A5056260009- Primary Care and Health Outcomes
- Healthcare Policy and Management
- Health Systems, Economic Evaluations, Quality of Life
- Palliative Care and End-of-Life Issues
- Emergency and Acute Care Studies
- Trauma and Emergency Care Studies
- Patient-Provider Communication in Healthcare
- Patient Satisfaction in Healthcare
- Cardiac Arrest and Resuscitation
- Dementia and Cognitive Impairment Research
- Infection Control in Healthcare
- Chronic Disease Management Strategies
- Patient Safety and Medication Errors
- Maternal and Perinatal Health Interventions
- Health Policy Implementation Science
- Vestibular and auditory disorders
- Clinical Reasoning and Diagnostic Skills
- Geriatric Care and Nursing Homes
- Healthcare cost, quality, practices
- Urinary Tract Infections Management
- Maternal Mental Health During Pregnancy and Postpartum
- Diabetes Management and Education
- Patient Dignity and Privacy
- Family and Patient Care in Intensive Care Units
- Innovations in Medical Education
VA Center for Clinical Management Research
2012-2024
United States Department of Veterans Affairs
2012-2024
VA Ann Arbor Healthcare System
2015-2024
University of Michigan
2011-2024
Ann Arbor Center for Independent Living
2023-2024
Michigan United
2024
Health Services Research & Development
2007-2021
Kingston University
2016-2021
Institute for Healthcare Improvement
2020
The Jane Goodall Institute
2019
Research to date has focused on strategies and resources used by effective champions of healthcare change efforts, rather than personal characteristics that contribute their success. We sought identify describe champion attributes influencing outcomes efforts. To examine champions, we postpartum contraceptive care as a case study, because recommended services are largely unavailable, implementation requires significant effort.We conducted comparative study the inpatient at 11 U.S. maternity...
Healthcare-associated infection (HAI) is costly and causes substantial morbidity. We sought to understand why some hospitals were engaged in HAI prevention activities while others not. Because preliminary data indicated that hospital leadership played an important role, we better which behaviors are exhibited by leaders who successful at implementing practices US hospitals.We report phases 2 3 of a 3-phase study. In phase 2, 14 purposefully sampled selected from among the 72% 700 invited...
American Muslims represent a growing and diverse community. Efforts at promoting cultural competence, enhancing cross-cultural communication skills, improving community health must account for the religio-cultural frame through which view healing. Using community-based participatory research model, we conducted 13 focus groups area mosques in southeast Michigan to explore Muslim views on healing identify primary agents, their roles, within process. Participants shared God-centric of Healing...
To increase the likelihood of successful implementation interventions and promote dissemination across real-world settings, it is essential to evaluate outcomes related dimensions other than Effectiveness alone. Glasgow colleagues' RE-AIM framework specifies four additional types that are important decision-makers: Reach, Adoption, Implementation (including cost), Maintenance. further strengthen RE-AIM, we propose integrating qualitative assessments in an expanded framework: Qualitative...
Dizziness is a common presenting complaint to the emergency department (ED), and physicians (EPs) consider these presentations priority for decision support. Assessing nystagmus defining its features are important steps any acute dizziness algorithm. The authors sought describe documentation in routine ED care determine if assessments might be an target support efforts.
Objective. Although urinary tract infection (UTI) is the most common hospital-acquired infection, there little information about why hospitals use or do not a range of available preventive practices. We thus conducted multicenter study to understand better how US approach prevention UTI. Methods. This research part larger employing both quantitative and qualitative methods. The phase consisted 38 semistructured phone interviews with key personnel at 14 purposefully sampled 39 in-person 5...
Preventing catheter-associated urinary tract infection (CAUTI), a common health care-associated infection, is important for improving the care of hospitalized patients and in meeting goals reduction infections set by US Department Health Human Services.To identify ways to enhance CAUTI prevention efforts based on experiences hospitals participating Michigan Hospital Association Keystone Center Patient Safety statewide program reduce unnecessary use catheters (the Bladder Bundle).Qualitative...
Abstract Background Diagnosis requires that clinicians communicate and share patient information in an efficient manner. Advances electronic health records (EHRs) technologies have created both challenges opportunities for such communication. Methods We conducted a multi-method, focused ethnographic study of physicians on general medicine inpatient units two teaching hospitals. Physician teams were observed during after morning rounds to understand workflow, data sharing communication...
Nearly 20% of colorectal cancer (CRC) patients present with potentially incurable (Stage IV) disease, yet their physicians do not integrate treatment palliative care. Compared treated by primary providers, surgical terminal diseases are significantly less likely to receive or end-of-life care.To describe surgeon perspectives on and care for Stage IV CRCs.This is a convergent mixed methods study using validated survey instrument from the Critical Care Peer Workgroup Robert Wood Johnson...
Objective The Prevention of Hospital Infections by Intervention and Training (PROHIBIT) project included a cluster-randomised, stepped wedge, controlled study to evaluate multiple strategies prevent catheter-related bloodstream infection. We report an in-depth investigation the main barriers, facilitators contextual factors relevant successfully implementing these in European acute care hospitals. Methods Qualitative comparative case 6 14 PROHIBIT Data were collected through interviews with...
Objective. To determine what practices are used by hospitals to prevent ventilator-associated pneumonia (VAP) and, through qualitative methods, understand more fully why use certain and not others. Design. Mixed-methods, sequential explanatory study. Methods. We mailed a survey the lead infection control professionals at 719 US (119 Department of Veterans Affairs [VA] 600 non-VA hospitals), VAP. then selected 14 for an in-depth investigation, ascertain others not, interviewing 86 staff...