2017 Publications
Will You Be My Mentor?—Four Archetypes to Help Mentees Succeed in Academic Medicine
JAMA Intern Med
The origins of mentoring date back to Odysseus, who entrusted care of his son to Mentor when he set off to fight the Trojan wars. Mentor became a trusted advisor, teacher, and friend to Telemachus, epitomizing the attributes that we look for even today...
The origins of mentoring date back to Odysseus, who entrusted care of his son to Mentor when he set off to fight the Trojan wars. Mentor became a trusted advisor, teacher, and friend to Telemachus, epitomizing the attributes that we look for even today...
A National Implementation Project to Prevent Catheter-Associated Urinary Tract Infection in Nursing Home Residents
JAMA Intern Med
In this large-scale national implementation project that included 404 community-based nursing homes, longitudinal analysis indicated that catheter-associated urinary tract infection rates decreased by 54% and urine culture orders decreased by 15% over...
In this large-scale national implementation project that included 404 community-based nursing homes, longitudinal analysis indicated that catheter-associated urinary tract infection rates decreased by 54% and urine culture orders decreased by 15% over...
Early vs delayed feeding in patients with acute pancreatitis
Ann Intern Med
Acute pancreatitis is among the most common and costly reasons for hospitalization in the United States. Bowel rest, pain control, and intravenous fluids are the cornerstones of treatment, but early feeding might also be beneficial.
Acute pancreatitis is among the most common and costly reasons for hospitalization in the United States. Bowel rest, pain control, and intravenous fluids are the cornerstones of treatment, but early feeding might also be beneficial.
Short-term use of oral corticosteroids and related harms among adults in the United States: population based cohort study
BMJ
To determine the frequency of prescriptions for short term use of oral corticosteroids, and adverse events (sepsis, venous thromboembolism, fractures) associated with their use.
To determine the frequency of prescriptions for short term use of oral corticosteroids, and adverse events (sepsis, venous thromboembolism, fractures) associated with their use.
Legislating quality to prevent infection: a primer for hospitalists
Ann Intern Med
Three major Medicare policies now target rates of catheter-associated urinary tract infection (CAUTI) and central line–associated bloodstream infection (CLABSI) as performance measures in hospitals. These Medicare value-based purchasing programs are...
Three major Medicare policies now target rates of catheter-associated urinary tract infection (CAUTI) and central line–associated bloodstream infection (CLABSI) as performance measures in hospitals. These Medicare value-based purchasing programs are...
National Trends in Utilization of Monitored Anesthesia Care for Outpatient Gastrointestinal Endoscopy in the Veterans Health Administration
JAMA Intern Med
Historically, sedation for routine gastrointestinal (GI) endoscopy has been directed by the endoscopist (generally with short-acting opioids and benzodiazepines). In recent years, use of monitored anesthesia care (MAC) for GI endoscopy has been increasing...
Historically, sedation for routine gastrointestinal (GI) endoscopy has been directed by the endoscopist (generally with short-acting opioids and benzodiazepines). In recent years, use of monitored anesthesia care (MAC) for GI endoscopy has been increasing...
A Strong Diagnosis of Weakness
J Hosp Med
A 52-year-old man presented with bilateral weakness in all extremities. He noted the gradual onset of progressive muscle weakness 6 months prior to presentation. He reported generalized fatigue and difficulty with climbing stairs and carrying heavy objects.
A 52-year-old man presented with bilateral weakness in all extremities. He noted the gradual onset of progressive muscle weakness 6 months prior to presentation. He reported generalized fatigue and difficulty with climbing stairs and carrying heavy objects.
Does Certification in Vascular Access Matter? An Analysis of the PICC1 Survey
Am J Nurs
Although certification by an accredited agency is often a practice prerequisite in health care, it is not required of vascular access specialists who insert peripherally inserted central catheters (PICCs). Whether certification is associated with differences in...
Although certification by an accredited agency is often a practice prerequisite in health care, it is not required of vascular access specialists who insert peripherally inserted central catheters (PICCs). Whether certification is associated with differences in...
