2020
Effects of Leader Tactics on the Creativity, Implementation, and Evolution of Ideas to Improve Healthcare Delivery
Lee YSH, Cleary PD, Nembhard IM. Effects of Leader Tactics on the Creativity, Implementation, and Evolution of Ideas to Improve Healthcare Delivery. Journal Of General Internal Medicine 2020, 36: 341-348. PMID: 32869206, PMCID: PMC7878632, DOI: 10.1007/s11606-020-06139-9.Peer-Reviewed Original Research
2014
Development and Evaluation of the CAHPS (Consumer Assessment of Healthcare Providers and Systems) Survey for In-Center Hemodialysis Patients
Weidmer BA, Cleary PD, Keller S, Evensen C, Hurtado MP, Kosiak B, Gallagher PM, Levine R, Hays RD. Development and Evaluation of the CAHPS (Consumer Assessment of Healthcare Providers and Systems) Survey for In-Center Hemodialysis Patients. American Journal Of Kidney Diseases 2014, 64: 753-760. PMID: 24998035, PMCID: PMC4356523, DOI: 10.1053/j.ajkd.2014.04.021.Peer-Reviewed Original ResearchConceptsGlobal ratingCenter carePatient experienceKidney doctorEnd-stage renal disease prospective payment systemIn-Center Hemodialysis PatientsMeasurement propertiesDialysis patientsHemodialysis patientsDialysis centersMulti-item scalesUS CentersPatientsDialysis facilitiesHealthcare providersAbstractTextInternal consistency reliabilityStudy designConsumer AssessmentMedicaid ServicesProspective payment systemCareFormative researchConsistency reliabilityAMP
2006
Associations Between Adherence to Guidelines for Antipsychotic Dose and Health Status, Side Effects, and Patient Care Experiences
Dickey B, Normand SL, Eisen S, Hermann R, Cleary P, Cortés D, Ware N. Associations Between Adherence to Guidelines for Antipsychotic Dose and Health Status, Side Effects, and Patient Care Experiences. Medical Care 2006, 44: 827-834. PMID: 16932134, DOI: 10.1097/01.mlr.0000215806.11805.6c.Peer-Reviewed Original ResearchConceptsHealth statusSide effectsHigh dosesEvidence-based practice guidelinesLarge prospective observational studySelf-reported health statusBaseline symptom profileHospital admission evaluationMassachusetts Medicaid beneficiariesProspective observational studyEvidence-based guidelinesTreatment of schizophreniaSubsample of patientsAntipsychotic medication doseHighest dose levelPerceptions of careQuality of carePatient care experiencesHealth benefit claimsAcute episodeAntipsychotic dosesGuideline adherenceMedication dosePoor outcomeSF-12
2004
Effects of a quality improvement collaborative on the outcome of care of patients with HIV infection: the EQHIV study.
Landon BE, Wilson IB, McInnes K, Landrum MB, Hirschhorn L, Marsden PV, Gustafson D, Cleary PD. Effects of a quality improvement collaborative on the outcome of care of patients with HIV infection: the EQHIV study. Annals Of Internal Medicine 2004, 140: 887-96. PMID: 15172903, DOI: 10.7326/0003-4819-140-11-200406010-00010.Peer-Reviewed Original ResearchConceptsQuality of careQuality Improvement ProgramRyan White Comprehensive AIDS Resources Emergency (CARE) ActCollaborative quality improvement programProportion of patientsAppropriate screening testsOutcomes of careAntiretroviral therapyControl patientsQuality improvement strategiesHIV infectionIntervention clinicsStudy clinicRandomized trialsViral loadClinic typePostintervention studyCare measuresMedical recordsIntervention groupControl clinicsPatientsControl groupScreening testSociodemographic characteristicsDisparities in HIV Treatment and Physician Attitudes About Delaying Protease Inhibitors for Nonadherent Patients
