2008
Real money: Complications and hospital costs in trauma patients
Hemmila MR, Jakubus JL, Maggio PM, Wahl WL, Dimick JB, Campbell DA, Taheri PA. Real money: Complications and hospital costs in trauma patients. Surgery 2008, 144: 307-316. PMID: 18656640, PMCID: PMC2583342, DOI: 10.1016/j.surg.2008.05.003.Peer-Reviewed Original ResearchConceptsMajor complication groupMinor complication groupComplication groupHospital costsTrauma patientsDuration of stayMinor complicationsMajor complicationsHospital chargesNational Surgical Quality Improvement Program methodologyEmergency department systolic blood pressureQuality careMedian total hospital costLevel 1 trauma centerNew Injury Severity ScoreGeneral surgery populationMajor postoperative complicationsInjury Severity ScoreSystolic blood pressureTotal hospital chargesTotal hospital costsTypes of complicationsMedian hospital chargesImproved quality carePostoperative complicationsAngioembolization Reduces Operative Intervention for Blunt Splenic Injury
Wei B, Hemmila MR, Arbabi S, Taheri PA, Wahl WL. Angioembolization Reduces Operative Intervention for Blunt Splenic Injury. Journal Of Trauma And Acute Care Surgery 2008, 64: 1472-1477. PMID: 18545111, DOI: 10.1097/ta.0b013e318174e8cd.Peer-Reviewed Original ResearchMeSH KeywordsAbdominal InjuriesAdultAngiographyCohort StudiesEmbolization, TherapeuticFemaleFollow-Up StudiesHumansInjury Severity ScoreMaleMiddle AgedMultivariate AnalysisProbabilityRadiography, InterventionalRetrospective StudiesRisk AssessmentSplenectomySplenic RuptureTrauma CentersTreatment OutcomeWounds, NonpenetratingConceptsBlunt splenic injuryAngiographic embolizationInjury Severity ScoreSplenic injuryOperative interventionInjury scoreSeverity scoreAE groupSimilar Injury Severity ScoresGlasgow Coma Scale scorePacked RBC transfusionSplenic salvage rateAdult trauma patientsAbbreviated Injury ScoreLength of stayOverall hospitalization costsAbdominal complicationsIntraabdominal complicationsThromboembolic eventsNonoperative managementOnly patientsRBC transfusionSalvage rateTrauma patientsPleural effusion122. Real Money: Complications and Hospital Costs in Trauma Patients
Hemmila M, Jakubus J, Maggio P, Wahl W, Dimick J, Campbell D, Taheri P. 122. Real Money: Complications and Hospital Costs in Trauma Patients. Journal Of Surgical Research 2008, 144: 229-230. DOI: 10.1016/j.jss.2007.12.139.Peer-Reviewed Original Research
2007
Detecting the blind spot: Complications in the trauma registry and trauma quality improvement
Hemmila MR, Jakubus JL, Wahl WL, Arbabi S, Henderson WG, Khuri SF, Taheri PA, Campbell DA. Detecting the blind spot: Complications in the trauma registry and trauma quality improvement. Surgery 2007, 142: 439-449. PMID: 17950334, PMCID: PMC2080842, DOI: 10.1016/j.surg.2007.07.002.Peer-Reviewed Original ResearchConceptsNational Trauma Data BankGeneral surgery patientsNational Surgical Quality Improvement ProgramSurgery patientsTrauma patientsNSQIP methodologyNTDB patientsTrauma centerOutcome dataLevel 1 trauma centerSurgical Quality Improvement ProgramVeterans Affairs Healthcare SystemRisk adjustmentRisk-adjusted mannerTrauma patient groupsTrauma quality improvementTrauma Data BankQuality Improvement ProgramHigh rateRisk-adjusted ratesImportant comorbidityAdult patientsPatient comorbiditiesTrauma registryMore complicationsTrauma Center Downstream Revenue: The Impact of Incremental Patients Within a Health System
Taheri PA, Maggio PM, Dougherty J, Neil C, Fetyko S, Harkins DR, Butz DA. Trauma Center Downstream Revenue: The Impact of Incremental Patients Within a Health System. Journal Of Trauma And Acute Care Surgery 2007, 62: 615-621. PMID: 17414337, DOI: 10.1097/ta.0b013e31802ee532.Peer-Reviewed Original ResearchConceptsEmergency surgery servicesSurgery serviceStudy periodEmergency surgical servicesInitial patient admissionsAcademic Level IProfessional revenueDownstream revenueClinic visitsInitial admissionPatient admissionsEmergent patientsOutpatient activitySurgical servicesLevel IService admissionsPatientsFiscal year 2002Health systemInpatient activityAdmissionTraumaInpatientsHospitalInpatient revenueFinancial Impact of Hand Surgery Programs on Academic Medical Centers
