2024
Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization
Kebeh M, Dlott C, Kurek D, Tung W, Morris J, Wiznia D. Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization. Orthopaedic Nursing 2024, 43: 195-201. PMID: 39047269, PMCID: PMC11279383, DOI: 10.1097/nor.0000000000001039.Peer-Reviewed Original ResearchConceptsNurse navigatorPayer statusMedical managementMedical management guidelinesMedication reconciliationResource referralsPatient educationInsurance statusPreoperative optimization protocolFinancial concernsInsurance coveragePatient outcomesLiterature searchNursesTJA patientsManagement guidelinesPayersMedicationStatusInsuranceFinancial resourcesEducationPatientsRecommendationsReferralAssociation of Hospitalist Care and Outcomes for Patients Electively Admitted for Chemotherapy
Vaughn J, Morris J, Merl M, Gould Rothberg BE. Association of Hospitalist Care and Outcomes for Patients Electively Admitted for Chemotherapy. Journal Of Brown Hospital Medicine 2024, 3 DOI: 10.56305/001c.115906.Peer-Reviewed Original ResearchLength of stayAnticancer therapyHematologic malignanciesHospitalist careBlood cell count recoveryTumor lysis syndromeQuality outcomesMean discharge timeEfficiency of careOutcomes of length of stayMixed linear regression modelsCount recoveryCare of patientsMethotrexate clearanceTherapy initiationTherapy regimenNo significant differenceTherapy administrationPatientsLinear regression modelsMean timeTherapySignificant differenceImprove qualityMalignancyOrthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization
Kebeh M, Dlott C, Kurek D, Morris J, Wiznia D. Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization. Orthopaedic Nursing 2024, 43: 75-83. PMID: 38546679, PMCID: PMC10987043, DOI: 10.1097/nor.0000000000001013.Peer-Reviewed Original ResearchConceptsNurse navigatorTotal joint arthroplastyModifiable risk factorsAssessment of nutritional statusLong-term interventionsTotal joint arthroplasty patientsNursesPractice standardsNutritional statusObesityRisk factorsImprove outcomesPatients to worse outcomesTargeted assessmentMalnutritionInterventionJoint arthroplastyLiterature reviewWorse outcomesPreoperative optimizationOutcomesRecommendationsBariatric treatmentPatientsPracticeOrthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization
Kebeh M, Dlott C, Kurek D, Morris J, Johnson C, Wiznia D. Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization. Orthopaedic Nursing 2024, 43: 2-9. PMID: 38266257, PMCID: PMC10832337, DOI: 10.1097/nor.0000000000000997.Peer-Reviewed Original ResearchConceptsNurse navigatorCardiovascular disease managementTotal joint arthroplastyCardiovascular diseaseCoordination of interventionsDisease managementImprove patient healthOptimal diabetesPatient educationPatient healthNursesPreoperative optimization protocolRisk factorsDiabetesCurrent practicesJoint arthroplastyLiterature reviewProgramRiskRecommendationsSurgical outcomesHealthInterventionOrthopaedicsDisease
2023
Association of Hospitalist Care and Outcomes on an Inpatient Elective Anticancer Therapy Service
Vaughn J, Merl M, Morris J, Rothberg BE. Association of Hospitalist Care and Outcomes on an Inpatient Elective Anticancer Therapy Service. Blood 2023, 142: 2335. DOI: 10.1182/blood-2023-190824.Peer-Reviewed Original ResearchHospitalist careTherapy administrationRace/ethnicityTherapy servicesIllness indexSmilow Cancer HospitalTumor lysis syndromeMean discharge timeSignificant differencesQuality outcomesIndex regimenLysis syndromeMedian ageAnticancer regimenMultiple admissionsMethotrexate clearanceCancer HospitalCancer CenterTreatment daysTherapy typeDay 1PatientsAdmissionLymphomaTherapy teamOrthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization
