2025
Patient portal messaging to address delayed follow-up for uncontrolled diabetes: a pragmatic, randomised clinical trial
Nagler A, Horwitz L, Ahmed A, Mukhopadhyay A, Dapkins I, King W, Jones S, Szerencsy A, Pulgarin C, Gray J, Mei T, Blecker S. Patient portal messaging to address delayed follow-up for uncontrolled diabetes: a pragmatic, randomised clinical trial. BMJ Quality & Safety 2025, bmjqs-2024-018249. PMID: 40348403, DOI: 10.1136/bmjqs-2024-018249.Peer-Reviewed Original ResearchPatient portal messagesPatient portalsPortal messagesIntervention groupHbA1c testingRandomised clinical trialsIncrease patient engagementPoorly controlled diabetesAcademic health systemDelayed follow-upHbA1c test resultsUsual carePatient engagementDiabetes carePoor glycaemic controlFollow-up testingHealth systemPatient messagesAmbulatory practiceControl groupClinical trialsPrimary outcomeGlycaemic monitoringHbA1c resultsDays of randomisation
2024
Association of clerical burden and EHR frustration with burnout and career intentions among physician faculty in an urban academic health system
Ripp J, Pietrzak R, de Guillebon E, Peccoralo L. Association of clerical burden and EHR frustration with burnout and career intentions among physician faculty in an urban academic health system. International Journal Of Medical Informatics 2024, 195: 105740. PMID: 39644795, DOI: 10.1016/j.ijmedinf.2024.105740.Peer-Reviewed Original ResearchElectronic health recordsClerical burdenAssociated with greater likelihoodPhysician facultyHealth systemEHR timeUrban academic health systemClerical timeGreater likelihoodOdds of burnoutAssociated with lower oddsAcademic health systemMultivariate logistic regression analysisHealth recordsLogistic regression analysisHospital-based departmentsInstitution-wide surveyLower oddsHealthy workforceHealthcare systemDemographic characteristicsNew York CityBurnoutCareer intentionsPhysiciansImplementation and evaluation of an electronic consult program at a large academic health system
Arora A, Fekieta R, Spatz E, Roy B, Marco K, Sharifi M, Pashankar D, Khokhar B. Implementation and evaluation of an electronic consult program at a large academic health system. PLOS ONE 2024, 19: e0310122. PMID: 39264980, PMCID: PMC11392322, DOI: 10.1371/journal.pone.0310122.Peer-Reviewed Original ResearchConceptsAcademic health systemHealth systemEConsult programBenefits of eConsultEffective implementation strategiesPrimary careElectronic consultationSpecialist cliniciansSpecialty cliniciansEngaging leadershipHigh satisfactionImplementation strategiesCapture satisfactionIncrease accessConsultation programProcess outcomesEConsultsQuality assurance mechanismsSurgical specialtiesSpecialtyQuantitative dataMulti-method approachCliniciansSatisfactionProgramAdoption of a gastroenterology hospitalist model and the impact on inpatient endoscopic practice volume: a controlled interrupted time-series analysis
Shung D, Li D, You K, Hung K, Laine L, Hughes M. Adoption of a gastroenterology hospitalist model and the impact on inpatient endoscopic practice volume: a controlled interrupted time-series analysis. IGIE 2024, 3: 329-332.e2. DOI: 10.1016/j.igie.2024.04.008.Peer-Reviewed Original ResearchControlled interrupted time series analysisHospitalist modelInterrupted time series analysisHigh-acuity hospitalAcademic health systemEndoscopy capacityInpatient coverageOutpatient providersProvider familiarityOutpatient careHealth systemWeekly volumeEndoscopy volumeHospital systemPractice volumeTime series analysisProcedure volumeGI patientsHospitalAcademic centersProvidersGastroenterologySeries analysisPotential benefitsEndoscopic proceduresSOFA score performs worse than age for predicting mortality in patients with COVID-19
