Gordon Schiff, MD - Department of Medicine

Gordon Schiff, MD

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Associate Physician, Brigham and Women's Hospital
Associate Professor of Medicine, Harvard Medical School
Associate Director, Center for Patient Safety Research and Practice, Brigham and Womens Hospital

Brigham and Women's Hospital
Department of Medicine
General Medicine
75 Francis Street
Boston, MA 02115

Research Location: A Building

Research Narrative: Studies on patient safety, diagnosis errors, test result follow-up, drug safety, formulary decision-making, linking laboratory and pharmacy data, , and promoting more conservative prescribing

Education:	Rush Medical College of Rush University, 1976, MD

Keywords (MeSH):	Diagnostic Errors Drug Therapy Drug Prescriptions Medication Errors Quality Assurance, Health Care Medical Record Linkage Hospitals, Public

Publications (Pulled from Harvard Catalyst Profiles): 1. Haas JS, Klinger E, Marinacci LX, Brawarsky P, Orav EJ, Schiff GD, Bates DW. Active pharmacovigilance and healthcare utilization. Am J Manag Care. 2012; 18(11):e372-7. 2. Horsky J, Schiff GD, Johnston D, Mercincavage L, Bell D, Middleton B. Interface design principles for usable decision support: A targeted review of best practices for clinical prescribing interventions. J Biomed Inform. 2012 Dec; 45(6):1202-16. 3. Bitton A, Schwartz GR, Stewart EE, Henderson DE, Keohane CA, Bates DW, Schiff GD. Off the hamster wheel? Qualitative evaluation of a payment-linked patient-centered medical home (PCMH) pilot. Milbank Q. 2012 Sep; 90(3):484-515. 4. Haas JS, Amato M, Marinacci L, Orav EJ, Schiff GD, Bates DW. Do package inserts reflect symptoms experienced in practice?: assessment using an automated phone pharmacovigilance system with varenicline and zolpidem in a primary care setting. Drug Saf. 2012 Aug 1; 35(8):623-8. 5. Schiff GD, Galanter WL, Duhig J, Koronkowski MJ, Lodolce AE, Pontikes P, Busker J, Touchette D, Walton S, Lambert BL. A prescription for improving drug formulary decision making. PLoS Med. 2012; 9(5):1-7. 6. Pollard SE, Neri PM, Wilcox AR, Volk LA, Williams DH, Schiff GD, Ramelson HZ, Bates DW. How physicians document outpatient visit notes in an electronic health record. Int J Med Inform. 2013 Jan; 82(1):39-46. 7. Schiff GD, Leape LL. Commentary: how can we make diagnosis safer?. Acad Med. 2012 Feb; 87(2):135-8. 8. Leung AA, Keohane C, Amato M, Simon SR, Coffey M, Kaufman N, Cadet B, Schiff G, Zimlichman E, Seger DL, Yoon C, Song P, Bates DW. Impact of vendor computerized physician order entry in community hospitals. J Gen Intern Med. 2012 Jul; 27(7):801-7. 9. Schiff GD. System dynamics and dysfunctionalities: levers for overcoming emergency department overcrowding. Acad Emerg Med. 2011 Dec; 18(12):1255-61. 10. Schiff GD. Finding and fixing diagnosis errors: can triggers help? BMJ Qual Saf. 2012 Feb; 21(2):89-92. show all 11. Steinman MA, Handler SM, Gurwitz JH, Schiff GD, Covinsky KE. Beyond the prescription: medication monitoring and adverse drug events in older adults. J Am Geriatr Soc. 2011 Aug; 59(8):1513-20. 12. Weingart SN, Seger AC, Feola N, Heffernan J, Schiff G, Isaac T. Electronic drug interaction alerts in ambulatory care: the value and acceptance of high-value alerts in US medical practices as assessed by an expert clinical panel. Drug Saf. 2011 Jul 1; 34(7):587-93. 13. Schiff GD, Galanter WL, Duhig J, Lodolce AE, Koronkowski MJ, Lambert BL. Principles of conservative prescribing. Arch Intern Med. 2011 Sep 12; 171(16):1433-40. 14. Schiff GD. Medical error: a 60-year-old man with delayed care for a renal mass. JAMA. 2011 May 11; 305(18):1890-8. 15. Yu S, Galanter WL, DiDomenico RJ, Borkowsky S, Schiff GD, Lambert BL. Selection of drug-laboratory result pairs for an inpatient asynchronous alert program: results of a Delphi survey. Am J Health Syst Pharm. 