2023
Serial serum lipase testing after the initial diagnostic workup for inpatients with acute pancreatitis: What is the evidence?
Magier S, Muniraj T, Merchant N. Serial serum lipase testing after the initial diagnostic workup for inpatients with acute pancreatitis: What is the evidence? Cleveland Clinic Journal Of Medicine 2023, 90: 341-343. PMID: 37263664, DOI: 10.3949/ccjm.90a.22060.Peer-Reviewed Original ResearchBuilding Resident Quality Improvement Knowledge and Engagement Through a Longitudinal, Mentored, and Experiential Learning-Based Quality Improvement Curriculum
Xiang J, Magier S, Gruen J, Welch M, Bilan V, Rodwin B, Norcott A, Merchant N. Building Resident Quality Improvement Knowledge and Engagement Through a Longitudinal, Mentored, and Experiential Learning-Based Quality Improvement Curriculum. MedEdPORTAL 2023, 19: 11310. PMID: 37081972, PMCID: PMC10110773, DOI: 10.15766/mep_2374-8265.11310.Peer-Reviewed Original ResearchConceptsQI curriculumQuality Improvement Knowledge Application ToolAdult learning theoryQuality improvement curriculumRecent academic yearQI projectQuality improvement knowledgeResident medical educationACGME core competenciesSuccessful educational initiativeQuality improvement trainingExperiential learningChief residentsImprovement curriculumQI educationAcademic yearQI knowledgeFaculty mentorsMedical educationQI skillsInternal medicine residentsCurriculumLearning theoryEducational initiativesQI conceptsProviding Structured Real-Time Feedback on Postdischarge Outcomes Using Electronic Health Record Data
Zegarek M, Holleck J, Merchant N, Windish D, Hay S. Providing Structured Real-Time Feedback on Postdischarge Outcomes Using Electronic Health Record Data. Southern Medical Journal 2023, 116: 305-311. PMID: 36863053, DOI: 10.14423/smj.0000000000001522.Peer-Reviewed Original ResearchConceptsPostdischarge outcomesTransitions of carePoor patient outcomesInternal medicine residentsPatient outcomesInpatient rotationsMedicine residentsElectronic health record dataTime of dischargeHealth record dataElectronic health recordsDischarge planningFuture practiceFree-text responsesPostintervention surveysHealth recordsRecord dataOutcomesAdditional staffPatientsMedical student participants
2022
A High-reliability Organization Mindset.
Merchant NB, O'Neal J, Dealino-Perez C, Xiang J, Montoya A, Murray JS. A High-reliability Organization Mindset. American Journal Of Medical Quality 2022, 37: 504-510. PMID: 36201470, DOI: 10.1097/jmq.0000000000000086.Peer-Reviewed Original ResearchUtilization of an Internal Medicine Triaging Resident in the Emergency Department Reduces Preventable Admissions and Improves Trainee Experiences
Saffo S, Rodwin B, Dalton R, Tarabar A, Merchant N. Utilization of an Internal Medicine Triaging Resident in the Emergency Department Reduces Preventable Admissions and Improves Trainee Experiences. Southern Medical Journal 2022, 115: 707-711. PMID: 36055659, DOI: 10.14423/smj.0000000000001434.Peer-Reviewed Original ResearchConceptsTransitions of careEmergency departmentHospital utilizationPreventable admissionsSingle-center pilot studyPatient safetyInitial patient managementIM traineesPatient care requirementsVeterans Affairs hospitalInternal medicine serviceGraduate Medical EducationIntegrated health systemInitial managementMedical admissionsED physiciansMedical patientsInpatient providersInpatient settingPatient managementTrainee experienceMedicine serviceCare requirementsED performance metricsSuboptimal communicationRoom of Hazards: A Comparison of Differences in Safety Hazard Recognition Among Various Hospital-Based Healthcare Professionals and Trainees in a Simulated Patient Room
Wang M, Banda B, Rodwin BA, Merchant NB. Room of Hazards: A Comparison of Differences in Safety Hazard Recognition Among Various Hospital-Based Healthcare Professionals and Trainees in a Simulated Patient Room. Journal Of Patient Safety 2022, 18: 624-629. PMID: 35587392, DOI: 10.1097/pts.0000000000001043.Peer-Reviewed Original ResearchConceptsHospital-based healthcare professionalsPatient roomsHealthcare professionalsAdverse eventsHealthcare workersStaff membersHealthcare membersPatient harmNursesPhysiciansSafety hazards identificationComparison of differencesFuture studiesNonparametric statistical analysisTrainees' skillsMore hazardsHazard identificationParticipantsPrevious studiesStatistical analysisProfessionalsDifferent professionsHospitalDifferencesStudyThe underappreciated role of documentation in improving COPD care
