curriculum vitae robert lewis wears, md, ms, phd, facep

1

CURRICULUM VITAE

Robert Lewis Wears, MD, MS, PhD, FACEP

Personal

Professional Address: Department of Emergency Medicine

University of Florida Health Science Center Jacksonville

655 West Eighth Street

Jacksonville, FL 32209

+1-(904)-244-4405

FAX +1-(904)-244-4508

Email: [email protected]

[email protected]

[email protected]

Home Address: 2920 Magnolia Road South

Orange Park, FL 32065-6911

(904)-269-6128

Born: Washington, DC 1947

Education and Training

Undergraduate:

The Johns Hopkins University

Baltimore, MD 21218

BA in Liberal Arts 1969

Dean's List

Graduate:

The Johns Hopkins University

School of Medicine

Baltimore, MD

MD 1973

University of North Florida

College of Computer and Information Science

MS 1993

Ecole Nationale Superior des Mines de Paris

Centre de Recherché sur les Risques et les Crises

PhD (avec les honneurs) 2011

mailto:[email protected]



Curriculum vitae Robert L Wears, MD, MS, PhD

2

Postgraduate:

University of Texas Teaching Hospitals

San Antonio, TX

Internal medicine 1973

U. S. Public Health Service Hospital

New Orleans, LA

Rotating 1974

University Hospital of Jacksonville

Jacksonville, FL

Emergency Medicine 1976-1978

Chief Resident 1978

Further Training:

Academic Sabbatical in Patient Safety Research 2004-2005

Imperial College London, Prof Charles Vincent principal mentor

London, UK

Military:

LT CDR, US Public Health Service

USPHS Hospital

Norfolk, VA 1974-1976

Certification:

American Board of Emergency Medicine 1980-1990

Re-certified 1990-2000

Re-re-certified 2000-2010

Re-re-re-certified 2010-2020

Fellow of the American College of Emergency

Physicians 1982-2005

Life Fellow of the American College of Emergency

Physicians 2005-present

Licensure:

Virginia 26229 1975-1984

Florida 30017 1977-present

FLEX 1975

DEA registration AW7474404


3

Career Activities

Current Position: Professor 1995-present

Department of Emergency Medicine

College of Medicine

University of Florida Health Science Center

Jacksonville, FL

Core faculty 2012-present

Fellowship in Patient Safety & Quality

UF Health Science Center – Jacksonville

Jacksonville, FL

Visiting Professor 2004-present

Clinical Safety Research Unit

College of Medicine

Imperial College London

London, UK

Visiting Professorial Fellow 2014-present

Institute for Health Innovation

Macquarie University

Sydney, AU

Visiting Scientist 2014

Center for Quality, Region of Southern Denmark

Middelfart, DK

Adjunct Professor of Patient Safety 2014-2019

University of Southern Denmark

Odense, DK

Previous Positions:

Instructor 1978-1979


University Hospital of Jacksonville

Jacksonville, FL

Founding partner, Emergency Medical Specialists

of Jacksonville 1979-1984

Active Staff, Department of Emergency Medicine 1979-1984

St. Vincent's Medical Center

1800 Barrs Street



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Active Staff, Department of Emergency Medicine

St. Augustine General Hospital

U. S. 1 South

St. Augustine, FL 32084 1979-1986

Active Staff, Department of Emergency Medicine

St. Luke's Hospital

Belfort Road

Jacksonville, FL 1985-1986

Assistant Professor 1984-1990

Associate Professor 1990-1995

Tenure granted 1993

Director, Medical Information Science Section 1986-2000

Co-director, Medical Informatics 1995-1998

Division of Emergency Medicine

Department of Surgery

College of Medicine

University of Florida Health Science Center

Jacksonville, FL

Professional Activities

Senior Associate Editor, Annals of Emergency Medicine 2014-present

Associate Editor, Annals of Emergency Medicine 1995-2014

Editor, Special Section on Studies of Technical Work

Annals of Emergency Medicine 2007

Editorial Board, Annals of Emergency Medicine 1989-present

Editorial Board, Journal of Patient Safety 2004-present

Editorial Board, Human Factors and Ergonomics 2004-present

Editorial Board,

International Journal of Risk & Safety in Medicine 2004-present

Editorial Board,

International Journal of Emergency Medicine 2007-2009

Guest Editor, Quality and Safety in Health Care

Supplement on Organizational Safety 2004

Abstracts Editor, Journal Emergency Medicine 1987-1989


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Reviewer, Annals of Emergency Medicine 1984-present

Academic Emergency Medicine 1993-present

BMJ 2007-present

JAMA 1994-present

BMJ Quality and Safety 1999-present

Cognition, Technology & Work 2003-present

Human Factors & Ergonomics 2004-present

Journal of Patient Safety 2004-present

American Journal of Emergency Medicine 1988-present

Journal of Emergency Medicine 1988-present

Medical Decision Making 1992-2003

Critical Care 2006

Hospital Medicine 2006

Applied Ergonomics 2006-present

Reliability Engineering & Safety Science 2006-present

Journal of Biomedical Informatics 2007-present

Journal of Cognitive Engineering and Decision-Making

2009-present

Annals of Surgery 2009-present

Journal of Healthcare Engineering 2009-present

Teaching & Learning in Medicine 2009-present

International Journal of Human-Computer Interaction

2009-present

Pediatrics 2011

IEEE Transactions on Health Systems Engineering 2012-present

BioMed Central Health Services Research 2011-present

Ergonomics 2012-present

European Journal of Emergency Medicine 2012-present

Academic Medicine 2013-present

Contemporary Clinical Trials 2013-present

Safety Science 2012-present

Member, Emergency Medicine Patient Safety Foundation

Board of Directors 2007-present

Member, National Center for Human Factors in Healthcare

Board of Directors 2010-present

Founding partner, Wears & Kamens:

Consulting, systems analysis, software development 1977-1986

Bloodgas Consultant© 1983

BackBone© 1985


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Committee Service:

International:

Member, Executive Committee, Resilience Engineering Association

Paris, France 2013-

Member, Pediatric Patient Safety Priorities Task Force

Ottawa, Canada 2012

Member, AAMI / NRC Event Investigation Panel

San Diego, CA 2012

Resilience in Health Care Planning Committee

University of Southern Denmark

Middelfart, Denmark 2012-

Member, Resilience Engineering Workshop Planning Group 2012

University of British Columbia

Vancouver, BC

Member, Programme Committee

Engineering Interactive Computer Systems for Medicine & Healthcare

ACM SIGCHI Symposium on Engineering Interactive Computer Systems

Pisa, Italy 2011

Member, Planning Committee

Healthcare Systems, Ergonomics, and Patient Safety 2011

Oviedo, Spain

Member, Planning Committee


Strasbourg, France

Member, Scientific Review Committee


Florence, Italy

Member, Prioritisation Expert Panel

National Health Service / National Patient Safety Administration

London, UK 2004 - 2005

Field Reviewer, Accident and Emergency Medicine

The Cochrane Collaboration

London, UK 1994-1995

National:

Member, Technical Expert Panel on Improving ED Discharge (AHRQ Task

Order HHSA290201000027I) 2013


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Chair, AHRQ Healthcare Safety and Quality Research

Study Section 2011-present

Member, Program Committee, National Academy of Sciences Seminar Series

(Resilience Engineering) 2012-2013

Member, ACEP/SAEM Transitions in Care Task Force 2012

Member, ACEP/SAEM Crowding Task Force 2012

Member, SAEM Consensus Conference Planning Group 2011

ACEP representative, National Quality Forum

Patient Safety Committee 2009-2010

ACEP Representative, American Health Information Community Workgroup on

Electronic Health Records, Office of National Coordinator for Health

Information Technology 2007-2008

Member, Society for Emergency Medicine Crowding Task Force 2007-present

Member, AHRQ Health Care Quality and Effectiveness

Research Study Section, 2006-2010

Member, AHRQ / DOD Panel on Teamwork Measures 2005-2006

Member, ACGME Expert Panel on Quality Measures 2004-2006

Member, CMS Technical Expert Panel on

Quality in Emergency Care 2003-2005

Co-chair, National Patient Safety Foundation Research Program 2002-2006

Chair 2006-2008

Chair, Society for Academic Emergency Medicine

Patient Safety Task Force 1999-2004

Member, American College of Emergency Physicians 2001-2006

Clinical Policies Committee

Member, American College of Emergency Physicians

Patient Safety Task Force 1999-2004

Member, Macy Foundation Task Force on

Emergency Medicine Research 1994

Member, Multi-institutional Trials Committee

Eastern Association for the Surgery of Trauma 1992-1996


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Member, Technology Committee

Society for Academic Emergency Medicine 1993-1994

Member, National Emergency Medicine Database Task Force

Society for Academic Emergency Medicine 1993-1994

Member, Software Evaluation Committee

Section on Computers

American College of Emergency Physicians 1993-1994

Member, Physicians Advisory Panel on Medical Information Systems

HBO & Company

Atlanta, GA 1989-1995

State:

Scientific Advisor, Florida Patient Safety Corporation 2007-2009

Member, Florida Patient Safety Corporation Research Committee 2003-present

Member, Florida Hospital Association Patient Safety Task Force 2000-2002

Member, National Patient Safety Foundation Florida Forum 1999

Member, Government Affairs Committee

Florida College of Emergency Physicians 1993-1995

Member, EMS/Trauma Committee


Member Technical Advisory Panel on Trauma Scoring Methodology

Department of Health & Human Resources/Emergency Medical Systems

State of Florida 1989

Member, Professional Relations Committee


President, Northeast Florida Emergency Medicine Society


University:

Member, Epic implementation Champions Committee 2010-present

Member, Information Technology Oversight Committee 2005-present

Member, Patient Safety Committee 2004-present

Chair, Institutional Review Board 3


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University of Florida Health Science Center Jacksonville 1994-1999

Chair, IRB Internal Audit Subcommittee

University of Florida Health Science Center Jacksonville 1994

Vice-Chair, Institutional Review Board


Member, Institutional Review Board


Member, Systems Oversight Committee


Member, Information Security Committee


Member, Long Range Steering Committee


Member, Five Year Planning Subcommittee


Member, Instruction and Research Committee

University of Florida / Northeast Regional Data Center 1991-1996

Member, Clinical Toxicology Advisory Committee


Member, Computer-Based Patient Record Committee


Member, Academic Advisory Committee


University of Florida Health Science Center Jacksonville 1990-present

Chair, Faculty Information System Committee


Graduate Student Supervision:

PhD evaluation jury

Kristin Laugaland

University of Stavanger, Stavanger, Norway

Defence January 2015


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PhD candidate Priscila Wachs

Universidade Federal do Rio Grande do Sul, Porto Alegre, Brasil

Anticipated graduation 2015

Project supervisor, Master’s Candidate Ellen Deutsch, MD

Northwestern University

Anticipated graduation 2015

External referee, PhD Candidate Qunyh Doan

School of Public Health


Anticipated defence 2014

PhD Candidate, Garth Stephen Hunte, MD

Department of Epidemiology


Degree granted, May 2011

PhD Candidate, Polyneikitis Chozos

Department of Computing Sciences

University of Glasgow

Degree granted, December 2008

PhD Candidate, Sara Albolino

Department of Sociology

University of Milan

Degree granted, June 2006

EdD Candidate, Teri Chenot, BSN

Department of Education

University of North Florida

Degree granted, June 2008

K Award Mentoring:

Completed:

Rollin (Terry) Fairbanks, MD, MS

Medstar Health / Georgetown University

2011

Rose Fernandez, MD

University of Washington

2012

Mary Patterson, MD

University of Akron

2010


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Michael Ward, MD, PhD candidate

University of Cincinnati

2013

Awarded, currently in progress:

Edward Melnick, MD, MPH

Yale University

Anticipated completion 2015

Richard Holden, PhD

Vanderbilt University

Anticipated completion 2016

Special Interests: Resilience Engineering

Human Factors and Ergonomics

Patient Safety in Health Care

Safety-Critical Computing

Self-organizing complexity

Naturalistic Decision-Making

Biostatistics and Information Theory

Computer and Immersive Simulation

Member of:

American College of Emergency Physicians

Society for Academic Emergency Medicine

National Patient Safety Foundation

l’Association de l’Ingénierie de la Résilience

American Society of Professionals in Patient Safety

Resilience in Healthcare Network

Human Factors and Ergonomics Society

System Dynamics Society

American Medical Informatics Association

Association for Computing Machinery

l’Association des Anciens Élèves de l’École des Mines de Paris

Duval County Medical Society

Florida Medical Association

The Society of Pithotomists


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Honors or Awards:

University of Florida Research Foundation Professor 2013-2015

Scholar - Researcher of the Year

University of Florida Health Center Jacksonville 2010

Society for Academic Emergency Medicine Scholarly Sabbatical Award 2004

Researcher of the Year

University of Florida Health Center Jacksonville 2001

Upsilon Pi Epsilon (National Computer Science Honor Society) 1992

Best Paper, Florida College of Emergency Physicians Symposium,

Palm Beach, FL 1993

Invited Lectures and Presentations:

International:

Working on Safety 2014

Keynote: Resilience Engineering in Health and Occupational Safety

Glagow, UK 2 October 2014

Organisational Design and Management 2014

Control Modes in Care Delivery Organisations

Copenhagen, Denmark, 17 - 20 August 2014

Symposium on the Legacy of Jens Rasmussen

Rasmussen Number Greater Than One

Risø, Denmark, 21 August 2014

3rd International Symposium on Resilient Healthcare

Designing Procedures to Support Resilience

Hindsgavl, Denmark, 12-16 August 2014

International Symposium on Risk-Taking in Life-Critical Systems

Risk Taking in the Emergency Department

Florida Institute of Technology / Université de Valençiennes

2nd International Symposium on Resilient Healthcare

Patients as sources of resilience

Hindsgavl, Denmark,24 - 28 August 2013


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Individual - collective tradeoffs in healthcare and their implications for

resilience.