Improving PICC use and outcomes in hospitalised patients: an interrupted time series study using MAGIC criteria
BMJ Qual Saf
Although important in clinical care, reports of inappropriate peripherally inserted central catheter (PICC) use are growing. Objective: To test whether implementation of the Michigan Appropriateness Guide for Intravenous Catheters (MAGIC) can improve PICC use....
Although important in clinical care, reports of inappropriate peripherally inserted central catheter (PICC) use are growing. Objective: To test whether implementation of the Michigan Appropriateness Guide for Intravenous Catheters (MAGIC) can improve PICC use....
Survey Instruments to Assess Patient Experiences With Access and Coordination Across Health Care Settings: Available and Needed Measures
Med Care
Improving access can increase the providers a patient sees, and cause coordination challenges. For initiatives that increase care across health care settings, measuring patient experiences with access and care coordination will be crucial.
Improving access can increase the providers a patient sees, and cause coordination challenges. For initiatives that increase care across health care settings, measuring patient experiences with access and care coordination will be crucial.
Evaluation of the association between Nursing Home Survey on Patient Safety culture (NHSOPS) measures and catheter-associated urinary tract infections: results of a national collaborative
BMJ Qual Saf
Recent efforts to reduce patient infection rates emphasise the importance of safety culture. However, little evidence exists linking measures of safety culture and infection rates, in part because of the difficulty of collecting both safety culture and infection data...
Recent efforts to reduce patient infection rates emphasise the importance of safety culture. However, little evidence exists linking measures of safety culture and infection rates, in part because of the difficulty of collecting both safety culture and infection data...
Perception of Resources Spent on Defensive Medicine and History of Being Sued Among Hospitalists: Results from a National Survey.
J Hosp Med
The United States spends substantially more per capita for healthcare than any other nation. Defensive medicine is 1 source of such spending, but its extent is unclear. Using a national survey of approximately 1500 US hospitalists, we report the estimates the US...
The United States spends substantially more per capita for healthcare than any other nation. Defensive medicine is 1 source of such spending, but its extent is unclear. Using a national survey of approximately 1500 US hospitalists, we report the estimates the US...
Review of Strategies to Reduce Central Line-Associated Bloodstream Infection (CLABSI) and Catheter-Associated Urinary Tract Infection (CAUTI) in Adult ICUs
J Hosp Med
Central line–associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI) are costly and morbid. Despite evidence-based guidelines, Some intensive care units (ICUs) continue to have elevated infection rates.
Central line–associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI) are costly and morbid. Despite evidence-based guidelines, Some intensive care units (ICUs) continue to have elevated infection rates.
A Longitudinal Study of Transfusion Utilization in Hospitalized Veterans
J Clin Outcomes Manag
Although transfusion guidelines have changed considerably over the past 2 decades, the adoption of patient blood management programs has not been fully realized across hospitals in the United States.
Although transfusion guidelines have changed considerably over the past 2 decades, the adoption of patient blood management programs has not been fully realized across hospitals in the United States.
A national collaborative approach to reduce catheter-associated urinary tract infections in nursing homes: A qualitative assessment
Am J Infect Control
Reducing health care-associated infections (HAIs), such as catheter-associated urinary tract infection (CAUTI), is a critical performance improvement target in nursing homes. The Agency for Healthcare Research and Quality Safety Program for Long-term Care...
Reducing health care-associated infections (HAIs), such as catheter-associated urinary tract infection (CAUTI), is a critical performance improvement target in nursing homes. The Agency for Healthcare Research and Quality Safety Program for Long-term Care...
Malpractice claims related to diagnostic errors in the hospital
BMJ Qual Saf
Little is known about the incidence or significance of diagnostic error in the inpatient setting. We used a malpractice claims database to examine incidence, predictors and consequences of diagnosis-related paid malpractice claims in hospitalised patients.
Little is known about the incidence or significance of diagnostic error in the inpatient setting. We used a malpractice claims database to examine incidence, predictors and consequences of diagnosis-related paid malpractice claims in hospitalised patients.
Clinical care conundrum: Dust in the wind
J Hosp Med
The approach to clinical conundrums by an expert clinician is revealed through the presentation of an actual patient’s case in an approach typical of a morning report. Similarly to patient care, sequential pieces of information are provided to the clinician...
