S Saint

Summary

Affiliation: University of Michigan
Country: USA

Publications

  1. pmc Reducing inappropriate urinary catheter use: a statewide effort
    Mohamad G Fakih
    University of Michigan Patient Safety Enhancement Program, Ann Arbor, MI 48109 0429, USA
    Arch Intern Med 172:255-60. 2012
  2. pmc Is the use of antimicrobial devices to prevent infection correlated across different healthcare-associated infections? Results from a national survey
    Sanjay Saint
    Veterans Affairs Ann Arbor Healthcare System and the Hospital Outcomes Program of Excellence, Department of Veterans Affairs, Ann Arbor, Michigan, USA
    Infect Control Hosp Epidemiol 34:847-9. 2013
  3. pmc Variations in risk perceptions: a qualitative study of why unnecessary urinary catheter use continues to be problematic
    Molly Harrod
    VA Ann Arbor Healthcare System HSR and D CCMR, Ann Arbor, MI, USA
    BMC Health Serv Res 13:151. 2013
  4. pmc Preventing catheter-associated urinary tract infection in the United States: a national comparative study
    Sanjay Saint
    VA Ann Arbor Healthcare System and Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI 48109 2800, USA
    JAMA Intern Med 173:874-9. 2013
  5. pmc Perceived strength of evidence supporting practices to prevent health care-associated infection: results from a national survey of infection prevention personnel
    Sanjay Saint
    Hospital Outcomes Program of Excellence HOPE, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA
    Am J Infect Control 41:100-6. 2013
  6. pmc Implementation science: how to jump‐start infection prevention
    Sanjay Saint
    Veterans Affairs Ann Arbor Healthcare System, University of Michigan Medical School, 300 N Ingalls, Ann Arbor, MI 48109 0429, USA
    Infect Control Hosp Epidemiol 31:S14-7. 2010
  7. ncbi request reprint A reminder reduces urinary catheterization in hospitalized patients
    Sanjay Saint
    Ann Arbor VA Medical Center, USA
    Jt Comm J Qual Patient Saf 31:455-62. 2005
  8. doi request reprint The importance of leadership in preventing healthcare-associated infection: results of a multisite qualitative study
    Sanjay Saint
    Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan 48105, USA
    Infect Control Hosp Epidemiol 31:901-7. 2010
  9. doi request reprint Preventing hospital-acquired urinary tract infection in the United States: a national study
    Sanjay Saint
    Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan, USA
    Clin Infect Dis 46:243-50. 2008
  10. pmc Translating health care-associated urinary tract infection prevention research into practice via the bladder bundle
    Sanjay Saint
    VA Ann Arbor HSR and D Center of Excellence, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA
    Jt Comm J Qual Patient Saf 35:449-55. 2009

Detail Information

Publications116 found, 100 shown here

  1. pmc Reducing inappropriate urinary catheter use: a statewide effort
    Mohamad G Fakih
    University of Michigan Patient Safety Enhancement Program, Ann Arbor, MI 48109 0429, USA
    Arch Intern Med 172:255-60. 2012
    ..The objective of this study was to evaluate the results of a statewide quality improvement effort to reduce inappropriate urinary catheter use...
  2. pmc Is the use of antimicrobial devices to prevent infection correlated across different healthcare-associated infections? Results from a national survey
    Sanjay Saint
    Veterans Affairs Ann Arbor Healthcare System and the Hospital Outcomes Program of Excellence, Department of Veterans Affairs, Ann Arbor, Michigan, USA
    Infect Control Hosp Epidemiol 34:847-9. 2013
    ..Using a national survey, we found that a hospital's use of an antimicrobial device to prevent one type of infection was associated with a higher likelihood that a similar device would be used to prevent a different infection. ..
  3. pmc Variations in risk perceptions: a qualitative study of why unnecessary urinary catheter use continues to be problematic
    Molly Harrod
    VA Ann Arbor Healthcare System HSR and D CCMR, Ann Arbor, MI, USA
    BMC Health Serv Res 13:151. 2013
    ..Understanding such perceptions are critical for developing more effective approaches to ensure the successful uptake of key patient safety practices and thus safer care for hospitalized patients...
  4. pmc Preventing catheter-associated urinary tract infection in the United States: a national comparative study
    Sanjay Saint
    VA Ann Arbor Healthcare System and Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI 48109 2800, USA
    JAMA Intern Med 173:874-9. 2013
    ....
  5. pmc Perceived strength of evidence supporting practices to prevent health care-associated infection: results from a national survey of infection prevention personnel
    Sanjay Saint
    Hospital Outcomes Program of Excellence HOPE, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA
    Am J Infect Control 41:100-6. 2013
    ..We were also curious whether lead infection preventionist certification in infection prevention and control (CIC) correlated with perceptions of the evidence...
  6. pmc Implementation science: how to jump‐start infection prevention
    Sanjay Saint
    Veterans Affairs Ann Arbor Healthcare System, University of Michigan Medical School, 300 N Ingalls, Ann Arbor, MI 48109 0429, USA
    Infect Control Hosp Epidemiol 31:S14-7. 2010
    ..Just as healthcare epidemiology has emerged as a paradigm for patient safety, infection prevention may serve as a clinical model for implementation researchers...
