2024
Reducing Care Overuse in Older Patients Using Professional Norms and Accountability : A Cluster Randomized Controlled Trial.
Persell S, Petito L, Lee J, Meeker D, Doctor J, Goldstein N, Fox C, Rowe T, Linder J, Chmiel R, Peprah Y, Brown T. Reducing Care Overuse in Older Patients Using Professional Norms and Accountability : A Cluster Randomized Controlled Trial. Annals Of Internal Medicine 2024, 177: 324-334. PMID: 38315997, DOI: 10.7326/m23-2183.Peer-Reviewed Original ResearchCase-based educationHealth systemOlder primary care patientsCluster randomized controlled trialPrimary care internal medicineClinical decision support toolRates of uncontrolled diabetesClinician decision supportPrimary care patientsPrimary care cliniciansProstate-specific antigenOvertreatment of diabetesNational Institute on AgingMonths of interventionDecision supportRates of PSA testingHemoglobin A<sub>1c</sub>Older adult patientsInstitute on AgingSingle Health SystemUrine testsPSA testingRandomized controlled trialsCare cliniciansEmergency care
2021
Establishing a research informatics program in a public healthcare system: a case report with model documents
Meeker D, Fu P, Garcia G, Dyer I, Yadav K, Fleishman R, Yee H. Establishing a research informatics program in a public healthcare system: a case report with model documents. Journal Of The American Medical Informatics Association 2021, 29: 694-700. PMID: 35289368, PMCID: PMC8922175, DOI: 10.1093/jamia/ocab226.Peer-Reviewed Original ResearchConceptsHealth systemLos Angeles County DepartmentClinical Translational Science InstituteAcademic medical centerCounty health systemPublic health systemCancer CenterPublic healthcare systemCase reportTranslational Science InstituteMedical CenterHealth servicesInformatics programsCounty DepartmentHealthcare systemHealth ITResearch Governance Framework
2020
Clinician-Level Variation in Three Measures Representing Overuse Based on the American Geriatrics Society Choosing Wisely Statement
Rowe T, Brown T, Lee J, Linder J, Friedberg M, Doctor J, Meeker D, Ciolino J, Persell S. Clinician-Level Variation in Three Measures Representing Overuse Based on the American Geriatrics Society Choosing Wisely Statement. Journal Of General Internal Medicine 2020, 35: 1797-1802. PMID: 32128687, PMCID: PMC7280408, DOI: 10.1007/s11606-020-05748-8.Peer-Reviewed Original ResearchConceptsDiabetes measuresPSA measuresUrine cultureOlder adultsUrinalysis/urine cultureProstate-specific antigen (PSA) testingHealth systemNon-specific reasonsOral hypoglycemic medicationsOveruse of testingInappropriate useSame health systemMedical servicesIntermediate outcome measuresClinical quality measuresDesignRetrospective analysisHypoglycemic medicationsElderly patientsAntigen testingDiabetes mellitusCare cliniciansHighest quartileOffice visitsOdds ratioOutcome measures
2019
A Multifaceted Intervention Improves Prescribing for Acute Respiratory Infection for Adults and Children in Emergency Department and Urgent Care Settings
Yadav K, Meeker D, Mistry R, Doctor J, Fleming‐Dutra K, Fleischman R, Gaona S, Stahmer A, May L. A Multifaceted Intervention Improves Prescribing for Acute Respiratory Infection for Adults and Children in Emergency Department and Urgent Care Settings. Academic Emergency Medicine 2019, 26: 719-731. PMID: 31215721, PMCID: PMC8146207, DOI: 10.1111/acem.13690.Peer-Reviewed Original ResearchConceptsAcute respiratory infectionsEmergency departmentARI visitsRespiratory infectionsStewardship interventionsUrgent care center visitsViral acute respiratory infectionsHierarchical mixed-effects logistic regression modelsCluster-randomized clinical trialHealth systemAntibiotic stewardship interventionsUrgent care settingsOutpatient antibiotic prescriptionsPediatric emergency departmentMixed effects logistic regression modelsAcademic health systemLogistic regression modelsInappropriate prescribingAntibiotic prescribingAntibiotic prescriptionsInappropriate prescriptionsInfluenza seasonAntibiotic stewardshipClinical trialsOdds ratio
2018
1633. A Multifaceted Intervention to Improve Prescribing for Acute Respiratory Infection in Adults and Children in Emergency Department and Urgent Care Settings (MITIGATE Trial)
Yadav K, Meeker D, Mistry R, Doctor J, Fleming-Dutra K, Fleischman R, Gaona S, Stahmer A, May L. 1633. A Multifaceted Intervention to Improve Prescribing for Acute Respiratory Infection in Adults and Children in Emergency Department and Urgent Care Settings (MITIGATE Trial). Open Forum Infectious Diseases 2018, 5: s43-s43. PMCID: PMC6252972, DOI: 10.1093/ofid/ofy209.103.Peer-Reviewed Original ResearchAcute respiratory infectionsEmergency departmentRespiratory infectionsAntibiotic useCare settingsUrgent care center visitsViral acute respiratory infectionsHierarchical mixed-effects logistic regression modelsHealth systemOverall antibiotic prescribingUnnecessary antibiotic useUrgent care settingsAcute care settingInappropriate antibiotic usePediatric emergency departmentMixed effects logistic regression modelsAcademic health systemLow baseline ratesEffects logistic regression modelsImplementation science strategiesLogistic regression modelsARI visitsInappropriate prescribingAdverse eventsAntibiotic prescribing
2015
Creating a Common Data Model for Comparative Effectiveness with the Observational Medical Outcomes Partnership
FitzHenry F, Resnic F, Robbins S, Denton J, Nookala L, Meeker D, Ohno-Machado L, Matheny M. Creating a Common Data Model for Comparative Effectiveness with the Observational Medical Outcomes Partnership. Applied Clinical Informatics 2015, 06: 536-547. PMID: 26448797, PMCID: PMC4586341, DOI: 10.4338/aci-2014-12-cr-0121.Peer-Reviewed Original ResearchConceptsOMOP Common Data ModelPerson monthsHealth systemCount of medicationsMore outpatient visitsHealth system databaseMedication administration recordsComparative effectiveness analysisObservational Medical Outcomes Partnership (OMOP) CDMPharmacy fillsEligible cohortOutpatient visitsHigh prevalenceMedicationsComparative effectivenessAdministration recordsCommon data modelCohortMini-SentinelObservational Medical Outcomes PartnershipMonths