The approach to clinical conundrums by an expert clinician is revealed through the presentation of an actual patient’s case in an approach typical of a morning report. Similarly to patient care, sequential pieces of information are provided to the clinician...
Primary care models for treating opioid use disorders: What actually works? A systematic review
PLOS ONE
Primary care-based models for Medication-Assisted Treatment (MAT) have been shown to reduce mortality for Opioid Use Disorder (OUD) and have equivalent efficacy to MAT in specialty substance treatment facilities. The objective of this study is to systematically...
Primary care-based models for Medication-Assisted Treatment (MAT) have been shown to reduce mortality for Opioid Use Disorder (OUD) and have equivalent efficacy to MAT in specialty substance treatment facilities. The objective of this study is to systematically...
How Exemplary Teaching Physicians Interact with Hospitalized Patients
J Hosp Med
Effectively interacting with patients defines the consummate clinician. As part of a broader study, we examined how 12 carefully selected attending physicians interacted with patients during inpatient teaching rounds.
Effectively interacting with patients defines the consummate clinician. As part of a broader study, we examined how 12 carefully selected attending physicians interacted with patients during inpatient teaching rounds.
Do Safety Culture Scores in Nursing Homes Depend on Job Role and Ownership?
J Am Geriatr Soc
To identify facility- and individual-level predictors of nursing home safety culture.
To identify facility- and individual-level predictors of nursing home safety culture.
A Model to Predict Central-Line–Associated Bloodstream Infection Among Patients With Peripherally Inserted Central Catheters: The MPC Score
Infect Control Hosp Epidemiol
Peripherally inserted central catheters (PICCs) are associated with central-line–associated bloodstream infections (CLABSIs). However, no tools to predict risk of PICC-CLABSI have been developed.
Peripherally inserted central catheters (PICCs) are associated with central-line–associated bloodstream infections (CLABSIs). However, no tools to predict risk of PICC-CLABSI have been developed.
Perception of Resources Spent on Defensive Medicine and History of Being Sued Among Hospitalists: Results from a National Survey.
J Hosp Med
The United States spends substantially more per capita for healthcare than any other nation. Defensive medicine is 1 source of such spending, but its extent is unclear. Using a national survey of approximately 1500 US hospitalists, we report the estimates the US...
The United States spends substantially more per capita for healthcare than any other nation. Defensive medicine is 1 source of such spending, but its extent is unclear. Using a national survey of approximately 1500 US hospitalists, we report the estimates the US...
Patient Hand Colonization With MDROs Is Associated with Environmental Contamination in Post-Acute Care
Infect Control Hosp Epidemiol
We assessed multidrug-resistant organism (MDRO) patient hand colonization in relation to the environment in post-acute care to determine risk factors for MDRO hand colonization. Patient hand colonization was significantly associated with environmental contamination.
We assessed multidrug-resistant organism (MDRO) patient hand colonization in relation to the environment in post-acute care to determine risk factors for MDRO hand colonization. Patient hand colonization was significantly associated with environmental contamination.
Brief Mindfulness Practices for Healthcare Providers – a Systematic Literature Review
Am J Med
Mindfulness practice, where an individual maintains openness, patience, and acceptance, while focusing attention on a situation in a non-judgmental way, can improve symptoms of anxiety, burnout, and depression. The practice is relevant for healthcare providers; however, the time commitment is a barrier to practice.
Mindfulness practice, where an individual maintains openness, patience, and acceptance, while focusing attention on a situation in a non-judgmental way, can improve symptoms of anxiety, burnout, and depression. The practice is relevant for healthcare providers; however, the time commitment is a barrier to practice.
Techniques and behaviors associated with exemplary inpatient general medicine teaching: an exploratory qualitative study
J Hosp Med
Clinician educators face numerous obstacles to their joint mission of facilitating high-quality learning while also delivering patient-centered care. Such challenges necessitate increased attention to the work of exemplary clinician educators, their respective teaching approaches, and the experiences of their learners.
Clinician educators face numerous obstacles to their joint mission of facilitating high-quality learning while also delivering patient-centered care. Such challenges necessitate increased attention to the work of exemplary clinician educators, their respective teaching approaches, and the experiences of their learners.