Wong MD, Cunningham WE, Shapiro MF, Andersen RM, Cleary PD, Duan N, Liu HH, Wilson IB, Landon BE, Wenger NS, Consortium F. Disparities in HIV Treatment and Physician Attitudes About Delaying Protease Inhibitors for Nonadherent Patients. Journal Of General Internal Medicine 2004, 19: 366-374. PMID: 15061746, PMCID: PMC1492193, DOI: 10.1111/j.1525-1497.2004.30429.x.Peer-Reviewed Original ResearchConceptsPhysical health statusNonadherent patientsHealth statusPatient adherencePrescribing attitudePhysicians' attitudesProtease inhibitorsBaseline physical health statusCurrent HIV treatment guidelinesHIV treatment guidelinesFirst receiptPI treatmentProspective cohort studyAfrican American patientsHIV infection ratesPercent of providersHealth care providersAntiretroviral therapyCohort studyPatient demographicsTreatment guidelinesSimilar oddsHIV treatmentHIV resistanceHIV knowledge
2003
Guideline Recommendations for Treatment of Schizophrenia: The Impact of Managed Care
Dickey B, Normand SL, Hermann RC, Eisen SV, Cortes DE, Cleary PD, Ware N. Guideline Recommendations for Treatment of Schizophrenia: The Impact of Managed Care. JAMA Psychiatry 2003, 60: 340-348. PMID: 12695310, DOI: 10.1001/archpsyc.60.4.340.Peer-Reviewed Original ResearchMeSH KeywordsAdultAmbulatory CareAttitude to HealthFee-for-Service PlansFemaleFollow-Up StudiesGuideline AdherenceHealth Services ResearchHospitalizationHumansMaleManaged Care ProgramsMedicaidMedicareMiddle AgedOutcome Assessment, Health CarePersonal SatisfactionPractice Guidelines as TopicProspective StudiesQuality of LifeSchizophreniaConceptsTreatment of schizophreniaTreatment guidelinesMedicaid beneficiariesSchizophrenia Patient Outcomes Research Team (PORT) treatment recommendationsOutpatient mental health facilitiesDisabled Medicaid beneficiariesProspective observational studyHealth-related qualityHigh-risk adultsAdult Medicaid beneficiariesOutpatient medical recordsMain outcome measuresSchizophrenia treatment guidelinesClinician-reported outcomesWay mental health careMental health careSelf-reported qualityBehavioral health care organizationsMental health facilitiesDelivery of treatmentMental health benefitsClinical outcomesGuideline recommendationsOutpatient treatmentMedical records
1995
The Clinical Course of Palpitations in Medical Outpatients
Barsky A, Cleary P, Coeytaux R, Ruskin J. The Clinical Course of Palpitations in Medical Outpatients. JAMA Internal Medicine 1995, 155: 1782-1788. PMID: 7654112, DOI: 10.1001/archinte.1995.00430160124012.Peer-Reviewed Original ResearchConceptsPanic disorderCardiac symptomsPhysician visitsRole impairmentMore physician visitsAmbulatory electrocardiographic monitoringMedical care useNonpatient volunteersInception cohortClinical courseConsecutive patientsElectrocardiographic monitoringHolter monitoringRecurrent palpitationsCare useMedical outpatientsHigh prevalencePalpitationsPsychiatric symptomsSelf-report questionnairesPsychiatric disordersPatientsPsychopathologic symptomsAmbulatory electrocardiogramLongitudinal coursePredictors of blood loss during total hip replacement surgery
Grosflam J, Wright E, Cleary P, Katz J. Predictors of blood loss during total hip replacement surgery. Arthritis & Rheumatism 1995, 8: 167-173. PMID: 7654801, DOI: 10.1002/art.1790080309.Peer-Reviewed Original ResearchConceptsTotal blood lossGreater total blood lossTotal hip replacement surgeryBlood lossHip replacement surgeryGeneral anesthesiaReplacement surgeryPrimary total hip replacement surgeryMean total blood lossHigher American SocietyProspective cohort studyMain outcome measuresUnits of bloodAnesthesiologists classTransfusion requirementsASA scorePreoperative characteristicsCohort studyConsecutive patientsPrimary THRUnivariate predictorsClinical variablesInitial hematocritTeaching hospitalOutcome measures
1994
Methodological Issues in Measuring Patient-Reported Outcomes
FOWLER F, CLEARY P, MAGAZINER J, PATRICK D, BENJAMIN K. Methodological Issues in Measuring Patient-Reported Outcomes. Medical Care 1994, 32: js65. PMID: 8028414, DOI: 10.1097/00005650-199407001-00006.Peer-Reviewed Original Research
1993
Acute delirium and functional decline in the hospitalized elderly patient.
