2022 Publications
Vaccine breakthrough infections in veterans hospitalized with coronavirus infectious disease-2019: A case series
Am J Infect Control
Background: While Severe Acute Respiratory Syndrome Coronavirus-2 vaccine breakthrough infections are expected, reporting on breakthrough infections requiring hospitalization remains limited. This observational case series report reviewed 10 individuals hospitalized with vaccine breakthrough infections to identify patient risk factors and serologic responses upon admission.
Background: While Severe Acute Respiratory Syndrome Coronavirus-2 vaccine breakthrough infections are expected, reporting on breakthrough infections requiring hospitalization remains limited. This observational case series report reviewed 10 individuals hospitalized with vaccine breakthrough infections to identify patient risk factors and serologic responses upon admission.
Understanding consumer preference for vascular access safety and quality measurement: an international survey
Aust Health Rev
The aim of this study was to examine patient perceptions regarding vascular access quality measurement. A web-based, cross-sectional survey was performed using a convenience sample of healthcare consumers with vascular access experience, recruited from September 2019 to June 2020. Survey respondents were asked to rate the perceived importance of 50 vascular access...
The aim of this study was to examine patient perceptions regarding vascular access quality measurement. A web-based, cross-sectional survey was performed using a convenience sample of healthcare consumers with vascular access experience, recruited from September 2019 to June 2020. Survey respondents were asked to rate the perceived importance of 50 vascular access...
Interventions for the Prevention of Retained Surgical Items: A Systematic Review
World J Surg
Retained surgical items (RSI) are preventable error events. Interest in reducing RSI is increasing globally because of increasing demand for safe surgery. While research of interventions to prevent RSI have been reported, no rigorous analysis of the type and effectiveness of interventions exists. This systematic review examines (1) what types of intervention have been implemented to prevent RSI; and...
Retained surgical items (RSI) are preventable error events. Interest in reducing RSI is increasing globally because of increasing demand for safe surgery. While research of interventions to prevent RSI have been reported, no rigorous analysis of the type and effectiveness of interventions exists. This systematic review examines (1) what types of intervention have been implemented to prevent RSI; and...
Development of a multicomponent implementation strategy to reduce upper gastrointestinal bleeding risk in patients using warfarin and antiplatelet therapy, and protocol for a pragmatic multilevel randomized factorial pilot implementation trial
Implement Sci Commun
The concomitant use of anticoagulant and antiplatelet medications increases the risk of upper gastrointestinal (GI) bleeding. Two underused evidence-based practices (EBPs) can reduce the risk: de-prescribe unnecessary antiplatelet therapy or initiate a proton pump inhibitor. We describe the development of a multicomponent intervention to increase use of these EBPs in patients treated...
The concomitant use of anticoagulant and antiplatelet medications increases the risk of upper gastrointestinal (GI) bleeding. Two underused evidence-based practices (EBPs) can reduce the risk: de-prescribe unnecessary antiplatelet therapy or initiate a proton pump inhibitor. We describe the development of a multicomponent intervention to increase use of these EBPs in patients treated...
Safety and Outcomes of Midline Catheters vs Peripherally Inserted Central Catheters for Patients With Short-term Indications: A Multicenter Study
JAMA Intern Med
In patients with difficult intravenous access or those who require short-term intravenous antibiotics, are midline catheters safer than peripherally inserted central catheters (PICCs)? In this cohort study of 10,863 patients across multiple hospitals who received 5758 PICCs and 5105 midlines for difficult access or short-term antibiotic therapy, midlines were associated with fewer bloodstream...
In patients with difficult intravenous access or those who require short-term intravenous antibiotics, are midline catheters safer than peripherally inserted central catheters (PICCs)? In this cohort study of 10,863 patients across multiple hospitals who received 5758 PICCs and 5105 midlines for difficult access or short-term antibiotic therapy, midlines were associated with fewer bloodstream...
Barriers to Guideline-Based Use of Proton Pump Inhibitors to Prevent Upper Gastrointestinal Bleeding
Ann Fam Med
Gastrointestinal (GI) bleeding is one of the most common serious adverse drug events. Guidelines recommend proton pump inhibitor (PPI) gastroprotection to prevent upper GI bleeding in high-risk patients, but this practice is underused. To explore prescribing practices and barriers to the use of PPI gastroprotection, including dynamics within and across specialties, we conducted...
Gastrointestinal (GI) bleeding is one of the most common serious adverse drug events. Guidelines recommend proton pump inhibitor (PPI) gastroprotection to prevent upper GI bleeding in high-risk patients, but this practice is underused. To explore prescribing practices and barriers to the use of PPI gastroprotection, including dynamics within and across specialties, we conducted...
Environmental contamination with SARS-CoV-2 in nursing homes
J Am Geriatr Soc
SARS-CoV-2 outbreaks in nursing homes (NHs) have been devastating and have led to the creation of coronavirus disease 2019 (COVID-19) units within NHs to care for affected patients. Frequency and persistence of SARS-CoV-2 environmental contamination in these units have not been studied.
SARS-CoV-2 outbreaks in nursing homes (NHs) have been devastating and have led to the creation of coronavirus disease 2019 (COVID-19) units within NHs to care for affected patients. Frequency and persistence of SARS-CoV-2 environmental contamination in these units have not been studied.
Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals
BMJ Qual Saf
Central venous access catheters are often used for patients requiring repeated infusions, blood sampling, invasive monitoring or where peripheral access is difficult. For intravenous access of up to 2 weeks in duration, a midline catheter is usually satisfactory, but for longer-term use, peripherally inserted central catheters (PICCs) are increasingly used, including in clinical areas outside of...
Central venous access catheters are often used for patients requiring repeated infusions, blood sampling, invasive monitoring or where peripheral access is difficult. For intravenous access of up to 2 weeks in duration, a midline catheter is usually satisfactory, but for longer-term use, peripherally inserted central catheters (PICCs) are increasingly used, including in clinical areas outside of...
Gender Differences in Work-Family Conflict Experiences of Faculty in Academic Medicine
J Gen Intern Med
Women face disproportionate challenges when striving to achieve “the absence of unacceptable levels of conflict between work and non-work demands.” Little is known about the degree to which academic medical faculty’s work interferes with family, family interferes with work, family influences career progress, one partner’s career takes priority, or how this might differ by gender.
Women face disproportionate challenges when striving to achieve “the absence of unacceptable levels of conflict between work and non-work demands.” Little is known about the degree to which academic medical faculty’s work interferes with family, family interferes with work, family influences career progress, one partner’s career takes priority, or how this might differ by gender.