  7. ncbi request reprint A reminder reduces urinary catheterization in hospitalized patients
    Sanjay Saint
    Ann Arbor VA Medical Center, USA
    Jt Comm J Qual Patient Saf 31:455-62. 2005
    ..Duration of catheterization is the dominant risk factor for hospital-acquired urinary tract infection. Physicians are often unaware that their patients have a urinary catheter, and these "forgotten" catheters are frequently unnecessary...
  8. doi request reprint The importance of leadership in preventing healthcare-associated infection: results of a multisite qualitative study
    Sanjay Saint
    Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan 48105, USA
    Infect Control Hosp Epidemiol 31:901-7. 2010
    ..Because preliminary data indicated that hospital leadership played an important role, we sought better to understand which behaviors are exhibited by leaders who are successful at implementing HAI prevention practices in US hospitals...
  9. doi request reprint Preventing hospital-acquired urinary tract infection in the United States: a national study
    Sanjay Saint
    Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan, USA
    Clin Infect Dis 46:243-50. 2008
    ..We conducted a national study to examine the current practices used by hospitals to prevent hospital-acquired UTI...
  10. pmc Translating health care-associated urinary tract infection prevention research into practice via the bladder bundle
    Sanjay Saint
    VA Ann Arbor HSR and D Center of Excellence, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA
    Jt Comm J Qual Patient Saf 35:449-55. 2009
    ..In addition, a long-term research project is being conducted to evaluate the current initiative and to identify practical strategies to ensure the effective use of proven infection prevention and patient safety practices...
  11. pmc Catheter-associated urinary tract infection and the Medicare rule changes
    Sanjay Saint
    Veterans Affairs Ann Arbor Healthcare System, University of Michigan Medical School, Ann Arbor, MI, USA
    Ann Intern Med 150:877-84. 2009
    ..Therefore, how hospitals and physicians respond to the CMS rule changes must be monitored closely...
  12. doi request reprint A multicenter qualitative study on preventing hospital-acquired urinary tract infection in US hospitals
    Sanjay Saint
    Veterans Affairs Ann Arbor Healthcare System, the Veterans Affairs Medical Center University of Michigan Patient Safety Enhancement Program Ann Arbor, Michigan, USA
    Infect Control Hosp Epidemiol 29:333-41. 2008
    ..We thus conducted a multicenter study to understand better how US hospitals approach the prevention of hospital-acquired UTI...
  13. doi request reprint Improving healthcare worker hand hygiene adherence before patient contact: a before-and-after five-unit multimodal intervention in Tuscany
    S Saint
    Division of General Medicine, University of Michigan Health System, Room 7E08, 300 N Ingalls, Ann Arbor, MI 48109 0429, USA
    Qual Saf Health Care 18:429-33. 2009
    ..We describe here the results of our multimodal intervention intended to improve levels of healthcare worker hand hygiene...
  14. ncbi request reprint The potential clinical and economic benefits of silver alloy urinary catheters in preventing urinary tract infection
    S Saint
    Division of General Medicine, Department of Internal Medicine, University of Michigan, 3116 Taubman Center, Campus Box 0376, Ann Arbor, MI 48109 0376, USA
    Arch Intern Med 160:2670-5. 2000
    ..A recent meta-analysis concluded that silver alloy catheters reduce the incidence of UTI by 3-fold; however, clinicians must decide whether the efficacy of such catheters is worth the extra per unit cost of $5.30...
  15. ncbi request reprint Acute exacerbation of chronic bronchitis: disease-specific issues that influence the cost-effectiveness of antimicrobial therapy
    S Saint
    Division of General Medicine, University of Michigan Medical School, 48109 0429, USA
    Clin Ther 23:499-512. 2001
    ..Health care payers increasingly expect that the results of evidence-based economic evaluations will guide practitioners in their choice of cost-effective interventions...
  16. doi request reprint The role of the champion in infection prevention: results from a multisite qualitative study
    L J Damschroder
    VA Ann Arbor HSR and D Center of Excellence, VA Ann Arbor Healthcare System, 2215 Fuller Road, Ann Arbor, MI 48105, USA
    Qual Saf Health Care 18:434-40. 2009
    ..We explored the types and numbers of champions who lead efforts to implement best practices to prevent hospital-acquired infection in US hospitals...
  17. ncbi request reprint Are physicians aware of which of their patients have indwelling urinary catheters?
    S Saint
    Department of Internal Medicine SS, MLB, UDP, SJB, TPH, University of Michigan Medical School, Ann Arbor, Michigan, USA
    Am J Med 109:476-80. 2000
    ....
  18. ncbi request reprint Rates of infection for single-lumen versus multilumen central venous catheters: a meta-analysis
    Cameron Dezfulian
    Department of Internal Medicine, University of Michigan, Ann Arbor, USA
    Crit Care Med 31:2385-90. 2003
    ..Our objective was to determine the risk of catheter-related bloodstream infection (CRBSI) and catheter colonization in multilumen catheters compared with single-lumen catheters...
