Ann Arbor VA Medical Center/University of Michigan Health System

 


Publications


Read Entire Texts Online

To Err is Human: Building A Safer Health System - Read the Institute of Medicine report online.

Patient Safety: Achieving a New Standard for Care - Read the report online by the Institute of Medicine.

BMJ Articles on Patient Safety - Read full text online peer-reviewed articles on patient safety from the British Medical Journal.

 


 

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.)

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.

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.

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.

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

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.

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.

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

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

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

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.

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

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.

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.

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.

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

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.

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.

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.

Williams KL, Pladevall M, Fendrick AM, Elston-Lafata J, McMahon LF.  Differences in the Reporting of Care-Related Patient Injuries to Existing Reporting Systems.  Joint Commission Journal on Quality and Safety; 2003; 29(9):460-467.

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. Annals of Internal Medicine. 2003 Jun; 138(11):882-90.

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.

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.

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.

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.

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.

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.

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.

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.

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

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.

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.

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

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

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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

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

Williams LH, Raugi GJ, Dhaliwal G, Saint S, Lipsky BA. Clinical conundrum: Are we there yet? Journal of Hospital Medicine 2007; 2(3):181-188.

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.

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

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.

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.

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.

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.

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.

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

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

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.

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

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

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.

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.

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. PMCID pending.

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. PMCID pending.

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.

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. PMCID pending.

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.

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

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.

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. PMCID pending.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.


Presentations by PSEP Faculty

Del Valle J, Chugh R, Goldman E, Hofer TP et.al.  Department of Medicine Grand Rounds – A case of missed diagnosis.

Saint S.  “Quality Grand Rounds:  A Case of Nosocomial Hypoglycemia."  Improving Patient Safety and Decreasing Errors in the Hospital, University of California, San Francisco, CA, October 2001. (Case presented to David Bates, MD.)

Piotrowski, MM. “Adverse Events Subcommittee” Presentation at The Partnership Symposium 2001. Patient Safety – Stories of Success, Dallas, TX, October 2001.

Piotrowski, MM. “Safety Checklist Program: An Act of Compassion. An Environment of Quality Care.” Presentation at The Partnership Symposium 2001. Patient Safety – Stories of Success, Dallas, TX, October 2001.

Saint S.  “Preventing Catheter-related Urinary Tract Infections: Are Silver Catheters Useful?” 51st Annual Japanese Urological Association’s Central Section Meeting, Osaka, Japan, November 2001.

McMahon LF.  “Cancer Screening in the Elderly:  Who, What How?  A Tale of Two Cancers.”  Grand Rounds, Oakwood Hospital, Dearborn, MI, December 2001.

Saint S. “Device Associated Adverse Events: Impact and Prevention.”  National Patient Safety Conference sponsored by the CDC, Baltimore, MD, January 2002.

Zemuncuk JK, Hofer TP, Hayward RA.  “Physician’s understanding and misunderstanding of diabetes care priorities” Plenary Session, VA Health Services Research and Development National Meetings.  Washington, Feb 13-15, 2002.

Krein, SL. “Proactive Diabetes Case Management:  Expectation Versus Reality”  Krein SL, Klamerus ML, Vijan S, Pawlow A, Reeves P, Hayward, RA.  Poster presented at the HSR&D Service 20th Annual Meeting, Washington, D.C., February, 14-15, 2002.

Rosenthal M.  “Studying Medical Error:  An Ethnographic Approach.”  Emory University School of Public Health, February 20, 2002.

Nallamothu, BK. "Cost-effectiveness of Radiofrequency Ablation for Paroxysmal Atrial Flutter."  Assessment and Outcome in Cardiovascular Diseases Poster Session of the National Meeting of the American College of Cardiology.  Atlanta, Georgia, March 2002.

Piotrowski, MM. “Reduction of the Incidence of Ventilator-Associated Pneumonia (VAP) by Improving the Care of Ventilator-Dependent SICU Patients.” Poster presentation at the Twelfth Annual Scientific Meeting of the Society for Healthcare Epidemiology of America (SHEA), Salt Lake City, UT, April 2002, joint presentation with Lisbeth Nordstrom-Lerner.

Borschel, DM. “Does an Antiseptic-Coated Central Venous Catheter Provide Clinical and Economic Benefits in a Real World Setting.” Oral plenary presentation NAIP (National Association of Inpatient Physicians) national meeting, April 2002.

Piotrowski, MM. “Techniques and Tools for Building Your Patient Safety Program – The Safety Checklist Program.” Presentation at Fostering a Culture of Patient Safety in Michigan, Dearborn, MI, May 2002.