Ehteshami-Afshar S, Merchant N. The underappreciated role of documentation in improving COPD care. Cleveland Clinic Journal Of Medicine 2022, 89: 249-251. PMID: 35500929, DOI: 10.3949/ccjm.89a.21044.Peer-Reviewed Original ResearchCreating a Process for the Implementation of Tiered Huddles in a Veterans Affairs Medical Center
Merchant NB, O'Neal J, Montoya A, Cox GR, Murray JS. Creating a Process for the Implementation of Tiered Huddles in a Veterans Affairs Medical Center. Military Medicine 2022, 188: 901-906. PMID: 35312000, PMCID: PMC9383570, DOI: 10.1093/milmed/usac073.Peer-Reviewed Original ResearchConceptsHealth AdministrationPatient careVeterans Affairs Medical CenterVeterans Health AdministrationHealthcare systemNon-clinical staffHigh-quality patient careQuality patient careCare coordinationFrontline staffMedical CenterLack of responsivenessPatient safetySubsequent outcomesHealthcare organizationsShift hoursTimely identificationCoronavirus testingStaffing levelsEquipment concernsCurrent literatureHealthcare institutionsCarePilot testingPilot serviceImproving Adherence to Risk Stratification Guidelines Regarding Venous Thromboembolism Prophylaxis
Holleck JL, Jalbut MM, Rodwin BA, Chang JJ, Holleck ME, Merchant N. Improving Adherence to Risk Stratification Guidelines Regarding Venous Thromboembolism Prophylaxis. The Joint Commission Journal On Quality And Patient Safety 2022, 48: 301-303. PMID: 35489805, DOI: 10.1016/j.jcjq.2022.02.004.Peer-Reviewed Original Research
2021
Tylenol or acetaminophen: a recurrent fixed drug eruption perpetuated through the use of inconsistent drug terminology
Federman D, Gruen JA, Merchant N. Tylenol or acetaminophen: a recurrent fixed drug eruption perpetuated through the use of inconsistent drug terminology. BMJ Case Reports 2021, 14: e241908. PMID: 34344644, PMCID: PMC8336122, DOI: 10.1136/bcr-2021-241908.Peer-Reviewed Case Reports and Technical NotesImproving the Quality of Inpatient Discharge Instructions: An Evaluation and Implementation of Best Practices
Rodwin BA, Bilan VP, Gunderson CG, Merchant NB. Improving the Quality of Inpatient Discharge Instructions: An Evaluation and Implementation of Best Practices. Southern Medical Journal 2021, 114: 445-449. PMID: 34345921, DOI: 10.14423/smj.0000000000001284.Peer-Reviewed Original Research
2020
From Bench to Every Bedside: Improving the Adoption of Evidence-Based Practices.
Rodwin BA, Merchant NB. From Bench to Every Bedside: Improving the Adoption of Evidence-Based Practices. Southern Medical Journal 2020, 113: 538-540. PMID: 33140105, DOI: 10.14423/smj.0000000000001163.Peer-Reviewed Original ResearchRoom of Hazards: An Interprofessional Evaluation of Safety Risks in a Simulated Patient Room
Wang M, Bilan VP, McCullough M, Banda B, Merchant NB, Rodwin BA. Room of Hazards: An Interprofessional Evaluation of Safety Risks in a Simulated Patient Room. Journal Of Patient Safety 2020, 18: e329-e337. PMID: 32890126, DOI: 10.1097/pts.0000000000000774.Peer-Reviewed Original ResearchConceptsNursing assistantsSignificant differencesHealth care facilitiesDifferent health careHealth care staff membersCare staff membersNursing studentsAdverse eventsInpatient wardsHealth care professionsCare facilitiesInterprofessional evaluationPatient roomsPatient safetyHospital bedsMore hazardsPilot studyMedical studentsHealth careNursesEquipment hazardsSocial workersCare professionsSafety skillsUnique trainingAtypical case of Miller-Fisher syndrome presenting with severe dysphagia and weight loss