Sherak R, Sajjadi H, Khimani N, Tolchin B, Jubanyik K, Taylor R, Schulz W, Mortazavi B, Haimovich A. SOFA score performs worse than age for predicting mortality in patients with COVID-19. PLOS ONE 2024, 19: e0301013. PMID: 38758942, PMCID: PMC11101117, DOI: 10.1371/journal.pone.0301013.Peer-Reviewed Original ResearchConceptsCrisis standards of careIn-hospital mortalityIntensive care unitAcademic health systemSequential Organ Failure Assessment scoreCohort of intensive care unitSequential Organ Failure AssessmentStandard of careLogistic regression modelsMortality predictionPredicting in-hospital mortalityHealth systemUnivariate logistic regression modelCrisis standardsDisease morbidityCOVID-19Multidisciplinary proactive e-consults to improve guideline-directed medical therapies for patients with diabetes and chronic kidney disease: an implementation study
Rikin S, Bauman L, Arnaoudova I, DiPalo K, Suda N, Gupta S, Deng Y, Golestaneh L. Multidisciplinary proactive e-consults to improve guideline-directed medical therapies for patients with diabetes and chronic kidney disease: an implementation study. BMJ Open Diabetes Research & Care 2024, 12: e004155. PMID: 38719510, PMCID: PMC11085711, DOI: 10.1136/bmjdrc-2024-004155.Peer-Reviewed Original ResearchMeSH KeywordsAgedDiabetes Mellitus, Type 2FemaleFollow-Up StudiesGuideline AdherenceHumansMaleMiddle AgedPatient Care TeamPilot ProjectsPractice Guidelines as TopicPractice Patterns, Physicians'Primary Health CarePrognosisReferral and ConsultationRenal Insufficiency, ChronicSodium-Glucose Transporter 2 InhibitorsConceptsGuideline-directed medical therapyE-consultationImprove guideline-directed medical therapySystem-level barriersPatient-specific barriersHealth system strategiesElectronic health recordsAcademic health systemRenin-angiotensin-aldosterone system inhibitorsChronic kidney diseasePrescribed guideline-directed medical therapySodium-glucose cotransporter-2 inhibitorsE-consult recommendationElectronic consultationIn-depth interviewsPreliminary effectivenessHealth recordsHealth systemImplementation studyOvercome barriersType 2 diabetesMonths postbaselineMultidisciplinary teamPrescription dataAdministrative supportClinician perspectives regarding CYP2C19 genotype testing in patients with critical limb ischemia: A Delphi approach
Regan C, Scierka L, Dardik A, Tonnessen B, Chaar C, Ionescu C, Aboian E, Cardella J, Nassiri N, Guzman R, Attaran R, Nagpal S, Shah S, Smolderen K, Mena-Hurtado C. Clinician perspectives regarding CYP2C19 genotype testing in patients with critical limb ischemia: A Delphi approach. Vascular 2024, 33: 466-471. PMID: 38669051, DOI: 10.1177/17085381241246318.Peer-Reviewed Original ResearchDual antiplatelet therapyPeripheral arterial diseaseCYP2C19 testingCYP2C19 mutationsHeterogeneity of treatment effectsPeripheral vascular interventionsConsensus statementKnowledge questionsAntiplatelet therapyGenetic testingVascular surgeryAcademic health systemBarriers to implementationInterquartile rangeCYP2C19 genotype testingVascular diseaseInterventional cardiologyModified Delphi methodPatient's metabolic statusManagement of patientsCritical limb ischemiaPerceived barriersPeripheral vascular diseaseArterial vascular diseaseClinician perspectivesInter-Rater Reliability for the Amputation Endpoint in the National Vascular Quality Initiative
