Christopher Landrigan, MD, MPH
Chief, Division of General Pediatrics
William Berenberg Professor of Pediatrics, Harvard Medical School
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Christopher Landrigan, MD, MPH
Chief, Division of General Pediatrics
William Berenberg Professor of Pediatrics, Harvard Medical School
Medical Services
Languages
English
Education
Undergraduate School
Haverford College
1991
Haverford
PA
Medical School
Mount Sinai Medical School
1995
New York
NY
Internship
Pediatrics
Boston Children's Hospital
1996
Boston
MA
Residency
Pediatrics
Boston Children's Hospital
1998
Boston
MA
Graduate School
MPH
Harvard School of Public Health
2000
Boston
MA
Fellowship
Hospital Medicine and Health Services Research
Boston Children's Hospital
2000
Boston
MA
Certifications
American Board of Pediatrics (General)
American Board of Pediatrics (Pediatric Hospital Medicine)
Professional History
Christopher P. Landrigan, MD, MPH is the Chief of General Pediatrics at Boston Children’s Hospital, Director of the Sleep and Patient Safety Program at Brigham and Women’s Hospital, and the William Berenberg Professor of Pediatrics at Harvard Medical School. He was a founding member of the Harvard Work Hours, Health, and Safety Group, and the founding chair of the Pediatric Research in Inpatient Settings (PRIS) Network, a collaboration of over 100 pediatric hospitals that conducts multi-center research and improvement projects.
Dr. Landrigan has led a series of major studies on the epidemiology of medical errors, and interventions designed to reduce their incidence. His most important work has been focused on developing reliable patient safety measurement tools, and improving the organization of residency programs and academic medical centers. His work on the relationship between resident work hours, sleep, and patient safety contributed to national changes in resident work hour standards. More recently, he led the development of I-PASS, a multi-faceted handoff and communication improvement program. He has authored over 150 publications in the medical literature, and has received numerous awards for his research, teaching, leadership, and innovation.
Publications
Evaluating Family Safety Reporting Through an Operational and Research Taxonomy. View Abstract
Resident Physician Intentions Regarding Unionization. View Abstract
Socioeconomic Indicators and Low Body Mass Index Outcome Among Adolescents and Young Adults With Social Risks. View Abstract
Interfacility Transfer and Admission to PICUs in the United States: Survey of Referral Communications in 2023. View Abstract
Consistent Direction Despite Wavering Policy: Reductions in Resident Physician Extended Duration Shifts Over 20 Years. View Abstract
Outcomes for infants with BRUE diagnosed with oropharyngeal dysphagia or gastroesophageal reflux disease: a multicenter study from the Pediatric Health Information System Database. View Abstract
Diagnostic Uncertainty Among Critically Ill Children Admitted to the PICU: A Multicenter Study. View Abstract
The Rise of Pediatric Inpatient Social Needs Screening and Referral Systems. View Abstract
A Coproduced Family Reporting Intervention to Improve Safety Surveillance and Reduce Disparities. View Abstract
Developing methods to identify resilience and improve communication about diagnosis in pediatric primary care. View Abstract
Contraceptive Method Usage Pattern and Percentage of New Pregnancies Among Adolescent and Young Adult Family Planning Patients: A Mixed-Methods Retrospective Study. View Abstract
Evaluating the Impact of a Pediatric Inpatient Social Care Program in a Community Hospital. View Abstract
Interfacility Referral Communication for PICU Transfer. View Abstract
Getting Started With Multi-site Research: Lessons From the Eliminating Monitor Overuse (EMO) Study. View Abstract
Development and Evaluation of I-PASS-to-PICU: A Standard Electronic Template to Improve Referral Communication for Interfacility Transfers to the Pediatric ICU. View Abstract
Implementing a Family-Centered Rounds Intervention Using Novel Mentor-Trios. View Abstract
Predicting neurobehavioral performance of resident physicians in a Randomized Order Safety Trial Evaluating Resident-Physician Schedules (ROSTERS). View Abstract
Public opinion of resident physician work hours in 2022. View Abstract
Eliminating Monitor Overuse (EMO) type III effectiveness-deimplementation cluster-randomized trial: Statistical analysis plan. View Abstract
