Goldstein JN, Zhang Z, Schwartz JS, Hicks LS Am. J. Med. 2018 Jan;131(1):101.e9-101.e15 PMID: 28774801 Abstract BACKGROUND: Medicare beneficiaries hospitalized under observation status are subject to cost-sharing with no spending limit under Medicare Part B. Because low-income status is associated with increased hospital use, there is concern that such beneficiaries may be at increased risk
Category: iREACH
Application of a Theoretical Model Toward Understanding Continued Food Insecurity Post Hurricane Katrina
Clay LA, Papas MA, Gill K, Abramson DM Disaster Med Public Health Prep 2018 Feb;12(1):47-56 PMID: 28758601 Abstract OBJECTIVE: Disaster recovery efforts focus on restoring basic needs to survivors, such as food, water, and shelter. However, long after the immediate recovery phase is over, some individuals will continue to experience unmet needs. Ongoing food insecurity
The Importance of Inclusion for Cardiovascular Health Promotion Programs in Delaware
Papas MA, Stolz N, Orsega-Smith E, Sparling E, Freedman B Health Promot Pract 2018 Mar;19(2):256-266 PMID: 28573871 Abstract Individuals with disabilities experience greater rates of cardiovascular disease than individuals without disabilities. This increase can be attributed to decreased levels of physical activity, poor eating habits, and increased levels of diabetes, smoking, and obesity. Individuals with
APPLYING HUMAN FACTORS ENGINEERING TO IMPROVE USABILITY AND WORKFLOW IN PATHOLOGY INFORMATICS
Mount-Campbell AF, Hosseinzadeh D, Gurcan M, Patterson ES Proc Int Symp Hum Factors Ergon Healthc 2017 Jun;6(1):23-27 PMID: 30073176 Abstract Human factors engineering is an underutilized approach in the design, evaluation, and implementation of health information technology. Heuristic evaluation of the usability of an interface is a ‘low-hanging fruit’ for identifying a set of relatively
Is the Care Transitions Measure Associated with Readmission Risk? Analysis from a Single Academic Center
Goldstein JN, Hicks LS, Kolm P, Weintraub WS, Elliott DJ J Gen Intern Med 2016 07;31(7):732-8 PMID: 26868279 Abstract BACKGROUND: It is widely hypothesized that improvement in transitions of care will reduce unplanned hospital readmissions. However, the association between the Care Transitions Measure, the national quality metric for transitions of care and readmission risk, has
Race, Pain, and Beliefs Associated with Interest in Complementary and Alternative Medicine among Inner City Veterans
Goldstein JN, Ibrahim SA, Frankel ES, Mao JJ Pain Med 2015 Aug;16(8):1467-74 PMID: 26287564 Abstract OBJECTIVE: To investigate the prevalence and determinants of complementary and alternative medicine (CAM) interest level among a racially diverse cohort of inner city veterans who receive primary care at the VA Medical Center. DESIGN: Cross-sectional survey study SETTING: Philadelphia VA
Carrots and Sticks: Achieving High Healthcare Personnel Influenza Vaccination Rates without a Mandate
Drees M, Wroten K, Smedley M, Mase T, Schwartz JS Infect Control Hosp Epidemiol 2015 Jun;36(6):717-24 PMID: 25721404 Abstract OBJECTIVE Achieving high healthcare personnel (HCP) influenza vaccination rates has typically required mandating vaccination, which is often challenging to implement. Our objective was to achieve >90% employee influenza vaccination without a mandate. DESIGN Prospective quality improvement
Efficacy of ultrasound-indicated cerclage in twin pregnancies
Roman A, Rochelson B, Fox NS, Hoffman M, Berghella V, Patel V, Calluzzo I, Saccone G, Fleischer A Am. J. Obstet. Gynecol. 2015 Jun;212(6):788.e1-6 PMID: 25637840 Abstract OBJECTIVE: We sought to compare the perinatal outcomes in twin pregnancies with short cervical length (CL) with ultrasound-indicated cerclage (UIC) vs no cerclage (control). STUDY DESIGN: This was
Continue reading Efficacy of ultrasound-indicated cerclage in twin pregnancies
Barriers to and facilitators of interprofessional-interdepartmental interventions: unearthing departmental culture
Michalec B, Reinhold N, Dressler R, Laskowski-Jones L, Adarve L, Elliott D Am J Med Qual 2015 Mar;30(2):126-34 PMID: 24443319 Abstract This study evaluates how emergency department (ED) and medical intensive care unit (MICU) providers interact in the setting of a quality improvement project designed to enhance transport/care for patients from the ED to the
Understanding the pathophysiology of apical ballooning syndrome: a step closer
Bathina J, Weiss S, Weintraub WS Expert Rev Cardiovasc Ther 2015 Jan;13(1):5-8 PMID: 25487296 Abstract Although it has been almost 20 years since the first case of Takotsubo cardiomyopathy was described in Japan, its pathophysiology remains an enigma. While several hypotheses have been proposed to explain the pathophysiology, the exact mechanism of the syndrome is
Continue reading Understanding the pathophysiology of apical ballooning syndrome: a step closer