Borschel, DM. “The Effectiveness of an Antiseptic-Coated Central Venous Catheter in a Real World Setting.” Oral presentation at APIC (Association of Professionals in Infection Control) national meeting, May 2002.

Bhalla S, Fine P, Mangrulkar R, Hofer TP.  “Antibiotic Dosing in an Inpatient Elderly Population,” University of Michigan Department of Internal Medicine, May 2002.

Rosenthal M.  “Is the Swedish Patient Insurance Fund a Model for Michigan?  Genessee Medical Society Annual Meeting, May 2, 2002.

Krein, SL. “Case Management:  Is it Meeting Expectations?”  Krein SL, Klamerus ML, Vijan S, Lee J, Fitzgerald T, Hayward, RA.  Poster presented at the Academy for Health Services Research and Policy Annual Research Meeting, Washington, D.C., June, 25, 2002.

Saint, S. "The University of Michigan's Patient Safety Enhancement Program: Translating Research into Practice." Michigan Health and Safety Coalition, South Lyon, Michigan, January 2003.

Saint, S. "Enhancing Patient Safety by Preventing Catheter Related Infections." Medical Grand Rounds, Oakwood Hospital & Medical Center, Dearborn, Michigan, January 2003.

Mangrulkar, RS. “Evidence-Based Medicine for the Practicing Clinician: Education to Change Practice”. Plenary Presentation at the Alliance for Continuing Medical Education Annual Meeting, Dallas, TX. January 31, 2003.

Mangrulkar, RS. “Evaluation of Evidence-Based Medicine Instruction: A Map for the Future”. Director, workshop and retreat for the Society of General Internal Medicine Evidence-Based Medicine Task Force Evaluation Cluster, New Orleans, LA. February 23-24, 2003.

Saint, S. "Clinical Practice Strategies to Enhance Patient Safety." Chelsea Hospital, Chelsea, MI, March 2003.

Saint, S. "Translating Nosocomial Infection Prevention into Practice." AHRQ 2nd Annual National Patient Safety Conference, Washington, D.C., March 2003.

Saint, S. "Which Site Disinfectant Should We Use for Vascular Catheter Site Care?" Society for Healthcare Epidemiology of America, Arlington, VA, April 2003.

Mangrulkar, RS. “Characterization of Information Exchange Between Residents and Attendings in Internal Medicine Ambulatory Clinics”, The Society for General Internal Medicine Annual Meeting, Vancouver, BC, Canada. May 1, 2003.

Borschel, DM. “Does an Antiseptic-coated Central Venous Catheter Provide Clinical and Economic Benefits in a “Real World” Setting?" University of Michigan Meet the Investigator, August 2003.

Piotrowski, MM. “Safety Checklist Program. Imbedding High Level Awareness into the Delivery of Care.” Presentation at The Quality Colloquium at Harvard University, Cambridge, MA, August 2003.

Krein, SL. “Use of Electronic Medical Record Data and Automated Clinical Databases For System-wide Quality Improvement"  Krein SL.  Oral presentation as part of panel session on Informatics Strategies to Support Evidenced-based Practice at the Information Technology Conference/ Office of Information, Austin, TX, August 6, 2003.

Saint, S. "Enhancing Patient Safety by Reducing Hospital-Acquired Infection." UCSF Department of Medicine Grand Rounds, San Francisco, CA, September 2003.

Saint, S. "Enhancing Patient Safety Through Infection Control." Infection Control Association of the British Isles, Telford, England, September 2003.

Saint, S. “Using Evidence-Based Medicine to Manage Acute UTI in Women.”  St. Mary Mercy Hospital Grand Rounds, Livonia, MI, September 2003.

Saint, S. "The Use of a Urinary Catheter Reminder to Reduce Urinary Catheterization in Hospitalized Patients." International Society for Pharmacoeconomics and Outcomes Research, Barcelona, Spain, November 2003.

Piotrowski, MM. “Imbedding Safety into Patient Care: An Organizational Mission.” Presentation at Metropolitan Detroit Medical Library Group meeting. Henry Ford Healthcare System/Wyandotte Hospital, Wyandotte, MI, November 2003.

Saint, S. “Device-Related Patient Safety.”  Michigan Society for Infection Control, Lansing, MI, November 2003.

Saint, S. “Catheter-Related Blood Stream Infections.”  AHRQ Patient Safety Collaborative Kickoff, Cincinnati, OH, November 2003.

Hofer, TP. "Quality Measurement through peer review." Michigan State Medical Society Annual Meeting. Troy, Michigan. November 5, 2003.