2011 Mar 1; 68(5):407-14. 16. Crabtree BF, Chase SM, Wise CG, Schiff GD, Schmidt LA, Goyzueta JR, Malouin RA, Payne SM, Quinn MT, Nutting PA, Miller WL, Jaén CR. Evaluation of patient centered medical home practice transformation initiatives. Med Care. 2011 Jan; 49(1):10-6. 17. Schiff G, Norsigian J. Estrogen implants: embodiments of deeper problems in the marketing of drugs. J Gen Intern Med. 2010 Sep; 25(9):893-5. 18. Haas JS, Iyer A, Orav EJ, Schiff GD, Bates DW. Participation in an ambulatory e-pharmacovigilance system. Pharmacoepidemiol Drug Saf. 2010 Sep; 19(9):961-9. 19. Yang Y, McBride MV, Rodvold KA, Tverdek F, Trese AM, Hennenfent J, Schiff G, Lambert BL, Schumock GT. Hospital policies and practices on prevention and treatment of infections caused by methicillin-resistant Staphylococcus aureus. Am J Health Syst Pharm. 2010 Jun 15; 67(12):1017-24. 20. Raja AS, Wright C, Sodickson AD, Zane RD, Schiff GD, Hanson R, Baeyens PF, Khorasani R. Negative appendectomy rate in the era of CT: an 18-year perspective. Radiology. 2010 Aug; 256(2):460-5. 21. Schiff GD, Bates DW. Can electronic clinical documentation help prevent diagnostic errors? N Engl J Med. 2010 Mar 25; 362(12):1066-9. 22. Schiff GD, Hasan O, Kim S, Abrams R, Cosby K, Lambert BL, Elstein AS, Hasler S, Kabongo ML, Krosnjar N, Odwazny R, Wisniewski MF, McNutt RA. Diagnostic error in medicine: analysis of 583 physician-reported errors. Arch Intern Med. 2009 Nov 9; 169(20):1881-7. 23. Schiff GD, Galanter WL. Promoting more conservative prescribing. JAMA. 2009 Feb 25; 301(8):865-7. 24. Schiff G. Introduction to special theme issue on health insurance in the United States. Med Care. 2008 Oct; 46(10):1003-8. 25. Schiff GD. Minimizing diagnostic error: the importance of follow-up and feedback. Am J Med. 2008 May; 121(5 Suppl):S38-42. 26. Weiner SJ, Schwartz A, Yudkowsky R, Schiff GD, Weaver FM, Goldberg J, Weiss KB. Evaluating physician performance at individualizing care: a pilot study tracking contextual errors in medical decision making. Med Decis Making. 2007 Nov-Dec; 27(6):726-34. 27. Schiff GD, Kim S, Seger AC, Bult J, Bates DW. Ability of practitioners to identify solid oral dosage tablets. Am J Health Syst Pharm. 2006 May 1; 63(9):838-43. 28. Parada JP, Schwartz DN, Schiff GD, Weiss KB. Effects of type and level of training on variation in physician knowledge in the use and acquisition of blood cultures: a cross sectional survey. BMC Infect Dis. 2005; 5:71. 29. Schiff GD, Kim S, Krosnjar N, Wisniewski MF, Bult J, Fogelfeld L, McNutt RA. Missed hypothyroidism diagnosis uncovered by linking laboratory and pharmacy data. Arch Intern Med. 2005 Mar 14; 165(5):574-7. 30. Schiff GD. Introduction: Communicating critical test results. Jt Comm J Qual Patient Saf. 2005 Feb; 31(2):63-5, 61. 31. Goldberg D, Schiff GD, McNutt R, Furumoto-Dawson A, Hammerman M, Hoffman A. Mailings timed to patients' appointments: a controlled trial of fecal occult blood test cards. Am J Prev Med. 2004 Jun; 26(5):431-5. 32. Schiff G. Standardized pill imprint codes: a pharma fantasy. J Med Syst. 2004 Feb; 28(1):1-7. 33. Schiff GD, Fung S, Speroff T, McNutt RA. Decompensated heart failure: symptoms, patterns of onset, and contributing factors. Am J Med. 2003 Jun 1; 114(8):625-30. 34. Schiff GD, Klass D, Peterson J, Shah G, Bates DW. Linking laboratory and pharmacy: opportunities for reducing errors and improving care. Arch Intern Med. 2003 Apr 28; 163(8):893-900. 35. Schiff G, Fegan C. Community health centers and the underserved: eliminating disparities or increasing despair. J Public Health Policy. 2003; 24(3-4):307-11. 