Smolderen K, Romain G, Scierka L, Cleman J, Rahman M, Siddiqui W, Lau F, Mao J, Akhlaghi N, Higaki A, Fowler X, Carroll M, Telma K, Alvermann T, Baribeau V, Goodney P, Mena-Hurtado C. Inter-Rater Reliability for the Amputation Endpoint in the National Vascular Quality Initiative. JACC Cardiovascular Interventions 2024, 17: 622-631. PMID: 38479964, DOI: 10.1016/j.jcin.2024.01.003.Peer-Reviewed Original ResearchConceptsElectronic health recordsElectronic health record reviewAmputation dataPeripheral arterial diseaseInterrater reliabilityVQI registryAcademic health systemTrained data collectorsNational quality registryInter-rater reliabilityEvaluate interrater reliabilityNational reporting systemHealth recordsQuality registryHealth systemCurrent Procedural Terminology codesInter-raterVascular Quality Initiative registryVascular Quality InitiativeProcedural Terminology codesNational Vascular Quality InitiativeRegistryQuality InitiativeAmputationSpearman's r
2023
Vicarious Racism, Direct Racism, and Mental Health Among Racialized Minority Healthcare Workers
Hennein R, Tiako M, Bonumwezi J, Tineo P, Boatright D, Crusto C, Lowe S. Vicarious Racism, Direct Racism, and Mental Health Among Racialized Minority Healthcare Workers. Journal Of Racial And Ethnic Health Disparities 2023, 12: 8-21. PMID: 37935947, DOI: 10.1007/s40615-023-01844-7.Peer-Reviewed Original ResearchBrief Report: Increasing Prevalence of Ground-Glass Nodules and Semisolid Lung Lesions on Outpatient Chest Computed Tomography Scans
Woodard G, Udelsman B, Prince S, Blasberg J, Dhanasopon A, Gange C, Traube L, Mase V, Boffa D, Detterbeck F, Bader A. Brief Report: Increasing Prevalence of Ground-Glass Nodules and Semisolid Lung Lesions on Outpatient Chest Computed Tomography Scans. JTO Clinical And Research Reports 2023, 4: 100583. PMID: 38074773, PMCID: PMC10709040, DOI: 10.1016/j.jtocrr.2023.100583.Peer-Reviewed Original ResearchGround-glass nodulesChest CT scanCT scanLung lesionsHealth systemLarge academic health systemAcademic health systemCross-sectional imagingRadiographic findingsPhysician consultationChest CTDatabase reviewTomography scanRadiographic lesionsAge groupsLesionsStudy periodLung nodulesOutpatient CTRadiology reportsAdult chestCTScansChestNodulesBehavioral Health Decision Support Systems and User Interface Design in the Emergency Department
Jones N, Song S, Thomasian N, Samuels E, Ranney M. Behavioral Health Decision Support Systems and User Interface Design in the Emergency Department. Applied Clinical Informatics 2023, 14: 705-713. PMID: 37673096, PMCID: PMC10482498, DOI: 10.1055/s-0043-1771395.Peer-Reviewed Original ResearchConceptsSingle academic health systemHigh-risk populationAcademic health systemAdult emergency physiciansPhysicians' prior experienceUniversity hospital systemClinical decision support systemAdult EDED physiciansPatient's likelihoodEmergency departmentPhysician familiarityEmergency physiciansMost physiciansED recidivismParticular patientPhysician workflowHealth systemPhysiciansHospital systemAlert contentSemistructured interviewsCareQualitative studyHealth decision support systemInformation Technology-Enhanced Telehealth Consultations Reduce Preoperative Evaluation Center Visits in a Bariatric Surgery Population
Zafar J, Chan K, Ryder L, Duffy A, Dai F, Carr Z, Charchaflieh J. Information Technology-Enhanced Telehealth Consultations Reduce Preoperative Evaluation Center Visits in a Bariatric Surgery Population. Healthcare 2023, 11: 309. PMID: 36766884, PMCID: PMC9914614, DOI: 10.3390/healthcare11030309.Peer-Reviewed Original ResearchPreoperative evaluation centerPreoperative evaluation processDay of surgeryQuality of careBariatric surgery patientsPerson patient visitsSecondary outcomesSurgery patientsPrimary outcomePatient visitsBariatric surgery populationRetrospective cohort analysisAppropriate patient selectionPreoperative patient evaluationAcademic health systemAdditional testingSurgery populationPreoperative evaluationPatient selectionPatient evaluationCohort analysisPreoperative processCenter visitsTelehealth consultationsPatient care