Family-Centered Hospital Admissions. View Abstract
In their own words: Safety and quality perspectives from families of hospitalized children with medical complexity. View Abstract
Systematic Review of the Impact of Physician Work Schedules on Patient Safety with Meta-Analyses of Mortality Risk. View Abstract
Sustainment of continuous pulse oximetry deimplementation: Analysis of Eliminating Monitor Overuse study data from six hospitals. View Abstract
Prevalence and Characteristics of Diagnostic Error in Pediatric Critical Care: A Multicenter Study. View Abstract
Extended work hours increase risk of harm, regardless of resident physicians' experience levels. View Abstract
Impact of sleep deficiency on surgical performance: a prospective assessment. View Abstract
Impact of work schedules of senior resident physicians on patient and resident physician safety: nationwide, prospective cohort study. View Abstract
Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children with complex chronic conditions. View Abstract
Utilizing co-production to improve patient-centeredness and engagement in healthcare delivery: Lessons from the Patient and Family-Centered I-PASS studies. View Abstract
Implementation of the I-PASS handoff program in diverse clinical environments: A multicenter prospective effectiveness implementation study. View Abstract
Sustainable deimplementation of continuous pulse oximetry monitoring in children hospitalized with bronchiolitis: study protocol for the Eliminating Monitor Overuse (EMO) type III effectiveness-deimplementation cluster-randomized trial. View Abstract
Family, nurse, and physician beliefs on family-centered rounds: A 21-site study. View Abstract
Pediatric Patient Safety-First Steps Forward. View Abstract
Invited Commentary: There's No Place Like Home-Integrating a Place-Based Approach to Understanding Sleep. View Abstract
Patient and Family-Centered I-PASS SCORE Program: Resident and Advanced Care Provider Training Materials. View Abstract
Family Safety Reporting in Hospitalized Children With Medical Complexity. View Abstract
Association of Patient and Family Reports of Hospital Safety Climate With Language Proficiency in the US. View Abstract
Dreaming of better health care: Deimplementing patient sleep deprivation. View Abstract
Intervention, individual, and contextual determinants to high adherence to structured family-centered rounds: a national multi-site mixed methods study. View Abstract
Family Safety Reporting in Medically Complex Children: Parent, Staff, and Leader Perspectives. View Abstract
Research priorities to reduce risks from work hours and fatigue in the healthcare and social assistance sector. View Abstract
National improvements in resident physician-reported patient safety after limiting first-year resident physicians' extended duration work shifts: a pooled analysis of prospective cohort studies. View Abstract
Frequency and Nature of Communication and Handoff Failures in Medical Malpractice Claims. View Abstract
Changes Made to Orders Placed by Overnight Admitting Residents on Teaching Rounds the Next Day. View Abstract
Evaluation of an Educational Outreach and Audit and Feedback Program to Reduce Continuous Pulse Oximetry Use in Hospitalized Infants With Stable Bronchiolitis: A Nonrandomized Clinical Trial. View Abstract
Interns' perspectives on impacts of the COVID-19 pandemic on the medical school to residency transition. View Abstract
Extended Work Shifts and Neurobehavioral Performance in Resident-Physicians. View Abstract
A Changing Landscape: Exploring Resident Perspectives on Pursuing Pediatric Hospital Medicine Fellowships. View Abstract
Barriers and Facilitators to Guideline-Adherent Pulse Oximetry Use in Bronchiolitis. View Abstract
Association Between Parent Comfort With English and Adverse Events Among Hospitalized Children. View Abstract
The Effect of Blue-Enriched Lighting on Medical Error Rate in a University Hospital ICU. View Abstract
Validity of Continuous Pulse Oximetry Orders for Identification of Actual Monitoring Status in Bronchiolitis. View Abstract
Association Between Bronchiolitis Patient Volume and Continuous Pulse Oximetry Monitoring in 25 Hospitals. View Abstract
Pediatric Resident Engagement With an Online Critical Care Curriculum During the Intensive Care Rotation. View Abstract
Patient Safety and Resident Schedules without 24-Hour Shifts. Reply. View Abstract
Effect on Patient Safety of a Resident Physician Schedule without 24-Hour Shifts. View Abstract