Kebeh M, Dlott C, Kurek D, Morris J, Wiznia D. Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization. Orthopaedic Nursing 2023, 42: 334-343. PMID: 37989152, PMCID: PMC10664865, DOI: 10.1097/nor.0000000000000983.Peer-Reviewed Original ResearchConceptsPreoperative optimization protocolNurse navigatorSubstance useAlcohol usePreoperative optimization programsCommon risk factorsTotal joint arthroplastyPreoperative optimizationOpioid usePain specialistsCessation programsRisk factorsJoint arthroplastyPatientsPractice recommendationsSemistructured formatLiterature reviewOpioidsComplicationsSmokingArthroplastyInternistsOncology hospitalist impact on hospice utilization
Prsic E, Morris J, Adelson K, Parker N, Gombos E, Kottarathara M, Novosel M, Castillo L, Rothberg BE. Oncology hospitalist impact on hospice utilization. Cancer 2023, 129: 3797-3804. PMID: 37706601, DOI: 10.1002/cncr.35008.Peer-Reviewed Original ResearchConceptsMedical oncology serviceOncology servicesEnd of lifeAdvanced cancerInpatient hospiceHospice utilizationHigher total health care costsTotal health care costsComfort-focused careInpatient oncology serviceSmilow Cancer HospitalAdjusted odds ratioLength of staySolid tumor malignanciesLong-term survivalMultivariable linear regressionHealth care costsElectronic medical recordsHospice transitionUnplanned hospitalizationDischarge dispositionHospice referralInpatient managementLate referralCancer HospitalThe impact of oncology hospitalist utilization on resident education.
Bhatt S, Yao J, Gould Rothberg BE, Morris J, Parker N, Adelson K, Prsic E. The impact of oncology hospitalist utilization on resident education. Journal Of Clinical Oncology 2023, 41: 11034-11034. DOI: 10.1200/jco.2023.41.16_suppl.11034.Peer-Reviewed Original ResearchHospitalist serviceMedical oncologistsCancer CenterPercent of residentsU.S. cancer centersMann-Whitney U testGOC discussionsMedical oncologyCare discussionsInpatient teaching servicesOutpatient careInpatient careEligible residentsPatient careUniversity IRBFamily meetingsHospitalistsU testOncologistsStatistical significanceStudy intervalTwo-week periodCareP-valueFive-point Likert scaleOutcomes on an inpatient oncology service after the introduction of hospitalist comanagement
Morris J, Rothberg BE, Prsic E, Parker N, Weber U, Gombos E, Kottarathara M, Billingsley K, Adelson K. Outcomes on an inpatient oncology service after the introduction of hospitalist comanagement. Journal Of Hospital Medicine 2023, 18: 391-397. PMID: 36891947, DOI: 10.1002/jhm.13071.Peer-Reviewed Original ResearchConceptsLength of stayInpatient oncology serviceSmilow Cancer HospitalSeverity of illnessOncology servicesOncologists' experiencesReadmission ratesEarly dischargeHospitalist comanagementAverage LOSTime of dischargeMean discharge timeEarly discharge ratesImpact of hospitalistsRace/ethnicityDischarge dispositionMultiple admissionsCancer HospitalMAIN OUTCOMEStudy durationPatient volumeCancer typesStudy periodHospitalistsOutcomesOncology Hospitalists: Hospice Utilization on an Inpatient Medical Oncology Service (SA314D)
Prsic E, Morris J, Adelson K, Castillo L, Parker N, Bhatt S, Rothberg B. Oncology Hospitalists: Hospice Utilization on an Inpatient Medical Oncology Service (SA314D). Journal Of Pain And Symptom Management 2023, 65: e305-e306. DOI: 10.1016/j.jpainsymman.2022.12.134.Peer-Reviewed Original ResearchMedical oncology serviceInpatient oncology serviceLength of stayOncology servicesAdvanced cancerMedical oncologistsInpatient hospiceAdjusted odds ratioMultivariable linear regressionElectronic medical recordsRace/ethnicityHospice transitionEnd of lifeUnplanned admissionsBackground PatientsDischarge dispositionOncology inpatientsHospice dischargeHome hospiceMedical recordsOdds ratioInpatient careHospitalist serviceRate of dischargeHospitalist team
2022
Oncology-hospitalist co-management: A model for efficient, high-quality care and education.