36. Schiff GD, Keehr LM, Sai TT, Bult J. High rates of adverse effects and patient unawareness of withdrawn lipid-lowering drug combination in a public hospital clinic. Pharmacoepidemiol Drug Saf. 2002 Dec; 11(8):643-5. 37. Schiff G. An unsuspecting American with no Medicare coverage--me! Health Aff (Millwood). 2002 Nov-Dec; 21(6):202-6. 38. Schiff GD. Computerized prescriber order entry: models and hurdles. Am J Health Syst Pharm. 2002 Aug 1; 59(15):1456-60. 39. Schiff GD, Young QD. You can't leap a chasm in two jumps: The Institute of Medicine health care quality report. Public Health Rep. 2001 Sep-Oct; 116(5):396-403. 40. Schiff GD, Wisniewski M, Bult J, Parada JP, Aggarwal H, Schwartz DN. Improving inpatient antibiotic prescribing: insights from participation in a national collaborative. Jt Comm J Qual Improv. 2001 Aug; 27(8):387-402. 41. Schiff GD, Rucker TD. Beyond structure-process-outcome: Donabedian's seven pillars and eleven buttresses of quality. Jt Comm J Qual Improv. 2001 Mar; 27(3):169-74. 42. Schiff GD, Aggarwal HC, Kumar S, McNutt RA. Prescribing potassium despite hyperkalemia: medication errors uncovered by linking laboratory and pharmacy information systems. Am J Med. 2000 Oct 15; 109(6):494-7. 43. Sack DA, Tacket CO, Cohen MB, Sack RB, Losonsky GA, Shimko J, Nataro JP, Edelman R, Levine MM, Giannella RA, Schiff G, Lang D. Validation of a volunteer model of cholera with frozen bacteria as the challenge. Infect Immun. 1998 May; 66(5):1968-72. 44. Schiff GD, Rucker TD. Computerized prescribing: building the electronic infrastructure for better medication usage. JAMA. 1998 Apr 1; 279(13):1024-9. 45. Schiff GD, Bindman AB, Brennan TA. A better-quality alternative. Single-payer national health system reform. Physicians for a National Health Program Quality of Care Working Group. JAMA. 1994 Sep 14; 272(10):803-8. 46. Schiff GD, Hegde HK, LaCloche L, Hryhorczuk DO. Inpatient theophylline toxicity: preventable factors. Ann Intern Med. 1991 May 1; 114(9):748-53. 47. Rucker TD, Schiff G. Drug formularies: myths-in-formation. Med Care. 1990 Oct; 28(10):928-42. 48. Schiff GM, Rauh JL, Young B, Trimble S, Rotte T, Schiff BE. Rubella-vaccinated students. Follow-up in a public school system. JAMA. 1978 Dec 8; 240(24):2635-7. 49. Linnemann CC, Dunn CR, First MR, Alvira M, Schiff GM. Late onset of fatal cytomegalovirus infection after renal transplantation. Primary or reactivation infection? Arch Intern Med. 1978 Aug; 138(8):1247-50. 50. Linnemann CC, First MR, Alvira MM, Alexander JW, Schiff GM. Herpesvirus hominis type 2 meningoencephalitis following renal transplantation. Am J Med. 1976 Nov; 61(5):703-8. 51. Schiff GM, Linnemann CC, Shea L, Witte JJ, Ackerman JH, Stapleton L, Elsea WR, Agna M. Serological survey for rubella and measles antibodies among first graders. JAMA. 1974 Jan 7; 227(1):49-52. 52. Schiff GM, Linnemann CC, Rotte T, Ashe HS. Rubella surveillance and immunization. Susceptibility in nonurban adolescents. JAMA. 1973 Oct 29; 226(5):554-6. 53. Schiff GM, Sever JL, Huebner RJ. Experimental rubella. Clinical and laboratory findings. Arch Intern Med. 1965 Oct; 116(4):537-43. 54. BRODY JA, SEVER JL, MCALISTER R, SCHIFF GM, CUTTING R. RUBELLA EPIDEMIC ON ST. PAUL ISLAND IN THE PRIBILOFS, 1963. I. EPIDEMIOLOGIC, CLINICAL, AND SEROLOGIC FINDINGS. JAMA. 1965 Feb 22; 191:619-23. 55. SEVER JL, BRODY JA, SCHIFF GM, MCALISTER R, CUTTING R. RUBELLA EPIDEMIC ON ST. PAUL ISLAND IN THE PRIBILOFS, 1963. II. CLINICAL AND LABORATORY FINDINGS FOR THE INTENSIVE STUDY POPULATION. JAMA. 1965 Feb 22; 191:624-6. 56. BRODY JA, SEVER JL, SCHIFF GM. PREVENTION OF RUBELLA BY GAMMA GLOBULIN DURING AN EPIDEMIC IN BARROW, ALASKA, IN 1964. N Engl J Med. 1965 Jan 21; 272:127-9. 57. SEVER JL, SCHIFF GM, TRAUB RG. Rubella virus. JAMA. 1962 Nov 10; 182:663-71.

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