Publications

Peer Reviewed Articles by PSEP Faculty

Reports on Patient Safety
To Err is Human: Building A Safer Health System (Institute of Medicine report)

Patient Safety: Achieving a New Standard for Care (Institute of Medicine report)

Peer Reviewed Articles by PSEP Faculty

(The articles below relate to the general area of patient safety, with a focus on nosocomial device-related infections.)

Conner BT, Kelechi TJ, Nemeth LS, Mueller M, Edlund BJ, Krein SL. Exploring factors associated with nurses' adoption of an evidence-based practice to reduce duration of catheterization. J Nurs Care Qual. 2013. [Epub ahead of print] PubMed PMID: 23389260. (Abstract)

Chen LM, Kennedy EH, Sales A, Hofer TP. Use of health IT for higher-value critical care. N Engl J Med. 2013 Jan 30. [Epub ahead of print] PubMed PMID: 23363474. (Abstract)

Chen LM, Birkmeyer JD, Saint S, Jha AK. Hospitalist staffing and patient satisfaction in the national Medicare population. J Hosp Med. 2013 Jan 3. [Epub ahead of print] PubMed PMID: 23288691. (Abstract)

Leng S, Nallamothu BK, Saint S, Appleman LJ, Bump GM. Clinical problem-solving. Simple and complex. N Engl J Med. 2013;368(1):65-71. PubMed PMID: 23281978. (Abstract)

Holtz B, Morrish W, Krein S. A nurse-patient shared decision support tool. Am J Nurs. 2013;113(1):47-52. PubMed PMID: 23271247. (Abstract)

Chenoweth C, Saint S. Preventing catheter-associated urinary tract infections in the intensive care unit. Crit Care Clin. 2013;29(1):19-32. PubMed PMID: 23182525. (Abstract)

Skolarus LE, Morgenstern LB, Zahuranec DB, Burke JF, Langa KM, Iwashyna TJ. Acute care and long-term mortality among elderly patients with intracerebral hemorrhage who undergo chronic life-sustaining procedures. J Stroke Cerebrovasc Dis. 2013;22(1):15-21. Epub 2011. PubMed PMID: 21719309. (Abstract)

Fakih MG, Jones K, Rey JE, Takla R, Szpunar S, Brown K, Boelstler A, Saravolatz L. Peripheral venous catheter care in the emergency department: Education and feedback lead to marked improvements. Am J Infect Control. 2012. [Epub ahead of print] PubMed PMID: 23219672. (Abstract)

Stecker EC, Riles EM, Fendrick AM. Value-based insurance design in cardiology: using "clinical nuance" to improve quality of care and contain costs. J Am Coll Cardiol. 2012;60(18):1825-7. Epub 2012 Oct 3. PubMed PMID: 23040579. (Abstract)

Greene MT, Chang R, Kuhn L, Rogers MAM, Chenoweth CE, Shuman E, Saint S. Predictors of hospital-acquired urinary tract-related bloodstream infection. Infect Control Hosp Epidemiol 2012;33(10):1001-7. PMID: 22961019 (Abstract)

Rogers MAM, Greene MT, Saint S, Chenoweth CE, Malani PN, Trivedi I, Aronoff DA. (2012) Higher rates of Clostridium difficile infection among smokers. PLoS ONE 7(7):e42091. PMID: 22848714. (Abstract)

Meddings JA, Reichert H, Rogers MAM, Stephansky J, McMahon LF Jr. Impact of non-payment for hospital-acquired catheter-associated urinary tract infection: a statewide analysis. Ann Int Med. 2012 157(5):305-312. PMID: 22944872. (Abstract)

Walk ST, Micic D, Jain R, Lo ES, Trivedi I, Liu EW, Almassalha LM, Ewing SA, Ring C, Galecki AT, Rogers MAM, Washer L, Newton DW, Malani PN, Young VB, Aronoff DM. Clostridium difficile ribotype does not predict severe Clostridium difficile infection. Clin Infect Dis, 2012;55 (12):1661-8. PMID: 22972866. (Abstract)

Washer LL, Chenoweth C, Kim HW, Rogers MAM, Malani AN, Riddell J, et al. Blood culture contamination: a randomized trial evaluating the comparative effectiveness of three skin antiseptic interventions. Infect Control Hosp Epidemiol 2012;34(1):15-21. PMID: 23221187. (Abstract)

Chopra V, Shojania KG.Recipes for checklists and bundles: one part active ingredient, two parts measurement. BMJ Qual Saf. 2012 Oct 3. [Epub ahead of print] PMID: 23035255. (Pubmed record)

Saint S, Greene MT, Olmsted R, Chopra V, Meddings J, Safdar N, Krein S. Perceived strength of evidence supporting practices to prevent healthcare-associated infection: results from a national survey of infection prevention personnel. Am J Infect Control. 2012, in press.

Mohammed MA, Manktelow BN, Hofer TP. Comparison of four methods for deriving hospital standardised mortality ratios from a single hierarchical logistic regression model. Stat Methods Med Res. 2012 Nov 6. [Epub ahead of print] PMID: 23136148. (Abstract)

Chopra V, Flanders SA, Saint S. The problem with peripherally inserted central catheters. JAMA. 2012 Oct 17;308(15):1527-8. PMID: 23073947. (Abstract)

Girling AJ, Hofer TP, Wu J, Chilton PJ, Nicholl JP, Mohammed MA, Lilford RJ. Case-mix adjusted hospital mortality is a poor proxy for preventable mortality: a modelling study. BMJ Qual Saf. 2012;21(12):1052-6. PMID: 23069860. (Abstract)

Apisarnthanarak A, Khawcharoenporn T, Greene MT, Kennedy E, Krein S, Saint S. National survey of Thai infection preventions in the era of patient safety. Am J Infect Control. 2012 Oct 13. [Epub ahead of print] PMID: 23069739. (Abstract)