Hasan JS, Chung KC, Storey AF, Bolg ML, Taheri PA. Financial Impact of Hand Surgery Programs on Academic Medical Centers. Plastic & Reconstructive Surgery 2007, 119: 627-635. PMID: 17230099, DOI: 10.1097/01.prs.0000246528.28652.11.Peer-Reviewed Original ResearchConceptsFacility revenueOperating incomeProfessional revenueCost accounting systemTotal costFinancial dataNet revenueFinancial performanceFinancial evaluationRevenueClinic chargesIncomeDollarsFinancial impactAccounting systemDirect costsOverhead costsCollection rateCharge categoriesHospital cost accounting systemCostDepartment of SurgeryAcademic medical centerFacility costsMedical Center
2006
Broken bodies, broken hearts? Limitations of the trauma system as a model for regionalizing care for ST-Elevation Myocardial Infarction in the United States
Nallamothu BK, Taheri PA, Barsan WG, Bates ER. Broken bodies, broken hearts? Limitations of the trauma system as a model for regionalizing care for ST-Elevation Myocardial Infarction in the United States. American Heart Journal 2006, 152: 613-618. PMID: 16996824, DOI: 10.1016/j.ahj.2006.03.025.Peer-Reviewed Original ResearchA New Prescription for Healthcare Leadership
Harkins D, Butz D, Taheri P. A New Prescription for Healthcare Leadership. Journal Of Trauma Nursing 2006, 13: 126-130. PMID: 17052094, DOI: 10.1097/00043860-200607000-00011.Peer-Reviewed Original ResearchAccountingBudgetsCommerceCurriculumEducation, Nursing, ContinuingEmergency Service, HospitalFinancial Management, HospitalForecastingHealth Services Needs and DemandHumansIntensive Care UnitsLeadershipLength of StayNurse AdministratorsNurse's RoleOperating RoomsOperations ResearchProfessional CompetenceProgram DevelopmentStaff DevelopmentTraumatology
2005
Perioperative Issues: Myocardial Ischemia and Protection — Beta-Blockade
Maggio P, Taheri P. Perioperative Issues: Myocardial Ischemia and Protection — Beta-Blockade. Surgical Clinics Of North America 2005, 85: 1091-1102. PMID: 16326195, DOI: 10.1016/j.suc.2005.09.016.Peer-Reviewed Original ResearchConceptsNoncardiac surgeryPeri-operative cardiac eventsHigh-risk patientsLow-risk patientsThird of patientsPreoperative risk assessmentCoronary artery diseaseLow complication rateCardiac complicationsCardiovascular complicationsPerioperative morbidityPerioperative outcomesCardiac eventsComplication rateArtery diseaseMyocardial ischemiaImportant causePatientsGreater riskMorbidityComplicationsSurgeryMortalityRiskGreat benefitReferral Patterns and Severity Distribution of Burn Care
Pacella S, Harkins D, Butz D, Kuzon W, Taheri P. Referral Patterns and Severity Distribution of Burn Care. Annals Of Plastic Surgery 2005, 54: 412-419. PMID: 15785284, DOI: 10.1097/01.sap.0000154877.59894.5e.Peer-Reviewed Original ResearchConceptsHigh-volume hospitalsLow-volume hospitalsNational Inpatient SampleReferral patternsBurn centerModerate-volume hospitalsHigh-volume centersRegional burn centerTotal burn admissionsState of MichiganBurn patientsEducation of surgeonsInpatient SamplePatient distributionBurn providersBurn careBurn admissionsSevere burnsPatientsSurgical programsSurgical training programsAdmissionHospitalHospital AssociationSurgical residents
2004
A PDA based application for burn management and education
Rowe S, Arbabi S, Hemmila M, Taheri P, Wang S, Wahl W, Brandt M. A PDA based application for burn management and education. Journal Of Surgical Research 2004, 121: 341-342. DOI: 10.1016/j.jss.2004.07.240.Peer-Reviewed Original ResearchTotal body surface areaBurn centerAmerican Burn Association criteriaInitial burn resuscitationLocal wound careBody surface areaTime of burnMechanism of burnBurn center referralInhalation injuryResuscitation volumeCenter referralEpidermal necrolysisBurn resuscitationCommunity hospitalPediatric burnsTreatment decisionsAssociation criteriaWound careBurn managementBedside useInitial evaluationInitial assessmentZip codesPatientsThe impact of surgeon volume on mortality for colorectal cancer resections
