2024
Learning implementation of a guideline based decision support system to improve hypertension treatment in primary care in China: pragmatic cluster randomised controlled trial
Song J, Wang X, Wang B, Ge Y, Bi L, Jing F, Jin H, Li T, Gu B, Wang L, Hao J, Zhao Y, Liu J, Zhang H, Li X, Li J, Ma W, Wang J, Normand S, Herrin J, Armitage J, Krumholz H, Zheng X. Learning implementation of a guideline based decision support system to improve hypertension treatment in primary care in China: pragmatic cluster randomised controlled trial. The BMJ 2024, 386: e079143. PMID: 39043397, PMCID: PMC11265211, DOI: 10.1136/bmj-2023-079143.Peer-Reviewed Original ResearchConceptsClinical decision support systemsPrimary care practicesElectronic health recordsIntervention groupSystolic blood pressurePrimary careCare practicesBlood pressure <Health recordsPragmatic cluster randomised controlled trialCluster randomised controlled trialImproving hypertension treatmentPrimary care settingBlood pressure control ratesBlood pressureProportion of visitsProportion of participantsRandomised controlled trialsSystolic blood pressure <Control groupInjurious fallsRelated visitsCare settingsDiastolic blood pressure <Follow-up
2017
Effectiveness of a Decision Aid in Potentially Vulnerable Patients: A Secondary Analysis of the Chest Pain Choice Multicenter Randomized Trial
Rising K, Hollander J, Schaffer J, Kline J, Torres C, Diercks D, Jones R, Owen K, Meisel Z, Demers M, Leblanc A, Shah N, Inselman J, Herrin J, Montori V, Hess E. Effectiveness of a Decision Aid in Potentially Vulnerable Patients: A Secondary Analysis of the Chest Pain Choice Multicenter Randomized Trial. Medical Decision Making 2017, 38: 69-78. PMID: 28525723, DOI: 10.1177/0272989x17706363.Peer-Reviewed Original ResearchConceptsUsual careHealth literacySecondary analysisAcute coronary syndromeDecision aidOne-thirdChest painCoronary syndromePatient characteristicsSDM interventionsIntervention groupVulnerable patientsHigh school educationPatientsControl groupPhysician trustPatient trustSubgroup effectsArm assignmentVulnerable subgroupsSociodemographic groupsMulticenterTrialsSimilar extentPhysicians
2016
Thermography Examination of Abdominal Area Skin Temperatures in Individuals With and Without Focal-Onset Epilepsy
King HH, Cayce CT, Herrin J. Thermography Examination of Abdominal Area Skin Temperatures in Individuals With and Without Focal-Onset Epilepsy. Explore: The Journal Of Science & Healing 2016, 13: 46-52. PMID: 27876238, DOI: 10.1016/j.explore.2016.10.003.Peer-Reviewed Original ResearchConceptsFocal onset epilepsyControl groupAbdominal areaControl subjectsViscero-somatic reflexesHistory of epilepsySignificant differencesSignificant demographic differencesTotal abdominal areaMechanism of actionAbdominal epilepsyAbdominal injuriesExperimental patientsEpilepsy groupEpileptic pathologyMore quadrantsEpileptic patientsWarrants further considerationVisceral structuresEpilepsyAbdominal adhesionsEpilepsy FoundationPatientsPresent study resultsNeurological interactions
2014
A reanalysis of cluster randomized trials showed interrupted time-series studies were valuable in health system evaluation
Fretheim A, Zhang F, Ross-Degnan D, Oxman AD, Cheyne H, Foy R, Goodacre S, Herrin J, Kerse N, McKinlay RJ, Wright A, Soumerai SB. A reanalysis of cluster randomized trials showed interrupted time-series studies were valuable in health system evaluation. Journal Of Clinical Epidemiology 2014, 68: 324-333. PMID: 25499983, DOI: 10.1016/j.jclinepi.2014.10.003.Peer-Reviewed Original ResearchConceptsC-RCTsControl groupInterrupted time series studyConfidence intervalsConcurrent control groupHealth system interventionsHealth system evaluationControl arm dataInterrupted time series designIntervention armRandomized trialsControl group dataTrial dataTime-series studyTime series designHealth systemStudy designEffect estimatesTrialsInterventionSystem interventionsArm dataGroup dataRCTsGroup
2009
A hospital-randomized controlled trial of a formal quality improvement educational program in rural and small community Texas hospitals: one year results
