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SRI Profiles

Kaveh G. Shojania, MD

Scientist

Sunnybrook Health Sciences Centre
2075 Bayview Ave., Room H4 68
Toronto, ON
M4N 3M5

Phone: 416-480-6100, ext. 89608

Education:

  • Hon. B.Sc., 1990, biochemistry, University of Manitoba, Canada
  • MD, 1994, medicine, University of Manitoba, Canada
  • Internship, 1995, internal medicine, University of British Columbia Teaching Hospitals, Canada
  • Residency, 1998, internal medicine, Brigham and Women’s Hospital, Harvard University, U.S.
  • Hospitalist fellowship, 2000, University of California, San Francisco, U.S.

Appointments and Affiliations:

  • Scientist, Evaluative Clinical Sciences, Veterans Research Program, Sunnybrook Research Institute
  • Director, Centre for Quality Improvement & Patient Safety, University of Toronto
  • Vice-chair, quality and innovation, department of medicine, U of T
  • Full professor, department of medicine, U of T
  • Adjunct faculty, Institute of Health Policy, Management and Evaluation, U of T
  • Staff physician, general internal medicine, Sunnybrook Health Sciences Centre
  • Editor-in-chief, British Medical Journal Quality & Safety

Research Foci:

  • Patient safety
  • Quality improvement and knowledge translation
  • Evidence synthesis (systematic reviews and meta-analyses)

Research Summary:

Dr. Shojania's research focuses on identifying evidence-based patient safety interventions and effective strategies for translating evidence into practice. He has more than 150 publications indexed in Medline, including papers in leading journals such as The New England Journal of Medicine (NEJM), The Lancet and the Journal of the American Medical Association (JAMA). Google Scholar lists over 13,000 citations to his work and calculates his h-index as 55. Dr. Shojania has also twice delivered presentations on patient safety and quality improvement to the U.S. Institute of Medicine. On returning to Canada in 2004, he held a Tier 2 Canada Research Chair in Patient Safety and Quality Improvement from 2004–2013.

In 2001, while at the University of California, Dr. Shojania led a team from 10 academic institutions across the U.S. to produce Making Healthcare Safer, a comprehensive report for the U.S. Agency for Healthcare Research and Quality that synthesizes the evidence supporting more than 75 practices to patient safety. Highlights of the report appeared in JAMA, and more than 140,000 copies of the report have been obtained since its release. An update of this work was produced in 2013 with many of the associated articles published in a special supplement issue of Annals of Internal Medicine.

Dr. Shojania's research includes substantial work in the field of evidence synthesis such as systematic reviews and meta-analyses on a wide variety of topics. These include diagnostic errors detected at autopsy (published in JAMA), the impacts of quality improvement strategies for diabetes (published in JAMA and The Lancet) and the effectiveness of medication reconciliation (published in Annals of Internal Medicine).

In addition to publishing systematic reviews, Dr. Shojania developed an electronic strategy for identifying systematic reviews that the U.S. National Library of Medicine adopted as the search filter for reviews built into PubMed. He also conducted a “survival analysis” of 100 clinically important meta-analyses published from 1995 to 2005 to determine how soon quantitative or qualitative changes in the literature indicate the need for updating the previous systematic review. This work, published in Annals of Internal Medicine (with companion methods articles appearing in Journal of Clinical Epidemiology), showed that major changes in evidence that would affect clinical decision-making occurred within two years in 23% of cases, within one year in 15% and prior to publication in 7%.

Educational Initiatives:

Dr. Shojania has also led educational initiatives in patient safety. He has written 13 case-based articles in Annals of Internal Medicine and produced two websites for the U.S. Agency for Healthcare Research and Quality, which each receive about 100,000 visits per month. In addition, he has authored a book on patient safety. This book, Internal Bleeding: the Truth Behind America's Terrifying Epidemic of Medical Mistakes, co-authored with Dr. Robert Wachter, received excellent reviews in the New York Times, San Francisco Chronicle, Baltimore Sun, British Medical Journal and JAMA. It has sold more than 50,000 copies. For this and other work, Shojania and Wachter received one of the John M. Eisenberg Patient Safety Awards in 2004 from the U.S. Joint Commission and the National Quality Forum.

His current educational focus is on the Master’s program in quality improvement and patient safety offered through the University of Toronto’s Institute for Health Policy, Management and Evaluation in collaboration with the Centre for Quality Improvement and Patient Safety at U of T.

Dr. Shojania's scholarly activities have also extended to his clinical work. He has written two articles in the rational clinical exam series in JAMA, served as the discussant for two articles in the clinical problem-solving series in NEJM and authored a chapter in the widely used online textbook UpToDate.

In January 2011, Dr. Shojania became editor-in-chief of BMJ Quality and Safety. When he started as editor, the journal had an impact factor under 2. It has increased every year since then and now, with an impact factor of 6.186, it is the highest impact journal in the field of health care quality, as well as the broader fields of health services research and health policy.

Selected Publications:

See current publications list at PubMed.

  1. Wong BM, Goldman J, Goguen JM, Base C, Rotteau L, Van Melle E, Kuper A, Shojania KG. Faculty-Resident "Co-learning": A longitudinal exploration of an innovative model for faculty development in quality improvement. Acad Med. 2017 Aug;92(8):1151–1159.
  2. Shojania KG, Dixon-Woods M. Estimating deaths due to medical error: the ongoing controversy and why it matters. BMJ Qual Saf. 2017 May;26(5):423-428.
  3. Gandhi TK, Berwick DM, Shojania KG. Patient Safety at the Crossroads. JAMA. 2016 May 3;315(17):1829–30.
  4. Tricco AC, Ivers NM, Grimshaw JM, Moher D, Turner L, Galipeau J, Halperin I, Vachon B, Ramsay T, Manns B, Tonelli M, Shojania K. Effectiveness of quality improvement strategies on the management of diabetes: a systematic review and meta-analysis. Lancet. 2012 Jun;379(9833):2252–61.
  5. Shojania KG, Levinson W. Clinicians in quality improvement: a new career pathway in academic medicine. JAMA. 2009 Feb;301(7):766–8.

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