2024
Clinical Outcomes of Intravenous Ketamine Treatment for Depression in the VA Health System.
Pfeiffer P, Geller J, Ganoczy D, Jagusch J, Carty J, Festin F, Gilmer W, Martis B, Ranganathan M, Wiechers I, Hosanagar A. Clinical Outcomes of Intravenous Ketamine Treatment for Depression in the VA Health System. The Journal Of Clinical Psychiatry 2024, 85 PMID: 38206011, DOI: 10.4088/jcp.23m14984.Peer-Reviewed Original ResearchConceptsPHQ-9 scoresKetamine infusionClinical outcomesSymptom improvementInfusion frequencyPatient Health Questionnaire-9 scoreVeterans Health Administration electronic medical recordsBaseline PHQ-9 scoreShort-term clinical trialsAntidepressant medication trialsFirst ketamine infusionIntravenous ketamine treatmentMonths of infusionFrequency of infusionsMinority of patientsVA health systemWeeks of treatmentRoutine clinical practiceMajor depressive disorderNumber of infusionsElectronic medical recordsIntravenous ketamineKetamine treatmentFirst infusionMedication trials
2017
Development and Applications of the Veterans Health Administration’s Stratification Tool for Opioid Risk Mitigation (STORM) to Improve Opioid Safety and Prevent Overdose and Suicide
Oliva EM, Bowe T, Tavakoli S, Martins S, Lewis ET, Paik M, Wiechers I, Henderson P, Harvey M, Avoundjian T, Medhanie A, Trafton JA. Development and Applications of the Veterans Health Administration’s Stratification Tool for Opioid Risk Mitigation (STORM) to Improve Opioid Safety and Prevent Overdose and Suicide. Psychological Services 2017, 14: 34-49. PMID: 28134555, DOI: 10.1037/ser0000099.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationSuicide-related eventsPredictive risk modelAdverse eventsRisk factorsRisk mitigation interventionsOpioid-related adverse eventsVHA electronic medical recordsSuicide-related adverse eventsOpioid risk mitigationOpioid Safety InitiativeHigh-risk patientsNaloxone distribution programsElectronic medical recordsOpioid prescribingOpioid analgesicsVHA patientsStratification toolMedical recordsOverdose educationPatientsHealth AdministrationMortality dataPatient identificationRisk model
2015
Growing Use of Mental and General Health Care Services Among Older Veterans With Mental Illness
Wiechers IR, Karel MJ, Hoff R, Karlin BE. Growing Use of Mental and General Health Care Services Among Older Veterans With Mental Illness. Psychiatric Services 2015, 66: 1242-1244. PMID: 26278225, DOI: 10.1176/appi.ps.201400370.Peer-Reviewed Original ResearchConceptsHealth care servicesOlder veteransElectronic medical recordsMental illnessCare servicesMedical recordsVeterans Health Administration electronic medical recordsVHA electronic medical recordsGeneral health care servicesVeterans ages 65Health service utilizationMental health needsService utilizationService useHealth needsAge 65IllnessVeteransNational dataProportion
2012
Impact of a Metabolic Screening Bundle on Rates of Screening for Metabolic Syndrome in a Psychiatry Resident Outpatient Clinic
Wiechers IR, Viron M, Stoklosa J, Freudenreich O, Henderson DC, Weiss A. Impact of a Metabolic Screening Bundle on Rates of Screening for Metabolic Syndrome in a Psychiatry Resident Outpatient Clinic. Academic Psychiatry 2012, 36: 118-121. PMID: 22532201, DOI: 10.1176/appi.ap.10090138.Peer-Reviewed Original ResearchConceptsElectronic medical recordsAntipsychotic medicationMedical recordsMetabolic syndromeIndividual patient electronic medical recordsMetabolic screeningSecond-generation antipsychoticsMetabolic syndrome screeningPatients' electronic medical recordsCardiometabolic side effectsRate of documentationRates of screeningQuality improvement interventionsResident outpatient clinicOutpatient clinicResident clinicQI interventionsAudit periodSide effectsQuarterly auditsPatientsMedicationsAntipsychoticsSyndromeClinic