Moving from the Modernist Mythology


5th International Symposium on Resilience Engineering

Levels of Resilience: Moving from Resilience to Resilience Engineering

Soesterberg, Netherlands, 25 – 28 June 2013

1st International Symposium on Resilient Healthcare

Separating Resilience from Success

Hindsgavl, Denmark, 2 -3 June 2012

European Society of Anesthesiology

Debate: Standardisation, Pro or Con?

Paris, France, 6 - 9 June 2012

2nd Nordic Conference on Safety and Quality

Keynote: Standardisation: Is It a Strategy for Improvement?

Copenhagen, Denmark, 7 March 2012

International Ergonomics Association

Can Health IT Ever Be Safe?

Recife, Brazil, 26 February 2012

International Ergonomics Association

Re-envisioning Healthcare as a Safety-Critical Industry

Recife, Brazil, 26 February 2012

4th International Conference on Resilience Engineering

The Practitioner’s Dilemma: Exploring Defensive, Autonomous, and

Cooperative Strategies for Maintaining Margin of Maneuver

Sophia Antipolis, France, 8 – 10 June 2011

4th International Conference on Resilience Engineering

Fundamental on Situational Surprise: A Case Study with Implications for

Resilience


Fifth International Symposium on Functional Resonance Analysis Methods

Using FRAM to Understand Success as well as Failure



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Keynote Address

How Do We Explain the Persistence of Barely Usable Medical Devices?

CHI+MED, St Albans, UK, January 2010

Lectio Magistrale

What Safety Science Can Learn from European Work Ecology Studies

Università degli Studi di Milano, Milano, Italia, 22 September 2009

European Society for Health Psychology

Building Shared Cognition: Shift Changes in Emergency Departments

Pisa, Italia 25 September 2009

3rd International Conference on Resilience Engineering

System dynamic representations of resilience

Juan-les-Pins, France 28 – 30 October 2008

3rd International Conference on Resilience Engineering

When worlds collide: two medication systems in one emergency department

Juan-les-Pins, France 28 – 30 October 2008

PhD Student Seminar

Models of Decision-making in Healthcare

Centre for Interdisciplinary Research in Decision-making

Università degli studi di Milano

Milan, Italy 27 October 2008

Doctoral Student Seminar

Systems Dynamics Models of Resilience

Ècole des Mines de Paris

Sophia Antipolis, FR June 2008

Human Factors & Ergonomics in Patient Safety II

Safeware: Safety-critical computing and health information technology

Strasbourg, FR June 2008

Human Factors & Ergonomics in Patient Safety II

Preoccupation with Failure: Complex Case Studies

Strasbourg, FR June 2008

Organizational Design and Management VII

Notes from Underground: Formal vs. Informal Knowledge of Organizational

Hazards

São Paulo, Brazil 20 March 2008

7th Halifax Symposium on Patient Safety

Rapporteur

Ottawa, ON 11 – 13 October 2007


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IEEE Conference on Systems, Man, and Cybernetics

Ironies of Improvement

Montreal, QU 9 – 10 October, 2007

2nd International Conference on Resilience Engineering

Free fall: a case study in resilience, its degradation and recovery in a US

emergency department

Juan-les-Pins, France 8 – 10 November 2006

2nd International Conference on Resilience Engineering

Extemporaneous adaptation to evolving complexity

Juan-les-Pins, France 9 – 10 November 2006

6th Halifax Symposium on Patient Safety

Rapporteur: What is the Proper Role of Regulation in Patient Safety?

Vancouver, BC 19 – 21 October 2006

Patient Safety: Looking Back, Looking Forward

University of Alberta, Edmonton, AB 22 August 2006

Invited Discussant: Teamwork Skills in Healthcare – Their Assessment and

Relevance to Patient Safety and Safety Culture.

International Congress on Applied Psychology, Athens, Greece 2006

Invited Discussant: Cognitive and Social Skills in Healthcare – Enhancing

Patient Safety

International Congress on Applied Psychology, Athens, Greece 2006

Keynote Address: Risk and Resilience in Emergency Care

International Congress on Emergency Medicine, Halifax, NS 2006

Safety and ED Culture

Mediterranean Emergency Medicine Symposium, Nice, FR 2005

Organizational Design and Management VI

Consequences of Technical Change in Cognitive Artefacts for Managing Complex

Work

Kailea, HW 23 June 2005

Studying Hard to See Things: Shift Changes and Safety

University of Sheffield, Sheffield, UK 2005

On the Research Agenda for Design in Healthcare

Cambridge University, Cambridge, UK 2005


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Status Boards as Cognitive Artifacts Supporting Safety

European Union Group for Analysis, Design & Validation of Interactive Safety-

Critical & Error-tolerant Systems

University of Liége, Liége, Belgium, 6 January 2005

Emergent Complexity and Safety

European Union Group for Analysis, Design & Validation of Interactive Safety-

Critical & Error-tolerant Systems

University of Glasgow, Glasgow, UK 22 March 2005

Safety Culture

Royal College of Physicians, London, UK 2004

Research on Patient Safety: Why is it Different from Traditional Biomedical

Research?

Imperial College / St Mary’s Hospital, London, UK 2003

Taylorism Redux: Authoritarian High Modernism in Healthcare

Halifax Forum, Halifax, NS 2003

Patient Safety: Where are we Going?

3rd Dalhousie Patient Safety Symposium, Halifax, NS 2003

Evaluating Medical Evidence

Latin American Emergency Medicine Forum, Santiago, Chile 2003

Steroids and Spinal Cord Injury

Latin American Emergency Medicine Forum, Santiago, Chile 2003

Recurring Themes in Patient Safety

2nd Dalhousie Medical Errors Symposium, Halifax, NS 2002

Human Failure in Healthcare

Tyco – Ethicon Keynote Speaker

Assoc of Surgeons of Great Britain and Ireland, Dublin, IR 2002

Beyond Error

Dalhousie Medical Errors Symposium, Halifax, NS 2001

Weighing the Evidence

Italian-American Clinical Policy Symposium, Couermayer, IT 2000

National:

Northwestern University Master’s Degree Program in Patient Safety

Basics of Human Factors and Ergonomics

Chicago, IL 15 July 2014


17

University of Maryland Emergency Medicine Research Day

Ignorance: Just What You Need for a Career in Research

11 June 2014


After Words: Managing the Aftermath of Adverse Events

Dallas, TX 16 May 2014

Human Factors & Ergonomics in Healthcare

Handoffs: Wish We Didn’t Know Now What We Didn’t Know Then

Chicago, IL 16 – 19 March 2014

Human Factors & Ergonomics in Healthcare

The Substrate for Resilience

Chicago, IL 16 – 19 March 2014


After Words – Managing the Aftermath of Adverse Events

Dallas, TX 16 May 2014

Healthcare Design Conference

Resilience and Designing for Safety

Orlando, FL 19 November 2013

Yale University / Yale - New Haven Hospital

The Error of Chasing Errors: And Other Reasons Why Safety is Hard

Transforming Healthcare Grand Rounds

New Haven, CT 12 November 2013

National Academy of Sciences

Safety-I vs Safety-II

Keck Center, Washington DC 14 June 2013

National Patient Safety Foundation Congress

A Social History of Patient Safety

New Orleans, LA 9 May 2013


We All Make Mistakes – But What Do You Do Afterwards?

Atlanta, GA 14-19 May 2013

Human Centered Design Institute, Florida Institute of Technology

Life-Critical Systems: Healthcare

Melbourne, FL March 27 2013

Human Factors in Healthcare

Moving from Safety-I to Safety-II: The Role of Human Factors Engineering

Baltimore, MD 13 March 2013


18

Medical Innovation Institute

Resilience as a Strategy for Safety and Quality

Columbia, MD 9 October 2012

ACEP / AHRQ Infection Prevention in the ED

The Role of Ergonomics and Design

Denver, CO 6 October 2012

Medstar Seminar on Complex Adaptive Systems

Resilience and Complexity

Washington, DC 6 September 2012

American Sociological Association

Envisioning Utopias in Healthcare

Denver, CO 17 August 2012

Academy of Management

Overload and the ED: Implications for Safety & Quality

Boston, MA 5 – 8 August, 2012

University of Wisconsin

Short Course in Human Factors and Ergonomics

Madison, WI 18 July 2012





I’m from the EMR and I’m here to help you?



Joint Cognition in the ER: Implications for Safety & Quality


The Johns Hopkins Medical Institutions Safety & Quality Grand Rounds

The Evolution of Patient Safety




Madison, WI 17 August 2011

System Dynamics Society

Dynamics of ED / Hospital Overcrowding

Washington, DC 24 – 27 July 2011


19



Chicago, IL 12-13 July 2011

Society for Academic Emergency Medicine Consensus Conference

ED – Hospital Crowding

Boston, MA June 2011


Panel: Barriers in Moving Research to Practice

Boston, MA June 2011

Emergency Medicine Patient Safety Foundation

ED Safety and National Safety Goals

Las Vegas, NV 1 – 3 May 2011

Clemson University

Shift Change Communications

Clemson, SC April 18, 2011


Grand Rounds: Creating Safety in Crowded EDs

Madison, WI February 2011


Improving Flow – Fads and Fallacies


University of Wisconsin College of Engineering

Good night and good luck: shift change handoffs in the emergency department


International Society for Simulation in Healthcare

Human factors engineering and simulation

New Orleans, LA January 2011

System Dynamics Society Winter Conference

Feedbacks and hospital overcrowding

Austin, TX 2011

CTSI Seminar Series

Translating Research Across Different Dimensions

Clinical & Translational Research Institute

University of Florida, Gainesville, FL, 10 November 2010


20


Simulation-based safety initiatives: ‘non-traditional’ simulation

Phoenix, AZ 5 June 2010

Mulroy Memorial Lecture

Medicalizing Patient Safety

Northshore – University Health System

Evanston, IL 10 June 2010

Cincinnati Childrens’ Hospital / U of Cincinnati

Human Factors Engineering and Patient Safety

Cincinnati, OH March 2010

Mt Sinai School of Medicine

ED – Hospital Crowding: Insights from System Dynamics

New York, NY August 2009



Madison, WI 26 – 30 July 2010





Advanced Human Factors and Ergonomics


International Society for Simulation in Healthcare

Joining Simulation and Patient Safety

Phoenix, AZ 25 January 2010

ACEP Scientific Assembly

Using Information Technology to Improve the Safety of Acute Care

Boston, MA 5-8 October 2009


A Systems Approach to Optimizing the Safety and Reliability of Handoffs

Boston, MA 5-8 October 2009



Madison, WI 15 – 16 July 2009





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Lost in Translation: Knowledge Translation One Year Later

Washington, DC May 2008

1st AHRQ Conference on Diagnostic Error

What makes diagnosis hard?

Phoenix, AZ 30 May 2008


Introduction to Human Factors and Ergonomics




Madison, WI 15 – 16 August 2008



Chicago, IL July 2008



Chicago, IL July 2008

American Association for Emergency Medicine

Human Factors Engineering in the Emergency Department

Amelia Island, FL February 2008

University of Pennsylvania

Grand Rounds: Patient Safety in Emergency Medicine

Philadelphia, PA March 2008

University of Indiana


Indianapolis, IN December 2007



Madison, WI April 2008


PhD Student Seminar: Scientific Models for Studying Safety

Madison, WI April 2008


22

Indiana ACEP

Patient Safety in Emergency Medicine

April 2008

National Patient Safety Foundation Congress

Gilding the Lily: Computerizing the ED Status Board

Nashville, TN, October 2007

ACEP Research Forum

Safety Implications of Computerizing the ED Status Board

Seattle, WA 9 October 2007

Northwestern University Dept of Emergency Medicine

Patient Safety Day

Chicago, IL 19 September 2007











Replacing Hindsight with Insight: Overcoming Hindsight Bias in Adverse Event

Studies

Chicago, IL May 2007


Quality contrasted with Safety

New Orleans, LA 17 October 2006

University of Rochester

Grand Rounds: Patient Safety and Shift Change

Rochester, NY 28 September 2006





23


Grand Rounds: How to Study Hard-To-See Things

Nashville, TN 19 June 2006


Patient Safety: Looking Backward, Looking Forward

Nashville, TN 18 June 2006

2nd Annual Conference on Patient Safety and Health Information Technology

Agency for Healthcare Research and Quality

Plausibly Correct, but Wrong: A Failure Phenotype in Health IT

Washington, DC 5 June 2006


Designing and Completing an Academic Sabbatical

May 2006

Association of Clinical Scientists

Ship of Fools: All Rowing Hard in Different Directions

Amelia Island, Florida 30 May 2006

University of Cincinnati

Grand Rounds: Information Technology – Boon or Bane for Safety?

Cincinnati, OH April 2006

Johns Hopkins Medical Institutions

Grand Rounds: Shift Change Turnovers – Best or Worst of Times?

Baltimore, MD 24 February 2006

Simulation in Emergency Medicine

International Meeting for Medical Simulation

San Diego, CA, January 2006

Johns Hopkins Medical Institutions

Why is So Much Computerized Health Information Technology So Bad?

Baltimore, MD 14 November 2005

University of Maryland

Grand Rounds: Shift Change Turnovers

Baltimore, MD 16 November 2005

Decision Sciences Institute

Analyzing human performance in knowledge-intensive services: a study in

emergency care

San Francisco, CA 19 – 23 November 2005


24

EmCare, Inc

Information Technology for Patient Safety

Dallas, TX 11 November 2005

Shift Changes in the Emergency Department: How to Study Hard to See Things


New York, NY May 2005

Safety Science and Patient Safety

Federation of Cognitive, Psychological and Behavioral Sciences

Washington, DC 2004

Framework for Studying Shift Changes and Other Transitions in Care

Human Factors and Ergonomics Society

New Orleans, LA 2004

Organizational Safety

Short Course on Human Factors and Ergonomics

University of Wisconsin College of Engineering 2004

Understanding Technical Work in Healthcare

Short Course on Human Factors and Ergonomics

University of Wisconsin College of Engineering 2004

Shift Change Transitions: Best of Times, Worst of Times

National Patient Safety Foundation

Boston, MA 2004

Technology and Patient Safety: Solutions or Experiments?

