Robert Wears passing

Henriksen, Kerm (AHRQ/CQuIPS) Kerm.Henriksen at AHRQ.HHS.GOV
Tue Jul 18 15:43:47 UTC 2017


Very nicely and aptly stated, Mark.

Kerm Henriksen, PhD
Senior Advisor, Human Factors and Patient Safety
Center for Quality Improvement and Patient Safety
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, Maryland 20857

e-mail:   Kerm.Henriksen at ahrq.hhs.gov<mailto:Kerm.Henriksen at ahrq.hhs.gov>
phone:   (301) 427-1331
fax:        (301) 427-1341

From: Mark Graber [mailto:Mark.Graber at IMPROVEDIAGNOSIS.ORG]
Sent: Tuesday, July 18, 2017 7:55 AM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: [IMPROVEDX] Robert Wears passing

We were informed yesterday of Dr Robert Wears death within the past few days.

Bob was an internationally-known and widely-published authority on patient safety and contributed significantly to efforts to address diagnostic error.

Bob was one of the attendees at a meeting of a few people in Naples FL in 2006, where we discussed diagnostic error as a real problem.  More than any other event, this meeting marked the start of the diagnostic error ‘movement’.   The Diagnostic Error in Medicine Conference was proposed at that meeting, and the proceedings were the first compilation of articles to discuss the problem (attached).  Bob studied with Charles Vincent, and will be remembered as one of the true scholars in trying to apply the principles of safety engineering to medical practice, and work in the Emergency Department in particular.  Bob pushed us to think more deeply about safety and safety solutions, and his writings on resiliency, complexity, and how to learn about safety are foundational in our field.  Two of my favorite papers from Bob are attached, including his now-classic description of diagnostic error as a ‘wicked’ problem.

His wisdom and unique perspective will be truly missed.

  Mark

Mark L Graber, MD FACP
President, SIDM
Senior Fellow, RTI International
Professor Emeritus, Stony Brook University, NY

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