2024
Peer Comparison or Guideline-Based Feedback and Postsurgery Opioid Prescriptions
Wagner Z, Kirkegaard A, Mariano L, Doctor J, Yan X, Persell S, Goldstein N, Fox C, Brummett C, Romanelli R, Bouskill K, Martinez M, Zanocco K, Meeker D, Mudiganti S, Waljee J, Watkins K. Peer Comparison or Guideline-Based Feedback and Postsurgery Opioid Prescriptions. JAMA Health Forum 2024, 5: e240077. PMID: 38488780, PMCID: PMC10943416, DOI: 10.1001/jamahealthforum.2024.0077.Peer-Reviewed Original ResearchConceptsCluster randomized clinical trialPeer comparison interventionOpioid prescribingEmail feedbackGuideline interventionComparison interventionIntervention periodHealth care delivery systemRandomized clinical trialsOpioid prescriptionsCare delivery systemPeer comparisonExcessive opioid prescribingSocial norm-based interventionsControl groupIntervention monthsMain OutcomesQuantity of opioidsClinical trialsDischarged patientsPeer surgeonsPrescribingOpioid misuseInterventionSurgical specialties
2023
Clinician Job Satisfaction After Peer Comparison Feedback
Doctor J, Goldstein N, Fox C, Linder J, Persell S, Stewart E, Knight T, Meeker D. Clinician Job Satisfaction After Peer Comparison Feedback. JAMA Network Open 2023, 6: e2317379. PMID: 37289454, PMCID: PMC10251208, DOI: 10.1001/jamanetworkopen.2023.17379.Peer-Reviewed Original ResearchConceptsClinician performanceInappropriate antibiotic prescribingSecondary null hypothesisRandomized clinical trialsMean job satisfactionPeer-comparison feedbackIndividual clinician performanceSocial norm feedbackClinician job satisfactionAntibiotic prescribingPrimary outcomeMean ageTrial interventionClinical trialsClinical significanceMonthly emailsMAIN OUTCOMENoninferiority analysisSecondary analysisInternal medicineSatisfaction scoresCliniciansClinicPeer comparisonIntervention
2022
A Qualitative Description of Clinician Free-Text Rationales Entered within Accountable Justification Interventions
Brown T, Zelch B, Lee J, Doctor J, Linder J, Sullivan M, Goldstein N, Rowe T, Meeker D, Knight T, Friedberg M, Persell S. A Qualitative Description of Clinician Free-Text Rationales Entered within Accountable Justification Interventions. Applied Clinical Informatics 2022, 13: 820-827. PMID: 36070799, PMCID: PMC9451951, DOI: 10.1055/s-0042-1756366.Peer-Reviewed Original ResearchConceptsClinical content areasClinical appropriatenessClinical decision support alertsPrimary care physiciansDecision support alertsAppropriate clinical decisionsUnique cliniciansOpioid prescribingCare physiciansClinical detailsAccountable justificationCDS alertsPilot interventionClinical decisionClinical casesCliniciansParticular diagnosisOlder adultsInterventionPhysiciansDelphi techniquePolypharmacyPrescribingPatientsSymptoms
2017
Effects of Behavioral Interventions on Inappropriate Antibiotic Prescribing in Primary Care 12 Months After Stopping Interventions
Linder J, Meeker D, Fox C, Friedberg M, Persell S, Goldstein N, Doctor J. Effects of Behavioral Interventions on Inappropriate Antibiotic Prescribing in Primary Care 12 Months After Stopping Interventions. JAMA 2017, 318: 1391-1392. PMID: 29049577, PMCID: PMC5818848, DOI: 10.1001/jama.2017.11152.Peer-Reviewed Original ResearchApplications of Behavioral Economics to Clinical Quality Improvement
Meeker D, Doctor J. Applications of Behavioral Economics to Clinical Quality Improvement. 2017, 175-192. DOI: 10.4324/9781315637938-11.Peer-Reviewed Original Research
2016
Behavioral interventions to reduce inappropriate antibiotic prescribing: a randomized pilot trial
Persell S, Doctor J, Friedberg M, Meeker D, Friesema E, Cooper A, Haryani A, Gregory D, Fox C, Goldstein N, Linder J. Behavioral interventions to reduce inappropriate antibiotic prescribing: a randomized pilot trial. BMC Infectious Diseases 2016, 16: 373. PMID: 27495917, PMCID: PMC4975897, DOI: 10.1186/s12879-016-1715-8.Peer-Reviewed Original ResearchMeSH KeywordsAcute DiseaseAdultAnti-Bacterial AgentsBehaviorDecision MakingDecision Support Systems, ClinicalEducation, Medical, ContinuingFemaleHumansInappropriate PrescribingInterprofessional RelationsMaleMiddle AgedPharyngitisPhysicians, Primary CarePilot ProjectsPractice Patterns, Physicians'PrescriptionsRespiratory Tract InfectionsSinusitisConceptsAcute respiratory infectionsInappropriate antibiotic prescribingAntibiotic prescribingRespiratory infectionsDiagnosis/symptomsARI diagnosesBehavioral interventionsAntibiotic prescribing ratesRandomized pilot trialPre-intervention yearInappropriate prescribingPrescribing ratesCare cliniciansAccountable justificationPilot trialPrescribingIntervention yearPharyngitisInfectionFloor effectsSymptomsDiagnosisPeer comparisonInterventionHawthorne effectSimCoach Evaluation: A Virtual Human Intervention to Encourage Service-Member Help-Seeking for Posttraumatic Stress Disorder and Depression.
Meeker D, Cerully J, Johnson M, Iyer N, Kurz J, Scharf D. SimCoach Evaluation: A Virtual Human Intervention to Encourage Service-Member Help-Seeking for Posttraumatic Stress Disorder and Depression. Rand Health Quarterly 2016, 5: 13. PMID: 28083410, PMCID: PMC5158215.Peer-Reviewed Original ResearchPosttraumatic stress disorderPsychological healthStress disorderService membersGame-like interfaceUser experience surveyVirtual humansSoftware engineeringControl usersHuman interventionExperiences SurveyImplementation approachDevelopment processSummative componentsContent developmentDepressionUsersBest practicesEvaluation processComputer programDisordersInterventionFormative evaluationIntended impactClinical processes
2012
Diabetes Management For Low-Income Patients In Los Angeles: Two Strategies Improved Disease Control In The Short Term
Huckfeldt P, Meeker D, Peters A, Guterman J, Diaz G, Goldman D. Diabetes Management For Low-Income Patients In Los Angeles: Two Strategies Improved Disease Control In The Short Term. Health Affairs 2012, 31: 168-176. PMID: 22232107, PMCID: PMC3883628, DOI: 10.1377/hlthaff.2011.0930.Peer-Reviewed Original ResearchConceptsClinical pharmacy programCase managementDisease controlShort-term disease controlPrimary care settingIntensive patient educationLow-income patientsLow-density lipoproteinHealth care providersLong-term healthShort-term intensive interventionDiabetes controlPrimary careCommunity clinicsVulnerable patientsCare teamPatient educationCare settingsCare providersTeam interventionIntensive interventionPatientsInterventionPharmacy programLos Angeles