A5064737560- Pharmaceutical Practices and Patient Outcomes
- Patient Safety and Medication Errors
- Chronic Disease Management Strategies
- Medication Adherence and Compliance
- Primary Care and Health Outcomes
- Health Policy Implementation Science
- Health and Medical Research Impacts
- Medical Malpractice and Liability Issues
- Sex and Gender in Healthcare
- Health Systems, Economic Evaluations, Quality of Life
- Obesity and Health Practices
- Infection Control in Healthcare
- Racial and Ethnic Identity Research
- Employment and Welfare Studies
- Healthcare cost, quality, practices
- Telemedicine and Telehealth Implementation
- Clinical Reasoning and Diagnostic Skills
- Health Sciences Research and Education
- Patient-Provider Communication in Healthcare
- Physical Activity and Health
- Health and Lifestyle Studies
- Innovations in Medical Education
- Nursing Diagnosis and Documentation
- Recreation, Leisure, Wilderness Management
- Pharmaceutical studies and practices
University of North Texas Health Science Center
2009-2024
University of North Texas
2009-2024
Research Network (United States)
2019-2024
Johns Hopkins University
2022
Human Factors (Norway)
2022
Maine Medical Center
2022
Texas College
2019-2022
University of North Texas System
2022
Arizona Department of Health Services
2022
University of Kentucky
2022
Objectives: We aimed to assess possible changes in medication safety over a mandatory pre-/post- COVID-19 clinic slowdown high-risk population of patients with diabetes seen at net clinic. Methods: Retrospective chart review all patient encounters 1 year before and after the slowdown. The study cohort were poorly controlled established pre-COVID-19 who prescribed 4+ chronic medications. Each note was abstracted for reports any medication-related problems. primary outcomes measures health...
Older adults and caregivers play an essential role in medication safety; however, self-perception of their health professionals’ roles safety is not well-understood. The objective our study was to identify the patients, providers, pharmacists from perspective older adults. Semi-structured qualitative interviews were held with 28 community-dwelling over 65 years who took five or more prescription medications daily. Results suggest that adults’ self-perceptions varied widely. perceived...
Accruing evidence supports the hypothesis that psychosocial factors are related to cardiovascular disease. However, a limited number of studies have investigated pathophysiologic pathways through which these associations occur. The purpose this study was assess whether experiences self-reported racial discrimination and reactions unfair treatment were associated with coronary artery calcification (CAC), an indicator subclinical heart disease (CHD). This cross-sectional recruited 571 subjects...
The purpose of this pilot study was to evaluate and refine an adjuvant system color-specific symbols that are added medication bottles assess whether would increase the ability patients 65 years age or older in matching their indication for which it prescribed. This conducted two phases, consisting three focus groups from a family medicine clinic (n = 25) pre-post identification test second group patient participants 100). Results discussions were used label according themes messages...
<h3>Background:</h3> Recruiting and increasing participation of women racial/ethnic groups remains an ongoing struggle despite the National Institutes Health Revitalization Act mandating inclusion these populations. This study examined gender differences in research interest participating Practice-Based Research Network studies focused on cardiovascular disease (CVD), diabetes, cancer, mental health research. <h3>Methods:</h3> A total 1348 participants 18 NorTex clinics from North Texas...
C. difficile is an endospore-forming pathogen, which becoming a common cause of microbial health-care associated gastrointestinal disease in the United States. Both healthy and symptomatic patients can shed spores into environment, survive for long periods, being resistant to desiccation, heat, disinfectants. In healthcare facilities, environmental contamination with major concern as potential source exposure this pathogen risk susceptible patients. Although hospital-acquired infection...
<sec> <title>BACKGROUND</title> Preventable harms from medications are significant threats to patient safety in community settings, especially among ambulatory older adults on multiple prescription medications. Patients may partner with primary care professionals by taking active roles decisions, learning the basics of medication self-management, and working resources. </sec> <title>OBJECTIVE</title> This study aims assess impact a set partnership tools that redesign encounters encourage...