Patel K, Nussbaum E, Sico J, Merchant N. Atypical case of Miller-Fisher syndrome presenting with severe dysphagia and weight loss. BMJ Case Reports 2020, 13: e234316. PMID: 32467120, PMCID: PMC7259814, DOI: 10.1136/bcr-2020-234316.Peer-Reviewed Case Reports and Technical NotesConceptsMiller Fisher syndromeAtypical casesLower extremity muscle weaknessWeight lossExtremity muscle weaknessFormal swallow evaluationThorough neurological examinationResolution of symptomsAlbuminocytological dissociationIntravenous immunoglobulinPresenting symptomProgressive dysphagiaSevere dysphagiaSwallow evaluationSymptom onsetExtraocular movementsNeurological examinationMuscle weaknessPhysical examinationAntibody titresDysphagiaCerebrospinal fluidGait stabilityPatientsSyndromeRate of Preventable Mortality in Hospitalized Patients: a Systematic Review and Meta-analysis
Rodwin BA, Bilan VP, Merchant NB, Steffens CG, Grimshaw AA, Bastian LA, Gunderson CG. Rate of Preventable Mortality in Hospitalized Patients: a Systematic Review and Meta-analysis. Journal Of General Internal Medicine 2020, 35: 2099-2106. PMID: 31965525, PMCID: PMC7351940, DOI: 10.1007/s11606-019-05592-5.Peer-Reviewed Original ResearchConceptsInpatient deathPreventable mortalityPreventable deathsMortality rateHospital mortality rateLife expectancyRandom-effects modelSystematic literature searchNumber of deathsWeb of ScienceHospital deathAdult patientsHospitalized patientsResultsSixteen studiesCase seriesPooled rateCochrane LibraryInclusion criteriaPatientsMeta-AnalysisSystematic reviewLiterature searchData extractionMortalityDeath
2019
Stethoscope hygiene: Using cultures and real-time feedback with bioluminescence-based adenosine triphosphate technology to change behavior
Holleck JL, Campbell S, Alrawili H, Frank C, Merchant N, Rodwin B, Perez MF, Gupta S, Federman DG, Chang JJ, Vientos W, Dembry L. Stethoscope hygiene: Using cultures and real-time feedback with bioluminescence-based adenosine triphosphate technology to change behavior. American Journal Of Infection Control 2019, 48: 380-385. PMID: 31761292, DOI: 10.1016/j.ajic.2019.10.005.Peer-Reviewed Original ResearchAcute renal and splenic infarctions as the initial manifestations of atrial fibrillation
Shen LL, Qi W, Duarte J, Nagar A, Merchant NB. Acute renal and splenic infarctions as the initial manifestations of atrial fibrillation. The Lancet 2019, 393: 1856. PMID: 31057170, DOI: 10.1016/s0140-6736(19)30839-6.Peer-Reviewed Case Reports and Technical NotesSymptom-Triggered Therapy for Alcohol Withdrawal Syndrome: a Systematic Review and Meta-analysis of Randomized Controlled Trials
Holleck JL, Merchant N, Gunderson CG. Symptom-Triggered Therapy for Alcohol Withdrawal Syndrome: a Systematic Review and Meta-analysis of Randomized Controlled Trials. Journal Of General Internal Medicine 2019, 34: 1018-1024. PMID: 30937668, PMCID: PMC6544709, DOI: 10.1007/s11606-019-04899-7.Peer-Reviewed Original ResearchConceptsSymptom-triggered therapyDuration of therapyAlcohol withdrawal syndromeBenzodiazepine doseWithdrawal syndromeTrial of patientsLow-risk patientsGeneral hospital settingRandomized Controlled TrialsRisk of biasTerms of mortalitySystematic literature searchStrength of evidenceBenzodiazepine dosageDose therapyMedication classesCochrane RegistryCochrane riskDose regimensAlcohol withdrawalBias toolControlled TrialsDose scheduleResultsSix studiesI2 statistic
2017
The “Hand-in” Project
Holleck JL, Gunderson CG, Antony SM, Gupta S, Chang JJ, Merchant N, Lin S, Federman DG. The “Hand-in” Project. Southern Medical Journal 2017, 110: 694-698. PMID: 29100218, DOI: 10.14423/smj.0000000000000724.Peer-Reviewed Original ResearchMeSH KeywordsAgedAmbulatory CareComputer SecurityContinuity of Patient CareElectronic MailEmergency Service, HospitalFemaleHospitalistsHospitalizationHumansInterprofessional RelationsMalePatient ReadmissionPhysicians, Primary CareProspective StudiesUnited StatesUnited States Department of Veterans AffairsBedside Rounds Valued But Not Preferred
Merchant NB, Federman DG. Bedside Rounds Valued But Not Preferred. Southern Medical Journal 2017, 110: 531-537. PMID: 28771651, DOI: 10.14423/smj.0000000000000689.Peer-Reviewed Original ResearchConceptsPatient-friendly languagePatient-centered careClinical skillsTrainees' clinical skillsPatient confusionMajor barrierPatient careBedside roundsPrior exposurePhysiciansPhysical examination skillsQualtrics survey toolResidency programsFive-point Likert scaleExamination skillsTrainee educationProlongationCareSurvey toolBDRLikert scaleResidentsPotential concernOral presentationsPatients