How Exemplary Inpatient Teaching Physicians Foster Clinical Reasoning
Am J Med
Clinical reasoning is a crucial component of training in health professions. These cognitive skills are necessary to provide quality care and avoid diagnostic error.
Clinical reasoning is a crucial component of training in health professions. These cognitive skills are necessary to provide quality care and avoid diagnostic error.
National trends in the frequency of bladder catheterization and physician-diagnosed catheter-associated urinary tract infections: Results from the Medicare Patient Safety Monitoring System
Am J Infect Control
Bladder catheterization rates in some hospitalized patient populations declined since 2009. Risk-adjusted catheter-associated urinary tract infection rates declined among acute myocardial infarction and surgical patients since 2009, but not among heart failure and pneumonia patients.
Bladder catheterization rates in some hospitalized patient populations declined since 2009. Risk-adjusted catheter-associated urinary tract infection rates declined among acute myocardial infarction and surgical patients since 2009, but not among heart failure and pneumonia patients.
Developing a User-Friendly Report for Electronically-Assisted Surveillance of Catheter-Associated Urinary Tract Infection
Am J Infect Control
Catheter-associated urinary tract infection (CAUTI) surveillance is labor intensive, generally involving manual medical record review. We developed a prototype automated report through iterative design.
Catheter-associated urinary tract infection (CAUTI) surveillance is labor intensive, generally involving manual medical record review. We developed a prototype automated report through iterative design.
Dissecting Leapfrog: How well do Leapfrog Safe Practices Scores correlate with Hospital Compare ratings and penalties, and how much do they matter?
Medical Care
Voluntary Leapfrog Safe Practices Score (SPS) measures were among the first public reports of hospital performance. Recently, Medicare's Hospital Compare website has reported compulsory measures. Leapfrog's Hospital Safety Score (HSS) grades...
Voluntary Leapfrog Safe Practices Score (SPS) measures were among the first public reports of hospital performance. Recently, Medicare's Hospital Compare website has reported compulsory measures. Leapfrog's Hospital Safety Score (HSS) grades...
National survey of practices to prevent health care-associated infection in Thailand: The role of prevention bundles
Am J Infect Control
We evaluated the practices used in Thai hospitals to prevent catheter-associated urinary tract infection (CAUTI), central line-associated bloodstream infection (CLABSI), and ventilator-associated pneumonia (VAP).
We evaluated the practices used in Thai hospitals to prevent catheter-associated urinary tract infection (CAUTI), central line-associated bloodstream infection (CLABSI), and ventilator-associated pneumonia (VAP).
National survey of practices to prevent methicillin-resistant Staphylococcus aureus and multidrug-resistant Acinetobacter baumannii in Thailand
Clin Infect Dis
We evaluated the extent to which hospital characteristics, infection control practices, and compliance with prevention bundles impacted multidrug-resistant organism (MDRO) infections in Thai hospitals.
We evaluated the extent to which hospital characteristics, infection control practices, and compliance with prevention bundles impacted multidrug-resistant organism (MDRO) infections in Thai hospitals.
Prevalence and Appropriateness of Urinary Catheters in Japanese Intensive Care Units: Results From a Multicenter Point Prevalence Study
Clin Infect Dis
Catheter-associated urinary tract infection is a common and costly problem throughout the world. As limited data from Asia exist regarding the prevalence and appropriateness of urinary catheters in critically ill patients, we sought to assess both prevalence...
Catheter-associated urinary tract infection is a common and costly problem throughout the world. As limited data from Asia exist regarding the prevalence and appropriateness of urinary catheters in critically ill patients, we sought to assess both prevalence...
Infection Prevention Practices in Japan, Thailand and the United States: Results from National Surveys
Clin Infect Dis
Numerous evidence-based practices for preventing device-associated infections are available, yet the extent to which these practices are regularly used in acute care hospitals across different countries has not been compared, to our knowledge.
Numerous evidence-based practices for preventing device-associated infections are available, yet the extent to which these practices are regularly used in acute care hospitals across different countries has not been compared, to our knowledge.