Iwashyna TJ, Odden A, Rohde J, Bonham C, Kuhn L, Malani P, Chen L, Flanders S. Identifying patients With Severe Sepsis Using administrative claims: Patient-Level Validation of the Angus Implementation of the International Consensus Conference Definition of Severe Sepsis. Med Care. 2012 Sep 18. [Epub ahead of print] PMID: 23001437. (Abstract)

Fakih MG, Rey JE, Pena ME, Szpunar S, Saravolatz LD. Sustained reductions in urinary catheter use over 5 years: Bedside nurses view themselves responsible for evaluation of catheter necessity. Am J Infect Control. 2012 Sep 11. [Epub ahead of print] PMID: 22980514. (Abstract)

Walk ST, Micic D, Jain R, Lo ES, Trivedi I, Liu EW, Almassalha LM, Ewing SA, Ring C, Galecki AT, Rogers MA, Washer L, Newton DW, Malani PN, Young VB, Aronoff DM. Clostridium difficile Ribotype Does Not Predict Severe Infection. Clin Infect Dis. 2012 Oct 26. [Epub ahead of print] PMID: 22972866. (Abstract)

Talsma A, Chenoweth CE. Review of evidence for alcohol-based skin preparation agents. Infect Control Hosp Epidemiol. 2012 Oct;33(10):1059- 60. PMID: 22961031. (Abstract)

Greene MT, Chang R, Kuhn L, Rogers MA, Chenoweth CE, Shuman E, Saint S. Predictors of hospital-acquired urinary tract-related bloodstream infection. Infect Control Hosp Epidemiol. 2012 Oct;33(10):1001-7. PMID: 22961019; PubMed Central PMCID: PMC3442945. (Abstract)

Meddings JA, Reichert H, Rogers MA, Saint S, Stephansky J, McMahon LF. Effect of nonpayment for hospital-acquired, catheter-associated urinary tract infection: a statewide analysis. Ann Intern Med. 2012 Sep 4;157(5):305-12. PMID: 22944872.(Abstract)

Sussman JB, Zulman DM, Hayward R, Hofer TP, Kerr EA. Cardiac risk is not associated with hypertension treatment intensification. Am J Manag Care. 2012 Aug;18(8):414-20. PMID: 22928756. (Abstract)

Meddings J, Kerr EA, Heisler M, Hofer TP. Physician assessments of medication adherence and decisions to intensify medications for patients with uncontrolled blood pressure: still no better than a coin toss. BMC Health Serv Res. 2012 Aug 21;12(1):270. PMID: 22909303. (Abstract)

Shuman AG, Shuman EK, Hauff SJ, Fernandes LL, Light E, Chenoweth CE, Bradford CR. Preoperative topical antimicrobial decolonization in head and neck surgery. Laryngoscope. 2012 Nov;122(11):2454-60. PMID: 22865589. (Abstract)

Chopra V, Anand S, Krein SL, Chenoweth C, Saint S. Bloodstream infection, venous thrombosis, and peripherally inserted central catheters: reappraising the evidence. Am J Med. 2012 Aug;125(8):733-41. PMID: 22840660. (Abstract)

Chopra V, Rogers MA, Buist M, Govindan S, Lindenauer PK, Saint S, Flanders SA. Is statin use associated with reduced mortality after pneumonia? A systematic review and meta-analysis. Am J Med. 2012 Nov;125(11):1111-23. PMID: 22835463. (Abstract)

Chen LM, Render M, Sales A, Kennedy EH, Wiitala W, Hofer TP. Intensive care unit admitting patterns in the Veterans Affairs health care system. Arch Intern Med. 2012 Sep 10;172(16):1220-6. PMID: 22825806. (Abstract)

Morgan DJ, Meddings J, Saint S, Lautenbach E, Shardell M, Anderson D, Milstone AM, Drees M, Pineles L, Safdar N, Bowling J, Henderson D, Yokoe D, Harris AD; SHEA Research Network. Does nonpayment for hospital-acquired catheter-associated urinary tract infections lead to overtesting and increased antimicrobial prescribing? Clin Infect Dis. 2012 Oct;55(7):923-9. PMID: 22700826. (Abstract)

Sales A, Saint S. Evaluating the effect of a national collaborative: a cautionary tale. BMJ Qual Saf. 2012 Aug;21(8):621-3. PMID: 22562872. (Abstract)

Rogers MA, Greene MT, Saint S, Chenoweth CE, Malani PN, Trivedi I, Aronoff DM. Higher rates of Clostridium difficile infection among smokers. PLoS One. 2012;7(7):e42091. Epub 2012 Jul 27. PMID: 22848714. (Abstract)

Friese CR, Manojlovich M. Nurse-physician relationships in ambulatory oncology settings. J Nurs Scholarsh. 2012 Jul 19. [Epub ahead of print] PMID: 22812518. (Abstract)

Render ML, Almenoff PL, Christianson A, Sales AE, Czarnecki T, Deddens JA, Freyberg RW, Eyman J, Hofer TP. A hybrid Centers for Medicaid and Medicare service mortality model in 3 diagnoses. Med Care. 2012 Jun;50(6):520-6. PMID: 22584887. (Abstract)

Rogers MA, Levine DA, Blumberg N, Flanders SA, Chopra V, Langa KM. Triggers of hospitalization for venous thromboembolism. Circulation. 2012 May 1;125(17):2092-9. Epub 2012 Apr 3. PMID: 22474264. (Abstract)

Ryan AM, Nallamothu BK, Dimick JB. Medicare's public reporting initiative on hospital quality had modest or no impact on mortality from three key conditions. Health Aff (Millwood). 2012 Mar;31(3):585-92. PMID: 22392670. (Abstract)

Smith DM, Damschroder LJ, Kim SY, Ubel PA. What's it worth? Public willingness to pay to avoid mental illnesses compared with general medical illnesses. Psychiatr Serv. 2012 Apr;63(4):319-24. PMID: 22388473. (Abstract)

Miller MA, Bosk EA, Iwashyna TJ, Krein SL. Implementation challenges in the intensive care unit: the why, who, and how of daily interruption of sedation. J Crit Care. 2012 Apr;27(2):218.e1-7. Epub 2012 Jan 9. PMID: 22227084. (Abstract)