2022
Use of the consolidated framework for implementation research in a mixed methods evaluation of the EQUIPPED medication safety program in four academic health system emergency departments
Kegler M, Rana S, Vandenberg A, Hastings S, Hwang U, Eucker S, Vaughan C. Use of the consolidated framework for implementation research in a mixed methods evaluation of the EQUIPPED medication safety program in four academic health system emergency departments. Frontiers In Health Services 2022, 2: 1053489. PMID: 36925898, PMCID: PMC10012623, DOI: 10.3389/frhs.2022.1053489.Peer-Reviewed Original ResearchEmergency departmentConsolidated FrameworkVeterans Administration health care systemPrimary implementation outcomeImplementation researchMedication safety programAcademic health systemImplementation outcomesQuality Improvement ProgramFidelity of deliveryHealth care systemEvidence-based approachProviders' receiptInappropriate medicationsMixed-methods evaluationEvidence-informed programsED providersED settingPrescribing practicesAcademic detailingMedication safetyPatient needsEffective quality improvement programOrder setsHealth systemChanges in prenatal testing during the COVID-19 pandemic
Handley S, Ledyard R, Lundsberg L, Passarella M, Yang N, Son M, McKenney K, Greenspan J, Dysart K, Culhane J, Burris H. Changes in prenatal testing during the COVID-19 pandemic. Frontiers In Pediatrics 2022, 10: 1064039. PMID: 36440341, PMCID: PMC9682111, DOI: 10.3389/fped.2022.1064039.Peer-Reviewed Original ResearchProportion of patientsPregnant patientsWeeks' gestationFirst trimesterRetrospective observational cohort studyEarly COVID-19 pandemic periodCOVID-19 pandemicRoutine prenatal testingObservational cohort studyPrenatal testingElectronic health record dataCoronavirus disease 2019 (COVID-19) pandemicAcademic health systemHealth record dataDisease 2019 pandemicMultivariable adjustmentCohort studyPrimary outcomeGestational agePrenatal careAnatomy surveyClaims dataDiabetes testingPatientsCare deliveryThe role of preoperative toxicology screening in patients undergoing bariatric surgery
Chao G, Ying L, Chan S, Alturki N, Aravind P, Thaqi M, Mahmoud A, Morton J. The role of preoperative toxicology screening in patients undergoing bariatric surgery. Surgery For Obesity And Related Diseases 2022, 19: 187-193. PMID: 36443215, DOI: 10.1016/j.soard.2022.10.021.Peer-Reviewed Original ResearchConceptsPreoperative lengthBariatric surgeryToxicology testingWeight lossBariatric surgical populationBody mass indexImportant surgical outcomesAcademic health systemGastric bypassLack of evidenceSurgical populationPostoperative outcomesRetrospective reviewMass indexSurgical outcomesUrine testingPositivity rateMean changePositive testingPatientsNegative testingReadmissionHealth systemChi-squarePositivity
2021
Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme
Vaughan CP, Hwang U, Vandenberg AE, Leong T, Wu D, Stevens MB, Clevenger C, Eucker S, Genes N, Huang W, Ikpe-Ekpo E, Nassisi D, Previl L, Rodriguez S, Sanon M, Schlientz D, Vigliotti D, Hastings SN. Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme. BMJ Open Quality 2021, 10: e001369. PMID: 34750188, PMCID: PMC8576471, DOI: 10.1136/bmjoq-2021-001369.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationAcademic health systemElectronic medical recordsHealth systemMedical recordsPrescribing outcomesOlder adultsVA health systemMedication safety programMonthly proportionEpic electronic medical recordDifferent health systemsSignificant reductionBeers criteriaMonthly prescribingMonths preimplementationInappropriate medicationsBenzodiazepine prescriptionsPrescribing ratesEmergency departmentMonths postimplementationDrug classesHealth AdministrationOrder setsVA systemUniversal SARS-CoV-2 Testing of Emergency Department Admissions Increases Emergency Department Length of Stay
