2021
Improving Safety and Quality During Interhospital Transfer of Patients With Nontraumatic Intracranial Hemorrhage: A Simulation-Based Pilot Program
Ray JM, Wong AH, Finn EB, Sheth KN, Matouk CC, Sudikoff SN, Auerbach MA, Sather JE, Venkatesh AK. Improving Safety and Quality During Interhospital Transfer of Patients With Nontraumatic Intracranial Hemorrhage: A Simulation-Based Pilot Program. Journal Of Patient Safety 2021, 18: 77-87. PMID: 33852541, DOI: 10.1097/pts.0000000000000808.Peer-Reviewed Original ResearchMeSH KeywordsEmergency Service, HospitalHospitalsHumansIntracranial HemorrhagesPatient TransferPilot ProjectsConceptsInterhospital transferNontraumatic intracranial hemorrhageThematic analysisRates of interhospital transfersQuality improvement initiativesQuality improvement strategiesInterhospital transfer of patientsTransfer of patientsCare handoffsCenter staff membersData saturationComplex handoffsImprovement initiativesInterprofessional debriefingFocus groupsEmergency physiciansQualitative studyEmergency departmentQuality improvementIll populationStaff membersTertiary care centerCare centerCommunication ChecklistSpecialized neurocritical careFailure Mode and Effect Analysis: Engineering Safer Neurocritical Care Transitions
Chilakamarri P, Finn EB, Sather J, Sheth KN, Matouk C, Parwani V, Ulrich A, Davis M, Pham L, Chaudhry SI, Venkatesh AK. Failure Mode and Effect Analysis: Engineering Safer Neurocritical Care Transitions. Neurocritical Care 2021, 35: 232-240. PMID: 33403581, PMCID: PMC8255326, DOI: 10.1007/s12028-020-01160-6.Peer-Reviewed Original ResearchMeSH KeywordsCommunicationEmergency Service, HospitalHumansPatient SafetyPatient TransferQuality ImprovementConceptsPatient safetyInter-hospital transferEmergency department throughputIntracerebral hemorrhageAcute careSubarachnoid hemorrhageNeurocritical careCare transitionsMulti-disciplinary teamPatient transferHemorrhageSignificant reductionInterventionCareHazard analysisOutcomesRiskSafetyMultiple providersSpecific use-case examplesEvidence of successPatientsStrokeMethodsWe
2020
A Multimodal Intervention to Improve the Quality and Safety of Interhospital Care Transitions for Nontraumatic Intracerebral and Subarachnoid Hemorrhage
Sather J, Littauer R, Finn E, Matouk C, Sheth K, Parwani V, Pham L, Ulrich A, Rothenberg C, Venkatesh AK. A Multimodal Intervention to Improve the Quality and Safety of Interhospital Care Transitions for Nontraumatic Intracerebral and Subarachnoid Hemorrhage. The Joint Commission Journal On Quality And Patient Safety 2020, 47: 99-106. PMID: 33358659, DOI: 10.1016/j.jcjq.2020.10.003.Peer-Reviewed Original ResearchMeSH KeywordsEmergency Service, HospitalHospitalizationHumansPatient TransferQuality ImprovementSubarachnoid HemorrhageConceptsInterhospital transferQuality improvement interventionsIntracerebral hemorrhageMultimodal interventionImprovement interventionsClinical practice guideline disseminationEmergency department timeNeurocritical care cliniciansMultimodal quality improvement interventionNontraumatic intracerebral hemorrhageTimeliness of careED boarding timeRegionalization of careChi-square testIHT processED lengthPostintervention outcomesCare cliniciansSubarachnoid hemorrhageCare transitionsAdmission ordersDepartment timeGuideline disseminationOutcome measuresStudy population
2019
A Qualitative Study of Risks Related to Interhospital Transfer of Patients with Nontraumatic Intracranial Hemorrhage
Finn EB, Campbell Britton MJ, Rosenberg AP, Sather JE, Marcolini EG, Feder SL, Sheth KN, Matouk CC, Pham LTL, Ulrich AS, Parwani VL, Hodshon B, Venkatesh AK. A Qualitative Study of Risks Related to Interhospital Transfer of Patients with Nontraumatic Intracranial Hemorrhage. Journal Of Stroke And Cerebrovascular Diseases 2019, 28: 1759-1766. PMID: 30879712, PMCID: PMC8354217, DOI: 10.1016/j.jstrokecerebrovasdis.2018.12.048.Peer-Reviewed Original ResearchMeSH KeywordsAttitude of Health PersonnelCooperative BehaviorDelivery of Health Care, IntegratedHealth Knowledge, Attitudes, PracticeHumansInterdisciplinary CommunicationInterviews as TopicIntracranial HemorrhagesPatient Care TeamPatient SafetyPatient TransferProfessional Practice GapsPrognosisQualitative ResearchRisk AssessmentRisk FactorsTime FactorsConceptsNontraumatic intracranial hemorrhageInterhospital transferCare transitionsIntracranial hemorrhageClinical practiceNeurocritical careSpecialized neurocritical careEmergency medicine providersQuality improvement initiativesAcademic medical centerInsufficient communicationPatient populationMedical CenterMedicine providersProviders' perceptionsHealth professionalsHospitalHemorrhageProvider questionsPatientsImprovement initiativesClinicians' voicesData saturationUnique risksConstant comparative method
2018
Real-Time Surveys Reveal Important Safety Risks During Interhospital Care Transitions for Neurologic Emergencies
Sather J, Rothenberg C, Finn EB, Sheth KN, Matouk C, Pham L, Parwani V, Ulrich A, Venkatesh AK. Real-Time Surveys Reveal Important Safety Risks During Interhospital Care Transitions for Neurologic Emergencies. American Journal Of Medical Quality 2018, 34: 53-58. PMID: 29987938, DOI: 10.1177/1062860618785248.Peer-Reviewed Original ResearchConceptsEmergency departmentMultidisciplinary quality improvement effortNeuroscience intensive care unitTertiary health care systemIll neurologic patientsIntensive care unitAdvanced practice providersHealth care systemQuality improvement effortsClinician typeIll patientsNeurologic emergencyCare unitCare transitionsClinical surveyNeurologic patientsPractice providersPatient transferCare systemImportant safety risksPatientsRiskReal-time surveySafety risksImprovement efforts