A5047287680- Patient Safety and Medication Errors
- Medical Malpractice and Liability Issues
- Vaccine Coverage and Hesitancy
- SARS-CoV-2 and COVID-19 Research
- Ethics in Clinical Research
- Patient-Provider Communication in Healthcare
- Insurance and Financial Risk Management
- Radiology practices and education
- Workplace Violence and Bullying
- Psychology of Moral and Emotional Judgment
- Credit Risk and Financial Regulations
- scientometrics and bibliometrics research
- Healthcare Quality and Management
- Global Cancer Incidence and Screening
- Health Policy Implementation Science
- Healthcare cost, quality, practices
- Patient Satisfaction in Healthcare
- Banking stability, regulation, efficiency
- Disaster Management and Resilience
- Mental Health via Writing
- Ethics and Legal Issues in Pediatric Healthcare
- Risk and Portfolio Optimization
- Liver Disease and Transplantation
- Art Therapy and Mental Health
- Hepatitis C virus research
VA New England Healthcare System
2021-2022
Quality Enhancement Research Initiative
2021
Institute and Faculty of Actuaries
2016-2020
Edith Nourse Rogers Memorial Veterans Hospital
2014-2018
VA Pittsburgh Healthcare System
2018
Baylor Scott & White Health
2018
Veterans Health Administration
2018
Although COVID-19 vaccines have been available to many U.S. Veterans Affairs (VA) healthcare system employees and Veteran patients since early 2021, vaccine receipt data indicates some groups are not receiving them. Our objective was conduct a rapid qualitative assessment of Veterans' VA employees' views on vaccination inform clinical leaders' ongoing efforts increase uptake across the VA. We employed semi-structured interviews focus group involving as part quality improvement project...
<h3>Importance</h3> Compared with the general population, veterans are at high risk for COVID-19 and have a complex relationship government. This potentially affects their attitudes toward receiving vaccines. <h3>Objective</h3> To assess veterans' intentions to receive <h3>Design, Setting, Participants</h3> cross-sectional web-based survey study used data from Department of Veterans Affairs (VA) Survey Healthcare Experiences Patients' Insight Panel, fielded between March 12 28, 2021. Of 3420...
Abstract Moving evidence into practice requires the support of stakeholders, who are critical actors in research process. Yet, teams need strategies for determining these stakeholders are, what their roles should be, and how to involve them dissemination activities. In this Perspective , we discuss steps identifying, categorizing, including process, as a precursor involving communication partners efforts. Effectively communicating results is increasing stakeholders’ buy-in adoption...
Many healthcare organizations have developed disclosure policies for large-scale adverse events, including the Veterans Health Administration (VA). This study evaluated VA's national policy and identifies gaps successes in its implementation. Semi-structured qualitative interviews were conducted with leaders, hospital employees, patients at nine sites to elicit their perceptions of recent events notifications policy. Data coded using constructs Consolidated Framework Implementation Research...
Background and objective How patients respond to being notified of a large-scale adverse event (LSAE), such as improper sterilisation medical equipment that exposes them bloodborne pathogens, is not well known. The this study was determine, using administrative data, the intended unintended consequences patient notification following LSAE. Methods We examined five LSAEs where may have been inadvertently exposed hepatitis C virus (HCV), HIV, B (HBV). A total 9638 cases were identified at...
In 2008, the Veterans Health Administration published a groundbreaking policy on disclosing large-scale adverse events to patients in order promote transparent communication cases where harm may not be obvious or even certain. Without embedded research, evidence whether implementation of this was generating more than good among Veteran unknown. Through an research-operations partnership, we conducted four research projects that led development evidence-based disclosure toolkit and support...
Abstract This paper seeks to establish good practice in setting inputs for operational risk models banks, insurers and other financial service firms. It reviews Basel, Solvency II regulatory requirements as well publicly available literature on modelling. recommends a combination of historic loss data scenario analysis modelling individual risks, out issues with these data, outlining collection analysis. the use expert judgement correlations, addresses information mitigation allowances...
Abstract The present study sought to understand the antecedents COVID-19 vaccination among those reporting a change in vaccine intention order improve uptake United States. We employed semi-structured interviews and one focus group discussion with vaccinated unvaccinated Veterans Health Administration (VHA) employees at three Veterans’ Affairs medical centers between January June 2021. A subset of these participants (n=21) self-reported were selected for additional analysis. combined...
Abstract This paper explores dependencies between operational risks and other such as market, credit insurance risk. The starts by setting the regulatory context then goes into practical aspects of risk dependencies. Next, methods modelling are considered with a simulation study exploring sensitivity diversification benefits arising from dependency models. following two sections consider how correlation assumptions may be set, highlighting some generic non-operational to assist in assessment...
Shared Decision-Making to discuss how the benefits and harms of lung cancer screening align with patient values is required by US Centers for Medicare Medicaid recommended multiple organizations. Barriers at organizational, clinician, clinical encounter, levels prevent SDM from meeting quality standards in routine practice. We developed an implementation plan, using socio-ecological model, Department Veterans Affairs (VA) New England Healthcare System. Because understanding local context...
Purpose. We investigated how health care systems should communicate with patients about possible exposures to blood-borne pathogens that may have occurred during their care. Our goal was determine best uncertain risk information in a way would minimize harm patients, maintain trust, and encourage seek follow-up treatment. Methods. Participants ( N = 1103) were randomized receive one of six vignette surveys; 997 (98.4%) responded. All vignettes described the same event, but differed by level...
Our research group created a public communication strategy of expressive writing, to use within our center over the Massachusetts COVID-19 stay at home advisories. goals were 1) build community, 2) recognize unique experiences, needs, concerns and coping strategies colleagues, 3) create mechanism creatively share those experiences. We conceptualized weekly e-newsletter, "Creativity in Time COVID-19," collective effort for expressing documenting extraordinary, lived experiences colleagues...
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