Sangal RB, Peaper DR, Rothenberg C, Landry ML, Sussman LS, Martinello RA, Ulrich A, Venkatesh AK. Universal SARS-CoV-2 Testing of Emergency Department Admissions Increases Emergency Department Length of Stay. Annals Of Emergency Medicine 2021, 79: 182-186. PMID: 34756452, PMCID: PMC8424016, DOI: 10.1016/j.annemergmed.2021.09.005.Peer-Reviewed Original ResearchConceptsSARS-CoV-2 testingUniversal SARS-CoV-2 testingEmergency department lengthAdmission lengthED admissionPositivity rateSARS-CoV-2 testAcademic health systemCOVID-19 prevalenceSecondary outcomesED lengthPrevention needsED boardingPatientsStayPositive casesClinical costsHealth systemAdmissionTesting policiesContainment effortsTestingPrevalenceTesting changesPositivityClinical characteristics and outcomes for 7,995 patients with SARS-CoV-2 infection
McPadden J, Warner F, Young HP, Hurley NC, Pulk RA, Singh A, Durant TJS, Gong G, Desai N, Haimovich A, Taylor RA, Gunel M, Dela Cruz CS, Farhadian SF, Siner J, Villanueva M, Churchwell K, Hsiao A, Torre CJ, Velazquez EJ, Herbst RS, Iwasaki A, Ko AI, Mortazavi BJ, Krumholz HM, Schulz WL. Clinical characteristics and outcomes for 7,995 patients with SARS-CoV-2 infection. PLOS ONE 2021, 16: e0243291. PMID: 33788846, PMCID: PMC8011821, DOI: 10.1371/journal.pone.0243291.Peer-Reviewed Original ResearchConceptsSARS-CoV-2 infectionYale New Haven HealthSARS-CoV-2Hospital mortalityRisk of admissionMale sexRisk factorsSARS-CoV-2 testingInvasive mechanical ventilationSevere acute respiratory syndrome virusBurden of diseaseRT-PCR testingAcademic health systemDiverse patient populationsRespiratory syndrome virusEthnic groupsAdult patientsClinical characteristicsDischarge dispositionRespiratory supportPrimary outcomeTreatment guidelinesMechanical ventilationRetrospective studyPatient populationTemporal relationship of computed and structured diagnoses in electronic health record data
Schulz WL, Young HP, Coppi A, Mortazavi BJ, Lin Z, Jean RA, Krumholz HM. Temporal relationship of computed and structured diagnoses in electronic health record data. BMC Medical Informatics And Decision Making 2021, 21: 61. PMID: 33596898, PMCID: PMC7890604, DOI: 10.1186/s12911-021-01416-x.Peer-Reviewed Original ResearchConceptsElectronic health recordsStructured diagnosisOutpatient blood pressureElectronic health record dataAcademic health systemLow-density lipoproteinHealth record dataBlood pressureStructured data elementsAdministrative claimsHypertensionClinical informationHyperlipidemiaClinical phenotypeEquivalent diagnosisVital signsHealth systemDiagnosisProblem listAdditional studiesHealth recordsRecord dataTimely accessEHR dataPatients
2020
Trends in COVID‐19 Risk‐Adjusted Mortality Rates
Horwitz LI, Jones SA, Cerfolio RJ, Francois F, Greco J, Rudy B, Petrilli CM. Trends in COVID‐19 Risk‐Adjusted Mortality Rates. Journal Of Hospital Medicine 2020, 16: 90-92. PMID: 33147129, DOI: 10.12788/jhm.3552.Peer-Reviewed Original ResearchConceptsHospital mortalityMortality rateHealth systemRisk-adjusted mortality ratesAdmission vital signsStandardized mortality ratioCoronavirus disease 2019Academic health systemPatient characteristicsClinical factorsMortality ratioDisease 2019High mortalityVital signsMortalityComorbiditiesCOVID-19Laboratory resultsEarlier reportsHospitalizationPatientsHospiceDemographics
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