I-PASS Mentored Implementation Handoff Curriculum: Frontline Provider Training Materials. View Abstract
Communicating Effectively With Hospitalized Patients and Families During the COVID-19 Pandemic. View Abstract
The Elephant in the Hospital Room Charge. View Abstract
Prevalence of Continuous Pulse Oximetry Monitoring in Hospitalized Children With Bronchiolitis Not Requiring Supplemental Oxygen. View Abstract
The Association Between Resident Physician Work-Hour Regulations and Physician Safety and Health. View Abstract
In Reply to Lawson. View Abstract
Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit. View Abstract
Association of Pediatric Resident Physician Depression and Burnout With Harmful Medical Errors on Inpatient Services. View Abstract
Effects on resident work hours, sleep duration, and work experience in a randomized order safety trial evaluating resident-physician schedules (ROSTERS). View Abstract
Patient Safety under Flexible and Standard Duty-Hour Rules. View Abstract
Measuring overuse of continuous pulse oximetry in bronchiolitis and developing strategies for large-scale deimplementation: study protocol for a feasibility trial. View Abstract
Communication at Transitions of Care. View Abstract
Design and recruitment of the randomized order safety trial evaluating resident-physician schedules (ROSTERS) study. View Abstract
I-PASS Mentored Implementation Handoff Curriculum: Champion Training Materials. View Abstract
"All the ward's a stage": a qualitative study of the experience of direct observation of handoffs. View Abstract
Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study View Abstract
Racial, Ethnic, and Socioeconomic Disparities in Patient Safety Events for Hospitalized Children. View Abstract
Developing Standardized "Receiver-Driven" Handoffs Between Referring Providers and the Emergency Department: Results of a Multidisciplinary Needs Assessment. View Abstract
I-PASS Mentored Implementation Handoff Curriculum: Implementation Guide and Resources. View Abstract
I-PASS Handoff Program: Use of a Campaign to Effect Transformational Change. View Abstract
Adverse Events in Hospitalized Pediatric Patients. View Abstract
Cutting Children's Health Care Costs. View Abstract
Effect of Increased Inpatient Attending Physician Supervision on Medical Errors, Patient Safety, and Resident Education: A Randomized Clinical Trial. View Abstract
Using a Pediatric Trigger Tool to Estimate Total Harm Burden Hospital-acquired Conditions Represent. View Abstract
Comparison of Empiric Antibiotics for Acute Osteomyelitis in Children. View Abstract
A Comparison of Resident Self-Perception and Pediatric Hospitalist Perceptions of the Supervisory Needs of New Interns. View Abstract
Stress From Uncertainty and Resilience Among Depressed and Burned Out Residents: A Cross-Sectional Study. View Abstract
Engaging Families as True Partners During Hospitalization. View Abstract
Development, Implementation, and Assessment of the Intensive Clinical Orientation for Residents (ICOR) Curriculum: A Pilot Intervention to Improve Intern Clinical Preparedness. View Abstract
Parent-Provider Miscommunications in Hospitalized Children. View Abstract
Effects of the I-PASS Nursing Handoff Bundle on communication quality and workflow. View Abstract
Simulation of a Novel Schedule for Intensivist Staffing to Improve Continuity of Patient Care and Reduce Physician Burnout. View Abstract
Resident Experiences With Implementation of the I-PASS Handoff Bundle. View Abstract
Integrating Research, Quality Improvement, and Medical Education for Better Handoffs and Safer Care: Disseminating, Adapting, and Implementing the I-PASS Program. View Abstract
Inpatient Hospital Factors and Resident Time With Patients and Families. View Abstract
Families as Partners in Hospital Error and Adverse Event Surveillance. View Abstract
Parent and Provider Experience and Shared Understanding After a Family-Centered Nighttime Communication Intervention. View Abstract
Applying mathematical models to predict resident physician performance and alertness on traditional and novel work schedules. View Abstract
Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) Tool. View Abstract
Communication and Shared Understanding Between Parents and Resident-Physicians at Night. View Abstract
Reliability of Verbal Handoff Assessment and Handoff Quality Before and After Implementation of a Resident Handoff Bundle. View Abstract
Parent-Reported Errors and Adverse Events in Hospitalized Children. View Abstract
