A5011983022- Healthcare cost, quality, practices
- Patient Safety and Medication Errors
- Health Systems, Economic Evaluations, Quality of Life
- Clinical Laboratory Practices and Quality Control
- Central Venous Catheters and Hemodialysis
- Ethics in Clinical Research
- Clinical Reasoning and Diagnostic Skills
- Clostridium difficile and Clostridium perfringens research
- Radiation Dose and Imaging
- Healthcare Technology and Patient Monitoring
- Venous Thromboembolism Diagnosis and Management
- Esophageal and GI Pathology
- Radiology practices and education
- Patient Satisfaction in Healthcare
- Medical Malpractice and Liability Issues
- Musculoskeletal pain and rehabilitation
- Sepsis Diagnosis and Treatment
- Quality and Safety in Healthcare
- Heparin-Induced Thrombocytopenia and Thrombosis
- Nursing Diagnosis and Documentation
- Nosocomial Infections in ICU
- Blood transfusion and management
- Infection Control in Healthcare
- Platelet Disorders and Treatments
- COVID-19 and healthcare impacts
New York City Health and Hospitals Corporation
2022-2024
The King's College
2023
New York Proton Center
2023
Communities In Schools of Orange County
2023
Manhattan Institute for Policy Research
2023
University of Pittsburgh
2023
Lindsay Unified School District
2023
Oregon Medical Research Center
2023
Advisory Board Company (United States)
2023
Clinical Research Management
2022
Reducing unnecessary routine laboratory testing is a Choosing Wisely® recommendation, and new areas of overuse were noted during the COVID-19 pandemic.To reduce repetitive for patients with pandemic across large safety net health system.This quality improvement initiative was initiated by System High-Value Care Council at New York City Health + Hospitals (H H), largest public healthcare system in United States consisting 11 acute care hospitals.four overused tests noncritically ill...
Abstract Objectives C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) are commonly used inflammatory markers. is more sensitive specific for monitoring acute inflammation. However, it co-ordered with ESR despite recommendations against this. Our objective was to reduce unnecessary orders ESR/CRP co-ordering rates across a large safety net health system. Methods This quality improvement project that quasi-experimental pre- postintervention interrupted time-series regression...
Telemetry is often a scarce resource at hospitals and important for arrhythmia myocardial ischemia detection. Overuse of telemetry monitoring leads to alarm fatigue resulting in failure respond arrhythmias, patient harm, possible unnecessary testing.This quality improvement initiative was implemented across NYC Health Hospitals, an 11-hospital urban safety net system. The electronic health record intervention involved the addition mandatory indication order best practice advisory (BPA) that...
Abstract Background: Peripherally inserted central catheters (PICCs) are increasingly used for vascular access in inpatient settings. Compared to multilumen PICCs, single-lumen PICCs carry a lower rate of complications, including central-line–associated bloodstream infection and thrombosis. Despite this, still overused. Methods: This quality improvement initiative was implemented across 11 hospitals at New York City Health + Hospitals safety net system. The electronic health record (EHR)...
Abstract Objectives National societies recommend against performing routine daily laboratory testing without a specific indication. Unnecessary can lead to patient harm, such as hospital-acquired anemia. The objective of this study was reduce repeat complete blood counts (CBCs) after initial testing. Methods This quality improvement initiative implemented across 11 safety net hospitals in New York City. A best practice advisory (BPA) that asked the user remove CBC if last 2 CBCs within 72...
25-Hydroxyvitamin D testing is increasing despite national guidelines and Choosing Wisely recommendations against routine screening. Overuse can lead to misdiagnosis unnecessary downstream treatment. Repeat within 3 months a unique area of overuse.
Abstract Objectives To develop a system-wide electronic health record (EHR) intervention at large safety-net hospital system to reduce wasteful duplicate genetic testing. Methods This project was initiated urban public care system. An EHR alert designed be triggered when clinician attempted order any of 16 specified tests for which previous result existed within the Measurements included proportion completed that were duplicates and alerts per 1,000 tests. Data stratified by type, specialty,...
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Background and Objectives: As the COVID-19 pandemic brought surges of hospitalized patients, it was important to focus on reducing overuse tests procedures not only reduce potential harm patients but also unnecessary exposure staff. The objective this study create a Choosing Wisely in list guide clinicians practicing high-value care at our health system. Methods: A developed October 2020 by an interdisciplinary High Value Care Council New York City Health + Hospitals, largest public system...