2023
Hospitalisations for heart failure: increased palliative care referrals − a veterans affairs hospital initiative
Gruen J, Gandhi P, Gillespie-Heyman S, Shamas T, Adelman S, Ruskin A, Bauer M, Merchant N. Hospitalisations for heart failure: increased palliative care referrals − a veterans affairs hospital initiative. BMJ Supportive & Palliative Care 2023, 14: e1309-e1316. PMID: 36609533, DOI: 10.1136/spcare-2022-004118.Peer-Reviewed Original ResearchHeart failurePalliative careHF admissionsMedian B-type natriuretic peptideB-type natriuretic peptidePalliative care referralCare educationVeterans Affairs hospitalPercentage of referralsStudy-Act cyclesQuality of lifeMultiple PDSA cyclesPg/mLPC consultHF managementHF patientsBaseline medianCare referralHospital InitiativeReferral guidelinesSignificant morbidityNatriuretic peptideMean ageNew referralsReferral criteria
2022
Utilization of an Internal Medicine Triaging Resident in the Emergency Department Reduces Preventable Admissions and Improves Trainee Experiences
Saffo S, Rodwin B, Dalton R, Tarabar A, Merchant N. Utilization of an Internal Medicine Triaging Resident in the Emergency Department Reduces Preventable Admissions and Improves Trainee Experiences. Southern Medical Journal 2022, 115: 707-711. PMID: 36055659, DOI: 10.14423/smj.0000000000001434.Peer-Reviewed Original ResearchConceptsTransitions of careEmergency departmentHospital utilizationPreventable admissionsSingle-center pilot studyPatient safetyInitial patient managementIM traineesPatient care requirementsVeterans Affairs hospitalInternal medicine serviceGraduate Medical EducationIntegrated health systemInitial managementMedical admissionsED physiciansMedical patientsInpatient providersInpatient settingPatient managementTrainee experienceMedicine serviceCare requirementsED performance metricsSuboptimal communication