The Creation of Standard-Setting Videos to Support Faculty Observations of Learner Performance and Entrustment Decisions. View Abstract
Alarm fatigue: Clearing the air. View Abstract
Intern and Resident Workflow Patterns on Pediatric Inpatient Units: A Multicenter Time-Motion Study. View Abstract
Physician and Nurse Nighttime Communication and Parents' Hospital Experience. View Abstract
The authors reply "Variation in printed handoff documents: Results and recommendations from a multicenter needs assessment". View Abstract
Graduated Driver-Licensing: The Authors Reply. View Abstract
Teen Crashes Declined After Massachusetts Raised Penalties For Graduated Licensing Law Restricting Night Driving. View Abstract
Variation in printed handoff documents: Results and recommendations from a multicenter needs assessment. View Abstract
A trigger tool to detect harm in pediatric inpatient settings. View Abstract
Crying wolf: False alarms and patient safety. View Abstract
Changes in medical errors with a handoff program. View Abstract
Changes in medical errors after implementation of a handoff program. View Abstract
Decreasing handoff-related care failures in children's hospitals. View Abstract
Development, implementation, and dissemination of the I-PASS handoff curriculum: A multisite educational intervention to improve patient handoffs. View Abstract
Preventing health care-associated harm in children. View Abstract
Placing faculty development front and center in a multisite educational initiative: lessons from the I-PASS Handoff study. View Abstract
Safer hours for doctors and improved safety for patients. View Abstract
Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. View Abstract
Quality improvement research in pediatric hospital medicine and the role of the Pediatric Research in Inpatient Settings (PRIS) network. View Abstract
Closing the gap: a needs assessment of medical students and handoff training. View Abstract
New questions on the road to safer health care. View Abstract
Answering questions on call: pediatric resident physicians' use of handoffs and other resources. View Abstract
Fatigue optimization scheduling in graduate medical education: reducing fatigue and improving patient safety. View Abstract
Making residency work hour rules work. View Abstract
(Mis) perceptions and interactions of sleep specialists and generalists: obstacles to referrals to sleep specialists and the multidisciplinary team management of sleep disorders. View Abstract
Sleep science, schedules, and safety in hospitals: challenges and solutions for pediatric providers. View Abstract
Development of the Pediatric Research in Inpatient Settings (PRIS) Network: lessons learned. View Abstract
Pediatric hospitalists: coming of age in 2012. View Abstract
Pediatric residents' perspectives on reducing work hours and lengthening residency: a national survey. View Abstract
Better rested, but more stressed? Evidence of the effects of resident work hour restrictions. View Abstract
Surgeon fatigue: a prospective analysis of the incidence, risk, and intervals of predicted fatigue-related impairment in residents. View Abstract
I-pass, a mnemonic to standardize verbal handoffs. View Abstract
Sleep disorders, health, and safety in police officers. View Abstract
Effects of a night-team system on resident sleep and work hours. View Abstract
Healthcare provider working conditions and well-being: sharing international lessons to improve patient safety. View Abstract
The effect of physician sleep deprivation on patient safety in perinatal-neonatal medicine. View Abstract
Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervision, and safety. View Abstract
Unit-based care teams and the frequency and quality of physician-nurse communications. View Abstract
Temporal trends in rates of patient harm resulting from medical care. View Abstract
Does simulator-based clinical performance correlate with actual hospital behavior? The effect of extended work hours on patient care provided by medical interns. View Abstract
Establishing a multisite education and research project requires leadership, expertise, collaboration, and an important aim. View Abstract
Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients. View Abstract
Effects of reducing or eliminating resident work shifts over 16 hours: a systematic review. View Abstract
Family-centered rounds on pediatric wards: a PRIS network survey of US and Canadian hospitalists. View Abstract