Morris J, Prsic E, Parker N, Weber U, Gombos E, Kottarathara M, Rothberg BE, Adelson K. Oncology-hospitalist co-management: A model for efficient, high-quality care and education. Journal Of Clinical Oncology 2022, 40: 1-1. DOI: 10.1200/jco.2022.40.28_suppl.001.Peer-Reviewed Original ResearchEarly discharge ratesReadmission ratesOncologist satisfactionIntervention teamHospitalist comanagementInpatient oncology serviceSmilow Cancer HospitalOutcome metricsHigher readmission ratesLength of stayMultidisciplinary steering groupHigh-quality careInternal medicine hospitalistsIllness scoresOncology teamCancer HospitalComparator groupOncology servicesPatient populationOutcome comparisonsCase volumeImprovement interventionsPDSA cyclesOncologistsPDSA 2Tranexamic Acid Administration at Hospital Admission Decreases Transfusion Rates in Geriatric Hip Fracture Patients Undergoing Surgery
Moran J, Kahan JB, Morris J, Joo PY, O’Connor M. Tranexamic Acid Administration at Hospital Admission Decreases Transfusion Rates in Geriatric Hip Fracture Patients Undergoing Surgery. Geriatric Orthopaedic Surgery & Rehabilitation 2022, 13: 21514593221124414. PMID: 36081840, PMCID: PMC9445454, DOI: 10.1177/21514593221124414.Peer-Reviewed Original ResearchHip fracture patientsFragility hip fracture patientsRed blood cell transfusionBlood cell transfusionTranexamic acid administrationTransfusion rateFracture patientsTXA dosingCell transfusionVascular eventsHip fractureHospital admissionAcid administrationGeriatric hip fracture patientsMajor adverse vascular eventsInfusion-related adverse eventsUse of TXAFragility hip fractureLower transfusion rateAdverse vascular eventsPost-operative bleedingSubset of patientsSubgroup of patientsHip fracture serviceActive malignancyPerioperative and Postoperative Considerations in the Geriatric Patient.
Morris, JC, Konda SR. Perioperative and Postoperative Considerations in the Geriatric Patient. In KA Egol (Ed.), Orthopedic Knowledge Updates. Wolters-Kluwer. AAOS; Sixth edition (February 16, 2022)Peer-Reviewed Original ResearchTranexamic Acid Administration at Hospital Admission Decreases Transfusion Rates in Geriatric Hip Fracture Patients Undergoing Surgery.
Moran J, Kahan JB, Morris J, Joo PY, O’Connor MI. Tranexamic Acid Administration at Hospital Admission Decreases Transfusion Rates in Geriatric Hip Fracture Patients Undergoing Surgery. Geriatric Orthopaedic Surgery & Rehabilitation. January 2022. doi:10.1177/21514593221124414Peer-Reviewed Original Research
2021
Expanded use of tranexamic acid is safe and decreases transfusion rates in patients with geriatric hip fractures
Kahan JB, Morris J, Li D, Moran J, O'Connor MI. Expanded use of tranexamic acid is safe and decreases transfusion rates in patients with geriatric hip fractures. OTA International The Open Access Journal Of Orthopaedic Trauma 2021, 4: e147. PMID: 34765898, PMCID: PMC8575430, DOI: 10.1097/oi9.0000000000000147.Peer-Reviewed Original ResearchRed blood cell transfusionMinor adverse eventsBlood cell transfusionFragility hip fractureAdverse eventsTransfusion rateHip fractureEligible patientsCell transfusionVascular eventsFragility hip fracture patientsMajor adverse vascular eventsAcademic tertiary care centerPrognostic Level IIIUse of TXAGeriatric hip fracturesRetrospective cohort studyHip fracture patientsLower transfusion rateTertiary care centerAdverse vascular eventsActive malignancyIneligible patientsPreoperative hemoglobinAnticoagulant useA Simple Physical Therapy Algorithm Is Successful in Decreasing Skilled Nursing Facility Length of Stay and Increasing Cost Savings After Hip Fracture With No Increase in Adverse Events