Chen S, Comstock M, Taheri P. The impact of surgeon volume on mortality for colorectal cancer resections. Annals Of Surgical Oncology 2004, 11: s73-s73. DOI: 10.1007/bf02524041.Peer-Reviewed Original Research
2003
A pilot study to predict high cost patients in the pre-operative setting
Chen S, Bahl V, Taheri P, Dimick J, Henderson W, Daley J, Khuri S, Fink A, Mentzer R, Campbell D. A pilot study to predict high cost patients in the pre-operative setting. Journal Of Surgical Research 2003, 114: 244. DOI: 10.1016/j.jss.2003.08.142.Peer-Reviewed Original ResearchNational Surgical Quality Improvement ProgramHigh-cost patientsPreoperative variablesClinical variablesCost patientsSurgical Quality Improvement ProgramHigher ASA classificationHigh-risk patientsHigh surgical complexityPost-operative complicationsPre-operative settingSubset of patientsCertain clinical variablesSpecific patient populationsCost of careDirect chart reviewQuality Improvement ProgramAeromedical Service: How Does it Actually Contribute to the Mission?
Rosenberg B, Butz D, Comstock M, Taheri P. Aeromedical Service: How Does it Actually Contribute to the Mission? Journal Of Trauma And Acute Care Surgery 2003, 54: 681-688. PMID: 12707529, DOI: 10.1097/01.ta.0000054684.83538.45.Peer-Reviewed Original ResearchConceptsDiagnosis-related groupsSF patientsHealth systemAeromedical servicesIntensive care unit stayIntensive care unit daysMichigan Health SystemDownstream revenueAdmitting servicesUnit stayUnit daysClinical activityInpatient revenueInpatient daysPatientsPatient careAeromedical transportationProfessional feesStayDaysAdmissionHospitalOverall lengthCareEarly Burn Injury Prevention that Includes the Medical and Social Consequence of Fireplay is Beneficial in a School Curriculum
Arbabi S, Pucci P, Samuels S, Polan S, Taheri P. Early Burn Injury Prevention that Includes the Medical and Social Consequence of Fireplay is Beneficial in a School Curriculum. Journal Of Burn Care & Research 2003, 24: s64-s64. DOI: 10.1097/00004630-200303002-00044.Peer-Reviewed Original Research
2002
Straight Talk: A Community Approach to Understanding and Preventing Burn Injuries
Pucci P, McReynolds M, Harkins D, Taddonio T, Polan S, Samuels S, Taheri P. Straight Talk: A Community Approach to Understanding and Preventing Burn Injuries. Journal Of Burn Care & Research 2002, 23: s66-s66. DOI: 10.1097/00004630-200203002-00052.Peer-Reviewed Original ResearchReply
Taheri P, Butz D. Reply. Journal Of The American College Of Surgeons 2002, 194: 102-103. DOI: 10.1016/s1072-7515(01)01125-5.Peer-Reviewed Original Research
2001
Computerized Burn Estimation Diagram Improves Documentation and Reduces Process Improvement Cycle Time
Harkins D, Kheterpal S, Taheri P. Computerized Burn Estimation Diagram Improves Documentation and Reduces Process Improvement Cycle Time. Journal Of Burn Care & Research 2001, 22: s179-s179. DOI: 10.1097/00004630-200103002-00265.Peer-Reviewed Original Research
2000
After the Loss: A Firefighter's Lasting Impact on Prevention—7 Min Video
Harkins D, Pucci P, Mamolen N, Taheri P. After the Loss: A Firefighter's Lasting Impact on Prevention—7 Min Video. Journal Of Burn Care & Research 2000, 21: s182-s182. DOI: 10.1097/00004630-200001001-00096.Peer-Reviewed Original ResearchReduction of Juvenile Firesetting Recidivism by Implementation of an In-Hospital Multidisciplinary Prevention Program
Pucci P, Harkins D, Mamolen N, Taheri P. Reduction of Juvenile Firesetting Recidivism by Implementation of an In-Hospital Multidisciplinary Prevention Program. Journal Of Burn Care & Research 2000, 21: s183-s183. DOI: 10.1097/00004630-200001001-00098.Peer-Reviewed Original Research