Queens Medical Center, Honolulu, HI 2004

Teamwork and Group work in Healthcare

Queens Medical Center, Honolulu, HI 2004

University of Minnesota / HealthPartners

Grand Rounds: Human Failure and Patient Safety

Minneapolis, MN 2004

Mayo Clinic School of Medicine

Grand Rounds: Human Failure and Patient Safety

Rochester, MN 2004

Mayo Clinic School of Medicine

Grand Rounds: The Nature of Medical Expertise

Rochester, MN 2004

Advanced Research Methods: Multivariable Analysis

Society for Academic Emergency Medicine, Boston, MA 2003


25

Errors in Emergency Departments

National Patient Safety Foundation, Washington, DC 2003


Grand Rounds: Patient Safety – What’s the Problem?

New York, NY 2003


Grand Rounds: Weighing Evidence – Hyperbaric Oxygen in CO intoxication

New York, NY 2003

Qualitative Research Methods

Society for Academic Emergency Medicine, Atlanta, GA 2002

Patient Safety and Health Care Organizations

Academy of Management, Washington, DC 2001

University of Michigan

Grand Rounds: Patient Safety – What’s the Problem?

Ann Arbor, MI 2001

Panelist, Cultural Issues in Information Systems Implementation

American Medical Informatics Association 2000.

On Acquiring Expertise

American Association of Medical Colleges 2000

Chair, Consensus Conference on Human Error in Emergency Medicine

Society for Academic Emergency Medicine 2000

Advanced Research Methods: Cluster Randomized Studies


Evaluating Patient Satisfaction Surveys

Benchmarking Alliance 1999

Teamwork Training in Emergency Medicine: Applying Advances from Aviation

Cockpit Resource Management


Bridging Two Cultures -- Physicians and IT Professionals

Executive Advisory Panel, Data General Corporation

San Francisco, CA 1997

Advanced Research Methods: Logistic Regression

Society for Academic Emergency Medicine, Washington, DC 1997


26

Advanced Research Methods: Cost-effectiveness Analysis


Medical Informatics and the Academic Emergency Physician

Society for Academic Emergency Medicine, Denver, CO 1996

Choosing Computer Statistical Packages

Society for Academic Emergency Medicine, Denver, CO 1996

Error in Medicine -- the Compelling Application?

Physician-Computer Connection, Couer d'Alene, ID 1995

Multiple Comparisons Procedures

Society for Academic Emergency Medicine, San Antonio, TX 1995

Recent Advances in Biostatistics

Society for Academic Emergency Medicine, Washington DC 1994

Computer Support for Clinical Decision-Making

Symposium: Technological Advances in Emergency Medicine,

Orlando, FL 1994

Introduction to the Interpretation and Techniques of Meta-analysis.

Society for Academic Emergency Medicine, San Francisco 1993

Research in Cost-effectiveness

Society for Academic Emergency Medicine, San Francisco 1993

Computer Applications in Emergency Medicine: Basic.

American College of Emergency Physicians Clinical Forum, Kansas City 1993

Computer Applications in Emergency Medicine: Advanced.


How Statistics Lie: Problems in Clinical Literature and Clinical Practice.


Advanced Statistical Methods in Emergency Medical Research: Linear and

Logistic Regression.


Defining Physician Information Needs in Emergency Medicine

HBO/Healthquest Physician Education Conference, Atlanta, GA 1992


27

Regional:

Medical Education Keynote

Teaching About Sofety

UF Health Science Center Jacksonville

Jacksonville, FL 13 April 2014

Symposium on Patient Safety: Current Topics

Measurement and Communication

UF Health Science Center Jacksonville

Jacksonville, FL 27 March 2014

Southeastern Society for Academic Emergency Medicine

Total Internal Reflection, Magpies, and the Problem of Orthodoxy

Keynote Address

Jacksonville, FL 6 March 2012

UF Health Science Center – Jacksonville

Studying Safety in Healthcare: Time for New Models of Science

Research Day Keynote

Jacksonville, FL 11 May 2011

‘Near-miss’ Reporting Systems: Lessons from the ASRS

Florida Society for Healthcare Risk Management

Orlando, FL 3 August 2007

Safety Ethics: Contrasting Case Studies

University of Miami Bioethics Institute 2007

Ethical and Regulatory Issues in Research on Safety in Healthcare


Analysis of Florida’s ‘Code 15’ Adverse Event Reporting System

Florida Hospital Association 2006

Patient Safety in the Emergency Department

Florida College of Emergency Physicians, Marco Island, FL 2005

Leadership and Patient Safety

Florida College of Emergency Physicians, Ponte Vedra, FL 2003

Teamwork in the Emergency Department

Florida College of Emergency Physicians, Orlando, FL 2002

Keynote Address: As Good As It Gets?

Southeastern SAEM Meeting, Jacksonville, FL 1999

Getting IRB Approval for Research

Southeastern SAEM Meeting, Atlanta GA 1998


28

Ethical and Regulatory Issues in Outcomes and Health Services Research


An analysis of emergency physicians' cumulative career risk of human

immunodeficiency virus infection.

Science & Engineering Lecture Series, Jacksonville University,


Emergency Medicine CPC Competition

Southern Medical Society, Atlanta, GA 1985

Fluid Resuscitation in Shock Syndromes

Florida College of Emergency Physicians, Orlando, FL 1979

Publications

(h index = 42)

Peer-reviewed Publications:

Research Papers:

Kamens DR, Wears RL, Trimble C. Circumventing the Henderson-Hasselbalch

equation: rapid estimation of metabolic state from blood gas reports, JACEP

1979; 8(11):462-6.

Yancey WB, Wears RL, Kamajian G, Derovanesian J. Unrecognized tracheal intubation:

a complication of the esophageal obturator airway. Ann Emerg Med 1980;

9(1):18-20.

Wears RL, Kamens DR. A simple method for evaluating the safety of high yield criteria.

Ann Emerg Med 1986; 15(4):439-44.

Reinecke T, Seger D, Wears RL. Rapid assessment of serum theophylline levels. Ann

Emerg Med 1986; 15(2):147-51.

Wears RL, Luten RC, Lyons RG. Which laboratory tests should be performed on

children with apparent febrile convulsions? An analysis and review of the

literature. Ped Emerg Care 1986; 2(3):191-6.

Roberge RJ, Wears RL, Kelly M, Evans TC, Kenny MA, Daffner RD, Kremen R,

Murray K, Cottingtion EC. Selective application of cervical spine radiography in

alert victims of blunt trauma: a prospective study. J Trauma 1988; 28(6):784-8.

Roberge RJ, Wears RL, Sanz C, Nicholson TR, Brennan DF. Serum amylase levels in

ectopic pregnancy. Am J Emerg Med 1988; 4(4):327-9.


29

Crump JM, Duncan DA, Wears R. Analysis of multiple organ system failure in trauma

and nontrauma patients. Am Surg 1988; 54(12):702-8.

Wears RL, Li S, Hernandez JD, Luten RC, Vukich DJ. How many myocardial

infarctions should we rule out? Ann Emerg Med 1989; 18(9):953-63.

Fesmire FM, Percy RF, Wears RL. Risk stratification according to the initial ECG in

patients with suspected acute myocardial infarction. Arch Intern Med 1989;

149(6):1294-7.

Fesmire FM, Wears RL. The utility of the presence or absence of chest pain in patients

with suspected acute myocardial infarction. Am J Emerg Med 1989; 7(4):372-7.

Fesmire FM, Percy RF, Wears RL. The initial ECG in Q-wave and non-Q-wave

myocardial infarction. Ann Emerg Med 1989; 18(7):741-6.

Wears RL, Winton CN. Load & go versus stay & play: analysis of prehospital

intravenous fluid therapy by computer simulation. Ann Emerg Med 1990;

19(2):163-8.

Fesmire FM, Percy RF, Wears RL, MacMath TL. Diagnostic and prognostic importance

of comparing the initial to the previous electrocardiogram in patients admitted for

suspected acute myocardial infarction. Southern Med J 1991; 84(7):841-6.

Wears RL, Vukich DJ, Winton CN, Fluskey LL, MacMath TL, Li S. An analysis of

emergency physicians' cumulative career risk of human immunodeficiency virus

infection. Ann Emerg Med 1991; 20(7):749-53.

Roberge RJ, Wears RC. Evaluation of neck discomfort, neck tenderness, and neurologic

deficits as indicators for radiography in blunt trauma victims. J Emerg Med

1992;10(5):539-544.

Luten RC, Wears RL, Broselow J, et al. Length-based endotracheal tube sizing for

pediatric resuscitation. Ann Emerg Med 1992; 21:900-4.

Zappa MJ, Harwood-Nuss AH, Wears RL, Fallon WF. Objective determination of the

optimal red blood cell count in diagnostic peritoneal lavage done for abdominal

stab wounds. J Emerg Med 1992; 10:553-8.

Fallon WF Jr, Wears RL. Prophylactic antibiotics for the prevention of infectious

complications including empyema following tube thoracostomy for trauma:

results of meta-analysis. J Trauma 1992; 33:110-7.

Lewis RJ, Wears RL. An introduction to the Bayesian analysis of clinical trials. Ann

Emerg Med 1993; 22:1328-1336.


30

Achem SR, Kolts BE, Wears R, Burton L, Richter JE. Chest pain associated with

nutcracker esophagus: a preliminary study of the role of gastroesophageal reflux.

Am J Gastroent 1993; 88:187-192.

Koch KA, Rodeffer HD, Wears RL. Changing patterns of terminal care management in

an intensive care unit. Crit Care Med 1994;22(2):233-43

Geller AJ, Kolts BE, Achem SR, Wears RL. The high frequency of upper

gastrointestinal pathology in patients with fecal occult blood and colon polyps.

Am J Gastroent 1993; 88:1184-1187.

Wears RL, Winton CN. Simulation modeling of prehospital trauma care. Proc 1993

Winter Simulation Conference 1993; 25:1216-1224.

Fallon WF Jr, Wears RL, Tepas JJ III. Resident supervision in the operating room: does

it impact on outcome? J Trauma 1993; 35:556-561.

Wears RL, Fallon WF Jr. At what risk of empyema is empiric antibiotic therapy justified

in tube thoracostomy for trauma? Theoret Surg 1994; 9:154-159.

Witting MD, Wears RL, Li S. Defining the positive tilt test: a study of healthy adults

with moderate acute blood loss. Ann Emerg Med 1994; 23:1320-3.

Aghababian RV, Barsan WG, Bickell WH, Biros MH, Brown CG, Cairns CB, Callaham

ML, et al, Wears RL, White JD, Zalenski RJ. Research Directions in Emergency

Medicine. Ann Emerg Med 1996; 27:339-42. (Published simultaneously in Acad

Emerg Med, Am J Emerg Med, and J Emerg Med).

Idris AH, Becker LB, Ornato JP, Hedges JR, Bircher NG, Chandra NC, Cummins RO,

Dick W, Ebmeyer U, Halperin HR, Hazinski MF, Kerber RE, Kern KB, Safar P,

Steen PA, Swindle MM, Tsitlik JE, von Planta I, von Planta M, Wears RL, Weil

MH. Utstein-style guidelines for uniform reporting of laboratory CPR research.

Ann Emerg Med 1996; 28:527-541. (Published simultaneously in Resuscitation

and Circulation).

Frenia ML, Schauben JL, Wears RL, Karlix JL, Tucker CA, Kunisaki TA. Multiple-dose

activated charcoal compared to urinary alkalinization for the enhancement of

phenobarbital elimination. J Toxicol Clin Toxicol 1996;34(2):169-75.

Sanchez-Ramos L, Kaunitz AM, Wears RL, Delke I, Gaudier FL. Misoprostol for

cervical ripening and labor induction: a meta-analysis. Obstet Gynecol

1997;89(4):633-42

Callaham MC, Wears RL, Weber EJ, Barton C, Young G. Positive outcome bias and

other limitations in the selection of research abstracts for a scientific meeting.

JAMA 1998; 280:254-7.


31

Weber EJ, Callaham MC, Wears RL, Barton C, Young G. Unpublished research from an

emergency medicine meeting: why investigators fail to publish. JAMA 1998;

280:257-9.

Callaham MC, Baxt WG, Waeckerle JF, Wears RL. Reliability of editors’ subjective

quality ratings of peer reviews of manuscripts. JAMA 1998; 280:229-31.

Tepas JJ, Patel JC, DiScala C, Wears RL, Veldenz HC. Relationship of trauma patient

volume to outcome experience: can a relationship be defined? J Trauma 1998;

44:827-31.

Callaham MC, Wears RL, Waeckerle JF. Effect of attendance at a training session on

peer reviewer quality and performance. Ann Emerg Med 1998; 32:318-22.

Luten RC, Broselow J, Wears RL, Blackwelder B. Broselow-Luten system: color-coded

zones for pediatric emergencies and implications for universal application. In:

Proceedings of the Second Annenberg Conference on Enhancing Patient Safety

and Reducing Error in Health Care. Rancho Mirage, CA: National Patient Safety

Foundation; 1998:248-252.

Simon R, Morey JC, Rice M, et al. Reducing errors in emergency medicine through team

performance: the MedTeams project. In: Proceedings of the Second Annenberg

Conference on Enhancing Patient Safety and Reducing Errors in Health Care.

Rancho Mirage, CA: National Patient Safety Foundation; 1998:142-146.