Background Preventable harms from medications are significant threats to patient safety in community settings, especially among ambulatory older adults on multiple prescription medications. Patients may partner with primary care professionals by taking active roles decisions, learning the basics of medication self-management, and working resources. Objective This study aims assess impact a set partnership tools that redesign encounters encourage empower patients make more effective use those...
<h3>Context:</h3> Adults with intellectual disabilities (ID) are susceptible to chronic conditions, disproportionately experience health disparities, and less likely receive optimal primary care management. Studies on adults ID scarce, understanding disease burden is important. <h3>Objective:</h3> Compare of diseases for without using electronic records (EHRs)from 3 learning systems serving underrepresented groups. <h3>Study Design Analysis:</h3> Using a cross-sectional design, we compared...
<h3>Context:</h3> Patient engagement in family medicine clinics is critical for successful clinical experiences and patient outcomes. Improving may lead to increased adherence medications/treatments shared decision-making. <h3>Objective:</h3> The purpose of this study was explore the tools/processes/technologies used improve clinics. A secondary identify what practices providers/administrators would like use along with prevents using them. <h3>Study Design Analysis:</h3> Qualitative,...
<h3>Context:</h3> Many sources state that patients are frequently harmed by lapses in primary care medication safety. <h3>Objective:</h3> We investigated beliefs and actions taken physicians (PCPs) their teams to improve <h3>Study Design Analysis:</h3> Semi-structured interviews analyzed using grounded theory. <h3>Setting:</h3> Four sites Texas. <h3>Population:</h3> Family physicians, family medicine residents, nurses, medical assistants (n=21 total). <h3>Instrument:</h3> Study-specific...
Our aim was to understand actions by primary care teams improve medication safety.
<h3>Context:</h3> Electronic Health Record (EHR) data provides family medicine physicians with an accessible entry point into research on health outcomes of their patient. However, accessing EHR can be a daunting process that stymied by institutional policies and regulations. Even when is readily available, limitations patient population diversity may limit conclusions drawn from it. <h3>Objective:</h3> From the continuation previous work, purpose this study extended harmonization efforts...
<h3>Context:</h3> On March 13, 2020, the Texas Governor ordered that all non-emergency clinics close, with conversion to telehealth care. <h3>Objective:</h3> We aimed assess effect of this change on medication safety in a high-risk population. <h3>Study Design:</h3> Retrospective pre-/post-closure order. <h3>Setting:</h3> Primary care clinic net hospital system. <h3>Population:</h3> 52 adult patients poorly controlled diabetes (Lowest A1C ≥ 8.0, highest ≥12.0), 4+ visits, and prescribed...
PURPOSE: To determine if there were disparities in self-reported recreational activity participation middle-aged and older African American, Hispanic white adults. METHODS: 200 men women (75 75 Hispanic, 50 white) who enrolled the North Texas Healthy Heart Study (NTHHS) completed Modifiable Activity Questionnaire (MAQ). The average number of activities was compared among groups with a one-way ANOVA Scheffe post-hoc test. Racial/ethnic differences percentages respondents participating...
<h3>Context:</h3> Recruiting research participants representing all genders and race/ethnicities for medical presents a unique challenge. Despite the National Institutes of Health (NIH) Revitalization Act mandating inclusion women minorities in federally-funded studies, recruitment these populations remains an ongoing struggle. <h3>Objective:</h3> This study examined gender racial/ethnic differences interest participating PBRN studies focused on cardiovascular disease (CVD), diabetes,...
Abstract Community-dwelling older adults are vulnerable to medication safety-related harms. Prevention of medication-related harms in the outpatient setting starts with thorough and thoughtful reconciliation at each patient encounter. Comprehensive is challenging for prescribers provide busy time-pressured practices. Older currently taking five or more daily prescription medications were recruited this qualitative study. From participants’ perspective, we explored role prescriber,...