2021
Failure 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
Effects of Real-time EMS Direction on Optimizing EMS Turnaround and Load-balancing Between Neighboring Hospital Campuses
Felice J, Coughlin RF, Burns K, Chmura C, Bogucki S, Cone DC, Joseph D, Parwani V, Li F, Saxa T, Ulrich A. Effects of Real-time EMS Direction on Optimizing EMS Turnaround and Load-balancing Between Neighboring Hospital Campuses. Prehospital Emergency Care 2019, 23: 788-794. PMID: 30798628, DOI: 10.1080/10903127.2019.1587123.Peer-Reviewed Original ResearchMeSH KeywordsAmbulance DiversionCrowdingEmergency Medical DispatchEmergency Service, HospitalHumansPatient TransferConceptsNurse navigator programSingle healthcare systemNavigator programHealthcare systemEmergency medical services (EMS) providersHealth system capacityNurse navigatorChief complaintEmergency departmentMedical service providersED volumeInpatient facilitiesTurnaround timeNeighboring hospitalRegistered NursesHospitalHospital campusSignificant decreaseED capacityIncidenceReal-time assessmentProgram implementationPrimary objectiveSignificant improvementPatientsA 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