2017
Development and Validation of Electronic Quality Measures to Assess Care for Patients With Transient Ischemic Attack and Minor Ischemic Stroke
Bravata DM, Myers LJ, Cheng E, Reeves M, Baye F, Yu Z, Damush T, Miech EJ, Sico J, Phipps M, Zillich A, Johanning J, Chaturvedi S, Austin C, Ferguson J, Maryfield B, Snow K, Ofner S, Graham G, Rhude R, Williams LS, Arling G. Development and Validation of Electronic Quality Measures to Assess Care for Patients With Transient Ischemic Attack and Minor Ischemic Stroke. Circulation Cardiovascular Quality And Outcomes 2017, 10: e003157. PMID: 28912200, DOI: 10.1161/circoutcomes.116.003157.Peer-Reviewed Original ResearchConceptsTransient ischemic attackElectronic quality measuresMinor ischemic strokeProportion of patientsIschemic attackIschemic strokeEHR dataDeep vein thrombosis prophylaxisVeterans Health Administration facilitiesCoronary risk assessmentInternational normalized ratioElectronic health record dataIschemic stroke careHealth record dataQuality of careSubstance abuse referralAntihypertensive classesMedication intensificationThrombosis prophylaxisLipid managementChart reviewStroke careAtrial fibrillationNeurology consultationNormalized ratio
2016
Have clinicians adopted the use of brain MRI for patients with TIA and minor stroke?
Chaturvedi S, Ofner S, Baye F, Myers LJ, Phipps M, Sico JJ, Damush T, Miech E, Reeves M, Johanning J, Williams LS, Arling G, Cheng E, Yu Z, Bravata D. Have clinicians adopted the use of brain MRI for patients with TIA and minor stroke? Neurology 2016, 88: 237-244. PMID: 27927939, PMCID: PMC5272790, DOI: 10.1212/wnl.0000000000003503.Peer-Reviewed Original ResearchConceptsTIA/minor strokeDays of presentationMinor strokeDiffusion-weighted imagingPrevious guidelinesHospital complexityCoronary artery diseaseMinor stroke patientsVeterans Affairs hospitalPreferred imaging modalityUse of MRISubset of hospitalsFacility-level variablesPerformance of MRINational Health SystemPrior strokeSymptom durationChart abstractionArtery diseaseBlood pressureHeart failureNeurologic consultationStroke patientsAtrial fibrillationClinical variables