  19. ncbi request reprint Clinical and economic consequences of nosocomial catheter-related bacteriuria
    S Saint
    Division of General Medicine, University of Michigan Department of Internal Medicine, Ann Arbor, MI 48109 0376, USA
    Am J Infect Control 28:68-75. 2000
    ....
  20. ncbi request reprint Urinary catheters: what type do men and their nurses prefer?
    S Saint
    Department of Medicine, University of Michigan Health System, Health Services Research and Development, Ann Arbor Veterans Affairs Medical Center, 48109 0376, USA
    J Am Geriatr Soc 47:1453-7. 1999
    ..We sought to determine the beliefs of both older male patients and nursing staff about the relative merits and problems of condom and indwelling catheters...
  21. ncbi request reprint Potential clinical and economic effects of homocyst(e)ine lowering
    B K Nallamothu
    Division of General Medicine, University of Michigan Medical Center, 3116 Taubman Center, Ann Arbor, MI 48109 0376, USA
    Arch Intern Med 160:3406-12. 2000
    ..However, the benefits expected from lowering homocyst(e)ine levels with folic acid and vitamin B(12) supplementation have yet to be demonstrated in clinical trials...
  22. ncbi request reprint Preventing catheter-related bacteriuria: should we? Can we? How?
    S Saint
    Department of Internal Medicine, University of Michigan Health System, Ann Arbor, USA
    Arch Intern Med 159:800-8. 1999
    ..Using these methods, urinary catheter-associated UTI can often be prevented for weeks, but not longer terms...
  23. ncbi request reprint Antimicrobial resistance in Streptococcus pneumoniae: implications for patients with community-acquired pneumonia
    C E Chenoweth
    Department of Internal Medicine, University of Michigan Health System, Ann Arbor 48109 0378, USA
    Mayo Clin Proc 75:1161-8. 2000
    ..In this article, we provide an overview of the development of S pneumoniae resistance to commonly used antibiotics and discuss the implications of the development of resistance on treatment decisions...
  24. ncbi request reprint The use of meta-analysis in cost-effectiveness analysis. Issues and recommendations
    S Saint
    Department of Medicine, University of Washington, Seattle, USA
    Pharmacoeconomics 15:1-8. 1999
    ..We conclude by providing guidance on the appropriate use of summary measures derived from meta-analyses for cost-effectiveness studies...
  25. ncbi request reprint Clinical problem-solving. The Drenched Doctor - a 55-year-old male physician was seen in August because of a 1-week history of fever and night sweats
    Daniel R Kaul
    Division of Infectious Diseases, University of Michigan Medical School, USA
    N Engl J Med 356:1871-6. 2007
  26. ncbi request reprint Use of central venous catheter-related bloodstream infection prevention practices by US hospitals
    Sarah L Krein
    Center for Practice Management and Outcomes Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan, USA
    Mayo Clin Proc 82:672-8. 2007
    ..To examine the extent to which US acute care hospitals have adopted recommended practices to prevent central venous catheter-related bloodstream infections (CR-BSIs)...
  27. ncbi request reprint Clinical problem solving. A hand-carried diagnosis
    Clinton L Greenstone
    Veterans Affairs Ann Arbor Medical Center, Ambulatory Care Division 11A, 2215 Fuller Rd, Ann Arbor, MI 48105, USA
    N Engl J Med 356:2407-11. 2007
  28. ncbi request reprint Review of clinical trials of skin antiseptic agents used to reduce blood culture contamination
    Anurag Malani
    Division of Infectious Diseases, University of Michigan Medical School, Ann Arbor, MI, USA
    Infect Control Hosp Epidemiol 28:892-5. 2007
    ..We found no clear evidence to suggest which antiseptic should be used to prevent false-positive results. Studies suggest, however, a possible benefit from the use of prepackaged skin antiseptic kits and alcohol-containing antiseptics...
  29. ncbi request reprint Biofilms and catheter-associated urinary tract infections
    Sanjay Saint
    Ann Arbor VA Medical Center, Ann Arbor, MI, USA
    Infect Dis Clin North Am 17:411-32. 2003
    ..Future research should focus on additional methods for preventing this common infection...
  30. ncbi request reprint Nursing practice and work environment issues in the 21st century: a leadership challenge
    Milisa Manojlovich
    School of Nursing, University of Michigan, Ann Arbor, MI 48109 5482, USA
    Nurs Res 57:S11-4. 2008
    ..A synopsis of comments made during the morning practice panel and empirical support for the themes and subthemes identified by panelists are provided in this article...
  31. ncbi request reprint A midlife crisis
    Jennifer Reilly Lukela
    Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan 48108, USA
    J Hosp Med 1:200-4. 2006
  32. ncbi request reprint "Above or below?"
