- Health Literacy and Information Accessibility
- Pharmaceutical Practices and Patient Outcomes
- Medication Adherence and Compliance
- Mobile Health and mHealth Applications
- Emergency and Acute Care Studies
- Heart Failure Treatment and Management
- Patient Safety and Medication Errors
- Patient-Provider Communication in Healthcare
- Geriatric Care and Nursing Homes
- Healthcare Policy and Management
- Health Systems, Economic Evaluations, Quality of Life
- Chronic Disease Management Strategies
- Primary Care and Health Outcomes
- Global Cancer Incidence and Screening
- Hospital Admissions and Outcomes
- Cardiac Health and Mental Health
- Antiplatelet Therapy and Cardiovascular Diseases
- Social Media in Health Education
- Patient Satisfaction in Healthcare
- Healthcare Systems and Technology
- Frailty in Older Adults
- Health Policy Implementation Science
- Blood Pressure and Hypertension Studies
- Pharmaceutical studies and practices
- Innovations in Medical Education
Vanderbilt University Medical Center
2016-2025
META Group
2025
Analysis Group (United States)
2025
Vanderbilt Health
2011-2024
Vanderbilt University
2014-2023
VA Tennessee Valley Healthcare System
2013-2022
Geriatric Research Education and Clinical Center
2010-2022
Clinical Research Institute
2022
Health Services Research & Development
2020
Veterans Health Administration
2020
Patient literacy affects many aspects of medication use and may influence the measurement adherence. The aim study is to design evaluate a adherence scale suitable for across levels patient literacy. Adherence Refills Medications (ARMS) was developed, pilot tested, administered 435 patients with coronary heart disease in an inner-city primary care clinic. Psychometric evaluation performed overall by level, included assessment internal consistency, test-retest reliability, factor analysis....
Readmission penalties have catalyzed efforts to improve care transitions, but few programs incorporated viewpoints of patients and health professionals determine readmission preventability or prioritize opportunities for improvement.To readmissions use these estimates areas improvement.An observational study was conducted 1000 general medicine readmitted within 30 days discharge 12 US academic medical centers between April 1, 2012, March 31, 2013. We surveyed physicians, reviewed...
Background: Clinically important medication errors are common after hospital discharge. They include preventable or ameliorable adverse drug events (ADEs), as well discrepancies nonadherence with high potential for future harm (potential ADEs). Objective: To determine the effect of a tailored intervention on occurrence clinically Design: Randomized, controlled trial concealed allocation and blinded outcome assessors. (ClinicalTrials.gov registration number: NCT00632021) Setting: Two tertiary...
<h3>Importance</h3> Identification of patients at a high risk potentially avoidable readmission allows hospitals to efficiently direct additional care transitions services the most likely benefit. <h3>Objective</h3> To externally validate HOSPITAL score in an international multicenter study assess its generalizability. <h3>Design, Setting, and Participants</h3> International retrospective cohort 117 065 adult consecutively discharged alive from medical department 9 large across 4 different...
The appropriate dose of aspirin to lower the risk death, myocardial infarction, and stroke minimize major bleeding in patients with established atherosclerotic cardiovascular disease is a subject controversy.Using an open-label, pragmatic design, we randomly assigned strategy 81 mg or 325 per day. primary effectiveness outcome was composite death from any cause, hospitalization for stroke, assessed time-to-event analysis. safety bleeding, also analysis.A total 15,076 were followed median...
Importance Cefepime and piperacillin-tazobactam are commonly administered to hospitalized adults for empirical treatment of infection. Although has been hypothesized cause acute kidney injury cefepime neurological dysfunction, their comparative safety not evaluated in a randomized clinical trial. Objective To determine whether the choice between affects risks or dysfunction. Design, Setting, Participants The Antibiotic Choice on Renal Outcomes (ACORN) trial compared vs whom clinician...
Deprescribing is a promising approach to addressing the burden of polypharmacy. Few studies have initiated comprehensive deprescribing in hospital setting among older patients requiring ongoing care postacute (PAC) facility.
Diagnostic errors contribute to patient harm, though few data exist describe their prevalence or underlying causes among medical inpatients.
Although low health literacy and suboptimal medication adherence are more prevalent in racial/ethnic minority groups than Whites, little is known about the relationship between these factors adults with diabetes, whether or numeracy might explain disparities diabetes adherence. Previous work HIV suggests mediates racial differences to antiretroviral treatment, but no study date has explored as a mediator of race/ethnicity This tested and/or were related adherence, either factor explained...