Rogers MA, Levine DA, Blumberg N, Fisher GG, Kabeto M, Langa KM. Antigenic challenge in the etiology of autoimmune disease in women. J Autoimmun. 2012 May;38(2-3):J97-J102. Epub 2011 Aug 30. PMID: 21880464. (Abstract)

Furuno JP, Krein S, Lansing B, Mody L. Health care worker opinions on use of isolation precautions in long-term care facilities. Am J Infect Control. 2012 Apr;40(3):263-6. Epub 2011 Jul 23. PMID: 21784557. (Abstract)

Chopra V, Wesorick DH, Sussman JB, Greene T, Rogers M, Froehlich JB, Eagle KA, Saint S. Effect of perioperative statins on death, myocardial infarction, atrial fibrillation, and length of stay: A systematic review and meta-analysis. Arch Surg. 2012 Feb;147(2):181-9. PMID: 22351917. (Abstract)

McMahon LF Jr, Chopra V. Health care cost and value: the way forward. JAMA. 2012 Feb 15;307(7):671-2. PMID: 22337677. (Abstract)

Iwashyna TJ, Netzer G, Langa KM, Cigolle C. Spurious inferences about long-term outcomes: The case of severe sepsis and geriatric conditions. Am J Respir Crit Care Med. 2012 15;185(8):835-41. PMID: 22323301. (Abstract)

Hollingsworth JM, Saint S, Sakshaug JW, Hayward RA, Zhang L, Miller DC. Physician practices and readiness for medical home reforms: policy, pitfalls, and possibilities. Health Serv Res. 2012 Feb;47(1 Pt 2):486-508. PMID: 22091559. (Abstract)

Flanders SA, Saint S. Enhancing the safety of hospitalized patients: who is minding the antimicrobials? Arch Intern Med. 2012 Jan 9;172(1):38-40. PMID: 22232146. (Abstract)

Fakih MG, Watson SR, Greene MT, Kennedy EH, Olmsted RN, Krein SL, Saint S. Reducing inappropriate urinary catheter use: a statewide effort. Arch Intern Med. 2012 Feb 13;172(3):255-60. PMID: 22231611. (Abstract)

Krein SL, Kowalski CP, Hofer TP, Saint S. Preventing Hospital-Acquired Infections: A National Survey of Practices Reported by U.S. Hospitals in 2005 and 2009. J Gen Intern Med. 2011 Dec 6. PMID: 22143455. (Abstract)

Saint S, Krein SL, Manojlovich M, Kowalski CP, Zawol D, Shojania KG. Introducing the patient safety professional: why, what, who, how, and where? J Patient Saf. 2011 Dec;7(4):175-80. PMID: 21918486. (Abstract)

Furuno JP, Krein S, Lansing B, Mody L. Health care worker opinions on use of isolation precautions in long-term care facilities. Am J Infect Control. 2011 Jul 23. PMID: 21784557. (Abstract)

Crimmins EM, Kim JK, Langa KM, Weir DR. Assessment of cognition using surveys and neuropsychological assessment: the Health and Retirement Study and the Aging, Demographics, and Memory Study. J Gerontol B Psychol Sci Soc Sci. 2011 Jul;66 Suppl 1:i162-i171. PMID: 21743047. (Abstract)

Rogers MA, Ward K, Gure TR, Choe HM, Lee PG, Bernstein SJ, Blaum CS. Blood pressure trajectories prior to death in patients with diabetes. Diabetes Care. 2011 Jul;34(7):1534-9. PMID: 21709293; PubMed Central PMCID: PMC3120174. (Abstract)

Morris DS, Rohrbach J, Rogers M, Thanka Sundaram LM, Sonnad S, Pascual J, Sarani B, Reilly P, Sims C. The surgical revolving door: Risk factors for hospital readmission. J Surg Res. 2011 May 19. PMID: 21696766. (Abstract)

Vikram HR, Dhaliwal G, Saint S, Simpson CB. Clinical problem-solving. A recurrent problem. N Engl J Med. 2011 Jun 2;364(22):2148-54. PubMed PMID: 21631328. (Abstract)

Meddings J, Saint S. Disrupting the life cycle of the urinary catheter. Clin Infect Dis. 2011 Jun;52(11):1291-3. PMID: 21596672. (Abstract)

Shekelle PG, Pronovost PJ, Wachter RM, Taylor SL, Dy SM, Foy R, Hempel S, McDonald KM, Ovretveit J, Rubenstein LV, Adams AS, Angood PB, Bates DW, Bickman L, Carayon P, Donaldson L, Duan N, Farley DO, Greenhalgh T, Haughom J, Lake ET, Lilford R, Lohr KN, Meyer GS, Miller MR, Neuhauser DV, Ryan G, Saint S, Shojania KG, Shortell SM, Stevens DP, Walshe K. Advancing the science of patient safety. Ann Intern Med. 2011 May 17;154(10):693-6. PMID: 21576538. (Abstract)

Levine DA, Langa KM. Vascular cognitive impairment: disease mechanisms and therapeutic implications. Neurotherapeutics. 2011 Jul;8(3):361- 73. PMID: 21556678. (Abstract)

Manojlovich M, Saint S, Forman J, Fletcher CE, Keith R, Krein S. Developing and testing a tool to measure nurse/physician communication in the intensive care unit. J Patient Saf. 2011 Jun;7(2):80-4. PMID: 21537199. (Abstract)

Render ML, Hasselbeck R, Freyberg RW, Hofer TP, Sales AE, Almenoff PL; for the VA ICU Clinical Advisory Group. Reduction of central line infections in Veterans Administration intensive care units: an observational cohort using a central infrastructure to support learning and improvement. BMJ Qual Saf. 2011 Aug;20(8):725-732. Epub 2011 Apr 2. PMID: 21460392. (Abstract)