Biros MH, Adams JG, Wears RL. Errors in emergency medicine: A call to action Acad

Emerg Med 2000;7:1173-4.

Croskerry P, Wears RL. Setting an educational agenda and curriculum for error

prevention in emergency medicine. Acad Emerg Med 2000;7:1194-1200.

Vincent C, Simon R, Sutcliffe K, et al. Errors conference: executive summary. Acad

Emerg Med 2000;7(11):1180-1182.

Jockovich M, Cosentino D, Cosentino L, et al. Effect of exogenous melatonin on mood

and sleep efficiency in emergency medicine residents working night shifts. Acad

Emerg Med 2000;7:955-958.

Seaberg DC, Stimler JE, Wears RL. Effect of state legislation prohibiting denial of

emergency department patient claims. Ann Emerg Med 2000;35:267-271.

Vincent C, Simon R, Sutcliffe K, et al. Errors conference: executive summary. Acad

Emerg Med 2000;7:1180-1182.

Wears RL. Models of error and adverse events. Harvard Risk Management Foundation

Forum 2001;21(2):13-16.


32

Callaham M, Weber E, Wears R. Citation characteristics of research published in

emergency medicine versus other scientific journals. Ann Emerg Med

2001;38(5):513-7.

Holley MT, Morrissey TK, Seaberg DC, et al. Ethical Dilemmas in a Randomized Trial

of Asthma Treatment: Can Bayesian Statistical Analysis Explain the Results?

Acad Emerg Med 2001;8(12):1128-35.

Wears RL. Reducing errors and adverse events in the ED. http://www.emedhome.com/,

accessed 5/4/2001.

Callaham MC, Wears RL, Weber EJ. Journal prestige, publication bias, and other

characteristics associated with citation of a cohort of original research studies in

peer reviewed journals. JAMA 2002; 287(21):2847-50.

Morey JC, Simon R, Jay GD, et al. Error reduction and performance improvement in the

emergency department through teamwork training: evaluation results of the

MedTeams project. Health Serv Res 2002;37(6):1553 - 81.

Wears RL. Advanced Statistics: Statistical Methods for Analyzing Cluster and Cluster-

randomized Data. Acad Emerg Med 2002;9(4):330-41.

Luten R, Wears RL, Broselow J, et al. Managing the unique size-related issues of

pediatric resuscitation: reducing cognitive load with resuscitation aids. Acad

Emerg Med 2002;9(8):840-7.

Schriger DL, Cooper RJ, Wears RL, Waeckerle JF. The effect of dedicated methodology

and statistical review on published manuscript quality. Ann Emerg Med

2002;40(3):334-7.

Day FC, Schriger DL, Todd C, Wears RL. The use of dedicated methodology and

statistical reviewers for peer review: a content analysis of comments to authors

made by methodology and regular reviewers. Ann Emerg Med 2002;40(3):329-33.

Wears RL, Perry SJ. Human factors and ergonomics in the emergency department. Ann

Emerg Med 2002;40(2):206-12.

Luten R, Wears RL, Broselow J, et al. Managing the unique size-related issues of

pediatric resuscitation: reducing cognitive load with resuscitation aids. Acad

Emerg Med 2002;9(8):840-7.

Jagoda AS, Cantrill SV, Wears RL, et al. Clinical policy: neuroimaging and

decisionmaking in adult mild traumatic brain injury in the acute setting. Ann

Emerg Med 2002;40(2):231-49.

Gray-Eurom K, Seaberg DC, Wears RL. The prosecution of sexual assault cases:

correlation with forensic evidence. Ann Emerg Med 2002;39(1):39-46.


33

Wears RL, Perry SJ, Croskerry PG, et al. Center for Safety in Emergency Care: a

developing center for evaluation and research in patient safety. Top Health Info

Manage 2002; 23(2):1-12.

Wears RL. Human error and adverse events in emergency medicine. EM Pulse

2002;7(5):17-20.

Bizovi KE, Wears R, Lowe RA. Researching quality in emergency medicine. Acad

Emerg Med 2002;9(11):1116-23.

Wears RL, Perry SJ, Shapiro M, et al. Shift changes among emergency physicians: best

of times, worst of times. In: Proceedings of the Human Factors and Ergonomics

Society 47th Annual Meeting. Denver, CO: Human Factors and Ergonomics

Society; 2003:1420 - 1423.

Wears RL, Perry SJ, Shapiro M, et al. A comparison of manual and electronic status

boards in the emergency department: what's gained and what's lost? In:

Proceedings of the Human Factors and Ergonomics Society 47th Annual Meeting.

Denver, CO: Human Factors and Ergonomics Society; 2003:1415 - 1419.

Honderick T, Williams D, Seaberg D, Wears R. A prospective, randomized, controlled

trial of benzodiazepines and nitroglycerine or nitroglycerine alone in the treatment

of cocaine-associated acute coronary syndromes. Am J Emerg Med

2003;21(1):39-42.

Shah A, Frush K, Luo X, Wears RL. Effect of an intervention standardization system on

pediatric dosing and equipment size determination. Arch Pediatr Adolesc Med

2003;157(3):229 - 36.

Wears RL, Sutcliffe KM. Promoting heedful interrelating and collective competence in

the emergency department. Focus on Patient Safety 2003;6(3):4 - 5.

Bertholf RL, Perry S, Wears RL. Anatomy of a laboratory error. Journal of Clinical and

Laboratory Science 2003;33(3):360.

Wears RL. Patient Safety in the Emergency Department. Northeast Florida Medicine

2004;55(2):36 - 39.

Mace SE, Barata IA, Cravero JP, et al. Clinical policy: evidence-based approach to

pharmacologic agents used in pediatric sedation and analgesia in the emergency

department. Ann Emerg Med 2004;44(4):342-377. (Published simultaneously in J

Pediatrics and J Emerg Nursing).

Wears RL, Perry SJ, Cook RI. The role of automation in complex system failures.

Journal of Patient Safety 2005; 1(1):56 - 61.


34

Wears RL, Perry SJ, Sutcliffe KM. The medicalization of patient safety. Journal of

Patient Safety 2005;1(1):4 - 6.

Wears RL, Perry SJ, Eisenberg E, et al. Conceptual framework for studying shift changes

and other transitions in care. In: Proc Human Factors & Ergonomics Society 48th

Annual Meeting. New Orleans, LA: HFES; 2004:1615 - 18.

Wears RL, Perry SJ, Eisenberg E, et al. Transitions in care: signovers in the emergency

department. In: Proc Human Factors & Ergonomics Society 48th Annual

Meeting. New Orleans, LA: HFES; 2004:1625 - 28.

Wears RL. More on computer glitches and laboratory result reporting.

http://catless.ncl.ac.uk/Risks/23.64.html#subj4, accessed 29 December 2004.

Wears RL, Lyons M, Adams S, Woloshynowych M, Vincent C. Human reliability

analysis in healthcare: a review of techniques. International Journal of Risk and

Safety in Medicine 2004; 16(4):223 – 237.

Millitello L, Patterson E, Wears RL. Large scale coordination in emergency response.

Proceedings of the 49th Human Factors and Ergonomics Society, Orlando FL,

2005:535-538.

Khare RK, Uren B, Wears RL. Capturing more emergency department errors via an

anonymous web-based reporting system. Qual Manag Health Care

2005;14(2):91-94.

Kelly J, Wears R, Weir B. Position statement: principles for measuring quality and

reporting incidents and adverse events in. Acad Emerg Med 2005;12(10):1010.

Wears RL. Managing disclosure of adverse events. Risk Rx 2005;2(1):1 - 4.

Eisenberg EM, Murphy AG, Sutcliffe KM, et al. Communication in emergency

medicine: implications for patient safety. Communications Monographs

2005;72(4):390 - 413.

Tighe C, Woloshynowych M, Brown R, et al. Incident reporting in one UK accident and

emergency department. Accident and Emergency Nursing 2005;14(1):27-37.

Perry SJ, Wears RL. Out of synch: the representation of clinical work in a computerized

work tracking system. In: Pikaar RN, Konigsveld EAP, Settels PJM, eds.

Proceedings of the International Ergonomics Association 2006 Congress.

Maastricht, Netherlands: International Ergonomics Association; 2006.

Wears RL, Perry SJ. Shadows and ghosts: the role of hidden information in a US

healthcare setting. In: Pikaar RN, Konigsveld EAP, Settels PJM, eds. Proceedings

of the International Ergonomics Association 2006 Congress. Maastricht,

Netherlands: International Ergonomics Association; 2006.


35

Wears RL, Cook RI, Perry SJ. Automation, interaction, complexity, and failure: a case

study. Reliability Engineering and Safety Science 2006;91(12):1494-1501

Patterson ES, Woods DD, Roth EM, Wears RL. Three key levers for achieving resilience

in medication delivery with information technology. Journal of Patient Safety

2006;2(1):33-38

Perry SJ, Wears RL, Chozos P, et al. Consequential analysis of information system

criticality in a healthcare organization. In: Proceedings of the Human Factors and

Ergonomics Society 50th Annual Meeting. San Francisco, CA: Human Factors

and Ergonomics Society; 2006:1466-1468.

Wears RL, Perry SJ. Free fall - a case study of resilience, its degradation, and recovery,

in an emergency department. In: Hollnagel E, Rigaud E, eds. 2nd International

Symposium on Resilience Engineering. Juan-les-Pins, France: Mines Paris Les

Presses; 2006:325 - 332.

Perry SJ, Wears RL. Extemporaneous adaptation to evolving complexity. In: Hollnagel

E, Rigaud E, eds. 2nd International Symposium on Resilience Engineering. Juan-

les-Pins, France: Ecole des Mines des Paris; 2006:258 - 263.

Anders S, Woods DD, Wears RL, Perry SJ, Patterson ES. Limits on adaptation:

modeling resilience and brittleness in hospital emergency departments. In:

Hollnagel E, Rigaud E, eds. 2nd International Symposium on Resilience

Engineering. Juan-les-Pins, France: Ecole des Mines des Paris; 2006:1 - 9.

Militello LG, Patterson ES, Bowman L, Wears RL. Information Flow During Crisis

Management: Challenges to coordination in the emergency operations center.

Cognition, Technology & Work 2007; 9(1):25-31.

Lyons MN, Brown R, Wears R. Factors that impact the flow of patients through triage.

Emergency Medicine Journal 2007;24(2):78-85.

Wears RL, Perry SJ. Status boards in accident & emergency departments: support for

shared cognition. Theoretical Issues in Ergonomics Science 2007;8(5):371-280.

Pennathur P, Bisantz A, Fairbanks RT, et al. Semantic network analysis of shared

communication in an emergency department. Paper presented at 2007 Annual

Industrial Engineering Research Conference. Nashville, TN; 2007.

Perry SJ, Wears RL, Anderson B, Booth A. Peace and war: contrasting cases of resilient

teamwork in healthcare. In: Mosier K, Fischer U, eds. 8th International

Naturalistic Decision-Making Conference. Pacific Grove, CA; 2007:1 - 5.

Wears RL, Perry SJ, Nasca L. 'Free fall' - highly decentralized, resilient adaptation to

demand-capacity mismatches in an emergency department. In: Mosier K, Fischer

U, eds. 8th International Naturalistic Decision-Making Conference. Pacific

Grove, CA; 2007:1 - 5.


36

Pennathur PR, Bisantz AM, Fairbanks RJ, Perry SJ, Zwemer FL, Wears RL. Assessing

the impact of computerization on work practice: information technology in

emergency departments. Proceedings of the Human Factors and Ergonomics

Society 51st Annual Meeting: p 377 - 381. Baltimore, MD: Human Factors and

Ergonomics Society; 2007.

Swing SR, Schneider S, Bizovi K, et al. Using patient care quality measures to assess

educational outcomes. Acad Emerg Med 2007;14(5):463-473.

Wears R, Perry S, Wilson S, et al. Emergency department status boards: user-evolved

artefacts for inter- and intra-group coordination. Cognition, Technology & Work

2007;9(3):163-170.

Pennathur P, Bisantz AM, Fairbanks RJ, Perry SJ, Wears RL. Semantic network analysis

of shared communication in emergency department. In: Proceedings of the 16th

Congress of the International Ergonomics Association. Orlando, FL; 2007.

Luten R, Kahn N, Wears R, Kissoon N. Predicting endotracheal tube size by length in

newborns. J Emerg Med 2007;32(4):343-347.

Wears RL, Perry SJ, McFauls A. Dynamic changes in reliability and resilience in the

emergency department. Paper presented at Proceedings of the 51st Human

Factors and Ergonomics Society. Baltimore, MD; 2007.

Fairbanks RJ, Karn K, Caplan SA, et al. Use Error Hazards from a Popular Emergency

Department Information System. Proceedings of the Usability Professionals

Association 2008 International Conference; 2008.

Crandall B, Wears RL. Expanding Perspectives on Misdiagnosis. American Journal of

Medicine 2008;121(5):S30-S33.

Young J, Woods D, Holl J, et al. Adaptation of US Department of Energy Method of

Design Basis Accident Selection to a Study of Risks to Patients in Pediatric

Medical Care. PSAM 2008.

Wears RL, Perry SJ, McDonald S, Eisenberg E. Notes from underground: the role of

informal communication networks in disjoint understandings of safety in

healthcare organizations. In: Sznelwar LI, Macia FL, Montedo UB, eds. Human

Factors in Organizational Design and Management - IX. São Paulo, Brasil: IEA

Press; 2008:117 - 22.

Berner ES, Ray MN, Schiff GD, Wears RL, Willig J, et al. Closing the feedback loop to

improve diagnostic quality. Proceedings of the AHRQ Patient Safety Conference

Washington, DC; 2008.


37

Fairbanks RJ, Guarrera TK, Karn KS, Caplan SH, Shah MN, Wears RL. Interface design

characteristics of a popular emergency department information system.

