A5073335783- Healthcare cost, quality, practices
- Clinical Laboratory Practices and Quality Control
- Patient Safety and Medication Errors
- Clinical Reasoning and Diagnostic Skills
- Ethics in Clinical Research
- Health Systems, Economic Evaluations, Quality of Life
- Cardiac Structural Anomalies and Repair
- Radiology practices and education
- Clostridium difficile and Clostridium perfringens research
- Cardiac, Anesthesia and Surgical Outcomes
- Influenza Virus Research Studies
- Genomics and Rare Diseases
- Medical Malpractice and Liability Issues
- Palliative Care and End-of-Life Issues
- Infection Control in Healthcare
- BRCA gene mutations in cancer
- Psychiatric care and mental health services
- Mechanical Circulatory Support Devices
- Blood transfusion and management
- Quality and Safety in Healthcare
- Respiratory viral infections research
- Thyroid Cancer Diagnosis and Treatment
- Viral gastroenteritis research and epidemiology
- Musculoskeletal pain and rehabilitation
- Pneumonia and Respiratory Infections
New York City Health and Hospitals Corporation
2022-2024
The King's College
2022-2024
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 Despite efforts to restructure mental health (MH) services across Victoria, the social and economic burden of MH illness continues grow. This study compares presentations EDs with a undertaken 10 years earlier. Methods The article is retrospective observational four Victorian between May October 2013. Subjects were included if presentation was related as determined by an International Classification Diseases (version 10) discharge diagnosis, they referred emergency crisis...
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 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...
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,...
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.
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