Filardo G, Nicewander D, Herrin J, Edwards J, Galimbertti P, Tietze M, Mcbride S, Gunderson J, Collinsworth A, Haydar Z, Williams J, Ballard DJ. A hospital-randomized controlled trial of a formal quality improvement educational program in rural and small community Texas hospitals: one year results. International Journal For Quality In Health Care 2009, 21: 225-232. PMID: 19395710, DOI: 10.1093/intqhc/mzp019.Peer-Reviewed Original ResearchConceptsRural hospitalsStudy groupControl groupCommunity-acquired pneumoniaCongestive heart failureLocal quality improvement projectsSmall community hospitalQuality improvement projectContinuous quality improvement techniquesFull training programEducational programsHeart failureAnnual followIntervention groupCommunity hospitalHospitalTexas hospitalsPhysician championsIncremental benefitCore measuresSignificant differencesDidactic sessionsImprovement projectQuality improvement techniquesTrials
2008
Team Training and Stroke Rehabilitation Outcomes: A Cluster Randomized Trial
Strasser DC, Falconer JA, Stevens AB, Uomoto JM, Herrin J, Bowen SE, Burridge AB. Team Training and Stroke Rehabilitation Outcomes: A Cluster Randomized Trial. Archives Of Physical Medicine And Rehabilitation 2008, 89: 10-15. PMID: 18164324, DOI: 10.1016/j.apmr.2007.08.127.Peer-Reviewed Original ResearchConceptsLength of stayStroke patientsCommunity dischargePatient outcomesVeterans Affairs Medical CenterImproved patient outcomesIntervention teamStroke rehabilitation outcomesSignificant differencesVideoconference consultationsStroke outcomeFunctional outcomeFIM instrumentRehabilitation unitFunctional improvementIntervention groupFIM gainMedical CenterStroke rehabilitationFunctional gainsRehabilitation outcomesControl groupClinical staffMotor itemsSecondary analysis
2007
A Hospital-Randomized Controlled Trial of an Educational Quality Improvement Intervention in Rural and Small Community Hospitals in Texas Following Implementation of Information Technology
Filardo G, Nicewander D, Hamilton C, Herrin J, Galimbretti P, Tietze M, McBride S, Gunderson J, Haydar Z, Williams J, Ballard DJ. A Hospital-Randomized Controlled Trial of an Educational Quality Improvement Intervention in Rural and Small Community Hospitals in Texas Following Implementation of Information Technology. American Journal Of Medical Quality 2007, 22: 418-427. PMID: 18006422, DOI: 10.1177/1062860607307995.Peer-Reviewed Original ResearchConceptsCongestive heart failureSmall community hospitalCommunity-acquired pneumoniaCommunity hospitalQuality improvement interventionsHeart failureControlled TrialsControl groupImprovement interventionsYears postinterventionHospitalTexas hospitalsBaseline rateComposite scoreFollowing ImplementationQI educationTrialsPoor qualityQuality improvementQuality benchmarkingReview toolPneumoniaGroupPostinterventionCohort
2002
Blind Faith? The Effects of Promoting Active Sick Leave for Back Pain Patients
Scheel I, Hagen K, Herrin J, Carling C, Oxman A. Blind Faith? The Effects of Promoting Active Sick Leave for Back Pain Patients. Spine 2002, 27: 2734-2740. PMID: 12461401, DOI: 10.1097/00007632-200212010-00014.Peer-Reviewed Original ResearchConceptsLow back painProportion of patientsQuality of lifeSick leaveControl groupIntervention groupPassive intervention groupBack pain patientsPassive interventionMain outcome measuresSelf-reported qualityNational Insurance AdministrationLBP patientsPain patientsBack painPatient satisfactionGeneral practitionersMedian numberOutcome measuresBACKGROUND DATAIndividual patientsPatientsResponse rateHealth outcomesInterventionA Call for Action
Scheel I, Hagen K, Herrin J, Oxman A. A Call for Action. Spine 2002, 27: 561-566. PMID: 11884902, DOI: 10.1097/00007632-200203150-00002.Peer-Reviewed Original ResearchConceptsLow back painGeneral practitionersBack painPassive interventionSick leaveBack pain patientsClinical practice guidelinesMain outcome measuresProactive interventionsEligible patientsPain patientsIntervention municipalitiesEarly returnGP practicesPractice guidelinesBACKGROUND DATAOutcome measuresPatientsControl groupPainTelephone callsCommunity interventionsControl municipalitiesInterventionImportance of advice