Proceedings of the 52nd Annual Human Factors and Ergonomics Society

Meeting: p . New York, NY: Human Factors and Ergonomics Society; 2008.

Pennathur PR, Bisantz AM, Fairbanks RJ, Perry SJ, Zwemer FL, Wears RL. Cognitive

Artifacts in Transition: An Analysis of Information Content Changes Between

Manual and Electronic Patient Tracking Systems. Proceedings of the Human

Factors and Ergonomics Society 52nd Annual Meeting: p . New York, NY:

Human Factors and Ergonomics Society; 2008.

Perry SJ, Wears RL. When worlds collide: two medication systems in one emergency

department. In: Hollnagel E, Pieri F, Rigaud E, eds. 3nd International Symposium

on Resilience Engineering. 28 - 30 October 2008 ed. Juan-les-Pins, France: Mines

ParisTech; 2008:219 - 226.

Wears RL, Perry SJ. A system dynamics representation of resilience. In: Hollnagel E,

Pieri F, Rigaud E, eds. 3nd International Symposium on Resilience Engineering.

28 - 30 October 2008 ed. Juan-les-Pins, France: Mines ParisTech; 2008:291 - 298.

Perry SJ, Wears RL, Chozos N. "It came from within": clinical impact of latent IT

failures on patient safety. Proceedings of the 2008 International Conference on

Healthcare Ergonomics and Patient Safety Strasbourg, FR; 2008.

Wears RL, Bisantz AM, Patterson ES, et al. Cognitive engineering approaches to safety

in healthcare. In: 52nd Human Factors and Ergonomics Society. New York, NY:

Human Factors and Ergonomics Society; 2008:231 - 35.

Wears RL, Perry SJ. Semper gumby sub rosa: adaptability in a healthcare setting. In:

52nd Human Factors and Ergonomics Society. New York, NY: Human Factors

and Ergonomics Society; 2008:319 - 22.

Wears RL, Bisantz AM, Xiao Y, et al. Computerized Status Boards in Acute Care

Settings: Promises and Pitfalls. In: American Medical Informatics Association

2008 Annual Symposium. Washington, DC: AMIA; 2008.

Guerrera TK, Fairbanks RJ, Karn KS, Caplan SH, Shah MN, Wears RL. Usability

evaluation of an emergency department information system. Acad Emerg Med

2008;15(5):S27 - S28.

Savitz SI, Levitan EB, Wears R, Edlow JA. Pooled analysis of patients with thunderclap

headache evaluated by CT and LP: is angiography necessary in patients with

negative evaluations? J Neurol Sci 2009;276(1-2):123-125.

Kobayashi L, Overly FL, Fairbanks RJ, Patterson M, Kaji AH, et al. Advanced medical

simulation applications for emergency medicine microsystems evaluation and

training. Acad Emerg Med 2008;15(11):1058-1070.


38

Gilardi S, Guglielmetti C, Perry SJ, et al. Changing horses in mid-stream: sudden

changes in plan in dynamic decision problems. In: Wong WA, ed. 9th

International Naturalistic Decision-Making Conference. Covent Garden, London,

UK; 2009:1-2.

Gilardi S, Guglielmetti C, Perry SJ, et al. People, technology and work in health care. In:

Wong WA, ed. 9th International Naturalistic Decision-Making Conference.

Covent Garden, London, UK; 2009:1-2.

Cheung DS, Kelly JJ, Beach C, Berkeley RP, Bitterman RA, et al. Improving Handoffs in

the Emergency Department. Ann Emerg Med 2009.

Feleke R, Kalynych CJ, Lundblom B, Wears R, Luten R, Kling D. Color coded

medication safety system reduces community pediatric emergency nursing

medication errors. J Patient Saf 2009;5(2):79-85.

Jagoda AS, Bazarian JJ, Bruns JJ, Jr., Cantrill SV, Gean AD, et al. Clinical policy:

neuroimaging and decisionmaking in adult mild traumatic brain injury in the

acute setting. J Emerg Nurs 2009;35(2):e5-40.

Karsh B-T, Diercks M, Wears RL, Wetterneck T, Nemeth CP, Alvarado C. Beyond the

Hospital: Human Factors and Ergonomics Issues in the Ambulatory/Outpatient

Care Setting. Proceedings of the 53rd Human Factors and Ergonomics Society: p.

689-693. San Antonio, TX; 2009.

Kobayashi L, Shapiro M, Overly F, Lindquist D, Croskerry P, et al. CMS Transportable

Simulation-Based Training Curriculum in Patient Safety. MedEdPORTAL 2009.

http://services.aamc.org/30/mededportal/servlet/s/segment/mededportal/?subid=5

92, accessed 18 December 2009.

McIntosh MS, Konzelmann J, Smith J, Kalynych CJ, Wears RL, et al. Stabilization and

treatment of dental avulsions and fractures by emergency physicians using just-in-

time training. Ann Emerg Med 2009;54(4):585-592.

O'Neill J, Scott C, Kissoon N, Wludyka P, Wears R, Luten R. Pediatric self-inflating

resuscitators: The dangers of improper setup. J Emerg Med 2009.

Patterson ES, Wears RL, Militello LG, Anders S, Karsh B-T. Medical informatics: what

contributions can human factors make? Proceedings of the 53rd Human Factors

and Ergonomics Society: p 660-663. San Antonio, TX; 2009.

Snow V, Beck D, Budnitz T, Miller DC, Potter J, et al. Transitions of Care Consensus

policy statement: American College of Physicians, Society of General Internal

Medicine, Society of Hospital Medicine, American Geriatrics Society, American

College Of Emergency Physicians, and Society for Academic Emergency

Medicine. J Hosp Med 2009;4(6):364-370.


39

Snow V, Beck D, Budnitz T, Miller DC, Potter J, et al. Transitions of Care Consensus

Policy Statement American College of Physicians-Society of General Internal

Medicine-Society of Hospital Medicine-American Geriatrics Society-American

College of Emergency Physicians-Society of Academic Emergency Medicine. J

Gen Intern Med 2009;24(8):971-976.

Wears RL. What makes diagnosis hard? Adv Health Sci Educ Theory Pract 2009;14

Suppl 1:19-25.

Xiao Y, Fairbanks RJT, Gurses AP, Nemeth CP, Roth EM, Wears RL. User created

cognitive artifacts: what do they inform us about design of information

technology? Proceedings of the 53rd Human Factors and Ergonomics Society: p

694-698. San Antonio, TX; 2009.

Patterson ES, Wears RL. Patient handoffs: standardized and reliable measurement tools

remain elusive. Joint Commission Journal on Quality & Patient Safety

2010;36(2):52-61.

Wears RL. Issues surrounding handoffs. Proceedings of the Computer-Supported

Cooperative Work: Handoffs Workshop Savannah, GA; 2010.

Cheung DS, Kelly JJ, Beach C, Berkeley RP, Bitterman RA, et al. Improving handoffs in

the emergency department. Ann Emerg Med 2010;55(2):171-180.

Pennathur PR, Cao D, Sui Z, Lin L, Bisantz AM, et al. Development of a simulation

environment to study emergency department information technology. Simul

Healthcare 2010;5:103 -111.

Wears RL, Woloshynowych M, Brown R, Vincent CA. Reflective analysis of safety

research in the hospital accident & emergency department. Applied Ergonomics

2010; 41:695 - 700.

Patterson ES, Rogers ML, Tomolo AM, Wears RL, Tsevat JM. Comparison of Extent of

Use, Information Accuracy, and Functions for Manual and Electronic Patient

Status Boards. International Journal of Medical Informatics 2010;79(12):817-

823.

Bisantz AM, Pennathur PR, Guarrera TK, Fairbanks RJ, Perry SJ, et al. Emergency

Department Status Boards: A Case Study in Information Systems Transition.

Journal of Cognitive Engineering and Decision Making 2010;4(1):39-68.

Karsh B-T, Weinger MB, Abbott PA, Wears RL. Health information technology:

fallacies and sober realities. Journal of the American Medical Informatics

Association 2010;17(6):617 - 623.


40

Melnick ER, Nielson JA, Finnell JT, Bullard MJ, Cantrill SV, et al. Delphi Consensus on

the Feasibility of Translating the ACEP Clinical Policies Into Computerized

Clinical Decision Support. Ann Emerg Med 2010.

Wears RL. Exploring the dynamics of resilience. Paper presented at 54th Human Factors

and Ergonomics Society: p 394 - 398. San Francisco, CA 2010.

Wears RL, Perry SJ. Discourse and process analysis of shift change handoffs in

emergency departments. Paper presented at 54th Human Factors and Ergonomics

Society: p 953 - 956. San Francisco, CA 2010.

Weaver SJ, DiazGranados D, Wears RL, Patterson ES, Rosen MA, et al. Healthcare

recovery: how the science of human factors is challenging healthcare to move

patient safety forward. Paper presented at 54th Human Factors and Ergonomics

Society: p 1274 - 1276. San Francisco, CA 2010.

Caro DA, Andescavage S, Akhlaghi M, Kalynych C, Wears RL. Pupillary Response to

Light Is Preserved in the Majority of Patients Undergoing Rapid Sequence

Intubation. Ann Emerg Med 2011;57(3):234-237.

Handel, D. A., Wears, R. L., Nathanson, L. A., & Pines, J. M. (2011). Using Information

Technology to Improve the Quality and Safety of Emergency Care. Academic

Emergency Medicine, 18(6), e45-e51. doi: 10.1111/j.1553-2712.2011.01070.x

Stephens, R. J., Woods, D. D., Branlat, M., & Wears, R. L. (2011). Colliding dilemmas:

interactions of locally adaptive strategies in a hospital setting. Paper presented at

the 4th International Conference on Resilience Engineering, Sophia Antipolis,

France,6 - 8 June 2011.

Wears, R. L., & Webb, L. K. (2011). Fundamental on situational surprise: a case study

with implications for resilience. Paper presented at the 4th International

Conference on Resilience Engineering, Sophia Antipolis, France,6 - 8 June 2011.

Pennathur PR, Cao D, Bisantz AM, Lin L, Fairbanks RJ, et al. Emergency department

patient tracking system evaluation. International Journal of Industrial

Ergonomics 2011;41(4):360-369.

Nemeth, C. P., Wears, R. L., Patel, S., Rosen, G., & Cook, R. I. (2011). Resilience is not

control: healthcare, crisis management, and ICT. Cognition, Technology & Work,

2011; 13(3):189-202 DOI 10.1007/s10111-10011-10174-10117).

Morrison JB, Wears RL. Emergency department crowding: vicious cycles in the ED.

Proceedings of the 29th International System Dynamics Conference: p (In press).

Washington, DC; 2011 http://www.systemdynamics.org/cgi-

bin/sdsweb?A1369+0, accessed 12 August 2011.


41

Russ AL, Militello LG, Saleem JJ, Wears RL, Fairbanks RJ, Karsh B-T. Human factors

education for healthcare audiences: ideas for the way forward. Proceedings of the

Human Factors and Ergonomics Society 55th Annual Meeting: p 808 - 812. Las

Vegas, NV; 2011.

Bisantz AM, Karsh B-T, Wears RL, Lewis VR, Ancker J, Fairbanks RJ. Health

information technology: can there be meaningful use without meaningful

design?. Proceedings of the Human Factors and Ergonomics Society 55th Annual

Meeting: p 724 - 728. Las Vegas, NV; 2011.

O'Neill J, Scott C, Kissoon N, Wludyka P, Wears R, Luten R. Pediatric self-inflating

resuscitators: the dangers of improper setup. J Emerg Med 2011;41(6):607-612.

Fee C, Hall K, Morrison JB, Stephens R, Cosby K, et al. Consensus-based

Recommendations for Research Priorities Related to Interventions to Safeguard

Patient Safety in the Crowded Emergency Department. Academic Emergency

Medicine 2011;18(12):1283-1288.

Handel DA, Wears RL, Nathanson LA, Pines JM. Using Information Technology to

Improve the Quality and Safety of Emergency Care. Academic Emergency

Medicine 2011;18(6):e45-e51.

Pines JM, Kelly JJ, Meisl H, Augustine J, Broida RI, et al. Procedural safety in

emergency care: a conceptual model and recommendations. Jt Comm J Qual

Patient Saf 2012;38(11):516-26.

Perry SJ, Wears RL. Underground adaptations: case studies from health care. Cognition,

Technology & Work 2012;14(3):253-260.

Wears RL. Rethinking healthcare as a safety-critical industry. Work 2012;41:4560 - 4563.

Wears RL. Can we make health IT safe enough for patients? Work 2012;41:4484 - 4489.

Wears RL, Parker SH. A wealth of information creates a poverty of attention:

understanding information requirements at handovers. Proceedings of the Human

Factors and Ergonomics Society 56th Annual Meeting: p 860 - 863. Boston,

MA;23 - 27 October 2012.

Beach C, Cheung DS, Apker J, Horwitz LI, Howell EE, et al. Improving Interunit

Transitions of Care Between Emergency Physicians and Hospital Medicine

Physicians: A Conceptual Approach. Acad Emerg Med 2012;19(10):1188 - 1195.

Kessler CS, Asrow A, Beach C, Cheung D, Fairbanks RJ, et al. The Taxonomy of

Emergency Department Consultations-Results of an Expert Consensus Panel. Ann

Emerg Med 2013;61(2):161-166, doi: 10.1016/j.annemergmed.2012.07.122


42

Patterson MD, Geis GL, Falcone RA, LeMaster T, Wears RL. In situ simulation:

detection of safety threats and teamwork training in a high risk emergency

department. BMJ Quality & Safety 2013;22(6)468-477,

doi:dx.doi.org/10.1136/bmjqs-2012-000942

Patterson, MD, Geis, GL, Lemaster, T, & Wears, RL (2012). Impact of multidisciplinary

simulation-based training on patient safety in a paediatric emergency department.