Render ML, Freyberg RW, Hasselbeck R, Hofer TP, Sales AE, Deddens J, Levesque O, Almenoff PL. Infrastructure for quality transformation: measurement and reporting in Veterans Administration intensive care units. BMJ Qual Saf. 2011 Jun;20(6):498-507. doi: 10.1136/bmjqs.2009.037218. Epub 2011 Feb 23. PMID: 21345859. (Abstract)

Clarke PJ, Ailshire JA, House JS, Morenoff JD, King K, Melendez R, Langa KM. Cognitive function in the community setting: the neighbourhood as a source of 'cognitive reserve'? J Epidemiol Community Health. 2011 Apr 22. PMID: 21515547. (Abstract)

Reed MC, Dhaliwal G, Saint S, Nallamothu BK. Clinical problem-solving. The right angle. N Engl J Med. 2011 Apr 7;364(14):1350-6. PubMed PMID: 21470013. (Abstract)

Shaughnessy MK, Micielli RL, Depestel DD, Arndt J, Strachan CL, Welch KB, Chenoweth CE. Evaluation of hospital room assignment and acquisition of Clostridium difficile infection. Infect Control Hosp Epidemiol. 2011 Mar;32(3):201-6. PMID: 21460503. (Abstract)

O'Grady NP, Alexander M, Burns LA, Dellinger EP, Garland J, Heard SO, Lipsett PA, Masur H, Mermel LA, Pearson ML, Raad II, Randolph AG, Rupp ME, Saint S; the Healthcare Infection Control Practices Advisory Committee (HICPAC) (Appendix 1). Guidelines for the Prevention of Intravascular Catheter- related Infections. Clin Infect Dis. 2011 May;52(9):e162-e193. Epub 2011 Apr 1. PMID: 21460264. (Abstract)

Banaszak-Holl J, Liang J, Quiñones A, Cigolle C, Lee IC, Verbrugge LM. Trajectories of functional change among long stayers in nursing homes: Does baseline impairment matter? J Aging Health. 2011 Mar 24. PMID: 21436394. (Abstract)

Kerber KA, Hofer TP, Meurer WJ, Fendrick AM, Morgenstern LB. Emergency department documentation templates: variability in template selection and association with physical examination and test ordering in dizziness presentations. BMC Health Serv Res. 2011 Mar 24;11:65. PMID: 21435250; PubMed Central PMCID: PMC3073892. (Abstract)

Okura T, Plassman BL, Steffens DC, Llewellyn DJ, Potter GG, Langa KM. Neuropsychiatric symptoms and the risk of institutionalization and death: the Aging, Demographics, and Memory study. J Am Geriatr Soc. 2011 Mar;59(3):473-81. PMID: 21391937. (Abstract)

Fridkin SK, Olmsted RN. Meaningful measure of performance: a foundation built on valid, reproducible findings from surveillance of health care- associated infections. Am J Infect Control. 2011 Mar;39(2):87-90. PMID: 21356430. (Abstract)

Hollingsworth JM, Krein SL, Ye Z, Kim HM, Hollenbeck BK. Opening of ambulatory surgery centers and procedure use in elderly patients: data from Florida. Arch Surg. 2011 Feb;146(2):187-93. PMID: 21339431. (Abstract)

Mody L, Bradley SF, Galecki A, Olmsted RN, Fitzgerald JT, Kauffman CA, Saint S, Krein SL. Conceptual model for reducing infections and antimicrobial resistance in skilled nursing facilities: focusing on residents with indwelling devices. Clin Infect Dis. 2011 Mar;52 (5):654-61. PMID: 21292670; PubMed Central PMCID: PMC3045539. (Abstract)

Pronovost PJ, Cardo DM, Goeschel CA, Berenholtz SM, Saint S, Jernigan JA. A research framework for reducing preventable patient harm. Clin Infect Dis. 2011 Feb;52(4):507-13. PMID: 21258104; PubMed Central PMCID: PMC3060902. (Abstract)

Cherry-Bukowiec JR, Denchev K, Dickinson S, Chenoweth CE, Zalewski C, Meldrum C, Sihler KC, Brunsvold ME, Papadimos TJ, Park PK, Napolitano LM. Prevention of catheter-related blood stream infection: back to basics? Surg Infect (Larchmt). 2011 Feb;12(1):27-32. Epub 2010 Dec 20. PMID: 21171811. (Abstract)

Fong TG, Jones RN, Rudolph JL, Yang FM, Tommet D, Habtemariam D, Marcantonio ER, Langa KM, Inouye SK. Development and validation of a brief cognitive assessment tool: the sweet 16. Arch Intern Med. 2011 Mar 14;171(5):432-7. Epub 2010 Nov 8. PMID: 21059967. (Abstract)

Cigolle CT, Lee PG, Langa KM, Lee YY, Tian Z, Blaum CS. Geriatric conditions develop in middle-aged adults with diabetes. J Gen Intern Med. 2011 Mar;26(3):272-9. Epub 2010 Sep 29. PMID: 20878496; PubMed Central PMCID: PMC3043187. (Abstract)

Brizendine K, Wells JM, Flanders SA, Saint S, Centor RM. Clinical problem-solving. In search of.... N Engl J Med. 2010 Dec 2;363 (23):2249- 54. PMID: 21121838. No abstract available.