Systematic review of interventions to reduce urinary tract infection in nursing home residents
J Hosp Med
Urinary tract infections (UTIs) in nursing homes are common, costly, and morbid. Systematic literature review of strategies to reduce UTIs in nursing home residents.
Urinary tract infections (UTIs) in nursing homes are common, costly, and morbid. Systematic literature review of strategies to reduce UTIs in nursing home residents.
The effect of merging two infectious disease units on hand hygiene adherence in Italy
J Infect Prev
Healthcare-associated infections (HAIs) are common and harmful to patients. Effective hand hygiene can help prevent HAIs, however, suboptimal healthcare worker hand hygiene remains problematic across the globe. This study analyses the impact of...
Healthcare-associated infections (HAIs) are common and harmful to patients. Effective hand hygiene can help prevent HAIs, however, suboptimal healthcare worker hand hygiene remains problematic across the globe. This study analyses the impact of...
Novel combined patient instruction and discharge summary tool improves timeliness of documentation and outpatient provider satisfaction
SAGE Open Med
Incomplete or delayed access to discharge information by outpatient providers and patients contributes to discontinuity of care and poor outcomes. To evaluate the effect of a new electronic discharge summary tool on the timeliness of documentation and communication with outpatient providers.
Incomplete or delayed access to discharge information by outpatient providers and patients contributes to discontinuity of care and poor outcomes. To evaluate the effect of a new electronic discharge summary tool on the timeliness of documentation and communication with outpatient providers.
Variation in use of technology among vascular access specialists: an analysis of the PICC1 survey
J Vasc Access
While the use of technologies such as ultrasound and electrocardiographic (ECG) guidance systems to place peripherally inserted central catheters (PICCs) has grown, little is known about the clinicians who use these tools or their work settings.
While the use of technologies such as ultrasound and electrocardiographic (ECG) guidance systems to place peripherally inserted central catheters (PICCs) has grown, little is known about the clinicians who use these tools or their work settings.
Evolution of Geriatric Medicine: Midcareer Faculty Continuing the Dialogue
J Am Geriatr Soc
We read the article by Tinetti and accompanying editorial by Kane and colleagues with great interest. During our careers as Geriatricians, these and other remarkable dedicated physicians drew us into this challenging field and continue to motivate us...
We read the article by Tinetti and accompanying editorial by Kane and colleagues with great interest. During our careers as Geriatricians, these and other remarkable dedicated physicians drew us into this challenging field and continue to motivate us...
The relationship between perceived role and appropriate use of peripherally inserted central catheters: A survey of vascular access nurses in the United States
Int J Nurs Stud
The presence and proliferation of vascular access nursing in hospital settings has been identified as a potential contributor to growing demand, and possible overuse, of peripherally inserted central catheters (PICCs).
The presence and proliferation of vascular access nursing in hospital settings has been identified as a potential contributor to growing demand, and possible overuse, of peripherally inserted central catheters (PICCs).
Infrequent Use of Isolation Precautions in Nursing Homes: Implications for an Evolving Population
J Am Geriatr Soc
With rates exceeding those in acute care hospitals, including intensive care units, over 50% of nursing home residents harbor a multi-drug resistant organism (MDRO) without having any symptoms of infection. When a nursing home resident develops...
With rates exceeding those in acute care hospitals, including intensive care units, over 50% of nursing home residents harbor a multi-drug resistant organism (MDRO) without having any symptoms of infection. When a nursing home resident develops...
Evaluation of the association between the Hospital Survey on Patient Safety Culture (HSOPS) measures and catheter-associated infections: results of two national collaboratives
BMJ Qual Saf
The Agency for Healthcare Research and Quality (AHRQ) has funded national collaboratives using the Comprehensive Unit-based Safety Program to reduce rates of two catheter-associated infections—central-line-associated bloodstream infection (CLABSI)...
The Agency for Healthcare Research and Quality (AHRQ) has funded national collaboratives using the Comprehensive Unit-based Safety Program to reduce rates of two catheter-associated infections—central-line-associated bloodstream infection (CLABSI)...
Comparing catheter-associated urinary tract infection prevention programs between VA and non-VA nursing homes
Infect Control Hosp Epidemiol
The impact of healthcare system integration on infection prevention programs is unknown. Using catheter-associated urinary tract infection (CAUTI) prevention as an example, we hypothesize that US Department of Veterans Affairs (VA) nursing homes have...
