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Patient Safety

Saul N. Weingart, MD, PhD
Selected Bibliography

Original Articles

  1. Weingart SN. House officer education and organizational obstacles to quality improvement. Jt Comm J Qual Improv 1996; 22:640-6.
  2. Weingart SN. A medical house officer-sponsored quality improvement initiative: leadership lessons and liabilities. Jt Comm J Qual Improv 1998; 24:371-8.
  3. Weingart SN, Davis RB, Phillips RS. Patients discharged against medical advice from a general medicine service. J Gen Intern Med 1998; 13:568-71.
  4. Weingart SN, Wilson RM, Gibberd RW, et al. Epidemiology of medical error. BMJ 2000; 320:774-7.
  5. Weingart SN. Making medication safety a strategic organizational priority. Jt Comm J Qual Improv 2000; 26; 341-8.
  6. Weingart SN, Ship AN, Aronson MD. Confidential clinician-reported surveillance of adverse events among medical inpatients. J Gen Intern Med 2000; 15:470-7.
  7. Weingart SN, Iezzoni LI, Davis RB, et al. Using administrative data to find substandard care: validation of the Complications Screening Program. Med Care 2000; 38:796-806.
  8. Weingart SN, Gordon CE. Finding and fixing medical error: opportunities for clinicians. Disease Mgmt Clin Outcomes 2001; 3:1-4.
  9. Weingart SN, Callanan LD, Ship AN, Aronson MD. A physician-based voluntary reporting system for adverse events and medical errors. J Gen Intern Med 2001:16; 809-14.
  10. Weingart SN, Mukamal K, Davis RB, et al. Physician reviewers' perceptions and judgments about quality of care. Int J Qual Health Care 2001; 13:357-65.
  11. Weingart SN, Davis RB, Palmer RH, et al. Discrepancies between explicit and implicit review: physician and nurse assessments of complications and quality. HSR 2002; 37:483-98.
  12. Gandhi TK, Weingart SN, Borus J, et al. Adverse drug events in ambulatory care. N Engl J Med 2003; 348:1556-64.
  13. Weingart SN, Toth M, Sands DZ, et al. Physicians' decision to override computerized drug alerts in primary care. Arch Intern Med 2003; 163:2625-31.
  14. Weingart SN, Morath J, Ley C. Learning with leaders to create safe health care: the Executive Session on Patient Safety. J Clin Outcomes Mgmt 2003; 10:597-601.
  15. Weingart SN, Farbstein K, Davis RB, Phillips RS. Examining the safety culture: a multi-hospital survey. Jt Comm J Qual Safety 2004; 30:125-132.
  16. Smith CC, Gordon CE, Feller-Kopman D, Huang GC, Weingart SN, Davis RB, Ernst A, Aronson MD. Creation of an innovative inpatient medical procedure service and a method to evaluate housestaff competency. J Gen Intern Med 2004; 19: 510-13.
  17. Weingart SN, Tess A, Driver J, Aronson MD, Sands K. Creating a quality improvement elective for medical house officers. J Gen Intern Med 2004; 19: 861-7.
  18. Weingart SN, Toth M, Eneman J, et al. Lessons from a patient partnership intervention to prevent adverse drug events. Int J Qual Health Care 2004; 16: 499-506.
  19. Weingart SN, Page D. Implications for practice: challenges for health care leaders in fostering patient safety. Qual Safety Health Care 2004; 13 (suppl 2): ii52-56.
  20. Persell SD, Heiman HL, Weingart SN, et al. Understanding of drug indications by ambulatory care patients. Am J Health-Syst Pharm 2004; 61:2523-7.
  21. Weingart SN, Gandhi TK, Seger AC, et al. Patient-reported medication symptoms in primary care. Arch Intern Med 2005; 165: 234-40.
  22. Weingart SN, Pagovich O, Sands DZ, et al. What can hospitalized patients tell us about adverse events? Learning from patient-reported incidents. J Gen Intern Med 2005; 20: 830-36.
  23. Gandhi TK, Weingart SN, Seger AC, et al. Outpatient prescribing errors and the impact of computerized prescribing. J Gen Intern Med 2005; 20: 837-41.
  24. Huang GC, Smith CC, Gordon CE, Feller-Kopman DJ, Davis RB, Phillips RS, Weingart SN. Beyond the comfort zone: residents assess their comfort performing inpatient procedures. Am J Med, in press.
  25. Weingart SN, Rind D, Tofias Z, Sands DZ. Who uses the patient Internet portal? The PatientSite experience. J Am Med Info Assoc, in press.
  26. Weingart SN, Pagovich O, Sands DZ, et al. Patient-reported service quality on a medicine unit. Int J Qual Health Care, in press.