Piotrowski, MM. “Safe Practice at All Costs: Real Strategies for Today’s Nurse.” Presentation at Nursing Grand Rounds, Institute for Innovative Nursing Practice, Virginia Commonwealth University (VCU) Medical Center, Richmond, VA, February 2004.

Hofer, TP. "Measurement theory and the detection of medical errors" Department of Public Health and Epidemiology, University of Birmingham, England. February 2004.

Saint, S. “How Advanced Infection Control Technologies Can Benefit Both Patients and Hospitals.”  Press Seminar on the Japanese Healthcare System, Tokyo, Japan, March 2004.

Saint, S. “ICU Prophylaxis.”  Society of Hospital Medicine’s 2004 Annual Meeting, New Orleans, LA, April 2004.

Saint, S. “From Quality Improvement to Research.”  Society of Hospital Medicine’s 2004 Annual Meeting, New Orleans, LA, April 2004.

Piotrowski, MM. “Improving Care for Intensive Care Unit Patients on Ventilators to Reduce Rate of Ventilator Associated Pneumonias.” Poster presentation at Infection: Prevention and Containment, sponsored by Department of Veterans Affairs Employee Education System, Program Office for Infectious Diseases, Patient Care Services, and Veterans Affairs Central Office, New Orleans, LA, May 2004, joint presentation with Lisbeth Nordstrom-Lerner.

Saint, S. “Reducing the Burden of Nosocomial Urinary Tract Infections Using Antimicrobial-impregnated Urethral Catheters.”  Surgical Infection Society 24th Annual Meeting, Indianapolis, IN, May 2004.

Mangrulkar, RS. “Integrating Evidence Into Clinical Decisions”, ½ day workshop, Society for General Internal Medicine Annual Meeting, May 13, 2004.

Mangrulkar, RS. “Towards the ideal signout: using house officer opinion to improve inpatient transitions in care”, The Society for General Internal Medicine Annual Meeting, Chicago, IL, May 13, 2004.

Mangrulkar, RS. “Targeting and Structuring Information Resource Use: A Path to Informed Clinical Decisions”, Invited Plenary Address, CME Congress 2004: Knowledge Translation, Toronto, Canada, May 16, 2004.

Saint, S. “Preventing Hospital-Acquired Infection.”  Department of Microbiolioty & Infectious Diseases Seminar, The John Radcliffe Hospital/Oxford University, Oxford, England, June 2004.

Hofer, TP. "The Science of Quality Measurement: Are We Getting It Right?" (invited panelist) Academy Health meeting, San Diego, June 6-8, 2004.

Saint, S. “Enhancing Patient Safety by Preventing Hospital Acquired Infection.”  The John Radcliffe Hospital/1Oxford University, Oxford, England, June 2004.

Saint, S. “The Economics of Controlling Infections Associated with Prosthetic Devices.”  Fourth Annual Conference of the Center for Prostheses Infection (CPI) and the Multidisciplinary Alliance Against Device-Related Infections (MADRI), San Antonio, TX, August 2004.

Saint, S. “Catheter-Related Blood Stream Infections – Incidence, Impact & Evidence Based Interventions.”  AHRQ Patient Safety Collaborative Kickoff #2, Cincinnati, OH, September 2004.

Saint, S. “The Rise and Rise of Infection Prevention and Control Programs.”  Enhancing Patient Safety: Successful Strategies and Interventions to Prevent Health Care-Associated Infection in Mcihgan, St. John Macomb Hospital, Warren, MI, September 2004.

Saint, S. “Translating Nosocomial Infection Methods Into Practice.” AHRQ 3rd Annual National Patient Safety Conference, Washington, DC, September 2004.

Saint, S. “Prevention Strategies in the ICU.” Management of the Hospitalized Patient, University of California San Francisco, September 2004.

Saint, S. “Using Evidence-Based Medicine to Manage Acute UTI in Women.” S. Frederick Rabiner, MD. Visiting Professorship, Legacy Health System, Portland, OR, October 2004.
Saint, S. “Preventing Hospital-Acquired Infection.” Medical Grand Rounds, University of Oklahoma, September 2004.

Saint, S. “Enhancing Patient Safety by Preventing Hospital-Acquired Infection.” S. Frederick Rabiner, MD. Visiting Professorship, Legacy Health System, Portland, OR, October 2004.

Piotrowski, MM. “VA Ann Arbor Healthcare System Safety Checklist Program: Imbedding a High Level of Awareness into the Delivery of Care.”  Presentation at Advancing Patient Safety in West Virginia, Charleston, WV, October 2004.