The impact of healthcare system integration on infection prevention programs is unknown. Using catheter-associated urinary tract infection (CAUTI) prevention as an example, we hypothesize that US Department of Veterans Affairs (VA) nursing homes have...
Neonatal Peripherally Inserted Central Catheter Practices and Providers: Results From the Neonatal PICC1 Survey
Adv Neonatal Care
Neonatal intensive care units (NICUs) commonly utilize peripherally inserted central catheters (PICCs) to provide nutrition and long-term medications to premature and full-term infants. However, little is known about PICC practices in these settings.
Neonatal intensive care units (NICUs) commonly utilize peripherally inserted central catheters (PICCs) to provide nutrition and long-term medications to premature and full-term infants. However, little is known about PICC practices in these settings.
Association between delivery methods for red blood cell transfusion and the risk of venous thromboembolism: a longitudinal study
Lancet Haematol
Mechanisms of red blood cell delivery and their contribution to the incidence of venous thromboembolism are not well understood in the clinical setting. We assessed whether red blood cell transfusion through peripherally inserted central catheters (PICCs) affects...
Mechanisms of red blood cell delivery and their contribution to the incidence of venous thromboembolism are not well understood in the clinical setting. We assessed whether red blood cell transfusion through peripherally inserted central catheters (PICCs) affects...
Opioid use and walking among patients with chronic low back pain
J Rehabil Res Dev
This study examined the effect of a walking intervention on step counts among patients with chronic back pain who report opioid use. Data were collected as part of a randomized trial to reduce back-pain-related disability.
This study examined the effect of a walking intervention on step counts among patients with chronic back pain who report opioid use. Data were collected as part of a randomized trial to reduce back-pain-related disability.
Are antimicrobial peripherally inserted central catheters associated with reduction in central line-associated bloodstream infection? A systematic review and meta-analysis
Am J Infect Control
Antimicrobial peripherally inserted central catheters (PICCs) may reduce the risk of central line-associated bloodstream infection (CLABSI). However, data regarding efficacy are limited. We aimed to evaluate whether antimicrobial PICCs are associated with...
Antimicrobial peripherally inserted central catheters (PICCs) may reduce the risk of central line-associated bloodstream infection (CLABSI). However, data regarding efficacy are limited. We aimed to evaluate whether antimicrobial PICCs are associated with...
Infection Prevention and Antimicrobial Stewardship Knowledge for Selected Infections Among Nursing Home Personnel
Infect Control Hosp Epidemiol
To assess knowledge about infection prevention among nursing home personnel and identify gaps potentially addressable through a quality improvement collaborative. Baseline knowledge assessment of catheter-associated urinary tract infection, asymptomatic...
To assess knowledge about infection prevention among nursing home personnel and identify gaps potentially addressable through a quality improvement collaborative. Baseline knowledge assessment of catheter-associated urinary tract infection, asymptomatic...
Patient-Centered Pain Care Using Artificial Intelligence and Mobile Health Tools: Protocol for a study funded by the US Department of Veterans Affairs Health Services Research and Development Program
JMIR Res Protoc
Cognitive behavioral therapy (CBT) is one of the most effective treatments for chronic low back pain. However, only half of Department of Veterans Affairs (VA) patients have access to trained CBT therapists, and program expansion is costly. CBT typically consists...
Cognitive behavioral therapy (CBT) is one of the most effective treatments for chronic low back pain. However, only half of Department of Veterans Affairs (VA) patients have access to trained CBT therapists, and program expansion is costly. CBT typically consists...
Resuscitation Practices Associated with Survival After In-Hospital Cardiac Arrest: A Nationwide Survey
JAMA Cardiol
Although survival of patients with in-hospital cardiac arrest varies markedly among hospitals, specific resuscitation practices that distinguish sites with higher cardiac arrest survival rates remain unknown.
Although survival of patients with in-hospital cardiac arrest varies markedly among hospitals, specific resuscitation practices that distinguish sites with higher cardiac arrest survival rates remain unknown.