Reviews, Chapters, and Editorials:

  1. Weingart SN. Medical Harm: Historical, Conceptual, and Ethical Dimensions of Iatrogenic Illness [book review]. J Nerv Ment Dis 2000; 188:180-1.
  2. Weingart SN. Finding common ground in the measurement of adverse events [editorial]. Int J Qual Health Care 2000; 12:363-5.
  3. Weingart SN. Patterns and causes of medical error. In Zipperer L, Cushman S, Lessons in Patient Safety. Chicago, IL: National Patient Safety Foundation, 2001.
  4. Weingart SN. Cancer screening: room for improvement [commentary]. Forum 2002; 22:2-3.
  5. Weingart SN. Seeing error through new lenses [editorial]. J Gen Intern Med 2003; 18:675-6.
  6. Weingart SN, Iezzoni LI. Looking for medical injuries where the light is bright [editorial]. JAMA 2003; 290:1917-9.
  7. Weingart SN. Beyond Babel: prospects for a universal patient safety taxonomy [editorial]. Int J Qual Health Care 2005; 17: 93-4.
  8. Conway JB, Weingart SN. Organizational change in the face of highly public errors: I. The Dana-Farber Cancer Institute experience [commentary]. Web M&M, US Agency for Healthcare Research and Quality, May 2005. Available at: http://www.webmm.ahrq.gov/perspective.aspx?perspectiveID=3. Accessed May 11, 2005.
  9. Weingart SN, Conway JB. Promoting an organizational infrastructure for patient safety. Ch. 2 in From Front Office to Front Line: Essential Issues for Health Care Leaders, 2nd ed. Oak Brook, IL: Joint Commission Resources, 2005.

Educational Materials:

  1. Weingart SN, Tess A. Massachusetts Medical Society Patient Safety Curriculum: Module III - Case Studies and Root Cause Analysis of Adverse Events. Waltham, MA: Massachusetts Medical Society, 2001. Available at: http://www.massmed.org/pages/ptsafetycurriculum.asp. Accessed Dec. 3, 2003.
  2. Weingart SN. The Nature and Causes of Errors and Injuries in Health Care. Cambridge, MA: Harvard Risk Management Foundation, 2002. Available at: http://www.rmfcme.com/index_rmfcme.asp. Accessed Dec. 3, 2003.
  3. Weingart SN. What Creates Safe Health Care Systems? San Francisco: Health Forum, 2002.
  4. Freshman ME, Weingart SN. Reinventing quality and safety in the new VA. Case study prepared for the Harvard Executive Session on Medical Error and Patient Safety, Cambridge, MA, 2002.
  5. Weingart SN, Freshman ME. Creating a safety culture in the new VA. Case study prepared for the Harvard Executive Session on Medical Error and Patient Safety, Cambridge, MA, 2002.
  6. Weingart SN, Sharma S, Kim H. A quiet revolution: patient safety at Mayo Clinic Rochester. Case study prepared for the Harvard Executive Session on Medical Error and Patient Safety, Cambridge, MA, 2002.
  7. Weingart SN, Blum L, Balik B, et al. Creating a patient safety program at Allina Hospitals and Clinics. Case study prepared for the Harvard Executive Session on Medical Error and Patient Safety, Cambridge, MA, 2003.
  8. Weingart SN. Using Systems Theory to Understand Errors and Injuries in Health Care. Cambridge, MA: Harvard Risk Management Foundation, 2004. Available at: http://www.rmfcme.com/index_rmfcme.asp. Accessed Dec. 3, 2003.
  9. Weingart SN. Preventing Errors and Injuries in Health Care with Systems Theory. Cambridge, MA: Harvard Risk Management Foundation, 2004. Available at: http://www.rmfcme.com/index_rmfcme.asp. Accessed Dec. 3, 2003.
  10. Weingart SN, Morway L. Something good for all of us: the Indiana Coalition for Antibiotic Resistance Education Strategies (ICARES). Case study prepared for the Indianapolis Executive Session on Patient Safety, Indianapolis, IN, 2004.