    Gregory M Bump
    Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan 48109 0376, USA
    J Hosp Med 1:36-41. 2006
  33. pmc Brief report: incidence, etiology, risk factors, and outcome of hospital-acquired fever: a systematic, evidence-based review
    Daniel R Kaul
    Division of Infectious Diseases, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI 48109 0378, USA
    J Gen Intern Med 21:1184-7. 2006
    ..This systematic review is intended to provide clinicians with an overview of the incidence, etiology, and outcome of hospital-acquired fever...
  34. ncbi request reprint Translating infection prevention evidence into practice using quantitative and qualitative research
    Sarah L Krein
    Veteran s Affairs Ann Arbor Healthcare System, Center for Practice Management and Outcomes Research, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI 48113 0170, USA
    Am J Infect Control 34:507-12. 2006
    ..In addition, we hope that this article will stimulate increased interest and research in identifying strategies that will successfully move evidence from the peer-reviewed literature to the patient's bedside...
  35. ncbi request reprint Risk factors for nosocomial urinary tract-related bacteremia: a case-control study
    Sanjay Saint
    Center for Practice Management and Outcomes Research, Ann Arbor VA Health Services Research and Development Center of Excellence, Ann Arbor, MI, USA
    Am J Infect Control 34:401-7. 2006
    ..Risk factors for bacteremia in patients with hospital-acquired bacteriuria are largely unknown. Given the morbidity and costs associated with nosocomial bacteremia, determining risk factors could enhance the safety of hospitalized patients...
  36. ncbi request reprint Are antiseptic-coated central venous catheters effective in a real-world setting?
    Debaroti M Borschel
    Department of Internal Medicine, University of Michigan, Ann Arbor, 48109 0376, USA
    Am J Infect Control 34:388-93. 2006
    ..Catheter-related bloodstream infections are common, costly, and morbid. Randomized controlled trials indicate that antiseptic-coated central venous catheters reduce infection rates...
  37. ncbi request reprint Condom versus indwelling urinary catheters: a randomized trial
    Sanjay Saint
    Center for Practice Management and Outcomes Research, Ann Arbor Department of Veterans Affairs Health Services Research and Development Center of Excellence, Ann Arbor, Michigan, USA
    J Am Geriatr Soc 54:1055-61. 2006
    ..To compare condom and indwelling urinary catheters in terms of infection risk and patient satisfaction...
  38. ncbi request reprint Contribution of infection to increased mortality in women after cardiac surgery
    Mary A M Rogers
    Division of General Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, MI 48109 0429, USA
    Arch Intern Med 166:437-43. 2006
    ..Explanations for this sex difference are controversial. The objective of this study was to assess whether infection contributes to the increased risk of mortality in women...
  39. ncbi request reprint Nosocomial pneumonia: state of the science
    Scott A Flanders
    University of Michigan Medical School, Department of Internal Medicine, Ann Arbor, USA
    Am J Infect Control 34:84-93. 2006
    ..We also summarize the most recent data on how to prevent hospital-acquired infection, in general, and nosocomial pneumonia, in particular...
  40. pmc What effect does physician "profiling" have on inpatient physician satisfaction and hospital length of stay?
    Judith K Zemencuk
    Health Services Research and Development Field Program, Ann Arbor VA Center for Practice Management and Outcomes Research, Ann Arbor, Michigan, USA
    BMC Health Serv Res 6:45. 2006
    ..We evaluated whether physician profiling affects physician satisfaction and hospital length of stay, and assessed physicians' views concerning hospital cost containment and the quality of care they provide...
  41. doi request reprint Use of urinary collection devices in skilled nursing facilities in five states
    Mary A M Rogers
    Division of General Medicine, Department of Internal Medicine, School of Medicine, University of Michigan, Ann Arbor, Michigan 48109 0429, USA
    J Am Geriatr Soc 56:854-61. 2008
    ..To assess use of urinary collection devices (external, intermittent, and indwelling catheters; pads or briefs) and examine predictors of indwelling catheters in skilled nursing facilities (SNFs)...
  42. doi request reprint The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study
    Sarah L Krein
    VA Ann Arbor Healthcare System, HSR and D 11H, 2215 Fuller Road, Ann Arbor, MI 48105, United States
    Soc Sci Med 71:1692-701. 2010
    ..Moreover, our findings provide important insights about how and why different quality improvement strategies might perform across organizations with differing contextual characteristics...
  43. doi request reprint Systematic review and meta-analysis: reminder systems to reduce catheter-associated urinary tract infections and urinary catheter use in hospitalized patients
    Jennifer Meddings
    Department of Internal Medicine, University of Michigan, and 3Ann Arbor VA Medical Center, Ann Arbor, Michigan 48109 0429, USA
    Clin Infect Dis 51:550-60. 2010
    ..To summarize the effect of urinary catheter reminder systems on the rate of CAUTI, urinary catheter use, and the need for recatheterization, we performed a systematic review and meta-analysis...
  44. pmc Knowledge of evidence-based urinary catheter care practice recommendations among healthcare workers in nursing homes
    Lona Mody
    Division of Geriatric Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA
    J Am Geriatr Soc 58:1532-7. 2010
    ..To assess the knowledge of recommended urinary catheter care practices among nursing home (NH) healthcare workers (HCWs) in southeast Michigan...