Chen J, Einstein AJ, Fazel R, Krumholz HM, Wang Y, Ross JS, Ting HH, Shah ND, Nasir K, Nallamothu BK. Cumulative Exposure to Ionizing Radiation from Diagnostic and Therapeutic Cardiac Imaging Procedures A Population-Based Analysis. J Am Coll Cardiol. 2010 Jun 24. [Epub ahead of print] (Abstract)

Memarzadeh F, Olmsted RN, Bartley JM. Applications of ultraviolet germicidal irradiation disinfection in health care facilities: effective adjunct, but not stand-alone technology. Am J Infect Control. 2010 Jun;38(5 Suppl 1):S13-24. (Abstract)

Bartley JM, Olmsted RN, Haas J. Current views of health care design and construction: practical implications for safer, cleaner environments. Am J Infect Control. 2010 Jun;38(5 Suppl 1):S1-12. (Abstract)

Hollingsworth JM, Zhang Y, Krein SL, Ye Z, Hollenbeck BK. Understanding the variation in treatment intensity among patients with early stage bladder cancer. Cancer. 2010 May 4. [Epub ahead of print] (Abstract)

Karve SJ, Balkrishnan R, Mohammad YM, Levine DA. Racial/Ethnic Disparities in Emergency Department Waiting Time for Stroke Patients in the United States. J Stroke Cerebrovasc Dis. 2010 Jun 8. [Epub ahead of print] (Abstract)

Easter JS, Josephson SA, Vinton DT, Saint S, Edlow JA. Clinical problem-solving. All in the family. N Engl J Med. 2010 Jun 3;362(22):2114- 20. (Abstract)

Manojlovich M, Antonakos CL, Ronis DL. The relationship between hospital size and ICU type on select adverse patient outcomes. Hosp Top. 2010 Apr-Jun;88(2):33-42. (Abstract)

Poon EG, Keohane CA, Yoon CS, Ditmore M, Bane A, Levtzion-Korach O, Moniz T, Rothschild JM, Kachalia AB, Hayes J, Churchill WW, Lipsitz S, Whittemore AD, Bates DW, Gandhi TK. Effect of bar-code technology on the safety of medication administration. N Engl J Med. 2010 May 6;362 (18):1698-707. (Abstract)

Meddings J, Saint S, McMahon LF Jr. Hospital-acquired catheter-associated urinary tract infection: documentation and coding issues may reduce financial impact of Medicare's new payment policy. Infect Control Hosp Epidemiol. 2010 Jun;31(6):627-33. (Abstract)

Aronoff DM, Thelen T, Walk ST, Petersen K, Jackson J, Grossman S, Rudrik J, Newton DW, Chenoweth CE. Pseudo-outbreak of Clostridium sordellii infection following probable cross-contamination in a hospital clinical microbiology laboratory. Infect Control Hosp Epidemiol. 2010 Jun;31(6):640-2. (Abstract)

Chan PS, Gold MR, Nallamothu BK. Do Beta-Blockers Impact Microvolt T-Wave Alternans Testing in Patients At Risk for Ventricular Arrhythmias? A Meta-Analysis. J Cardiovasc Electrophysiol. 2010 Apr 6. [Epub ahead of print] (Abstract)

Fakih MG, Pena ME, Shemes S, Rey J, Berriel-Cass D, Szpunar SM, Savoy-Moore RT, Saravolatz LD. Effect of establishing guidelines on appropriate urinary catheter placement. Acad Emerg Med. 2010 Mar;17(3):337-40. (Abstract)

Kim CS, Lukela MP, Parekh VI, Mangrulkar RS, Del Valle J, Spahlinger DA, Billi JE. Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach. Am J Med Qual. 2010 May-Jun;25(3):211-7. Epub 2010 Mar 31. (Abstract)

Shuman EK, Washer LL, Arndt JL, Zalewski CA, Hyzy RC, Napolitano LM, Chenoweth CE. Analysis of central line-associated bloodstream infections in the intensive care unit after implementation of central line bundles. Infect Control Hosp Epidemiol. 2010 May;31(5):551-3. (Abstract)

Regal RE, Osta AD, Parekh VI. Interventions to curb the overuse of Acid-suppressive medications on an inpatient general medicine service. P T. 2010 Feb;35(2):86-90. PubMed Central PMCID: PMC2827913. (Abstract)

Chen J, Krumholz HM, Wang Y, Curtis JP, Rathore SS, Ross JS, Normand SL, Schreiner GC, Mulvey G, Nallamothu BK. Differences in patient survival after acute myocardial infarction by hospital capability of performing percutaneous coronary intervention: implications for regionalization. Arch Intern Med. 2010 Mar 8;170(5):433-9. PubMed Central PMCID: PMC2900156. (Abstract)

Chen LM, Jha AK, Guterman S, Ridgway AB, Orav EJ, Epstein AM. Hospital cost of care, quality of care, and readmission rates: penny wise and pound foolish? Arch Intern Med. 2010 Feb 22;170(4):340-6. (Abstract)

Hooton TM, Bradley SF, Cardenas DD, Colgan R, Geerlings SE, Rice JC, Saint S, Schaeffer AJ, Tambayh PA, Tenke P, Nicolle LE; Infectious Diseases Society of America. Diagnosis, prevention, and treatment of catheter-associated urinary tract infection in adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America. Clin Infect Dis. 2010 Mar 1;50(5):625-63. (Abstract)

Zikmund-Fisher BJ, Hofer TP, Klamerus ML, Kerr EA. First Things First: Difficulty with Current Medications Is Associated With Patient Willingness to Add New Ones. Patient. 2009 Dec 1;2(4):221-231. PMID: 20634991.Abstract)

Gandhi T, Flanders SA, Markovitz E, Saint S. Kaul DR. Importance of urinary tract infection to antibiotic use among hospitalized patients. Infect Control Hosp Epidemiol 2009; 30(2):193-195. PMCID pending. (Abstract)

Kapoor R, Moseley RH, Kapoor JR, Crapo LM, Saint S. Clinical problem-solving: Needle in a haystack. New Engl J Med 2009; 360(6):616-621. PMCID pending. (Abstract)

Safdar N, Abad CL, Narayan S, Kaul DR, Saint S. Clinical problem-solving: Keeping an open mind. N Engl J Med 2009; 360(1):72-76. PMCID pending. (Abstract)

Saint S, Bartoloni A, Virgili G, Mannelli F, Fumagalli S, di Martino P, Conti AA, Kaufman SR, Gensini GF, Conti A. Marked variability in adherence to hand hygiene: A 5-unit observational study in Tuscany. Am J Infect Control 2009 Jan 8. PMCID pending. (Abstract)

