2015
Development of a Hospital Outcome Measure Intended for Use With Electronic Health Records
McNamara RL, Wang Y, Partovian C, Montague J, Mody P, Eddy E, Krumholz HM, Bernheim SM. Development of a Hospital Outcome Measure Intended for Use With Electronic Health Records. Medical Care 2015, 53: 818-826. PMID: 26225445, DOI: 10.1097/mlr.0000000000000402.Peer-Reviewed Original ResearchConceptsElectronic health recordsOutcome measuresClinical dataMortality rateClinical practiceFuture quality improvement measuresRisk-standardized mortality ratesHospital risk-standardized mortality ratesLow-mortality hospitalsHealth recordsSystolic blood pressureOdds of mortalityClinical registry dataAcute myocardial infarctionHigh-mortality hospitalsHospital outcome measuresEHR dataFinal risk modelCurrent clinical practiceStandard clinical practiceFirst outcome measureNational Quality ForumCurrent electronic health recordsQuality improvement measuresChart abstraction
1997
Echocardiographic identification of cardiovascular sources of emboli to guide clinical management of stroke: a cost-effectiveness analysis.
McNamara R, Lima J, Whelton P, Powe N. Echocardiographic identification of cardiovascular sources of emboli to guide clinical management of stroke: a cost-effectiveness analysis. Annals Of Internal Medicine 1997, 127: 775-87. PMID: 9382398, DOI: 10.7326/0003-4819-127-9-199711010-00001.Peer-Reviewed Original ResearchMeSH KeywordsAgedAnticoagulantsCardiovascular DiseasesCerebrovascular DisordersCohort StudiesCost-Benefit AnalysisDecision Support TechniquesEchocardiographyEchocardiography, TransesophagealHealth Care CostsHumansMarkov ChainsQuality-Adjusted Life YearsRecurrenceSensitivity and SpecificityThromboembolismConceptsTransesophageal echocardiographyAtrial thrombusRecurrent strokeTransthoracic echocardiographyCardiovascular sourcesNew-onset strokePotential cardiovascular sourcesRisks of anticoagulationEfficacy of anticoagulationNormal sinus rhythmQuality of lifeCost-effectiveness analysisIntracranial bleedingEchocardiographic identificationSinus rhythmAnticoagulation effectClinical managementCardiac problemsEchocardiographyAnticoagulationMedicare dataMortality ratePatientsHypothetical patientsClinical practice