Adrados M, Wang K, Deng Y, Bozzo J, Messina T, Stevens A, Moore A, Morris J, O’Connor M. A Simple Physical Therapy Algorithm Is Successful in Decreasing Skilled Nursing Facility Length of Stay and Increasing Cost Savings After Hip Fracture With No Increase in Adverse Events. Geriatric Orthopaedic Surgery & Rehabilitation 2021, 12: 2151459321998615. PMID: 33815865, PMCID: PMC7995299, DOI: 10.1177/2151459321998615.Peer-Reviewed Original ResearchSkilled nursing facilitiesHip fracture patientsFracture patientsHip fractureAmbulatory independenceSingle skilled nursing facilitySkilled nursing facility lengthsPost-operative hip fracture patientsHip fracture programDays of dischargeGeriatric hip fracturesHip fracture surgerySimilar baseline demographicsShort-term outcomesLength of staySignificant differencesSimple physical therapyValue of healthcareParticipants' dischargeParticipants PatientsBaseline demographicsED visitsHospital dischargeAdverse eventsFracture surgery
2020
Anticoagulation Management in Geriatric Orthopedic Trauma Patients
Morris J, O’Connor M. Anticoagulation Management in Geriatric Orthopedic Trauma Patients. Current Geriatrics Reports 2020, 9: 288-295. DOI: 10.1007/s13670-020-00345-3.Peer-Reviewed Original ResearchDirect oral anticoagulantsOral anticoagulantsAnticoagulation managementGeriatric orthopaedic trauma patientsNon-elective orthopaedic surgeryPerioperative anticoagulation managementRecent FindingsOur understandingHip fracture surgeryVitamin K antagonistsOrthopaedic trauma patientsProthrombin complex concentrateTeam-based approachAnticoagulation interruptionK antagonistsPerioperative anticoagulationPerioperative managementMore patientsTrauma patientsFracture surgeryGeriatric patientsComplex concentrateRegional anesthesiaGeriatric teamReversal agentsOrthopedic surgeryPerniolike lesions and coagulopathy in a patient with COVID-19 infection
Micevic G, Morris J, Lee AI, King BA. Perniolike lesions and coagulopathy in a patient with COVID-19 infection. JAAD Case Reports 2020, 6: 1294-1296. PMID: 32953959, PMCID: PMC7491482, DOI: 10.1016/j.jdcr.2020.08.042.Peer-Reviewed Original ResearchIntegrated Fragility Hip Fracture Program: A Model for High Quality Care
Morris JC, Moore A, Kahan J, Shapiro M, Li J, Spadaccino B, Baumgaertner M, O'Connor MI. Integrated Fragility Hip Fracture Program: A Model for High Quality Care. Journal Of Hospital Medicine 2020, 15: 461-467. PMID: 32118555, DOI: 10.12788/jhm.3365.Peer-Reviewed Original ResearchConceptsHip fracture programLength of stayEvidence-based protocolsHip fractureClinical outcomesMultidisciplinary careOperating roomFracture programYale-New Haven HospitalAdverse effectsBlood transfusion utilizationVenous thromboembolic complicationsFragility hip fractureHip fracture careHigh-quality careSignificant reductionIndex admissionTransfusion utilizationElderly patientsThromboembolic complicationsBlood transfusionFracture careMyocardial infarctionFixation complicationsMAIN OUTCOMEPreoperative Risk Factor Optimization Lowers Hospital Length of Stay and Postoperative Emergency Department Visits in Primary Total Hip and Knee Arthroplasty Patients
Dlott CC, Moore A, Nelson C, Stone D, Xu Y, Morris JC, Gibson DH, Rubin LE, O'Connor MI. Preoperative Risk Factor Optimization Lowers Hospital Length of Stay and Postoperative Emergency Department Visits in Primary Total Hip and Knee Arthroplasty Patients. The Journal Of Arthroplasty 2020, 35: 1508-1515.e2. PMID: 32113812, DOI: 10.1016/j.arth.2020.01.083.Peer-Reviewed Original ResearchConceptsED visitsContemporary cohortHistorical cohortHospital lengthRisk factorsSignificant decreaseElective primary total hip arthroplastyPostoperative emergency department visitsPrimary total hip arthroplastyLower hospital lengthPostoperative emergency departmentRisk factor optimizationPrimary total hipModifiable risk factorsPercentage of patientsTotal joint replacement programEmergency department visitsKnee arthroplasty patientsSurgical site infectionOptimization of patientsTotal knee arthroplastyJoint replacement programTotal hip arthroplastyPatient-centered approachRisk factor identification