Hofer, TP. “Measurement of Error measurement theory and the detection of medical errors.” Making Health Care Safer Conference, October 21-22, 2004 (invited presentation and session leader), Royal College of Physicians of London.

Saint, S. “Translating Nosocomial Infection Preventive Methods into Practice” – General Medicine Research Conference, November 2004.

Krein, SL. “Measuring Outcomes of a Case Management Program”.  Krein SL. Invited presentation, VISN 11 Primary Care Case Management Conference, Kalamazoo, MI, November 4, 2004.

Saint, S. “Enhancing Patient Safety by Preventing Hospital-Acquired Infection.”  University of California Davis Grand Rounds, Sacramento, CA, December 2004.

Saint, S.  “Enhancing Patient Safety by Preventing Hospital-Acquired Infection.”  Harvard University/Beth Israel Deaconess Grand Rounds, Boston, MA, January 2005.

Hofer TP, Hayward RA. “Methods for Recognizing and Adjusting for Measurement Error.” HSR&D National Meeting 2005: Improving Care for Chronic Illnesses, Baltimore MD February 16-18, 2005.

Saint, S. “Preventing Catheter-related Infection.” Medical Grand Rounds, Henry Ford Health System, Department of Internal Medicine, Detroit, MI, March 2005.

Saint, S. “Enhancing Patient Safety by Preventing Catheter-related Infection.” University of Utah Department of Medicine Grand Rounds, Salt Lake City, UT, March 2005.

Saint, S. “Enhancing Patient Safety by Preventing Hospital-Acquired Infection.” University of Toronto Department of Medicine, May 2005.0

Saint, S. “Translating Hospital-Associated Infection Prevention into Practice.” 2nd Annual HTAi Meeting, Europe Congress Centre, Universita Cattolica del Sacro Cuore, Rome, Italy, June 2005.

Saint, S. “Hospital-Acquired Infections.” Hospitalist Conferences USA, San Diego, CA, September 2005.

Saint, S. “Enhancing Patient Safety by Preventing Hospital-Acquired Infection.” Beth Israel Medical Center Grand Rounds, New York, NY, October 2005.

Saint, S. “Preventing Catheter-Related Bloodstream Infection: Are We There Yet?” Infectious Diseases Society of America National Meeting, San Francisco, CA, October 2005.

Saint, S. “Enhancing Patient Safety by Preventing Catheter-Related Infection.” HSR&D Career Development/Research Career Scientist Program, Arlington, VA, February 2006.

Saint, S. “Enhancing Patient Safety by Preventing Catheter-Related Infection.” University of Washington Medical Grand Rounds, Seattle, WA, April 2006.

Saint, S. “Enhancing Patient Safety by Preventing Hospital-Acquired Infection.” MetroHealth Medical Center Grand Rounds, Cleveland, OH, May 2006.

Saint, S. “Is Infection Control Cost-Effective?” 46th Interscience Conference on Antimicrobial Agents and Chemotherapy, San Francisco, CA, September 2006.

Saint, S. “Cost of Infections and Cost-Effectiveness in Infection Control.” (Moderator) 46th Interscience Conference on Antimicrobial Agents and Chemotherapy, San Francisco, CA, September 2006.

Saint, S. “Reducing the Incidence of Catheter-Related Urinary Tract Infections.” VHA’s Best Practices Symposium: Eliminating Hospital Acquired Infections, Baltimore, MD, September 2006.

Saint, S. “Enhancing Patient Safety by Preventing Hospital-Acquired Infection.” University of Alabama at Birmingham Department of Medicine Grand Rounds, Birmingham, AL, January 2007.

Saint, S. “Enhancing Patient Safety by Preventing Hospital-Acquired Infection.” Medical College of Wisconsin, Milwaukee, WI, March 2007.

Saint, S. “The Use of Economic Evaluation in Infection Control.” The Society for Healthcare Epidemiology of America 2007 National Meeting, Baltimore, MD, April 2007.

Saint, S. “Advanced Epidemiologic Methods: Meta-analysis.” The Society for Healthcare Epidemiology of America 2007 National Meeting, Baltimore, MD, April 2007.

Saint, S. “UTI and Translating Research into Practice.” Keystone Healthcare-Associated Infection Workshop, Grand Rapids, MI, April 2007.

Saint, S. “Enhancing Patient Safety by Preventing Hospital-Acquired Infection.” Northwestern University Medical School - Medical Grand Rounds, Chicago, IL, April 2007.

Saint, S. “Enhancing Patient Safety by Preventing Catheter-Related Urinary Tract Infections.” New Jersey’s Antimicrobial Resistance Collaborative, Princeton, NJ, April 2007.

