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
2020
Organisational factors underpinning intra-hospital transfers: a guide for evaluating context in quality improvement
Fekieta R, Rosenberg A, Hodshon B, Feder S, Chaudhry SI, Emerson BL. Organisational factors underpinning intra-hospital transfers: a guide for evaluating context in quality improvement. Health Systems 2020, 10: 239-248. PMID: 34745587, PMCID: PMC8567872, DOI: 10.1080/20476965.2020.1768807.Peer-Reviewed Original ResearchIntra-hospital transferMedical intensive care unitTertiary medical centerIntensive care unitGeneral medicine unitsTransitions of careQuality improvement effortsCare unitEmergency departmentMedicine unitMultiple cliniciansMedical CenterHospital capacityHospital prioritiesApplication of protocolsOrganisational factorsCliniciansImprovement effortsSemi-structured interviewsQualitative assessmentPatientsUndesirable outcomesFactors
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
2016
Impact of Room Location on UV-C Irradiance and UV-C Dosage and Antimicrobial Effect Delivered by a Mobile UV-C Light Device
Boyce J, Farrel P, Towle D, Fekieta R, Aniskiewicz M. Impact of Room Location on UV-C Irradiance and UV-C Dosage and Antimicrobial Effect Delivered by a Mobile UV-C Light Device. Infection Control And Hospital Epidemiology 2016, 37: 667-672. PMID: 27004524, PMCID: PMC4890342, DOI: 10.1017/ice.2016.35.Peer-Reviewed Original Research
2014
1020Unintentional Hypothermia as a Risk Factor for Abdominal Hysterectomy-Related Surgical Site Infection
Boyce J, Sullivan L, Fekieta R. 1020Unintentional Hypothermia as a Risk Factor for Abdominal Hysterectomy-Related Surgical Site Infection. Open Forum Infectious Diseases 2014, 1: s299-s299. PMCID: PMC5781566, DOI: 10.1093/ofid/ofu052.728.Peer-Reviewed Original Research
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
2001
Use of Force-Feedback Joysticks to Promote Teamwork in Virtual Teleoperation
Glynn S, Fekieta R, Henning R. Use of Force-Feedback Joysticks to Promote Teamwork in Virtual Teleoperation. Proceedings Of The Human Factors And Ergonomics Society Annual Meeting 2001, 45: 1911-1915. DOI: 10.1177/154193120104502712.Peer-Reviewed Original Research