2024
Implementation and evaluation of an electronic consult program at a large academic health system
Arora A, Fekieta R, Spatz E, Roy B, Marco K, Sharifi M, Pashankar D, Khokhar B. Implementation and evaluation of an electronic consult program at a large academic health system. PLOS ONE 2024, 19: e0310122. PMID: 39264980, PMCID: PMC11392322, DOI: 10.1371/journal.pone.0310122.Peer-Reviewed Original ResearchConceptsAcademic health systemHealth systemEConsult programBenefits of eConsultEffective implementation strategiesPrimary careElectronic consultationSpecialist cliniciansSpecialty cliniciansEngaging leadershipHigh satisfactionImplementation strategiesCapture satisfactionIncrease accessConsultation programProcess outcomesEConsultsQuality assurance mechanismsSurgical specialtiesSpecialtyQuantitative dataMulti-method approachCliniciansSatisfactionProgram
2022
Trends in Utilization of Electronic Consultations Associated With Patient Payer and Language Among US Academic Medical Centers During the COVID-19 Pandemic
Arora A, Fekieta R, Nouri Z, Carder D, Colgan MM, Fuhlbrigge A, Jackson SL, Collins S, Gleason N, Chen J. Trends in Utilization of Electronic Consultations Associated With Patient Payer and Language Among US Academic Medical Centers During the COVID-19 Pandemic. JAMA Network Open 2022, 5: e2224628. PMID: 35904781, PMCID: PMC9338406, DOI: 10.1001/jamanetworkopen.2022.24628.Peer-Reviewed Original ResearchConceptsAcademic medical centerMedical CenterRetrospective cohort studyFace patient visitsAdult patientsCohort studyPrimary outcomeOutpatient visitsSpecialty referralsPatient visitsPayer typePerson careMAIN OUTCOMEAmerican CollegeClinical questionsSpecialist inputPatientsCommercial insuranceElectronic consultationPatient careEConsultationPrimary languageReferralStudy periodCertain clinical questions
2021
A New Tool to Assess Clinician Experience With Patient Care Transitions
Fekieta R, Rosenberg A, Jenq GY, Emerson BL. A New Tool to Assess Clinician Experience With Patient Care Transitions. Quality Management In Health Care 2021, 30: 87-96. PMID: 33783422, DOI: 10.1097/qmh.0000000000000290.Peer-Reviewed Original ResearchConceptsClinician experiencePatient care transfersCare transfersPatient careGeneral medicine unitsQuality improvement projectPatient care transitionsSafe patient careSurvey response rateIntrahospital transfersCare transitionsMedicine unitSingle hospitalNursing preparednessResponse rateHealth professionalsPatientsProvider experienceCliniciansImproved trendPreliminary dataHospital administratorsResponse process validityHospitalImprovement project
2019
Cooperation and conflict in intra‐hospital transfers: A qualitative analysis
Germack HD, Fekieta R, Britton M, Feder SL, Rosenberg A, Chaudhry SI. Cooperation and conflict in intra‐hospital transfers: A qualitative analysis. Nursing Open 2019, 7: 634-641. PMID: 32089862, PMCID: PMC7024622, DOI: 10.1002/nop2.434.Peer-Reviewed Original Research
2017
Validation of surgical site infection surveillance data in colon procedures reported to the Connecticut Department of Public Health
Backman L, Carusillo E, D'aquila L, Melchreit R, Fekieta R. Validation of surgical site infection surveillance data in colon procedures reported to the Connecticut Department of Public Health. American Journal Of Infection Control 2017, 45: 690-691. PMID: 28549514, DOI: 10.1016/j.ajic.2017.02.002.Peer-Reviewed Original ResearchConceptsNational Healthcare Safety NetworkSurgical site infection surveillance dataSurgical site infectionCase-finding methodsInfection surveillance dataSite infectionColon surgeryInfection definitionsColon proceduresProcedure durationDenominator dataImplant presenceSurveillance dataEndoscope useConnecticut DepartmentPublic healthValidation studySafety NetworkPatientsSurgeryInfectionProspective cluster controlled crossover trial to compare the impact of an improved hydrogen peroxide disinfectant and a quaternary ammonium-based disinfectant on surface contamination and health care outcomes
Boyce J, Guercia K, Sullivan L, Havill N, Fekieta R, Kozakiewicz J, Goffman D. Prospective cluster controlled crossover trial to compare the impact of an improved hydrogen peroxide disinfectant and a quaternary ammonium-based disinfectant on surface contamination and health care outcomes. American Journal Of Infection Control 2017, 45: 1006-1010. PMID: 28431849, DOI: 10.1016/j.ajic.2017.03.010.Peer-Reviewed Original ResearchMeSH KeywordsBacterial InfectionsClostridioides difficileColony Count, MicrobialCross InfectionCross-Over StudiesDisinfectantsGuideline AdherenceHand HygieneHealth PersonnelHumansHydrogen PeroxideMethicillin-Resistant Staphylococcus aureusOutcome Assessment, Health CarePatients' RoomsProspective StudiesQuaternary Ammonium CompoundsVancomycin-Resistant Enterococci
2013
Validation of the surveillance and reporting of central line-associated bloodstream infection denominator data
Backman LA, Nobert G, Melchreit R, Fekieta R, Dembry LM. Validation of the surveillance and reporting of central line-associated bloodstream infection denominator data. American Journal Of Infection Control 2013, 42: 28-33. PMID: 24176605, DOI: 10.1016/j.ajic.2013.06.014.Peer-Reviewed Original ResearchConceptsDenominator dataBlinded retrospective chart reviewCentral line-associated infectionsLine-associated infectionsRetrospective chart reviewAcute care hospitalsNational surveillance systemComparison of hospitalSignificant differencesChart reviewCare hospitalPatient chartsHospitalInternal validationConnecticut DepartmentPublic healthSurveillance systemCountCLDStrict definitionDaysReportingInfection
2008
“Doing the Heavy Lifting: Health Care Workers Take Back Their Backs”
Morse T, Fekieta R, Rubenstein H, Warren N, Alexander D, Wawzyniecki P. “Doing the Heavy Lifting: Health Care Workers Take Back Their Backs”. NEW SOLUTIONS A Journal Of Environmental And Occupational Health Policy 2008, 18: 207-219. PMID: 18511397, DOI: 10.2190/ns.18.2.j.Peer-Reviewed Original ResearchConceptsHealth care workersCare workersMusculoskeletal disorder prevalencePatient handling tasksSafe patient-handling programsHealth care staffCost of injuriesBack schoolDisorder prevalenceBack injuriesCare staffTraining programNurses AssociationHealth careLifting programsHeavy liftingInjuryConsistent documentationAssociationCost savingsHospitalHandling tasksPrevalenceIncidenceWorkers