BMJ Quality &Safety 2013;22(5)383-393. doi: 10.1136/bmjqs-2012-000951

Wears RL, Morrison JB. Levels of Resilience: Moving from Resilience to Resilience

Engineering. Proceedings of the 5th International Symposium on Resilience

Engineering: p in press. Utrecht, the Netherlands;25 - 27 June 2013: Mines

ParisTech.

Hunte, G. S., Sheps, S., & Wears, R. L. (2013). Phronesis and resilience. Proceedings of

the 2nd International Symposium on Resilient Healthcare (pp. in press),

Middelfart, Denmark,24 - 28 August 2013.

Schubert, C., Wears, R. L., & Hunte, G. S. (2013). Patients as sources of resilience.

Proceedings of the 2nd International Symposium on Resilient Healthcare (pp. in

press), Middelfart, Denmark,24 - 28 August 2013.

Wears, R. L., Schubert, C., & Hunte, G. S. (2013). Individual - collective tradeoffs in

healthcare and their implications for resilience. Proceedings of the 2nd

International Symposium on Resilient Healthcare (pp. in press), Middelfart,

Denmark,24 - 28 August 2013.

Wears, R. L., & Tori, E. (2013). Moving from the modernist mythology. Proceedings of

the 2nd International Symposium on Resilient Healthcare (pp. in press),

Middelfart, Denmark,24 - 28 August 2013.

Wears RL. Levels of resilience: moving from resilience to resilience engineering. In:

Hollnagel E, van der Vorm J, Herrera IA, eds. 5th International Symposium on

Resilience Engineering. Soesterberg, Netherlands; 2013:in press.

Hunte GS, Wears RL, Schubert C. Structure, agency, and resilience. In: Hollnagel E, van

der Vorm J, Herrera IA, eds. 5th International Symposium on Resilience

Engineering. Soesterberg, Netherlands; 2013:in press.

Wears RL. Standardisation and its discontents. Cognition, Technology & Work

2014;x(x):(online ahead of print).

Russ AL, Fairbanks RJ, Karsh B-T, Militello LG, Saleem JJ, Wears RL. The science of

human factors: separating fact from fiction. BMJ Quality & Safety

2013;22(10):802-808. DOI 10.1136/bmjqs-2012-001450

Bosch SJ, Wears RL. Resilience engineering: a better way of approaching patient safety?

EDRA Connections 2013(1):7 - 8.


43

Hettinger AZ, Fairbanks RJ, Hegde S, Rackoff AS, Wreathall J, et al. An evidence-based

toolkit for the development of effective and sustainable root cause analysis system

safety solutions. Journal of healthcare risk management : the journal of the

American Society for Healthcare Risk Management 2013;33(2):11-20.

Guirgis FW, Gerdik C, Wears R, Williams D, Kalynych C, et al. Proactive rounding by a

rapid response team in a tertiary, academic, level 1 trauma center reduces

inpatient cardiac arrests. Resuscitation 2013; 84(12):1668-1673.

Catchpole K, Salas E, Wiegmann DA, Sarah P, Wears RL, Blocker R. Teamwork and

Handoffs in Trauma Care. Proceedings of the 57th Human Factors and

Ergonomics Society Annual Meeting: p 1104-1108. San Diego, CA;30 September

- 4 October 2013; http://pro.sagepub.com/content/57/1/1104.abstract.

Rivera-Rodriguez AJ, McGuire K, Carayon P, Kleiner B, Wears R, et al. Multi-Level

Ergonomics: Determining How To Bound Your System. Proceedings of the 57th

Human Factors and Ergonomics Society Annual Meeting: p 1104-1108. San

Diego, CA;30 September - 4 October 2013;

http://pro.sagepub.com/content/57/1/1104.abstract.

Roth E, Kilgore R, Burns C, Wears R, Lee JD, et al. Cognitive Engineering Across

Domains: What the Wide-angle View can Provide. Proceedings of the 57th

Human Factors and Ergonomics Society Annual Meeting: p 139-143. San Diego,

CA;30 September- 4 October 2013;

http://pro.sagepub.com/content/57/1/139.abstract.

Hettinger AZ, Fairbanks RJ, Hegde S, Rackoff AS, Wreathall J, et al. An evidence-based

toolkit for the development of effective and sustainable root cause analysis system

safety solutions. Journal of healthcare risk management: the journal of the

American Society for Healthcare Risk Management 2013;33(2):11-20.

Wears RL. Re: Lawmakers consider broad safety exemptions to bypass FDA.

http://catless.ncl.ac.uk/Risks/27.77.html#subj7, accessed 5 March 2014.

Wears RL, Hunte GS. Seeing patient safety ‘like a state’. Safety Science 2014;67:50-57.

Guirgis FW, Gerdik C, Wears RL, Kalynych CJ, Sabato J, Godwin SA. Naloxone

Triggering the RRT: A Human Antidote? J Patient Saf 2014; (in press).

Guirgis FW, Khadpe JD, Kuntz GM, Wears RL, Kalynych CJ, Jones AE. Persistent

organ dysfunction after severe sepsis: a systematic review. Journal of Critical

Care 2014;29(3):320-326.

Guirgis FW, Williams DJ, Kalynych CJ, Hardy ME, Jones AE, et al. End-tidal carbon

dioxide as a goal of early sepsis therapy. American Journal of Emergency

Medicine 2014, online ahead of print.


44

Fairbanks RJ, Wears RL, D WD, Hollnagel E, Plsek PE, Cook RI. Resilience and

resilience engineering in healthcare. Jt Comm J Qual Patient Saf 2014;40(8):376-

383.

Wears RL. Faster, better, cheaper redux: Federal Health IT safety. The Risks Digest

2014; 27. http://catless.ncl.ac.uk/Risks/27.94.html#subj4, accessed 25 May 2014.

Hunte GS, Wears RL. Resilience and power. Proceedings of the 3rd International

Conference on Resilient Health Care Hindsgavl, Denmark;12 - 16 August 2014,

in press.

Wears RL, Hunte GS. Designing procedures for resilience. Proceedings of the 3rd

International Conference on Resilient Health Care Hindsgavl, Denmark;12 - 16

August 2014, in press.

Apker J, Beach C, O’Leary K, Ptacek J, Cheung D, Wears R. Handoff Communication

and Electronic Health Records: Exploring Transitions in Care Between

Emergency Physicians and Internal Medicine/Hospitalist Physicians. Proceedings

of the International Symposium of Human Factors and Ergonomics in Healthcare

2014;3(1):162-169.

Clark LN, Guarrera TK, McGeorge NM, Hettinger AZ, Hernandez A, et al. Usability

evaluation and assessment of a novel emergency department IT system developed

using a cognitive systems engineering approach. Proceedings of the International

Symposium of Human Factors and Ergonomics in Healthcare 2014;3(1):76-80.

Editorials:

Wears RL. Use of computers in emergency medicine. Am J Emerg Med 1988; 7(1):120.

Wears RL. Predicting the demand for emergency medical services. Ann Emerg Med

1989; 18(6):705-6.

Wears RL. Computer database for ED visits. Ann Emerg Med 1992; 21(1):67-68.

Wears RL. Shared decisionmaking: easier said than done. Ann Emerg Med 1996;

28:702-4.

Wears RL, Lewis RJ. Statistical models and Occam's razor. Acad Emerg Med 1999;6:93-

94.

Wears RL, Leape LL. Human error in emergency medicine. Ann Emerg Med

1999;34:370-2.

Wears RL. Estimating the cost of medical care. Ann Emerg Med 1999;34(4 Pt 1):535-

537.


45

Wears RL. The aerial palaces of decision analysis redux. Acad Emerg Med 2000;7:380-

382.

Wears RL. Beyond error. Acad Emerg Med 2000;7:1175-1176.

Wears RL. Dueling meta-analyses. Ann Emerg Med 2000;36:234-236.

Wears RL, Janiak B, Moorhead JC, et al. Human error in medicine: promise and pitfalls,

part 1. Ann Emerg Med 2000;36:58-60.

Wears RL, Janiak B, Moorhead JC, et al. Human error in medicine: promise and pitfalls,

part 2. Ann Emerg Med 2000;36:142-144.

Vincent CA, Wears RL. Communication in the emergency department: separating the

signal from the noise. Med J Aust 2002;176(9):409-10.

Wears RL, Wu AW. Dealing with failure: the aftermath of errors and adverse events. Ann

Emerg Med 2002;39(3):344-6.

Wears RL. Headaches from practice guidelines. Ann Emerg Med 2002;39(3):334-7.

Wears RL. How many emergency department visits are there? Ann Emerg Med

2003;41(3): 319-21.

Wears RL. A different approach to safety in emergency care. Ann Emerg Med

2003;38(3):334 -36.

Schriger D, Wears R, Cooper R, Callaham M. Upgrading our instructions for authors.

Ann Emerg Med 2003;41(4):565-67.

Cooper R, Wears R, Schriger D. Reporting research results: Recommendations for

improving communication. Ann Emerg Med 2003;41(4):561-64.

Wears RL. Commentary: Still learning how to learn. Qual Safe Health Care

2003;12(6):471-72.

Wears RL. The limits of techne and episteme. Ann Emerg Med 2004; 43(1):15-16.

Wears R. Reaching first Bayes. Ann Emerg Med 2004;43(4):447-48.

Magid DJ, Asplin BR, Wears RL. The quality gap: searching for the consequences of

emergency department crowding. Ann Emerg Med 2004;44(6):586-588.

Nemeth C, O'Connor M, Cook R, et al. Crafting information technology solutions, not

experiments, for the emergency department. Acad Emerg Med

2004;11(11):1114-17.


46

Wears RL, Cook RI. The illusion of explanation. Acad Emerg Med 2004;11(10):1064 -

65.

Wears RL. Organizations and safety in health care. Qual Safe Health Care 2004;13 Suppl

2:ii1.

Wears RL. What I learned on sabbatical that I did not plan to learn. SAEM Newsletter

2005;17(4):9.

Wears RL, Schiff GD. One cheer for feedback. Ann Emerg Med 2005;45(1):24.

Wears RL, Magid DJ. Thinking globally, acting locally. Ann Emerg Med 2005;46(1):61-

63.

Magid D, Wears RL. Stroking the data: reanalysis of the NINDS study. Ann Emerg

Med 2005; 45(4):385 - 388.

Wears RL, Berg M. Computer Technology and Clinical Work: Still Waiting for Godot.

JAMA 2005;293(10):1261-1263.

Wears RL. Keep the celebrations short. Qual Safe Health Care 2005;14(3):154.

Wears RL, Cooper R, Magid DJ. Subgroups, re-analyses, and other dangerous things.

Ann Emerg Med 2005;46(3):253-255.

Wears RL. Patient Satisfaction and the Curse of Kelvin. Ann Emerg Med 2005;46(1):11.

Wears RL. Heart bone connected to the … trauma bone? Ann Emerg Med 2006;

48(4):355-357.

Wears RL, Nemeth CP. Replacing hindsight with insight: towards a better understanding

of diagnostic failures. Ann Emerg Med 2007; 49(2):206-209

Nemeth CP, Cook RI, Wears RL. Studying the technical work of emergency care. Ann

Emerg Med 2007;50(4):384-386.

Wears RL. The error of chasing 'error'. Northeast Florida Medicine 2007;58(3):30 - 31.

Wears RL, Woods D, D. Always Adapting. Ann Emerg Med 2007;50(5):517-519.

Wears RL. Lost in Translation. Ann Emerg Med 2008;51(1):78 - 79.

Wears RL. The Chart is Dead -- Long Live the Chart. Ann Emerg Med 2008; 52(4):390-

391.

Fairbanks RJ, Wears RL. Hazards With Medical Devices: The Role of Design. Ann

Emerg Med 2008;52(5):519-21.


47

Wears RL. The Error of Counting 'Errors'. Ann Emerg Med 2008;52(5):502-03.

Wears RL, Karsh B-T. Thick Versus Thin: Description Versus Classification in Learning

From Case Reviews. Ann Emerg Med 2008;51(3):262-64.

Bisantz AM, Wears RL. Forcing functions: the need for restraint. Ann Emerg Med 2009;

53(4):477-479.

Hamedani AG, Wears RL. Anyone, anything, anytime...All the time. Ann Emerg Med

2009;53(6):724-726.

Murphy AG, Wears RL. The medium is the message: communication and power in sign-

outs. Ann Emerg Med 2009;54(3):379 - 380.

Patterson ES, Wears RL. Beyond "Communication Failure". Ann Emerg Med

2009;53(6):711-712.

Wears RL. Situated vs regulatory rationality. Ann Emerg Med 2010;55(1):15 - 16.

Wears RL, Nelson LS. Believing is seeing. Annals of Emergency Medicine

2010;55(6):511 - 512.

Wears RL, Normand S-LT. When less is more: using shrinkage to increase accuracy.

Annals of Emergency Medicine 2010;55(6):553 - 555.

Wears RL, Cook RI. Getting Better at Doing Worse. Ann Emerg Med 2010;56(5):465 -

467.

Wears RL. Risk, radiation, and rationality. Ann Emerg Med 2011;58(1):9-11.

Wears RL. The hunting of the snark, 2011. Ann Emerg Med 2011;58(5):465-467.

Wears RL. The irony of using HIT to promote healthcare safety. EMPulse 2012;17(3):20

- 23.

Wears RL. Work, visible and invisible. Ann Emerg Med 2012; 59(5):374-375.

Wears RL. Poverty amid plenty. BMJ Quality and Safety 2012; 21(7):5330534.

Lemaster C, Wears RL, Schriger D. To err is human; to understand why, divine. Ann

Emerg Med 2012; 60(5):564-566.

Wears RL, Kneebone R. Orthodoxy in safety research -- time for a Reformation. Ann

Emerg Med 2012;60(5):580-581.

Lemaster CH, Wears RL. Stepping back: why patient safety is in need of a broader view

than the safety climate survey provides. Ann Emerg Med 2012;60(5):564-566.