  45. doi request reprint Hospital-acquired catheter-associated urinary tract infection: documentation and coding issues may reduce financial impact of Medicare's new payment policy
    Jennifer Meddings
    Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA
    Infect Control Hosp Epidemiol 31:627-33. 2010
    ....
  46. pmc Hospital variation in transfusion and infection after cardiac surgery: a cohort study
    Mary A M Rogers
    Division of General Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA
    BMC Med 7:37. 2009
    ..Concomitant with this re-examination have been reports showing variability in the use of specific blood components. This investigation was designed to assess hospital variation in blood use and outcomes in cardiac surgery patients...
  47. ncbi request reprint How active resisters and organizational constipators affect health care-acquired infection prevention efforts
    Sanjay Saint
    Department of Veterans Affairs Ann Arbor HSR and D Center of Excellence, VA Ann Arbor Healthcare System, MI, USA
    Jt Comm J Qual Patient Saf 35:239-46. 2009
    ..A qualitative study was conducted to determine the barriers to implementing evidence-based practices to prevent HAI, with a specific focus on the role played by hospital personnel...
  48. doi request reprint Marked variability in adherence to hand hygiene: a 5-unit observational study in Tuscany
    Sanjay Saint
    Ann Arbor VA Medical Center, Ann Arbor, MI 48109, USA
    Am J Infect Control 37:306-10. 2009
    ..We also were curious whether variability would exist in the hand hygiene rates despite the close proximity of the units...
  49. doi request reprint Importance of urinary tract infection to antibiotic use among hospitalized patients
    Tejal Gandhi
    Division of Infectious Diseases, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan 48109 5378, USA
    Infect Control Hosp Epidemiol 30:193-5. 2009
    ..Strategies to optimize antibiotic use for such patients are discussed and include implementing a process whereby a urine culture is automatically performed if a urinalysis result suggests infection...
  50. pmc Mobility and other predictors of hospitalization for urinary tract infection: a retrospective cohort study
    Mary A M Rogers
    Division of General Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA
    BMC Geriatr 8:31. 2008
    ..Many hospitalizations for residents of skilled nursing facilities are potentially avoidable. Factors that could prevent hospitalization for urinary tract infection (UTI) were investigated, with focus on patient mobility...
  51. pmc Adoption of alcohol-based handrub by United States hospitals: a national survey
    Lona Mody
    Division of Geriatric Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA
    Infect Control Hosp Epidemiol 29:1177-80. 2008
    ..Leadership support and staff receptivity play a significant role in its adoption...
  52. doi request reprint Clinical problem-solving. Variations on a theme
    Zachary D Goldberger
    Department of Medicine, Veterans Affairs Puget Sound Health Care System and the University of Washington School of Medicine, Seattle, USA
    N Engl J Med 359:1502-7. 2008
  53. pmc Incidence of antibiotic-resistant infection in long-term residents of skilled nursing facilities
    Mary A M Rogers
    Department of Internal Medicine, University of Michigan, Ann Arbor, MI 48109 0429, USA
    Am J Infect Control 36:472-5. 2008
    ..Information regarding the incidence of antibiotic-resistant infection in residents of skilled nursing facilities is lacking...
  54. doi request reprint Preventing ventilator-associated pneumonia in the United States: a multicenter mixed-methods study
    Sarah L Krein
    Department of Veterans Affairs Ann Arbor Health Services Research and Development Center of Excellence, University of Michigan Medical School, Ann Arbor, Michigan 48113, USA
    Infect Control Hosp Epidemiol 29:933-40. 2008
    ..To determine what practices are used by hospitals to prevent ventilator-associated pneumonia (VAP) and, through qualitative methods, to understand more fully why hospitals use certain practices and not others...
  55. doi request reprint The University of Michigan Specialist-Hospitalist Allied Research Program: jumpstarting hospital medicine research
    Scott A Flanders
    Hospitalist Program, Division of General Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA
    J Hosp Med 3:308-13. 2008
    ..Ideally, a successful hospital-based clinical research program will need to partner hospitalists with specialists...
  56. doi request reprint Hospitalists as emerging leaders in patient safety: lessons learned and future directions
    Scott A Flanders
    Hospitalist Program, University of Michigan Division of General Medicine, Ann Arbor VA Health Services Research and Development Center of Excellence, Ann Arbor, Michigan, USA
    J Patient Saf 5:3-8. 2009
    ..To examine the results of a multi-institution, hospitalist-centered consortium designed to disseminate knowledge of best practices relevant to patient safety and to facilitate institutional innovation around such practices...
  57. pmc Where should hospitalists sit within the academic medical center?
    Scott A Flanders
    Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI 48109, USA
    J Gen Intern Med 23:1269-72. 2008
    ..At community hospitals and less research-oriented AMCs, hospital medicine programs may soon be ready to become separate divisions...