US public opinion regarding proposed limits on resident physician work hours. View Abstract
Resident sleep deprivation and critical care: the unintended consequences of inaction. View Abstract
Risks of complications by attending physicians after performing nighttime procedures. View Abstract
Reforming procedural skills training for pediatric residents: a randomized, interventional trial. View Abstract
Cappuccio response to correspondence. View Abstract
Neurobehavioral, health, and safety consequences associated with shift work in safety-sensitive professions. View Abstract
Implementing a 48 h EWTD-compliant rota for junior doctors in the UK does not compromise patients' safety: assessor-blind pilot comparison. View Abstract
Driving drowsy. View Abstract
Building physician work hour regulations from first principles and best evidence. View Abstract
Effects of the accreditation council for graduate medical education duty hour limits on sleep, work hours, and safety. View Abstract
Variation in pediatric hospitalists' use of proven and unproven therapies: a study from the Pediatric Research in Inpatient Settings (PRIS) network. View Abstract
Improving sleep hygiene. View Abstract
Improving nurse working conditions: towards safer models of hospital care. View Abstract
Effect of computer order entry on prevention of serious medication errors in hospitalized children. View Abstract
Rates of medication errors among depressed and burnt out residents: prospective cohort study. View Abstract
Effects of health care provider work hours and sleep deprivation on safety and performance. View Abstract
Effective implementation of work-hour limits and systemic improvements. View Abstract
Assessing procedural skills training in pediatric residency programs. View Abstract
Impact of a hospitalist system on length of stay and cost for children with common conditions. View Abstract
Medication errors related to computerized order entry for children. View Abstract
Interns' compliance with accreditation council for graduate medical education work-hour limits. View Abstract
When policy meets physiology: the challenge of reducing resident work hours. View Abstract
Variations in management of common inpatient pediatric illnesses: hospitalists and community pediatricians. View Abstract
Pediatric hospitalists: a systematic review of the literature. View Abstract
Pediatric hospitalists: report of a leadership conference. View Abstract
Recovery from medical errors: the critical care nursing safety net. View Abstract
A shift for the better. View Abstract
Sliding down the Bell curve: effects of 24-hour work shifts on physicians' cognition and performance. View Abstract
Preventable adverse events in infants hospitalized with bronchiolitis. View Abstract
The safety of inpatient pediatrics: preventing medical errors and injuries among hospitalized children. View Abstract
The Critical Care Safety Study: The incidence and nature of adverse events and serious medical errors in intensive care. View Abstract
Effect of intern's consecutive work hours on safety, medical education and professionalism. View Abstract
Effect of reducing interns' weekly work hours on sleep and attentional failures. View Abstract
Effect of reducing interns' work hours on serious medical errors in intensive care units. View Abstract
Complications in infants hospitalized for bronchiolitis or respiratory syncytial virus pneumonia. View Abstract
Prioritizing strategies for preventing medication errors and adverse drug events in pediatric inpatients. View Abstract
Senior resident autonomy in a pediatric hospitalist system. View Abstract
Outbreaks of typhoid fever in the United States, 1960-99. View Abstract
The impact of climate change on child health. View Abstract
Impact of a health maintenance organization hospitalist system in academic pediatrics. View Abstract
Effect of a pediatric hospitalist system on housestaff education and experience. View Abstract
Rotavirus cerebellitis? View Abstract
Pediatric hospitalists in Canada and the United States: a survey of pediatric academic department chairs. View Abstract
Pediatric hospitalists: what do we know, and where do we go from here? View Abstract
Preventable deaths and injuries during magnetic resonance imaging. View Abstract
Medication errors and adverse drug events in pediatric inpatients. View Abstract
Age and secular trends in bone lead levels in middle-aged and elderly men: three-year longitudinal follow-up in the Normative Aging Study. View Abstract