Pronovost, Peter, Dale Needham, Sean Berenholtz, David Sinopoli, Haitao Chu, Sara Cosgrove, Bryan Sexton, et al. “An intervention to decrease catheter-related bloodstream infections in the ICU.” N Engl J Med 355, no. 26 (December 28, 2006): 2725–32. https://doi.org/10.1056/NEJMoa061115.
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    • Pronovost, Peter J., David A. Thompson, Christine G. Holzmueller, Lisa H. Lubomski, Todd Dorman, Fern Dickman, Maureen Fahey, et al. “Toward learning from patient safety reporting systems.” J Crit Care 21, no. 4 (December 2006): 305–15. https://doi.org/10.1016/j.jcrc.2006.07.001.
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    • Sexton, J Bryan, Martin A. Makary, Anthony R. Tersigni, David Pryor, Ann Hendrich, Eric J. Thomas, Christine G. Holzmueller, Andrew P. Knight, Yun Wu, and Peter J. Pronovost. “Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel.” Anesthesiology 105, no. 5 (November 2006): 877–84. https://doi.org/10.1097/00000542-200611000-00006.
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    • Wu, Albert W., J Bryan Sexton, and Peter J. Pronovost. “Partnership with patients: a prescription for ICU safety.” Chest 130, no. 5 (November 2006): 1291–93. https://doi.org/10.1378/chest.130.5.1291.
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    • Rose, Jeffrey S., Clarence S. Thomas, Anthony Tersigni, J Bryan Sexton, and David Pryor. “A leadership framework for culture change in health care.” Jt Comm J Qual Patient Saf 32, no. 8 (August 2006): 433–42. https://doi.org/10.1016/s1553-7250(06)32057-0.
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    • Pronovost, Peter J., Sean M. Berenholtz, Christine A. Goeschel, Dale M. Needham, J Bryan Sexton, David A. Thompson, Lisa H. Lubomski, Jill A. Marsteller, Martin A. Makary, and Elizabeth Hunt. “Creating high reliability in health care organizations.” Health Serv Res 41, no. 4 Pt 2 (August 2006): 1599–1617. https://doi.org/10.1111/j.1475-6773.2006.00567.x.
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    • Sexton, J. B., C. G. Holzmueller, P. J. Pronovost, E. J. Thomas, S. McFerran, J. Nunes, D. A. Thompson, A. P. Knight, D. H. Penning, and H. E. Fox. “Variation in caregiver perceptions of teamwork climate in labor and delivery units.” J Perinatol 26, no. 8 (August 2006): 463–70. https://doi.org/10.1038/sj.jp.7211556.
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    • Makary, Martin A., Christine G. Holzmueller, J Bryan Sexton, David A. Thompson, Elizabeth A. Martinez, Julie A. Freischlag, John A. Ulatowski, Eugenie S. Heitmiller, Lisa Rowen, and Peter J. Pronovost. “Operating room debriefings.” Jt Comm J Qual Patient Saf 32, no. 7 (July 2006): 407–357. https://doi.org/10.1016/s1553-7250(06)32053-3.
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    • Pronovost, Peter, Christine G. Holzmueller, Dale M. Needham, J Bryan Sexton, Marlene Miller, Sean Berenholtz, Albert W. Wu, et al. “How will we know patients are safer? An organization-wide approach to measuring and improving safety.” Crit Care Med 34, no. 7 (July 2006): 1988–95. https://doi.org/10.1097/01.CCM.0000226412.12612.B6.
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    • Makary, Martin A., J Bryan Sexton, Julie A. Freischlag, Christine G. Holzmueller, E Anne Millman, Lisa Rowen, and Peter J. Pronovost. “Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder.” J Am Coll Surg 202, no. 5 (May 2006): 746–52. https://doi.org/10.1016/j.jamcollsurg.2006.01.017.
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    • Makary, Martin A., J Bryan Sexton, Julie A. Freischlag, E Anne Millman, David Pryor, Christine Holzmueller, and Peter J. Pronovost. “Patient safety in surgery.” Ann Surg 243, no. 5 (May 2006): 628–32. https://doi.org/10.1097/01.sla.0000216410.74062.0f.
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    • Sexton, John B., Robert L. Helmreich, Torsten B. Neilands, Kathy Rowan, Keryn Vella, James Boyden, Peter R. Roberts, and Eric J. Thomas. “The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research.” Bmc Health Serv Res 6 (April 3, 2006): 44. https://doi.org/10.1186/1472-6963-6-44.
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    • Thomas, E. J., J. B. Sexton, R. E. Lasky, R. L. Helmreich, D. S. Crandell, and J. Tyson. “Teamwork and quality during neonatal care in the delivery room.” J Perinatol 26, no. 3 (March 2006): 163–69. https://doi.org/10.1038/sj.jp.7211451.
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    • Thompson, David, Christine Holzmueller, David Hunt, Christina Cafeo, Bryan Sexton, and Peter Pronovost. “A morning briefing: setting the stage for a clinically and operationally good day.” Jt Comm J Qual Patient Saf 31, no. 8 (August 2005): 476–79. https://doi.org/10.1016/s1553-7250(05)31062-2.
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    • Pronovost, P., and B. Sexton. “Assessing safety culture: guidelines and recommendations.” Qual Saf Health Care 14, no. 4 (August 2005): 231–33. https://doi.org/10.1136/qshc.2005.015180.
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    • Thomas, E. J., J. B. Sexton, T. B. Neilands, A. Frankel, and R. L. Helmreich. “Erratum: The effect of executive walk rounds on nurse safety climate attitudes: A randomized trial of clinical units (BMC Health Services Research [ISRCTN85147255] (2005) 5 (28)).” Bmc Health Services Research 5 (June 10, 2005). https://doi.org/10.1186/1472-6963-5-46.
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    • Thomas, E. J., J. B. Sexton, T. B. Neilands, A. Frankel, and R. L. Helmreich. “The effect of executive walk rounds on nurse safety climate attitudes: A randomized trial of clinical units.” Bmc Health Services Research 5 (April 11, 2005). https://doi.org/10.1186/1472-6963-5-28.
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    • Thomas, Eric J., J Bryan Sexton, Torsten B. Neilands, Allan Frankel, and Robert L. Helmreich. “The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units[ISRCTN85147255] [corrected].” Bmc Health Serv Res 5, no. 1 (April 11, 2005): 28. https://doi.org/10.1186/1472-6963-5-28.
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    • Pronovost, P., B. Sexton, and D. Thompson. “Five years after to err is human.” Journal of Critical Care 20, no. 1 (January 1, 2005): 76–78. https://doi.org/10.1016/j.jcrc.2004.12.001.
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    • Thomas, E. J., J. B. Sexton, and R. L. Helmreich. “Translating teamwork behaviours from aviation to healthcare: development of behavioural markers for neonatal resuscitation.” Qual Saf Health Care 13 Suppl 1, no. Suppl 1 (October 2004): i57–64. https://doi.org/10.1136/qhc.13.suppl_1.i57.
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    • Thomas, Eric J., Gwen D. Sherwood, Jennipher L. Mulhollem, J Bryan Sexton, and Robert L. Helmreich. “Working together in the neonatal intensive care unit: provider perspectives.” J Perinatol 24, no. 9 (September 2004): 552–59. https://doi.org/10.1038/sj.jp.7211136.
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    • Pronovost, Peter J., Albert W. Wu, and J Bryan Sexton. “Acute decompensation after removing a central line: practical approaches to increasing safety in the intensive care unit.” Ann Intern Med 140, no. 12 (June 15, 2004): 1025–33. https://doi.org/10.7326/0003-4819-140-12-200406150-00013.
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    • Pronovost, P. J., B. Weast, C. G. Holzmueller, B. J. Rosenstein, R. P. Kidwell, K. B. Haller, E. R. Feroli, J. B. Sexton, and H. R. Rubin. “Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center.” Qual Saf Health Care 12, no. 6 (December 2003): 405–10. https://doi.org/10.1136/qhc.12.6.405.
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    • Thomas, Eric J., J Bryan Sexton, and Robert L. Helmreich. “Discrepant attitudes about teamwork among critical care nurses and physicians.” Crit Care Med 31, no. 3 (March 2003): 956–59. https://doi.org/10.1097/01.CCM.0000056183.89175.76.
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    • Luther, Katharine M., Lynn Maguire, Janine Mazabob, J Bryan Sexton, Robert L. Helmreich, and Eric Thomas. “Engaging nurses in patient safety.” Crit Care Nurs Clin North Am 14, no. 4 (December 2002): 341–46. https://doi.org/10.1016/s0899-5885(02)00034-5.
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    • Sexton, J. B., and R. L. Helmreich. “Analyzing cockpit communications: the links between language, performance, error, and workload.” Hum Perf Extrem Environ 5, no. 1 (October 2000): 63–68. https://doi.org/10.7771/2327-2937.1007.
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    • Sexton, J. B., E. J. Thomas, and R. L. Helmreich. “[Error, stress and teamwork in medicine and aviation. A cross-sectional study].” Chirurg 71, no. 6 (June 2000): suppl138-42.
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    • Sexton, J. B., E. J. Thomas, and R. L. Helmreich. “Error, stress, and teamwork in medicine and aviation: cross sectional surveys.” Bmj 320, no. 7237 (March 18, 2000): 745–49. https://doi.org/10.1136/bmj.320.7237.745.
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    • Sexton, B., E. Thomas, and R. L. Helmreich. “Error, stress, and teamwork in medicine and aviation: Cross sectional surveys.” Ugeskrift for Laeger 162, no. 19 (2000): 2725-.

