2024
Barriers to Optimal Clinician Guideline Adherence in Management of Markedly Elevated Blood Pressure
Lu Y, Arowojolu O, Qiu X, Liu Y, Curry L, Krumholz H. Barriers to Optimal Clinician Guideline Adherence in Management of Markedly Elevated Blood Pressure. JAMA Network Open 2024, 7: e2426135. PMID: 39106065, PMCID: PMC11304113, DOI: 10.1001/jamanetworkopen.2024.26135.Peer-Reviewed Original ResearchConceptsBarriers to guideline adherenceElectronic health recordsGuideline adherenceClinician adherenceEHR dataElevated blood pressureHypertension managementAnalysis of EHR dataYale New Haven Health SystemSevere hypertensionClinical practice guidelinesAdherence scenariosQualitative content analysisPublic health challengeThematic saturationHealth recordsHealth systemBlood pressureThematic analysisTargeted interventionsManagement of severe hypertensionQualitative studyHealth challengesPractice guidelinesPatient outcomes
2015
Symptom Recognition and Healthcare Experiences of Young Women With Acute Myocardial Infarction
Lichtman JH, Leifheit-Limson EC, Watanabe E, Allen NB, Garavalia B, Garavalia LS, Spertus JA, Krumholz HM, Curry LA. Symptom Recognition and Healthcare Experiences of Young Women With Acute Myocardial Infarction. Circulation Cardiovascular Quality And Outcomes 2015, 8: s31-s38. PMID: 25714826, PMCID: PMC4801001, DOI: 10.1161/circoutcomes.114.001612.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsConflict, PsychologicalFemaleHealth Knowledge, Attitudes, PracticeHealth Status DisparitiesHealthcare DisparitiesHospitalizationHumansInterviews as TopicMiddle AgedMyocardial InfarctionPatient Acceptance of Health CarePreventive Health ServicesQualitative ResearchRecognition, PsychologyRisk AssessmentRisk FactorsSex FactorsTime FactorsTime-to-TreatmentConceptsAcute myocardial infarctionCare-seeking behaviorAcute careMyocardial infarctionProdromal symptomsHeart diseaseSymptom recognitionAcute myocardial infarction symptomsAcute myocardial infarction mortalityHealthcare systemMyocardial infarction symptomsPreventive health careCare-seeking experiencesMyocardial infarction mortalityAcute medical therapyPreventive health behaviorsCardiovascular riskMedical therapyPrompt recognitionPreventive carePrimary careInfarction symptomsAged menMortality riskHealth behaviors
2013
“I'm Not Just a Heart, I'm a Whole Person Here”: A Qualitative Study to Improve Sexual Outcomes in Women With Myocardial Infarction
Abramsohn EM, Decker C, Garavalia B, Garavalia L, Gosch K, Krumholz HM, Spertus JA, Lindau ST. “I'm Not Just a Heart, I'm a Whole Person Here”: A Qualitative Study to Improve Sexual Outcomes in Women With Myocardial Infarction. Journal Of The American Heart Association 2013, 2: e000199. PMID: 23885024, PMCID: PMC3828784, DOI: 10.1161/jaha.113.000199.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedCounselingFearFemaleHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicMaleMiddle AgedMotivationMyocardial InfarctionPatient Care TeamPhysician-Patient RelationsQualitative ResearchQuality of LifeRegistriesRisk FactorsSexual BehaviorSexual Dysfunction, PhysiologicalSexual Dysfunctions, PsychologicalSexual PartnersTelephoneTime FactorsConceptsAcute myocardial infarctionMyocardial infarctionFemale sexual functionSexual functionSexual outcomesSexual activityAcute Myocardial Infarction Patients' Health Status (TRIUMPH) registryMost womenPost-MI outcomesLong-term female partnerQualitative telephone interviewsTreating cardiologistCare teamRehabilitation periodSafe resumptionHeart attackSexual concernsTelephone interviewsInfarctionSexual problemsKnowledge of recoveryTranslational researchWomenPartner's fearFemale partners
2012
Features of High Quality Discharge Planning for Patients Following Acute Myocardial Infarction
Cherlin EJ, Curry LA, Thompson JW, Greysen SR, Spatz E, Krumholz HM, Bradley EH. Features of High Quality Discharge Planning for Patients Following Acute Myocardial Infarction. Journal Of General Internal Medicine 2012, 28: 436-443. PMID: 23263917, PMCID: PMC3579981, DOI: 10.1007/s11606-012-2234-y.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionPrimary care physiciansHospital discharge processDischarge planningCare physiciansMyocardial infarctionMedicaid Services Hospital Compare websitePercutaneous coronary interventionPrimary care providersQuality discharge planningHigh quality discharge planningCase management servicesHospital Compare websiteCoronary interventionAMI carePatient hospitalPatient hospitalizationPatient admissionsPatient educationCare plansCare providersMortality ratePatientsEducation sessionsHospital
2008
Influence of Patients’ Socioeconomic Status on Clinical Management Decisions: A Qualitative Study
Bernheim SM, Ross JS, Krumholz HM, Bradley EH. Influence of Patients’ Socioeconomic Status on Clinical Management Decisions: A Qualitative Study. The Annals Of Family Medicine 2008, 6: 53-59. PMID: 18195315, PMCID: PMC2203396, DOI: 10.1370/afm.749.Peer-Reviewed Original ResearchConceptsClinical management decisionsPatients' socioeconomic statusClinical managementSocioeconomic statusPatient sPatient outcomesPrimary care physiciansStandard of careInfluence of patientLow socioeconomic statusVaried practice settingsHealth care qualitySES influencesCare physiciansHispanic ethnicityPhysician perspectivesPractice settingsCare qualityPatientsPhysiciansPatient interestMinority racial backgroundsInterview guideFinancial strainOutcomes
2004
Sources of ethical conflict in medical housestaff training: a qualitative study
Rosenbaum JR, Bradley EH, Holmboe ES, Farrell MH, Krumholz HM. Sources of ethical conflict in medical housestaff training: a qualitative study. The American Journal Of Medicine 2004, 116: 402-407. PMID: 15006589, DOI: 10.1016/j.amjmed.2003.09.044.Peer-Reviewed Original Research
2003
Characteristics of Physician Leaders Working to Improve the Quality of Care in Acute Myocardial Infarction
Holmboe ES, Bradley EH, Mattera JA, Roumanis SA, Radford MJ, Krumholz HM. Characteristics of Physician Leaders Working to Improve the Quality of Care in Acute Myocardial Infarction. The Joint Commission Journal On Quality And Patient Safety 2003, 29: 289-296. PMID: 14564747, DOI: 10.1016/s1549-3741(03)29033-x.Peer-Reviewed Original ResearchAdrenergic beta-AntagonistsAttitude of Health PersonnelCardiology Service, HospitalClinical CompetenceDrug UtilizationHospital AdministratorsHumansInterdisciplinary CommunicationInterviews as TopicLeadershipMedical Staff, HospitalMyocardial InfarctionNursing Staff, HospitalQualitative ResearchTotal Quality ManagementUnited States