2020
Implementation Evaluation of a Complex Intervention to Improve Timeliness of Care for Veterans with Transient Ischemic Attack
Damush T, Miech E, Rattray N, Homoya B, Penney L, Cheatham A, Baird S, Myers J, Austin C, Myers L, Perkins A, Zhang Y, Giacherio B, Kumar M, Murphy L, Sico J, Bravata D. Implementation Evaluation of a Complex Intervention to Improve Timeliness of Care for Veterans with Transient Ischemic Attack. Journal Of General Internal Medicine 2020, 36: 322-332. PMID: 33145694, PMCID: PMC7878645, DOI: 10.1007/s11606-020-06100-w.Peer-Reviewed Original ResearchConceptsTransient ischemic attackIschemic attackClinical improvementStepped-wedge implementation trialQI teamsGuideline-concordant careTimeliness of careQuality improvement interventionsVA healthcare systemComplex quality improvement interventionsPrimary outcomeTeam activationImplementation strategiesKey implementation strategiesImplementation trialImprovement interventionsClinical staffComplex interventionsConsolidated FrameworkQI programQI planExternal facilitationImplementation researchHealthcare systemPoint improvement
2017
Barriers and facilitators to provide quality TIA care in the Veterans Healthcare Administration
Damush TM, Miech EJ, Sico JJ, Phipps MS, Arling G, Ferguson J, Austin C, Myers L, Baye F, Luckhurst C, Keating AB, Moran E, Bravata DM. Barriers and facilitators to provide quality TIA care in the Veterans Healthcare Administration. Neurology 2017, 89: 2422-2430. PMID: 29117959, PMCID: PMC5729798, DOI: 10.1212/wnl.0000000000004739.Peer-Reviewed Original ResearchMeSH KeywordsAftercareAttitude of Health PersonnelContinuity of Patient CareCross-Sectional StudiesEmergency MedicineGuideline AdherenceHealth Services AccessibilityHospitalistsHumansIschemic Attack, TransientLeadershipMedical Staff, HospitalNeuroimagingNeurologistsNursesOphthalmologistsPhysiciansPractice Guidelines as TopicQualitative ResearchQuality of Health CareRadiologistsSurgeonsUnited StatesUnited States Department of Veterans AffairsConceptsTIA careVeterans Health AdministrationNurse coordinatorClinical staffNational Veterans Health AdministrationInadequate staff educationSystem-level facilitatorsGuideline-based careVeterans Healthcare AdministrationHealth care facilitiesSystem-level factorsTIA patientsVHA hospitalsTimely followEmergency departmentEvidence-based practiceCare coordinationInpatient settingObservational studyIndividual patientsContinuous careStaff educationCare facilitiesHealth AdministrationPatient care