  • Book Sections

    • Sexton, J. B., and J. R. Klinect. “The link between safety attitudes and observed performance in flight operations.” In Human Error in Aviation, 513–18, 2017.
    • Grote, G., R. L. Helmreich, O. Strater, R. Hausler, E. Zala-Mezo, and J. B. Sexton. “Setting the stage: Characteristics of organizations, teams and tasks influencing team processes.” In Group Interaction in High Risk Environments, 111–39, 2017.
    • Helmreich, R. L., and J. B. Sexton. “Group Interaction under threat and high workload.” In Group Interaction in High Risk Environments, 9–23, 2017.
    • Sexton, J. B., P. Grommes, E. Zala-Mezo, G. Grote, R. L. Helmreich, and R. Hausler. “Leadership and co-ordination.” In Group Interaction in High Risk Environments, 165–84, 2017.

  • Conference Papers

    • Lyndon, A., J. B. Sexton, K. R. Simpson, A. H. Rosenstein, K. Lee, and R. M. Wachter. “Predicting Likelihood of Speaking Up in Labor & Delivery.” In Jognn  Journal of Obstetric, Gynecologic, and Neonatal Nursing, 40:S117–18, 2011. https://doi.org/10.1111/j.1552-6909.2011.01243_39.x.
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• Teaching & Mentoring
• 

  Teaching Activities

  • Well-Being Trainings
    https://www.hsq.dukehealth.org/courses/
    
    Patient Safety Leadership
    https://www.hsq.dukehealth.org/safety-leadership-courses/
    
    Team Training
    https://www.hsq.dukehealth.org/teamwork-courses/

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