Using aggregated pharmacy claims to identify primary nonadherence

Comer D, Couto J, Aguiar R, Wu P, Elliott D Am J Manag Care 2015 Dec;21(12):e655-60 PMID: 26760428 Abstract OBJECTIVES: Aggregate pharmacy claims available within an electronic health record (EHR) provide an opportunity to understand primary nonadherence in real time. The objective of this study was to use pharmacy claims data available within the EHR

Continue reading Using aggregated pharmacy claims to identify primary nonadherence

A stochastic model of acute-care decisions based on patient and provider heterogeneity

Capan M, Ivy JS, Wilson JR, Huddleston JM Health Care Manag Sci 2015 Oct; PMID: 26490831 Abstract The primary cause of preventable death in many hospitals is the failure to recognize and/or rescue patients from acute physiologic deterioration (APD). APD affects all hospitalized patients, potentially causing cardiac arrest and death. Identifying APD is difficult, and

Continue reading A stochastic model of acute-care decisions based on patient and provider heterogeneity

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

Continue reading Race, Pain, and Beliefs Associated with Interest in Complementary and Alternative Medicine among Inner City Veterans

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

Continue reading Carrots and Sticks: Achieving High Healthcare Personnel Influenza Vaccination Rates without a Mandate

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

Using EMS Dispatch to Trigger STEMI Alerts Decreases Door-to-Balloon Times

Stowens JC, Sonnad SS, Rosenbaum RA West J Emerg Med 2015 May;16(3):472-80 PMID: 25987932 Abstract INTRODUCTION: We sought to determine the potential reduction in door-to-balloon time (DTB) by allowing paramedics to perform prehospital ST-Elevation Myocardial Infarction (STEMI) notification using brief communications via emergency medical services (EMS) 9-1-1 dispatchers as soon as they saw a STEMI

Continue reading Using EMS Dispatch to Trigger STEMI Alerts Decreases Door-to-Balloon Times

A description of the methods of the Nulliparous Pregnancy Outcomes Study: monitoring mothers-to-be (nuMoM2b)

Haas DM, Parker CB, Wing DA, Parry S, Grobman WA, Mercer BM, Simhan HN, Hoffman MK, Silver RM, Wadhwa P, Iams JD, Koch MA, Caritis SN, Wapner RJ, Esplin MS, Elovitz MA, Foroud T, Peaceman AM, Saade GR, Willinger M, Reddy UM, Am. J. Obstet. Gynecol. 2015 Apr;212(4):539.e1-539.e24 PMID: 25648779 Abstract OBJECTIVE: The primary aim

Continue reading A description of the methods of the Nulliparous Pregnancy Outcomes Study: monitoring mothers-to-be (nuMoM2b)