Saint S, Kowalski CP, Forman J, Damschroder L, Hofer TP, Kaufman SR, Creswell JW, Krein SL. A multicenter qualitative study on preventing hospital-acquired urinary tract infection in U.S. hospitals. Infect Control Hosp Epidemiol 2008; 29(4):333-341. (Abstract)

Saint S, Kowalski CP, Kaufman SR, Hofer, TP, Kauffman CA, Olmsted RN, Forman J, Banaszak-Holl J, Damschroder L, Krein SL. Preventing hospital-acquired urinary tract infection in the United States: A national study. Clin Infect Dis 2008; 46(2):243-250. (Abstract)

Falade OO, Antonarakis ES, Kaul DR, Saint S, Murphy PA. Clinical problem-solving: Beware of first impressions. N Engl J Med 2008; 359 (6):628-634. (Abstract)

Flanders SA, Kaufman SR, Nallamothu BK, Saint S. The University of Michigan Specialist-Hospitalist Allied Research Program: jumpstarting hospital medicine research. J Hosp Med 2008; 3(4):308-313. (Abstract)

Flanders SA, Saint S, McMahon LF, Howell JF. Where should hospitalists sit within the academic medical center? J Gen Intern Med 2008; 23 (8):1269-1272. PMCID: PMC2517972. (Abstract)

Fletcher KE, Parekh V, Halasyamani L, Kaufman SR, Schapira M, Ertl E, Saint S. Work hour rules and contributors to patient care mistakes: A focus group study with internal medicine residents. J Hosp Med 2008; 3(3):228-237. (Abstract)

Fletcher KE, Wiest FC, Halasyamani L, Lin J, Nelson V, Kaufman SR, Saint S, Schapira M. How do hospitalized patients feel about resident work hours, fatigue and discontinuity of care? J Gen Intern Med 2008; 23(5):623-628. PMCID: PMC2324147. (Abstract)

Goldberger ZD, Weinberger SE, Nicosia RF, Saint S, Young BA. Clinical problem-solving: Variations on a theme. N Engl J Med 2008; 359 (14):1502-1507. (Abstract)

Krein SL, Kowalski CP, Damschroder L, Forman J, Kaufman SR, Saint S. Preventing ventilator-associated pneumonia in the United States: a multicenter mixed-methods study. Infect Control Hosp Epidemiol 2008; 29(10):933-940. (Abstract)

Leeper NJ, Dhaliwal G, Saint S, Witteles RM. Clinical problem-solving: Fool's gold. N Engl J Med 2008; 359(19):2035-2041. (Abstract)

Manojlovich M, Barnsteiner J, Bolton LB, Disch J, Saint S. Nursing practice and work environment issues in the 21st century: A leadership challenge. Nurs Res 2008; 57(1 Suppl):1-4. (Abstract)

Mody L, Saint S, Kaufman SR, Kowalski C, Krein SL. Adoption of alcohol-based handrub by United States hospitals: A national survey. Infect Control Hosp Epidemiol 2008; 29(12):1177-1180. (Abstract)

Rogers MA, Fries BE, Kaufman SR, Mody L, McMahon LF Jr, Saint S. Mobility and other predictors of hospitalization for urinary tract infection: a retrospective cohort study. BMC Geriatr 2008; 8:31. PMCID: PMC2605742. (Abstract)

Rogers MA, Mody L, Chenoweth C, Kaufman SR, Saint S. Incidence of antibiotic-resistant infection in long-term residents of skilled nursing facilities. Am J Infect Control 2008; 36(7):472-475. (Abstract)

Rogers MA, Mody L, Kaufman SR, Fries BE, McMahon LF Jr, Saint S. Use of urinary collection devices in skilled nursing facilities in five states. J Am Geriatr Soc 2008; 56(5):854-861. (Abstract)

Safdar N, Abad CL, Kaul DR, Jarrard D, Saint S. Clinical problem solving: An unintended consequence. N Engl J Med 2008; 358(14):1496-1501. (Abstract)

Sareli AE, Janssen WJ, Sterman D, Saint S, Pyeritz RE. Clinical problem solving: What's the connection? N Engl J Med 2008; 358(6):626- 632. (Abstract)

Calfee CS, Shah SJ, Wolters PJ, Saint S, King TE. Clinical problem solving: Anchors away. N Engl J Med 2007; 356(5):504-509. (Abstract)

Cornia PB, Lipsky BA, Saint S, Gonzales R. Clinical problem solving: Nothing to cough at. N Engl J Med 2007; 357(14):1432-1437. (Abstract)

Fazel R, Froehlich JB, Williams DM, Saint S, Nallamothu BK. Clinical problem solving: A sinister development. N Engl J Med 2007; 357(1):53- 59. (Abstract)

Greenstone CL, Saint S, Moseley RH. Clinical problem solving: A hand-carried diagnosis. N Engl J Med 2007; 356(23):2407-2411. (Abstract)

Kaul DR, Orringer MB, Saint S, Jones SR. Clinical problem solving: The drenched doctor. N Engl J Med 2007; 356(18):1871-1876. (Abstract)

Kim C, Diez Roux A, Hofer TP, Nallamothu BK, Bernstein SJ, Rogers MAM. Area socioeconomic status and mortality after coronary artery bypass graft surgery: the role of hospital volume. American Heart Journal, 2007;154:385-90. (Abstract)

Krein SL, Hofer TP, Kowalski CP, Olmsted RN, Kauffman CA, Forman JH, Banaszak-Holl J, Saint S. Use of central venous catheter-related bloodstream infection prevention practices by US hospitals. Mayo Clin Proc 2007; 82(6):672-678. (Abstract)

Malani AN, Trimble K, Parekh V, Chenoweth C, Kaufman S, Saint S. Review of clinical trials of skin antiseptic agents to reduce blood culture contamination. Infection Control and Hospital Epidemiology 2007; 28:892-895. (Abstract)

Nallamothu BK, Rogers MAM, Chernew ME, Krumholz HM, Eagle KA, Birkmeyer JD. Opening of specialty cardiac hospitals and use of coronary revascularization in Medicare beneficiaries. JAMA, 2007;297:962-968. (Abstract)