Hemovigilance of adverse events associated with red blood cell transfusion: comparison across 17 countries
Vox Sang
The recent establishment of the National Healthcare Safety Network Hemovigilance Module in the United States affords an opportunity to compare results with those of other developed nations.
The recent establishment of the National Healthcare Safety Network Hemovigilance Module in the United States affords an opportunity to compare results with those of other developed nations.
Constitutional symptoms trigger diagnostic testing before antibiotic prescribing in high-risk nursing home residents
J Am Geriatr Soc
To evaluate the use of diagnostic testing before treating an infection in nursing home (NH) residents suspected of having a urinary tract infection (UTI) or pneumonia.
To evaluate the use of diagnostic testing before treating an infection in nursing home (NH) residents suspected of having a urinary tract infection (UTI) or pneumonia.
The impact of disability and social determinants of health on condition-specific readmissions beyond Medicare risk-adjustments: A cohort study
J Gen Intern Med
Readmission rates after pneumonia, heart failure, and acute myocardial infarction hospitalizations are risk-adjusted for age, gender, and medical comorbidities and used to penalize hospitals.
Readmission rates after pneumonia, heart failure, and acute myocardial infarction hospitalizations are risk-adjusted for age, gender, and medical comorbidities and used to penalize hospitals.
Use of Daily Interruption of Sedation and Early Mobility in U.S. Hospitals
J Nurs Care Qual
Although the Awakening and Breathing Coordination, Delirium assessment, and Early exercise/mobility (ABCDE) bundle may be effective, individual components of ABCDE may not be implemented as intended. We examined the use of daily interruption...
Although the Awakening and Breathing Coordination, Delirium assessment, and Early exercise/mobility (ABCDE) bundle may be effective, individual components of ABCDE may not be implemented as intended. We examined the use of daily interruption...
Prediction of transfusions after isolated coronary artery bypass grafting surgical procedures
Ann Thorac Surg
Although blood transfusions are common and have been associated with adverse sequelae after cardiac surgical procedures, few contemporaneous models exist to support clinical decision making. This study developed a preoperative clinical decision support...
Although blood transfusions are common and have been associated with adverse sequelae after cardiac surgical procedures, few contemporaneous models exist to support clinical decision making. This study developed a preoperative clinical decision support...
Aging, the medical subspecialties and career development: where we were, where we are going
J Am Geriatr Soc
Historically, the medical subspecialties have not focused on the needs of older adults. This has changed with the implementation of initiatives to integrate geriatrics and aging research into the medical and surgical subspecialties and with the establishment...
Historically, the medical subspecialties have not focused on the needs of older adults. This has changed with the implementation of initiatives to integrate geriatrics and aging research into the medical and surgical subspecialties and with the establishment...
Taking ACTION to Reduce Pain: ACTION study rationale, design and protocol of a randomized trial of a proactive telephone-based coaching intervention for chronic musculoskeletal pain among African Americans
BMC Musculoskelet Disord
Rates of chronic pain are rising sharply in the United States and worldwide. Presently, there is evidence of racial disparities in pain treatment and treatment outcomes in the United States but few interventions designed to address these disparities.
Rates of chronic pain are rising sharply in the United States and worldwide. Presently, there is evidence of racial disparities in pain treatment and treatment outcomes in the United States but few interventions designed to address these disparities.
Internet-Delivered Health Interventions That Work: Systematic Review of Meta-Analyses and Evaluation of Website Availability
J Med Internet Res
Due to easy access and low cost, Internet-delivered therapies offer an attractive alternative to improving health. Although numerous websites contain health-related information, finding evidence-based programs (as demonstrated through randomized controlled...
Due to easy access and low cost, Internet-delivered therapies offer an attractive alternative to improving health. Although numerous websites contain health-related information, finding evidence-based programs (as demonstrated through randomized controlled...
Can intersectional innovations reduce hospital infection?
J Hosp Med
Preventing healthcare-associated infection remains an international priority given the clinical and economic consequences of this largely preventable patient safety harm. Whereas important strides have been made in preventing hospital infections over the past...
Preventing healthcare-associated infection remains an international priority given the clinical and economic consequences of this largely preventable patient safety harm. Whereas important strides have been made in preventing hospital infections over the past...
