To critically ill survivors: LIFE-UP!
Published in Journal of critical care
Patient-Reported Outcome Measures to Inform Care of People With Dementia-A Systematic Scoping Review.
Published in The Gerontologist
Patient-reported outcome measures (PROMs) captures the patient's perspective regarding quality of life, daily functioning, symptom severity, and overall health, and how these may be impacted by health care or other interventions. PROMs are used in clinical quality registries (CQRs) for a number of diseases to assess the patient's perspective of the...
Impact of a medical scribe on clinical efficiency and quality in an academic general internal medicine practice
Published in BMC Health Services Research
BackgroundScribes have been proposed as an intervention to decrease physician electronic health record (EHR) workload and improve clinical quality. We aimed to assess the impact of a scribe on clinical efficiency and quality in an academic internal medicine practice.MethodsSix faculty physicians worked with one scribe at an urban academic general i...
Adaptation and implementation of the WHO Safe Childbirth Checklist around the world
Published in Implementation Science Communications
BackgroundThe World Health Organization (WHO) published the WHO Safe Childbirth Checklist in 2015, which included the key evidence-based practices to prevent the major causes of maternal and neonatal morbidity and mortality during childbirth. We assessed the current use of the WHO Safe Childbirth Checklist (SCC) and adaptations regarding the SCC to...
A mandatory indication-registration tool in hospital electronic medical records enabling systematic evaluation and bench...
Published in Antimicrobial Resistance & Infection Control
ObjectivesEvaluation of the extent and appropriateness of antimicrobial use is a cornerstone of antibiotic stewardship programs, but it is time-consuming. Documentation of the indication at the moment of prescription might be more time-efficient. We investigated the real-life feasibility of mandatory documentation of the indication for all hospital...
From metrics to practice: identifying preventable emergency department visits for patients with cancer.
Published in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
Oncology patients disproportionately utilize the emergency department (ED) for symptom management. At our institution, approximately 1 in 4 visits to the ED by oncology patients led to discharge. We hypothesized that many of the visits leading to ED discharge would be potentially preventable (PP). We retrospectively characterized ED discharges of o...
A baseline assessment of patient safety culture and its associated factors from the perspective of critical care nurses:...
...Published in Australian critical care : official journal of the Confederation of Australian Critical Care Nurses
Critical care nurses are considered the key to patient safety improvement and play a vital role in enhancing quality of care in intensive care units (ICUs) where adverse events are frequent and have severe consequences. Moreover, there is recognition of the importance of the assessment and the development of patient safety culture (PSC) as a strate...
Development of an unannounced standardized patient protocol to evaluate opioid use disorder treatment in pregnancy for A...
Published in Addiction Science & Clinical Practice
BackgroundOpioid use disorder (OUD) disproportionately impacts rural and American Indian communities and has quadrupled among pregnant individuals nationwide in the past two decades. Yet, limited data are available about access and quality of care available to pregnant individuals in rural areas, particularly among American Indians (AIs). Unannounc...
Learning health systems in primary care: a systematic scoping review
Published in BMC Family Practice
BackgroundLearning health systems have been gaining traction over the past decade. The purpose of this study was to understand the spread of learning health systems in primary care, including where they have been implemented, how they are operating, and potential challenges and solutions.MethodsWe completed a scoping review by systematically search...
Facility-level determinants of quality routine intrapartum care in Afghanistan
Published in BMC Pregnancy and Childbirth
BackgroundAlthough there have been notable improvements in availability and utilization of maternal health care in Afghanistan over the last few decades, risk of maternal mortality remains very high. Previous studies have highlighted gaps in quality of emergency obstetric and newborn care practices, however, little is known about the quality of rou...