Rogers MAM, Blumberg N, Heal JM, Hicks GL Jr. Increased risk of infection and mortality in women after cardiac surgery related to allogeneic blood transfusion. Journal of Women’s Health, 2007;16:1412-1420. (Abstract)

Safdar N, Kaul DR, Saint S. Clinical problem solving: Into the woods. N Engl J Med 2007; 356(9): 49-53. (Abstract)

Watts B, Argekar P, Saint S, Kauffman CA. Clinical problem solving: Building a diagnosis from the ground up. N Engl J Med 2007; 356 (14):1456-1462. (Abstract)

lliams LH, Raugi GJ, Dhaliwal G, Saint S, Lipsky BA. Clinical conundrum: Are we there yet? Journal of Hospital Medicine 2007; 2(3):181-188. Not indexed in Pubmed.

Yeh WW, Saint S, Weinberger SE. Clinical problem solving: A growing problem. N Engl J Med 2007; 357(5):489-494. (Abstract)

Just S, Schepers G, Piotrowski MM, Saint S, Kauffman CA. Improving the safety of intravenous admixtures: Lessons learned from a Pentostam® overdose. Jt Comm J Qual and Pt Safety 2006; 32(7):366-372. (Abstract)

Flanders SA, Collander HR, Saint S. Nosocomial pneumonia: State of the science. Am J Infect Control 2006; 34(2):84-93. (Abstract)

Shojania KG, Fletcher KE, Saint S. Graduate medical education and patient safety: A busy – and occasionally hazardous – intersection. Ann Intern Med 2006; 145(8):592-598. (Abstract)

Rogers MAM, Langa KM, Kim C, Nallamothu BK, Malani PN, McMahon LF Jr, Fries BE, Kaufman SR, Saint S. Contribution of infection to increased mortality in women after cardiac surgery. Archives of Internal Medicine, 166:437-443, 2006. (Abstract)

Rogers MAM, Blumberg N, Saint SK, Kim C, Nallamothu BK, Langa KM. Allogeneic blood transfusions explain increased mortality in women after coronary artery bypass graft surgery. American Heart Journal, 152:1028-34, 2006. (Abstract)

Saint S, Kaufman SR, Rogers MAM, Baker PD, Ossenkop K, Lipsky BA. Condom versus indwelling urinary catheters: a randomized trial. Journal of the American Geriatrics Society, 54:1055-1061, 2006. (Abstract)

Saint S, Kaufman SR, Rogers MAM, Baker PD, Boyko EJ, Lipsky BA. Risk factors for nosocomial urinary tract-related bacteremia: a case-control study. American Journal of Infection Control, 34:401-407, 2006. (Abstract)

Nallamothu BK et al. Circulation 2006. Relation between hospital specialization with primary percutaneous coronary intervention and clinical outcomes in ST-segment elevation myocardial infarction: National Registry of Myocardial Infarction-4 analysis. Circulation. 2006 Jan 17;113(2):222-9. Epub 2006 Jan 9. (Abstract)

Flanders SA, Kaufman SR, Saint S. Hospitalists as emerging leaders in patient safety: Targeting a few to affect many. J Patient Safety, 2005;1(2):78-82. Not indexed in Pubmed.

Saint S, Kaufman SR, Thompson M, Rogers MAM, Chenoweth CE. A reminder reduces urinary catheterization in hospitalized patients. The Joint Commission Journal on Quality and Patient Safety, 31:455-461, 2005. (Abstract)

Render ML, Kim HM, Deddens J, Sivagenesin S, Welsh D, Bickel K, Timmons S Johnston J, Connors AF, Wagner D, Hofer TP. Variation in risk adjusted hospital mortality and length of stay in Veterans Affairs intensive care units. Crit Care Med. 2005 May;33(5):930-9. (Abstract)

Nallomathu, Saint S, Hofer TP, Bernstein SJ Vijan S, Hospital Volume and Outcome in Coronary Artery Bypass Grafting: A Risk Paradox?" Arch Intern Med. 2005 Feb 14;165(3):333-7. Not indexed in Pubmed.

Nallomathu BK, Shojania KG, Saint S, Hofer TP, Humes HD, Moscucci M, Bates ER. Is Acetylcysteine Effective for Prevention of Contrast -Related Nephropathy? A Meta-Analysis. Am. J Med. 2004 Dec;117(12)938-947. (Abstract)

Hofer TP, Zemencuk JK, Hayward RA. When there is too much to do: How practicing physicians prioritize among recommended interventions. J Gen Int Med. 2004 June; 19(6):646-53. (Abstract)

Hofer TP, Asch SM, Hayward RA, Rubenstein LV, Hogan M, Adams J, Kerr EM. Measuring quality of care: is there a role for peer review? BMC Health Serv Res. 2004 May 19;4(1):9. Not indexed in Pubmed.

Hayward, R.A., Hofer, T.P., Kerr, E.A., and Krein, S.L. Quality improvement initiatives: issues in moving from diabetes guidelines to policy. Diabetes Care. 2004; 27(S2):B54-B60. (Abstract)

Kerr, E.A., Gerzoff, R.B., Krein, S.L., Selby, J.V., Piette, J.D., Curb, J.D., Herman, W.H., Marrero, D.G., Narayan, K.M.V., Safford, and M.M. Mangione, C.M. A comparison of diabetes care quality in Veterans Affairs and commercial managed health care systems: Results from the TRIAD study. Annals of Internal Medicine. 2004;141(4): 272-281. Not indexed in Pubmed.