Saint, S. “Hospital Medicine Research: An Overview.” Society of General Internal Medicine 30th Annual Meeting. Toronto, Canada, April 2007.

Saint, S. “How are U.S. Hospitals Preventing Infections Due to Central Venous and Urinary Catheters? A National Mixed-Methods Study.” Society of General Internal Medicine 30th Annual Meeting. Toronto, Canada, April 2007.

Saint, S. “Preventing Hospital-Acquired Infection.” St. John Hospital Medical Grand Rounds, Detroit, MI, June 2007.

Saint, S. “Translating Hospital-Acquired Infection Prevention Research into Practice.” Infection Prevention Society Conference 2007, Brighton, England, September 2007.

Saint, S. “Diffusion of Innovation in Healthcare.” Department of Economics, University of Florence, Florence, Italy, December 2007.

Saint, S. “Enhancing Patient Safety by Preventing Hospital-Acquired Infection.” Department of Geriatrics, University of Florence Medical School, Florence, Italy, February 2008.

Saint, S. “Preventing Hospital-Acquired Infection.” University of Palermo Medical School, Palermo, Italy, April 18, 2008.

Saint, S. “Diffusion of Innovation in Healthcare: The Case of Hospital-Acquired Infection.” International League of Florence, Florence Italy, April 1, 2008.

Saint, S. “Knowledge Transfer in Medicine: Translating Research Into Practice within Hospital-Acquired Infection.” Lyceum International Club of Florence, Florence, Italy, May 19, 2008.

Saint, S. “Enhancing Patient Safety by Controlling Infection in the Emergency Department.” Clinical Risk Management in the Emergency Department Meeting of the University of Florence, Florence, Italy, May 12, 2008.

Saint, S. “Preventing Urinary Tract Infections: Introducing the Bladder Bundle.” Washington State Hospital Association, Seattle, WA, July 2008.

Saint, S. “Heuristic Principles and Cognitive Error.” Chambersburg Hospital, August 2008.

Saint, S. “Taking a Closer Look: Catheter-Associated Urinary Tract Infections (UTIs).” APIC 2008 CMS Conference, Arlington, VA, September 2008.

Saint, S. “Translating Infection Prevention Research into Practice.” University of Utah Department of Medicine Grand Rounds, Salt Lake City, UT, September 2008.

Saint, S. “Evidence-Based Practices in Infection Control.” 48th Annual ICAAC/IDSA Meeting, Washington, DC, October 2008.

Saint, S. “Health and Economic Impact of Multiple-Drug Resistant Organism Screening.” 48th Annual ICAAC / IDSA Meeting, Washington, DC, October 2008.

Saint, S. “Diffusion of Innovation of Medicine.” United States Embassy, Rome Italy, October 8, 2008.

Saint, S. “Enhancing Patient Safety by Reducing Nosocomial Infection.” University of Florence Medical School – Florence, Italy, October 7, 2008

Saint, S. “The Presence of Active Resister and Organizational Constipators.” 2008 National Clinical Scholars Meeting, Washington, DC, November 2008.

Saint, S. “Translating Infection Prevention Research Into Practice within Catheter-Associated Urinary Tract Infection.” Infectious Disease Society of New Jersey Annual Conference, Monroe Township NJ, November 2008.

Saint, S. “Enhancing Patient Safety by Translating Infection Prevention Research into Practice.” University of Chicago Department of Medicine Grand Rounds, Chicago, IL, November 2008.

Saint, S. “Diffusion of Innovation: Translating Infection Prevention into Practice.” University of Pittsburgh Critical Care Medicine Research Conference, Pittsburgh, PA, November 2008.

Saint, S. “Diffusion of Innovation: Translating Infection Prevention Research into Practice.” Department of Medicine Grand Rounds, Mt. Sinai Medical Center, New York, NY, December 2008.

Saint, S. “Enhancing Patient Safety by Translating Infection Prevention into Practice.” Medicine Grand Rounds, Texas A&M Health Science Center College of Medicine, Austin, TX, January 2009.

Saint, S. “Translating Infection Prevention Research into Practice.” Update in Hospital Medicine, Rocky Mountain Society of Hospital Medicine Winter Meeting, Breckenridge, CO, February 2009.

Saint, S. “Diffusion of Innovation: Translating Infection Prevention Research into Practice.” Internal Medicine Grand Rounds, University of Nebraska Medical Center, Omaha, NE, March 2009.

Saint, S. “Diffusion of Innovation: Translating Infection Prevention Research into Practice.” Division of General Medicine and Primary Care, Brigham & Women’s Hospital and Harvard Medical School, Boston, MA, March 2009.