  58. doi request reprint Urinary tract infections
    Carol E Chenoweth
    Division of Infectious Diseases, Department of Internal Medicine, University of Michigan Health System, 1500 East Medical Center Drive, 3119 Taubman Center, Ann Arbor, MI 48109 5378, USA
    Infect Dis Clin North Am 25:103-15. 2011
    ..Attention toward prevention of CAUTI will likely increase as Center for Medicare and Medicaid Services and other third-party payers no longer reimburse for hospital-acquired UTI...
  59. pmc What effect does increasing inpatient time have on outpatient-oriented internist satisfaction?
    Sanjay Saint
    Health Services Research and Development Field Program, Ann Arbor VA Center for Practice Management and Outcomes Research, Ann Arbor, MI, USA
    J Gen Intern Med 18:725-9. 2003
    ..e., internists who spend less than 50% of their clinical time caring for inpatients), what effect does time spent in the hospital have on physician satisfaction, stress, and burnout?"..
  60. ncbi request reprint Informal caregiving time and costs for urinary incontinence in older individuals in the United States
    Kenneth M Langa
    Division of General Medicine, Department of Medicine, University of Michigan Medical School, Ann Arbor, Michigan 48109, USA
    J Am Geriatr Soc 50:733-7. 2002
    ..To obtain nationally representative estimates of the additional time, and related cost, of informal caregiving associated with urinary incontinence in older individuals...
  61. ncbi request reprint Enhancing the safety of critically ill patients by reducing urinary and central venous catheter-related infections
    Sanjay Saint
    Ann Arbor Veterans Administration Medical Center, MI, USA
    Am J Respir Crit Care Med 165:1475-9. 2002
  62. ncbi request reprint The Safety Case Management Committee: expanding the avenues for addressing patient safety
    Marcia M Piotrowski
    VA Ann Arbor Healthcare System VAAAHS, Ann Arbor, Michigan, USA
    Jt Comm J Qual Improv 28:296-305. 2002
    ..The group also includes a consumer representative. Critical issues are addressed through rigorous case discussion, literature review, and expert consultation...
  63. ncbi request reprint Clinical problem-solving. Index of suspicion
    Uptal D Patel
    Department of Pediatrics, University of Michigan Medical School, Ann Arbor 48109 0604, USA
    N Engl J Med 350:1990-5. 2004
  64. pmc What effect does inpatient physician specialty and experience have on clinical outcomes and resource utilization on a general medical service?
    Vikas Parekh
    Department of Internal Medicine, University of Michigan Health System, Ann Arbor, Michigan 48109 0376, USA
    J Gen Intern Med 19:395-401. 2004
    ..To examine the effects of internal medicine specialty and physician experience on inpatient resource use and clinical outcomes on an academic general medicine service...
  65. ncbi request reprint Coronary artery bypass grafting in octogenarians: clinical and economic outcomes at community-based healthcare facilities
    Brahmajee K Nallamothu
    Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, USA
    Am J Manag Care 8:749-55. 2002
    ..Results of recent studies from high-volume academic centers suggest that coronary artery bypass grafting (CABG) is becoming safer to perform in octogenarians. Similar data from community-based facilities do not exist...
  66. ncbi request reprint Clinical problem-solving. The unusual suspect
    Sandra Bliss
    Department of Internal Medicine, University of Michigan, Ann Arbor, USA
    N Engl J Med 347:1876-81. 2002
  67. ncbi request reprint Clinical problem-solving. A pain in the neck
    Sandra J Bliss
    Department of Internal Medicine, University of Michigan, Ann Arbor, USA
    N Engl J Med 350:1037-42. 2004
  68. ncbi request reprint Informal caregiving for chronic lung disease among older Americans
    Kenneth M Langa
    Division of General Medicine, Department of Internal Medicine, University of Michigan, 300 North Ingalls Building, Ann Arbor, MI 48109 0429, USA
    Chest 122:2197-203. 2002
    ..To obtain nationally representative estimates of the additional time, and related cost, of unpaid family caregiving (informal caregiving) associated with chronic lung disease among older Americans...
  69. ncbi request reprint Use of critical pathways to improve efficiency: a cautionary tale
    Sanjay Saint
    Ann Arbor VA Health Services Research and Development Field Program, Ann Arbor, Mich, USA
    Am J Manag Care 9:758-65. 2003
    ..More than 80% of hospitals in the United States use critical pathways for at least some of their patients. Unfortunately, critical pathway effectiveness in improving clinical efficiency is unclear...
  70. ncbi request reprint Clinical problem-solving. A window of opportunity
    Sandra J Bliss
    Department of Internal Medicine, University of Michigan, Ann Arbor, Mich, USA
    N Engl J Med 349:1848-53. 2003
  71. ncbi request reprint Is acetylcysteine effective in preventing contrast-related nephropathy? A meta-analysis
    Brahmajee K Nallamothu
    Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan 48109 0311, USA
    Am J Med 117:938-47. 2004
    ..Although previous meta-analyses have concluded that acetylcysteine is beneficial, the recent availability of additional trials calls for reassessment of current evidence...