Krein, S.L., Klamerus, M.L., Vijan, S., Lee, J.L., Fitzgerald, J.T., Pawlow, A., Reeves, P. and Hayward, R.A. Case management for patients with poorly controlled diabetes: A randomized trial. American Journal of Medicine. 2004;116(11): 732-739. (Abstract)

Heisler M, Vijan S, Anderson RM, Ubel PA, Bernstein SJ, Hofer TP. When do patients and their physicians agree on diabetes treatment goals and strategies, and what difference does it make? 2003 Dec; J. Gen Int Med. (Abstract)

Lilford RJ, Mohammed MA, Braunholtz D, Hofer TP. The measurement of active errors: methodological issues. Qual. Saf. Health Care. 2003 Dec; 12:(ii) 8 - 12. (Abstract)

Saint S, Hofer TP, Rose J, Kaufman SR, McMahon LF. The use of critical pathways to improve efficiency: a cautionary tale. Am. J Managed Care. 2003 Nov; 9 (11):758-65. (Abstract)

Kachalia A, Shojania K, Hofer TP, Piotrowski M, Saint S. Does full disclosure of medical errors impact malpractice liability? The jury is still out. Jt Comm J Qual Saf. 2003 Oct; 29(10):503-11. (Abstract)

Kerr E, Smith DM, Hogan MH, Hofer TP, Krein SL, Berman M, Hayward RA. Building a better quality measure: Are some patients with "poor quality" care actually getting good care? Med Care. 2003 Oct; 41(10):1173-82. (Abstract)

Render ML, Kim HM, Welsh D, Johnston J, Hui S, Connors AF, Wagner D, Daley J, Hofer TP. Automated Intensive Care Unit Risk Adjustment: Results from a National VA study. Crit Care Med. 2003 Jun; 31(6): 1638-46. (Abstract)

Rosenberg AL, Hofer TP, Strachan C, Watts CM, Hayward RA. Accepting critically ill transfer patients: adverse impact on a referral center's outcome and benchmark measures. Ann Int Med. 2003 Jun; 138(11):882-90. (Abstract)

Williams KL, Pladevall M, Fendrick AM, Elston-Lafata J, McMahon LF. Differences in the reporting of care-related patient injuries to existing reporting systems. Jt Comm J Qual Saf; 2003; 29(9):460-467. (Abstract)

Saint S, Higgins LA, Nallamothu BK, Chenoweth C. Do physicians examine their patients under contact precautions less frequently? Am J Infect Control 2003;31(6):354-356. (Abstract)

Piotrowski MM. Safety checklist program: Imbedding a high level of awareness into the delivery of care. Journal of Quality Health Care, 2003, 2 (4):34-36. (Abstract)

Chaiyakunapruk N, Veenstra DL, Lipsky BA, Sullivan SD, Saint S. Vascular catheter site care: The clinical and economic benefits of chlorhexidine compared to povidone iodine solution. Clin Infect Dis. 2003; 38:764-771. (Abstract)

Collard HR, Saint S, Matthay MA. Prevention of ventilator-associated pneumonia: An evidence-based systematic review. Ann Intern Med. 2003; 138:494-501. (Abstract)

Cornia PB, Amory JK, Fraser S, Saint S, Lipsky BA. Computer-based order entry decreases duration of indwelling urinary catheterization in hospitalized patients. Am J of Medicine. 2003; 144(5): 404-407. (Abstract)

Dezfulian C, Lavelle J, Nallamothu BK, Kaufman SR, Saint S. Rates of infection in single lumen versus multilumen central venous catheters: A meta- analysis. Crit Care Med. 2003; 31(9):2385-2390. (Abstract)

Marciante KD, Veenstra DL, Lipsky BA, Saint S. Which antimicrobial impregnated central venous catheter should we use? Modeling the costs and outcomes of antimicrobial catheter use. Am J Infect Control. 2003; 31(1):1-8. (Abstract)

Hofer TP, Hayward RA. Quality Grand Rounds: Are Bad Outcomes from Questionable Clinical Decisions the Same as Medical Errors? Annals Intern Med. 2002 Sep; 137: 327-33. (Not indexed in Pubmed.)

Saint S, Chenoweth CE. Biofilms and catheter associated urinary tract infections. Infect Dis Clinics North Am. 2003; 17:411-432. (Abstract)

Krein S, Hofer TP, Hayward RA, Kerr E. Whom should we profile? Examining diabetes care practice variation among primary care providers, provider teams and healthcare facilities. Health Serv Res. 2002 Oct;37(5):1159-80. (Not indexed in Pubmed.)

Piotrowski MM, Saint S & Hinshaw DB. Expanding the avenues for addressing patient safety. Michigan Health & Hospitals, 2002, 38 (5):33. (Abstract)

Chaiyakunapruk N, Veenstra DL, Lipsky BA, Saint S. Chlorhexidine versus povidone-iodine solution for vascular catheter-site care: a meta- analysis. Annals of Internal Medicine. 2002; 136(11):792-801. (Abstract)

Piotrowski MM, Saint S, Hinshaw DB. The safety case management committee: Expanding the avenues for addressing patient safety. The Joint Commission Journal on Quality Improvement. 2002; 28 (6):296-305. (Abstract)

Saint S, Savel RH, Matthay MA. Enhancing the safety of critically ill patients by reducing urinary and central venous catheter-related infections. American Journal of Respiratory and Critical Care Medicine. 2002; 165:1475-1479.(Abstract)

Saint S, Goold SD, Lipsky BA. Indwelling urinary catheters: The one-point restraint? Annals of Internal Medicine. 2002; 137(2):125-27. (Abstract)

Kerr, E. A.; Krein, S. L.; Vijan, S.; Hofer, T. P., and Hayward, R. A. Avoiding pitfalls in chronic disease quality measurement: a case for the next generation of technical quality measures. Am J Manag Care. 2001 Nov; 7(11):1033-43. (Abstract)

Lynch P, Jackson M, Saint S. Research priorities project, year 2000: Establishing a direction for infection control and hospital epidemiology. Am J Infect Cont. 2001; 29(2):73-78. (Abstract)

Nallamothu BK, Saint S, Ramsey SD, Hofer TP, Vijan S, Eagle KA. The role of hospital volume in coronary artery bypass grafting: is more always better? J Am Coll Cardiol 2001; 38(7):1923-30. (Abstract)