Murray A, Levkoff S, Wetle T, Beckett L, Cleary P, Schor J, Lipsitz L, Rowe J, Evans D. Acute delirium and functional decline in the hospitalized elderly patient. Journal Of Gerontology 1993, 48: m181-6. PMID: 8366260, DOI: 10.1093/geronj/48.5.m181.Peer-Reviewed Original ResearchConceptsHospital dischargeFunctional declinePhysical functionLong-term physical functionSubsequent physical functionHospitalized elderly patientsLong-term sequelaeMultivariate linear regression analysisDefinition of deliriumStrongest univariate associationsHospital deliriumAcute deliriumAcute onsetIncident deliriumElderly patientsReversible syndromeProspective studyUnivariate associationsDeliriumCognitive syndromesNursing homesDelirious subjectsLinear regression analysisPermanent consequencesMonths
1992
Risk Factors for Delirium in Hospitalized Elderly
Schor J, Levkoff S, Lipsitz L, Reilly C, Cleary P, Rowe J, Evans D. Risk Factors for Delirium in Hospitalized Elderly. JAMA 1992, 267: 827-831. PMID: 1732655, DOI: 10.1001/jama.1992.03480060073033.Peer-Reviewed Original ResearchConceptsPrior cognitive impairmentRisk factorsOdds ratioCognitive impairmentIncidence of deliriumDetection of deliriumIndependent risk factorTertiary care hospitalUse of neurolepticsCohort analytic studyRisk factor dataPresence of infectionAcute care hospitalsPatients' medical recordsYears of ageStepwise logistic regressionHospital deliriumAnticholinergic useElderly patientsMedication groupCare hospitalHospitalized patientsNeuroleptic useSurgical wardsNarcotic useDelirium. The occurrence and persistence of symptoms among elderly hospitalized patients.
Levkoff S, Evans D, Liptzin B, Cleary P, Lipsitz L, Wetle T, Reilly C, Pilgrim D, Schor J, Rowe J. Delirium. The occurrence and persistence of symptoms among elderly hospitalized patients. JAMA Internal Medicine 1992, 152: 334-40. PMID: 1739363, DOI: 10.1001/archinte.152.2.334.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overCognitionDeliriumFemaleHospitalizationHumansLength of StayMaleProspective StudiesRisk FactorsConceptsHospital dischargeNew symptomsNew-onset deliriumLong-term care facilitiesProlonged hospital stayPersistence of symptomsRisk of mortalityPersistence of deliriumHospital stayIncident deliriumElderly patientsAdvanced ageCommon disorderTeaching hospitalDeliriumIndividual symptomsCare facilitiesPatientsCognitive impairmentFull criteriaMental disordersStudy participantsIncomplete manifestationsSymptomsInitial evaluation
1987
Hip fracture
Campion E, Jette A, Cleary P, Harris B. Hip fracture. Journal Of General Internal Medicine 1987, 2: 78-82. PMID: 3559780, DOI: 10.1007/bf02596300.Peer-Reviewed Original ResearchConceptsLength of stayHospital complicationsHip fracturePrefracture functional statusRecent hip fractureCent of patientsHip fracture patientsUrinary tract infectionHeart rhythm disturbancesHigh-cost patientsStepwise multivariate regressionFracture patientsPatient ageTract infectionsSurgical repairHospital chargesIntertrochanteric fracturesProspective studyFunctional statusRhythm disturbancesHospital costsFunctional impairmentPatientsStayMean lengthScreening for alcohol abuse using the cage questionnaire
Bush B, Shaw S, Cleary P, Delbanco T, Aronson M. Screening for alcohol abuse using the cage questionnaire. The American Journal Of Medicine 1987, 82: 231-235. PMID: 2880504, DOI: 10.1016/0002-9343(87)90061-1.Peer-Reviewed Original ResearchConceptsLiver transaminase levelsCAGE questionnaireMean corpuscular volumeAlcohol abuseTransaminase levelsAlcohol abusersCorpuscular volumeScreening testGamma-glutamyl transpeptidase levelsCommunity-based teaching hospitalGamma-glutamyl transpeptidase valuesCAGE-negative patientsDetailed chart reviewMichigan Alcoholism Screening TestAbsence of alcoholismSpecific screening testAlcoholism Screening TestChart reviewRed blood cellsTranspeptidase levelsCAGE questionsProspective studySix-month periodTeaching hospitalPhysician address