  72. ncbi request reprint Clinical problem-solving. Unfashionably late
    Michael Lukela
    Department of Internal Medicine, University of Michigan, Ann Arbor, USA
    N Engl J Med 352:64-9. 2005
  73. ncbi request reprint Skilled care requirements for elderly patients after coronary artery bypass grafting
    Brahmajee K Nallamothu
    Health Services Research and Development Center of Excellence, Ann Arbor Veterans Affairs Medical Center, Ann Arbor, Michigan 48109, USA
    J Am Geriatr Soc 53:1133-7. 2005
    ..To examine the extent to which elderly individuals use various skilled care facilities after coronary artery bypass grafting (CABG)...
  74. ncbi request reprint Univariate solutions in a multivariate world: can we afford to practice as in the "good old days"?
    Laurence F McMahon
    Department of Internal Medicine, University of Michigan Health System, 300 North Ingalls, Suite 7C27, Ann Arbor, MI 48109 0429, USA
    Am J Manag Care 11:473-6. 2005
  75. ncbi request reprint Hospital readmission for bronchiolitis
    Alex R Kemper
    Child Health Evaluation and Research CHEAR Unit, Division of General Pediatrics, University of Michigan, Ann Arbor, 48109, USA
    Clin Pediatr (Phila) 44:509-13. 2005
    ..Identifying children at risk for readmission is challenging. Children who did not require supplemental oxygen may be at greater risk because they are progressing in their illness...
  76. ncbi request reprint Impact of patient risk on the hospital volume-outcome relationship in coronary artery bypass grafting
    Brahmajee K Nallamothu
    Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, 48109 0366, USA
    Arch Intern Med 165:333-7. 2005
    ..We assessed (1) whether in-hospital mortality rates differ across lower- and higher-volume hospitals by expected surgical risk and (2) whether high-risk patients are more likely to undergo CABG at low-volume centers...
  77. ncbi request reprint Clinical problem-solving. Double jeopardy
    Brahmajee K Nallamothu
    Health Services Research and Development Center of Excellence, Ann Arbor Veterans Affairs Medical Center, and the Department of Internal Medicine, University of Michigan, Ann Arbor, USA
    N Engl J Med 353:75-80. 2005
  78. ncbi request reprint Clinical problem-solving. Clear as mud
    Daniel R Kaul
    Methodist Hospital, Indianapolis, USA
    N Engl J Med 352:1914-8. 2005
  79. pmc Conceptual model for reducing infections and antimicrobial resistance in skilled nursing facilities: focusing on residents with indwelling devices
    Lona Mody
    Division of Geriatric Medicine, Veterans Affairs Ann Arbor Health Service Research and Development Center of Excellence, Ann Arbor, MI 48105, USA
    Clin Infect Dis 52:654-61. 2011
    ..If this strategy is effective, similar strategies can be studied and implemented for other high-risk groups...
  80. ncbi request reprint Diagnosis and treatment of upper respiratory tract infections in the primary care setting
    A M Fendrick
    University of Michigan School of Medicine, Ann Arbor, USA
    Clin Ther 23:1683-706. 2001
    ....
  81. ncbi request reprint The role of hospital volume in coronary artery bypass grafting: is more always better?
    B K Nallamothu
    Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan 48109 0366, USA
    J Am Coll Cardiol 38:1923-30. 2001
    ..The goal of this study was to determine whether outcomes of nonemergent coronary artery bypass grafting (CABG) differed between low- and high-volume hospitals in patients at different levels of surgical risk...
  82. ncbi request reprint Four-year prospective evaluation of community-acquired bacteremia: epidemiology, microbiology, and patient outcome
    R L Lark
    Department of Internal Medicine, Division of Infectious Diseases, and Department of Control and Epidemiology, University of Michigan, Ann Arbor, Michigan, USA
    Diagn Microbiol Infect Dis 41:15-22. 2001
    ..4, p = 0.003). Community-acquired bacteremia is often device-related and may be preventable. Strategies that have been successful in preventing nosocomial device-related bacteremia should be adapted to the outpatient setting...
  83. ncbi request reprint The spectrum of acute bronchitis. Using baseline factors to guide empirical therapy
    K R Flaherty
    University of Michigan Medical School, Ann Arbor, USA
    Postgrad Med 109:39-47. 2001
    ..In this article, Drs Flaherty, Saint, Fendrick, and Martinez discuss how an evidence-based approach to treatment may help ensure that efficacious therapy is available in the future...
  84. pmc Coronary artery bypass grafting in Native Americans: a higher risk of death compared to other ethnic groups?
    B K Nallamothu
    Department of Internal Medicine, University of Michigan Medical School, Ann Arbor 48109 0022, USA
    J Gen Intern Med 16:554-9. 2001
    ..While the efficacy and safety of coronary artery bypass grafting (CABG) has been established in several clinical trials, little is known about its outcomes in Native Americans...
  85. ncbi request reprint Electron-beam computed tomography in the diagnosis of coronary artery disease: a meta-analysis
    B K Nallamothu
    B1F245, Division of General Medicine, University Hospital, Ann Arbor, MI 48109 0022, USA
    Arch Intern Med 161:833-8. 2001
    ..Before its clinical use is justified, however, the overall accuracy of EBCT must be better defined...