48

Wears RL. Two Cheers for Regulation. Ann Emerg Med 2013;63(5):598-5994

Wears RL. The tragedy of adaptability. Ann Emerg Med 2014;63(3):338-339.

Wears RL. Risky business. Ann Emerg Med 2014;63(2):137-139.

Wears RL. Diagnosing diagnosis. Ann Emerg Med 2014 (online ahead of print)

Wears RL. Health information technology and victory. Ann Emerg Med 2014 (online

ahead of print)

Book Chapters:

Wears RL. Abdominal aortic aneurysms, in Harwood-Nuss AH, ed, The Clinical

Practice of Emergency Medicine. Philadelphia, JB Lippincott, 1995 & 1999.

Wears RL. Approach to the patient in the ED, in Harwood-Nuss AH, ed, The

Clinical Practice of Emergency Medicine. Philadelphia, JB Lippincott, 1995,

1999, 2005, 2008, 2009, and 2015 (in press).

Cosby K, Vinen J, Wears RL. Patient safety in the ED, in Harwood-Nuss AH, ed,

The Clinical Practice of Emergency Medicine. Philadelphia, JB Lippincott, 2005,

pp 1803 – 1806.

Croskerry PG, Perry SJ, Shapiro M, Wears RL. Patient safety and process

improvement, in Marx, J ed., Emergency Medicine, St Louis, MO: Mosby, 2005.

Wears RL. The science of safety. In: Zipperer L, ed. A Primer on Patient Safety.

Chicago, IL: National Patient Safety Foundation, 2001, pp 1 – 6.

Croskerry PG, Wears RL. Patient Safety. In: Markovchick V, Pons P, eds. Emergency

Medicine Secrets. 4th ed. Philadelphia, PA: Hanley and Belfus; 2003 and 2006.

Wears RL, Bisantz AM, Perry SJ, Fairbanks RJ. Consequences of technical change in

cognitive artefacts for managing complex work. In: Carayon P, Robertson M,

Kliener B, Hoonakker PLT, eds. Human Factors in Organizational Design and

Management - VIII. Santa Monica, CA: IEA Press; 2005:317 - 322.

Perry SJ, Wears RL, Shapiro M, et al. Transitions in care: signovers in emergency

departments. In: Tartaglia R, Bagnara S, Bellandi T, Albolino S, eds. Healthcare

Systems, Ergonomics and Patient Safety. Leiden, NE: Taylor & Francis; 2005:220

- 23.

Wears RL, Perry SJ, Salas E, Burke CS. Status boards in emergency departments:

Support for shared cognition. In: Tartaglia R, Bagnara S, Bellandi T, Albolino S,

eds. Healthcare Systems, Ergonomics and Patient Safety. Leiden, NE: Taylor &

Francis; 2005:273 - 80.


49

Behara R, Wears RL, Perry SJ, et al. Conceptual framework for the safety of

handovers. In: Advances in Patient Safety. Rockville, MD: Agency for Healthcare

Research and Quality / Department of Defense; 2005:309 - 321.

Wears, RL, Perry SJ. Human Factors and Ergonomics in the Emergency Department.

In: Carayon P, ed. Handbook of Human Factors and Ergonomics in Patient

Safety, 2007, pp 851 – 863.

Wears, RL, Perry SJ, Anders S, Woods DD. Resilience in the emergency department.

In: Hollnagel E, Dekker S, eds. Resilience Engineering: Remaining Open to the

Possibility of Failure. Aldershot, UK: Ashgate; 2008, p 193-210.

Murphy A, Eisenberg E, Wears RL, Perry S. Streams of action: power, authority, and

deference in emergency medicine. In: Zoller HM, Dutta MJ, eds. Emerging

Perspectives in Health Communication: Meaning, Culture, and Power. New

York, NY: Routledge; 2008:275 - 92.

Nemeth CP, Wears RL. An agenda for healthcare team communication research. In:

Nemeth CP, ed. Improving Healthcare Team Communication: Building on

Lessons from Aviation and Aerospace. Aldershot, UK: Ashgate; 2008: 245 - 50.

Fairbanks RJ, Rueckmann RA, Kolstee KE, Hays DP, Cobaugh DJ, et al. Clinical

Pharmacists in Emergency Medicine. In: K H, Battles JB, Keyes MA, Grady ML,

eds. Advances in patient safety: New directions and alternative approaches.

AHRQ Publication No. 08-0034-1 ed. Rockville, MD: Agency for Healthcare

Research and Qualilty; 2008.

Henriksen K, Oppenheimer C, Leape LL, Hamilton K, Bates DW, et al. Envisioning

patient safety in the year 2025: eight perspectives. In: K H, Battles JB, Keyes

MA, Grady ML, eds. Advances in patient safety: New directions and alternative

approaches. AHRQ Publication No. 08-0034-1 ed. Rockville, MD: Agency for

Healthcare Research and Quality; 2008: pp 3 - 15.

Nemeth C, Wears R, Woods D, Hollnagel E, Cook R. Minding the gaps: creating

resilience in healthcare. In: K H, Battles JB, Keyes MA, Grady ML, eds.

Advances in patient safety: New directions and alternative approaches. AHRQ

Publication No. 08-0034-3 ed. Rockville, MD: Agency for Healthcare Research

and Qualilty; 2008: pp 1 -13.

Perry SJ, Wears RL, Patterson ES. High-hanging fruit: improving transitions in

healthcare. In: K H, Battles JB, Keyes MA, Grady ML, eds. Advances in patient

safety: New directions and alternative approaches. AHRQ Publication No. 08-

0034-3 ed. Rockville, MD: Agency for Healthcare Research and Quality; 2008:

pp 1 - 9.


50

Wears RL, Levenson NG. "Safeware": safety-critical computing and healthcare

information technology. In: K H, Battles JB, Keyes MA, Grady ML, eds.

Advances in patient safety: New directions and alternative approaches. AHRQ

Publication No. 08-0034-4 ed. Rockville, MD: Agency for Healthcare Research

and Qualilty; 2008: pp 1 - 10.

Berner ES, Ray MN, Schiff GD, et al. Closing the feedback loop to improve

diagnostic quality. In: AHRQ Patient Safety Conference. Washington, DC; 2008.

Nemeth CP, Wears RL, Walter J, Cook RI. Resilience is not control: healthcare,

crisis management, and ICT. In: Hollnagel E, Nemeth CP, Dekker SWA, eds.

Information and Communications Technology in Crisis Management. Aldershot,

UK: Ashgate; 2010.

Perry SJ, Wears RL. Notes from underground: latent resilience in healthcare. In:

Nemeth CP, Hollnagel E, Dekker SWA, eds. Resilience Engineering

Perspectives: Preparation and Restoration. Aldershot, UK: Ashgate; 2009: pp

167 - 178.

Perry SJ, Wears RL. Coping with chaos: coordination of work in healthcare. In:

Mosier K, Fischer U, eds. Informed By Knowledge: Expert Performance in

Complex Situations.: Taylor & Francis; p 55-68.

GRA/ORR Joint Committee on Patient Safety and Graduate Medical Education.

Patient Safety and Graduate Medical Education. Chicago, IL: Association of

American Medical Colleges, 2003.

Patterson ES, Wears RL. Measurement approaches for transitions of authority and

responsibility during handoffs. In: Patterson ES, Miller J, eds. Macrocognition

Metrics and Scenarios: Design and Evaluation for Real-World Teams: Ashgate;

2010: pp 174 - 206.

Perry SJ, Wears RL, McDonald SS. Implementing teamwork training in the

emergency department: the good, the unexpected, and the problematic. In: Salas

E, Frush K, eds. Improving Patient Safety through Teamwork and Team Training.

Oxford, UK: Oxford University Press; 2012: pp 129 - 135.

Wears RL, Perry SJ, Patterson ES. Handoffs and Transitions in Care. In: Carayon P,

ed. Handbook of Human Factors and Ergonomics in Health Care and Patient

Safety. 2nd ed. Mahway, NJ: Lawrence Erlbaum Associates; 2011: pp 163 - 171.

Perry SJ, Wears RL, Fairbanks RJ. Human factors and ergonomics in the emergency

department. In: Carayon P, ed. Handbook of Human Factors and Ergonomics in

Health Care and Patient Safety. 2nd ed. Mahway, NJ: Lawrence Erlbaum

Associates; 2011: pp 709 - 722.


51

Koppel R, Davidson S, Wears RL, Sinsky CA. Health care information technology to

the rescue. In: Koppel R, Gordon S, eds. First Do Less Harm: Confronting the

Inconvenient Problems of Patient Safety. Ithaca, NY: Cornell University Press;

2012: pp 62 - 89.

Wears RL, Sutcliffe KS, Van Rite E. A Brief History of Patient Safety. In Zipperer

L, ed. Patient Safety: Evidence, Information, and Knowledge, 2014, in press.

Baird, P., Carroll, J. S., Conger, D., Gallogly, K. W., Martin, J., Siewko, D., Stone,

K., et al. (2013). Root cause analysis and corrective action. In M. B. Weinger, B.

P. Hallbert & M. J. Logan (Eds.), Risk and Reliability in Healthcare and Nuclear

Power (pp. 81 - 98). Arlington, VA: AAMI.

Perry SJ, Wears RL, McDonald SS. Implementing teamwork training in the

emergency department: the good, the unexpected, and the problematic. In: Salas

E, Frush K, eds. Improving Patient Safety through Teamwork and Team Training.

Oxford, UK: Oxford University Press; 2012: pp 129 - 135.

Wears RL, Vincent CA. Relying on resilience: too much of a good thing? In:

Hollnagel E, Braithwaite J, Wears RL, eds. Resilient Health Care. Farnham, UK:

Ashgate; 2013: pp 135 - 144.

Hollnagel E, Braithwaite J, Wears RL. Epilogue: How to make healthcare resilient.

In: Hollnagel E, Braithwaite J, Wears RL, eds. Resilient Health Care. Farnham,

UK: Ashgate; 2013: pp 227 - 238.

Hollnagel E, Braithwaite J, Wears RL. Preface: On the need for resilience in

healthcare. In: Hollnagel E, Braithwaite J, Wears RL, eds. Resilient Health Care.

Farnham, UK: Ashgate; 2013: pp xix - xxvi.

Wears RL, Webb LK. Fundamental on situational surprise: a case study with

implications for resilience. In: Nemeth CP, Hollnagel E, eds. Becoming Resilient.

Farnham, UK: Ashgate; 2014: pp 33 - 36.

Wears RL, Hollnagel E, Braithwaite J. Preface. In: Wears RL, Hollnagel E,

Braithwaite J, eds. The Resilience of Everyday Clinical Work. Farnham, UK:

Ashgate, in press, release 2015.

Wears RL, Schubert CC, Hunte GS. Individual-collective tradeoffs: implications for

resilience. In: Wears RL, Hollnagel E, Braithwaite J, eds. The Resilience of

Everyday Clinical Work. Farnham, UK: Ashgate, in press, release 2015.

Schubert CC, Wears RL, Holden RJ. Patients as a source of resilience. In: Wears

RL, Hollnagel E, Braithwaite J, eds. The Resilience of Everyday Clinical Work.

Farnham, UK: Ashgate, in press, release 2015.


52

Books, Reports and Monographs

Wears RL. Taylorism Redux: The Role of Authoritarian High Modernism in Patient

Safety and Healthcare. Halifax Forum, 2003.

Wears RL. Book Review. Resilience Engineering: Concepts and Precepts. Quality &

Safety in Health Care 2006;15(6):447-448.

Woloshynowych M, Davis R, Brown R, Wears RL, Vincent C, Lyons M. Enhancing

Safety in Accident and Emergency Care. London, UK: Patient Safety Research

Programme; 2007,

http://www.haps2.bham.ac.uk/publichealth/psrp/documents/PS010_A_and_E_Vin

cent_et_al_2007.pdf, accessed 7 October 2011, 61 pages.

Cosby K, Schenkel S, Wears RL, Croskerry P, eds. Patient Safety in Emergency

Care. Lippincott Williams Wilkins, 2009, 428 pages.

Success Without Victory: A Conversation with Professor Robert L Wears. EMPulse

2009; 14(6):20 – 21.

Wears, RL. Exploring the Dynamics of Resilience. PhD thesis, École Nationale

Superior des Mines de Paris, 227 pages, Paris, France. Available at

http://pastel.archives-ouvertes.fr/pastel-00664145

Hollnagel E, Braithwaite J, Wears RL (eds). Resilience in Healthcare. Farnham, UK:

Ashgate; 2013, 292 pgs.

Wears, RL, Hollnagel E, Braithwaite J (eds). Resilience in Everyday Clinical Work.

Farnham, UK: Ashgate; in press, release spring 2015.

Abstracts (not listed if later published as full paper):

Spillane JP, Schauben JL, Li S, Norman SA, Wears RL, Rose SR, Augenstein WL. A

retrospective evaluation of poisoning exposures in infants 0-12 months of age

[abstract]. Veterinary & Human Toxicology 1989; 31:350. (Presented at

American Association of Poison Control Centers Annual Meeting, Atlanta, GA,

1989).

Vukich DJ, Fluskey LL, McPherson JR, Wear RL. The prehospital use of sublingual

nifedipine in hypertensive urgencies and emergencies [abstract]. Ann Emerg Med

1990; 19(4):459.

Khan NS, Luten RC, Wears RL. Length-based resuscitation tape for preterm and

term newborns [abstract]. Ann Emerg Med 1993; 22:914. (Presented at Society

for Academic Emergency Medicine, San Francisco, CA, 1993).


53

Wears RL, Kunisaki TA. High-dose epinephrine in cardiac arrest: results of meta-

analysis [abstract]. Ann Emerg Med 1993; 22:933. (Presented at Society for

Academic Emergency Medicine, San Francisco, CA, 1993).

Wears RL. A method for identifying and adjusting for sample-size-related

publication bias in the meta-analysis of randomized controlled trials [abstract].

Med Decis Making 1993; 13:401.

Wears RL, Stenklyft PH, Luten RC. Using decision tables to verify the logical

consistency and completeness of clinical guidelines: fever without source in

children under three years. Acad Emerg Med 1994; 1:A35.

Wears RL, Ward RA. The marginal cost of low acuity emergency department visits.

Acad Emerg Med 1995; 2:350. (Presented at Society for Academic Emergency

Medicine, San Antonio, TX, 1995).

Wears RL, Seaberg DS, Perry SJ. Imbalance of power: a problem with informal

cost-effectiveness analyses. Acad Emerg Med 1997; 4(5):516. (Presented at

Society for Academic Emergency Medicine, Washington, DC, 1997).

Lauer D, Perry SJ, Luten RC, Wears RL. Pre- and post-training video analysis of

emergency medicine residents performing intubations using rapid sequence

intubation (abstract). Ann Emerg Med 2000;36(4):360. (Presented at Society for

Academic Emergency Medicine, San Francisco, CA, 2000)

Elliott C, Wears RL. Emergency department overcrowding and the nursing

shortage: a resident’s perspective. (Presented at UF Research Day, April 2004).

Patterson MD, Geis GL, Wears RL. Unexpected benefits of simulation-based

teamwork training: detection of latent safety threats.

http://www.abstracts2view.com/pas/view.php?nu=PAS6L1_2936, accessed 17

May 2006.

Patterson MD, Geis GL, Wears RL. Implementation of a simulation-based patient

safety curriculum in a pediatric emergency department.

http://www.abstracts2view.com/pas/view.php?nu=PAS6L1_2622, accessed 17

May 2006.

Wreathall J, Wears RL, Perry SJ. A PRA-based evaluation of alternative white

boards in an ED setting. Paper presented at PSAM 10 Seattle, WA; 2010.

Akhlagi M, Swanson T, Brimblecom D, Wears RL, Kalynych C, Kumar V, Lott M.

Accuracy of ECG interpretations by emergency medicine residents and the

efficacy of immediate feedback by attending. (Presented at Duval County

Medical Society, 1 December 2010).

Taira BR, Wears RL, Callaham M. Acceptance rates for qualitative studies in

emergency medicine [abstract]. Ann Emerg Med 2012;60(4 Suppl):S35-S36.


54

Garg N, Wears RL. System dynamics as a tool to understand the operations of an

emergency department. Acad Emerg Med 2014:(in press).

Garg N, Wears RL, Genes N. Simulation to learn emergency eepartment

management. Acad Emerg Med 2014:(in press).

Letters:

Wears RL. Blood gases in hypothermia [letter]. JACEP 1979; 8(6):247.

Wears RL. Mechanical ECC not yet warranted [letter]. Ann Emerg Med 1981;

10(3):165

Wears RL, Kamens DR. Predictive instrument to improve coronary-care-unit admission

practices [letter]. N Engl J Med 1984; 311(19):1253-4.

Wears RL, Kamens DR. Mega-groups: major problem facing emergency medicine

[letter]. Ann Emerg Med 1985; 14(1):83-4.

Kamens DR, Wears RL. DRG death: report of a case [letter]. Ann Emerg Med 1985;

14(3):281.

Wears RL. Error in statistical significance [letter]. Ann Emerg Med 1986; 15(6):766.

Wears RL. Evaluation of emergency IVP use [letter]. Ann Emerg Med 1986;

15(11):1375-6.

Wears RL. Testing in emergency medicine [letter]. Ann Emerg Med 1987; 16(4):473-4.

Fesmire FM, Percy RF, Wears RL. In-hospital outcome of patients with coronary artery

disease in whom myocardial infarction has been ruled out [letter]. N Engl J Med

1989; 320(21):1423-4.

Sanchez-Ramos L, Wears RL. Acute pyelonephritis in pregnancy: a prospective study

of oral versus intravenous antibiotic therapy [letter]. Obstet Gynecol 1990;

76(5 pt 1):891-2.

Petri RW, Wears RL. Data collection and observer bias [letter]. Ann Emerg Med 1990;

19(5):614.

Wears RL, Li S. Quantitative analysis of litigation costs [letter]. Ann Emerg Med 1990;

19(6):733.

Fesmire FM, Percy RF, Wears RL. Decision-making in patients with suspected AMI

[letter]. Ann Emerg Med 1992; 21:1167-8

Wears RL. Log-linear modeling [letter]. Ann Emerg Med 1993; 22:1240.


55

Wears RL. What is necessary for proof? Is 95% sure unrealistic [letter]? JAMA 1994;

271:272.

Wears RL. Practice profiles [letter]. N Engl J Med 1994; 331:202-3.

Wears RL. Rationing resources while improving quality [letter]. JAMA 1995;273:995-6.

Callaham ML, Weber W, Young G, Wears R, Barton C. Time to publication of studies

was not affected by whether results were positive [letter]. BMJ 1998 316: 1536.

Dunn JD, Wears RL. The November Special Issue on Errors (letter, authors’ response).

Acad Emerg Med 2001;8(6):686-88.

Wears RL. Comments on "Clinical decision making: an emergency medicine

perspective" [letter]. Acad Emerg Med 2000;7:411-412; discussion 412-414.

Wears RL. Six sigma is really only 4.5 sigma. BMJ rapid responses.

http://bmj.bmjjournals.com/cgi/eletters/328/7432/162#50383, accessed 3 March

2004.

Wears RL, Berg M. Computers and clinical work (authors’ response). JAMA

2005;294(2):181 - 182.

Wears RL. Response to commentaries on Koppel et al. Journal of Biomedical Informatics

2005;38(6):e1-e1.

Luten RC, Zaritsky A, Wears R, Broselow J. The use of the Broselow tape in pediatric

resuscitation. Acad Emerg Med 2007;14(5):500-501; author reply 501-502.

Luten R, Kahn N, Wears R, Kissoon N. Predicting endotracheal tube size by length in

newborns. J Emerg Med 2007;32(4):343-347.

Wears RL. In reply to Lang, O'Shaughessy. Ann Emerg Med 2008;51(6):793-794.

Wears RL. In reply to Sargeant et al. Ann Emerg Med 2008;52(5):576-77.

Wears RL. In reply to Grahm et al. Ann Emerg Med 2009; 54(2):314 .

Wears RL. Curious bootstrap estimates.

http://www.bmj.com/content/341/bmj.c5204/reply#bmj_el_246361, accessed 13

December 2010.

Saleem, J. J., Patterson, E. S., Russ, A. L., & Wears, R. L. (2011). The need for a broader

view of human factors in the surgical domain. Archives of Surgery, 146(5), 631-

632. doi: 10.1001/archsurg.2011.72

Wears RL. Lessons From the Glasgow Coma Scale. Ann Emerg Med 2012;59(4):338.

Wears RL. In reply to Dr Schwartz. Ann Emerg Med 2012;59(5):446.


56

Russ AL, Weiner M, Saleem JJ, Wears RL. When 'technically preventable' alerts occur,

the design -- not the prescriber -- has failed. JAMIA 2012;19(6):1119.

Russ AL, Militello LG, Saleem JJ, Fairbanks RJ, Wears RL. Response to Separating Fact

from Opinion: A Response to 'The Science of Human Factors: Separating Fact

from Fiction'. BMJ Quality & Safety 2013;22(11):964-966.

Wears RL, Hettinger AZ. In reply to Schneider. Ann Emerg Med 2014;63(5):651.

Contracts and Grants

Principal Investigator, Simulation Modeling of Prehospital Emergency Medical Services

State of Florida HRS/EMS Matching Grant #LPN68

$24,400.00 1988-1989

Co-investigator, Emergency Medical Services for Children

Bureau of Maternal and Child Health

$760,319.00 1987-1988

Co-investigator, Computer-based Community-wide Immunization Tracking

City of Jacksonville/Division of HHS

$49,000.00 1991-1992

Principal Investigator, Florida Poison Centers Data System

Florida HRS/Children's Medical Services

$150,000.00 1994

Principal Investigator, Florida Statewide Poison Centers Data System

Florida HRS/Children's Medical Services

$500,000.00 1996-1997

Site Principal Investigator, Emergency Team Coordination Course

Army Research Laboratory / Dynamics Research Corporation 1997-2001

$460,000.00

Steering Committee, IAIMS Planning Grant

National Library of Medicine 1999-2001

$150,000

Principal Investigator, Errors in Emergency Care: A Convergence Approach

National Patient Safety Foundation 2001-2003

$99,500

Principal Investigator, Organizational Foundations of Patient Safety

Agency for Healthcare Research and Quality (R13 HS10952-01) 2001

$44,000.


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Principal Investigator, Developmental Centers for Evaluation & Research on Patient

Safety

Agency for Healthcare Research and Quality (P20 HS11592) 2001-2004

$600,000

Co-investigator, Transitions in Care

National Patient Safety Foundation 2003-2004

$94,000

Principal Investigator, Human Factors Analysis of Automated Dispensing Units

American Society of Health Systems Pharmacists 2003

$60,000

Principal Investigator, Defining and Enhancing Safety Culture

Florida Agency for Healthcare Administration 2004

$75,000

Principal Investigator, Teaching Disclosure of Adverse Events

Florida Agency for Healthcare Administration 2004

$105,000

Principal Investigator, Research Methods in Patient Safety

Society for Academic Emergency Medicine Scholarly Sabbatical 2004-2005

$60,000

Principal Investigator, Safety Implications of Computerizing the Whiteboard

Emergency Medicine Foundation 2005 - 2007

$100,000

Principal Investigator, Analysis of the Critical Event (Code 15) Reporting System

Florida Patient Safety Corporation 2006

$54,000

Co-investigator, Emergency Department Simulation for Research and Training in

Healthcare Information Technology

(L Lin, University of Buffalo, PI)

Agency for Healthcare Research and Quality (1 U18 HS016672-01) 2006-2008

$598,057

Scientific Director, Florida Patient Safety Corporation 2007-2009

$150,000

Principal Investigator, Proactive Risk Assessment in the ED: Building the ‘Safety Case’

Agency for Healthcare Research and Quality (1 P20 HS017141-01) 2007-2008

$197,261


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Site Principal Investigator, Closing the Feedback Loop: Effect of Feedback on

Diagnostic Performance

Agency for Healthcare Research and Quality (1 R13 HS017406-01) 2007-2009

$261,800

Key Personnel, LEARN (Leveraging Existing Assessments of Risk Now)

Agency for Healthcare Research and Quality (1 P20 HS017114-01) 2007-2008

$199,313

Principal Investigator, Reducing Risks by Engineering Resilience into Health Information

Technology for Emergency Departments.

Agency for Healthcare Research and Quality (1 R18 HS017902-01) 2008 – 2011

$891,435

National Institutes of Health (NIBIB) K08 Mentored Clinical Scientist Award

(1K08EB009090-01)

“Human factors engineering approach to optimize design of imaging systems for non-

radiologists” (PI: RJ Fairbanks). Mentored Career Development Award

Role: Advisement Committee Member; (in kind effort, 8/2009 - 7/2013).

Principal Investigator

Robert Wood Johnson Foundation Investigator Award in Health Policy Research

Medicalizing Patient Safety

$300,000 2010 - 2013

Principal Investigator

National Heart Lung & Blood Institute (1 R21 HL098875-010)

System dynamic modeling of emergency department and hospital crowding

$365,141 2010 - 2012

Morrison JB (PI), Wears RL (Co-I).

National Institute of General Medicine (R01 GM105049-01)

System Dynamics Modeling of Multi-level Coping Responses to Understand Resilience

during Emergency Department Overcrowding.

$729,324

Nugus, P (PI).Wears RL (Co-I)

Canadian Institutes of Health Research (CIHR), Planning Grant

Translating Knowledge to Organizational Change: Exploring the Role of Video

Ethnography to Promote Clinical Learning and Health System Improvement

$21,777 CAD

Testimony given before Federal agencies:

Wears RL. Patient Safety in Emergency Care. National Summit on Medical Errors and

Patient Safety, September 2000. http://www.quic.gov/summit/aswears.htm,

accessed 17 October 2000.


59

Wears RL, Sutcliffe KM. Patient Safety at the Organizational Level. National Summit on

Medical Error and Patient Safety Research, September 2000.

http://www.quic.gov/summit/aswearsut.htm, accessed 17 October 2000.

Wears RL, Simon R. Creating Complementary Roles for Behavioral Solutions and

Technology Applications in Patient Safety. National Summit on Medical Error

and Patient Safety Research, September 2000.

http://www.quic.gov/summit/aswearsut.htm, accessed 17 October 2000.

Wears RL. Tort Reform and Patient Safety. Office of the Secretary, Dept of Health

and Human Services, Jacksonville, FL, 17 December 2002.

Inventions, Patents, Other Creative Works

2003 Design for Prevention of Guidewire Embolization. “Non-migrating

percutaneous guidewire”, UF #11346, US patent pending.

2004 Wears, RL, Buckman R, Perry SJ. How to Manage Disclosure of Adverse

Events. Teaching DVD.

2012 Sutcliffe KM, Wears RL. The Need for Pluralism. Robert Wood Johnson

Human Capital blog.

http://blog.rwjf.org/humancapital/2012/09/14/the-need-for-pluralism/

accessed 14 September 2014.

2014 Wears, RL. The Joy of Slack. Resilience Healthcare Learning Network.

http://resiliencehealthcarelearningnetwork.ca/blog/the-joy-of-slack,

accessed 30 January 2014

http://blog.rwjf.org/humancapital/2012/09/14/the-need-for-pluralism/

http://resiliencehealthcarelearningnetwork.ca/blog/the-joy-of-slack

curriculum vitae robert lewis wears, md, ms, phd, facep

Documents