  86. ncbi request reprint The role of economic evaluation in infection control
    S Saint
    Division of General Medicine, University of Michigan Health System, Ann Arbor, USA
    Am J Infect Control 29:338-44. 2001
    ....
  87. pmc Journal reading habits of internists
    S Saint
    Division of General Medicine, University of Michigan, Ann Arbor, Mich, USA
    J Gen Intern Med 15:881-4. 2000
    ..We conclude that internists, regardless of training in epidemiology, rely heavily on abstracts and prescreening of articles by editors...
  88. ncbi request reprint Computer-based order entry decreases duration of indwelling urinary catheterization in hospitalized patients
    Paul B Cornia
    Primary and Specialty Medicine Service, Veterans Affairs Puget Sound Health Care System, and the Department of Medicine, University of Washington School of Medicine, Seattle, Washington, USA
    Am J Med 114:404-7. 2003
  89. ncbi request reprint Coronary artery bypass surgery, hospital volume, and risk
    Brahmajee K Nallamothu
    Circulation 108:e6-7; author reply e6-7. 2003
  90. ncbi request reprint Clinical problem-solving. Empirically incorrect
    Amy Schmitt
    Department of Medicine, Legacy Emanuel and Legacy Good Samaritan Hospitals, Portland, Oreg 97227, USA
    N Engl J Med 354:509-14. 2006
  91. ncbi request reprint Prevention of ventilator-associated pneumonia: an evidence-based systematic review
    Harold R Collard
    Division of Pulmonary Sciences and Critical Care Medicine, Department of Medicine, University of Colorado Health Sciences Center, 4200 East 9th Avenue, Campus Box C272, Denver, Colorado 80262, USA
    Ann Intern Med 138:494-501. 2003
    ..Interventions beneficial to the prevention of ventilator-associated pneumonia would therefore have a significant impact on the care of these patients...
  92. ncbi request reprint Which antimicrobial impregnated central venous catheter should we use? Modeling the costs and outcomes of antimicrobial catheter use
    Kristin D Marciante
    Pharmaceutical Outcomes Research and Policy Program, Department of Pharmacy, University of Washington, Seattle WA 98195, USA
    Am J Infect Control 31:1-8. 2003
    ..It remains unclear whether minocycline/rifampin catheters are cost-effective for all high-risk patients or only those requiring longer-term catheterization...
  93. ncbi request reprint Chlorhexidine compared with povidone-iodine solution for vascular catheter-site care: a meta-analysis
    Nathorn Chaiyakunapruk
    Department of Pharmacy Practice, School of Pharmacy, Naresuan University, Pitsanuloak 65000, Thailand
    Ann Intern Med 136:792-801. 2002
    ..This study evaluated the efficacy of skin disinfection with chlorhexidine gluconate compared with povidone-iodine solution in preventing catheter-related bloodstream infection...
  94. doi request reprint Clinical problem-solving. Beware of first impressions
    Oluwaseun O Falade
    Department of Medicine, Johns Hopkins Bayview Medical Center, Johns Hopkins School of Medicine, Baltimore 21224, USA
    N Engl J Med 359:628-34. 2008
  95. ncbi request reprint Clinical problem-solving. True, true, and related
    Gurpreet Dhaliwal
    Department of Medicine, San Francisco Veterans Affairs Medical Center and University of California at San Francisco School of Medicine, San Francisco 94121, USA
    N Engl J Med 350:60-5. 2004
  96. ncbi request reprint Clinical problem-solving. Anatomy of a diagnosis
    Harold R Collard
    Department of Medicine, Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado Health Sciences Center, Denver 80262, USA
    N Engl J Med 349:987-92. 2003
  97. ncbi request reprint Clinical problem-solving. Building a diagnosis from the ground up--a 49-year-old man came to the clinic with a 1-week history of suprapubic pain and fever
    Brook Watts
    Louis Stokes Cleveland Veterans Affairs Medical Center and the Department of Medicine, Case Western Reserve University, Cleveland, OH 44106, USA
    N Engl J Med 356:1456-62. 2007
  98. ncbi request reprint Clinical problem-solving. Into the woods
    Nasia Safdar
    Department of Medicine, University of Wisconsin Madison School of Medicine, Madison, WI 53792, USA
    N Engl J Med 356:943-7. 2007
  99. ncbi request reprint Clinical problem-solving. Anchors away
    Carolyn S Calfee
    Department of Medicine, University of California, San Francisco, USA
    N Engl J Med 356:504-9. 2007
  100. ncbi request reprint Clinical problem-solving. The unturned stone
    Christopher J Goulet
    Department of Internal Medicine, University of Utah, Salt Lake City 84132, USA
    N Engl J Med 352:489-94. 2005
  101. ncbi request reprint Clinical problem-solving. Lost in transcription
    Robert M Kalus
    Division of General Internal Medicine, Department of Internal Medicine, University of Washington, Seattle 98104, USA
    N Engl J Med 355:1487-91. 2006