A5037283211- Central Venous Catheters and Hemodialysis
- Vascular Procedures and Complications
- Venous Thromboembolism Diagnosis and Management
- Patient Satisfaction in Healthcare
- Patient Safety and Medication Errors
- Hemodynamic Monitoring and Therapy
- Healthcare cost, quality, practices
- Innovations in Medical Education
- Acute Kidney Injury Research
- Hospital Admissions and Outcomes
- Dialysis and Renal Disease Management
- Cardiac, Anesthesia and Surgical Outcomes
- Healthcare Policy and Management
- Antibiotic Use and Resistance
- Clinical practice guidelines implementation
- Clinical Reasoning and Diagnostic Skills
- Urinary Tract Infections Management
- Pneumonia and Respiratory Infections
- Lipoproteins and Cardiovascular Health
- Primary Care and Health Outcomes
- Patient-Provider Communication in Healthcare
- Sepsis Diagnosis and Treatment
- Infection Control in Healthcare
- Clostridium difficile and Clostridium perfringens research
- Emergency and Acute Care Studies
Griffith University
2016-2025
University of Colorado Denver
2021-2025
University of Colorado Hospital
2023-2025
University of Colorado Anschutz Medical Campus
2022-2025
Royal Brisbane and Women's Hospital
2022-2025
Children’s Health Queensland Hospital and Health Service
2025
Princess Alexandra Hospital
2025
The University of Queensland
2025
University of Michigan
2015-2024
Institute of Technical Education
2024
Use of peripherally inserted central catheters (PICCs) has grown substantially in recent years. Increasing use led to the realization that PICCs are associated with important complications, including thrombosis and infection. Moreover, some may not be placed for clinically valid reasons. Defining appropriate indications insertion, maintenance, care is thus patient safety. An international panel was convened applied RAND/UCLA Appropriateness Method develop criteria PICCs. After systematic...
Antibacterials may be initiated out of concern for bacterial coinfection in coronavirus disease 2019 (COVID-19). We determined prevalence and predictors empiric antibacterial therapy community-onset coinfections hospitalized patients with COVID-19.
Background— The rate of hospitalization for venous thromboembolism (VTE) is increasing in the United States. Although predictors hospital-acquired VTE are well-known, triggers before not as clearly defined. objective this study was to evaluate VTE. Methods and Results— A case-crossover conducted. Subjects were participants Health Retirement Study, a nationally representative sample older Americans. Data linked Medicare files hospital nursing home stays, emergency department visits,...
Randomized trials demonstrate no benefit from antibiotic treatment exceeding the shortest effective duration.To examine predictors and outcomes associated with excess duration of treatment.Retrospective cohort study.43 hospitals in Michigan Hospital Medicine Safety Consortium.6481 general care medical patients pneumonia.The primary outcome was rate (excess days per 30-day period). Excess were calculated by subtracting each patient's (expected) (based on time to clinical stability, pathogen,...
Ideas and Opinions11 March 2020How Should U.S. Hospitals Prepare for Coronavirus Disease 2019 (COVID-19)?FREEVineet Chopra, MD, MSc, Eric Toner, Richard Waldhorn, Laraine Washer, MDVineet MScUniversity of Michigan, Ann Arbor, Michigan (V.C., L.W.), MDCenter Health Security, Bloomberg School Public Health, Johns Hopkins University, Baltimore, Maryland (E.T.), MDGeorgetown Washington, DC, Center (R.W.), MDUniversity L.W.)Author, Article, Disclosure Informationhttps://doi.org/10.7326/M20-0907...
Importance Little is known about incidence of, risk factors for, and harms associated with inappropriate diagnosis of community-acquired pneumonia (CAP). Objective To characterize CAP in hospitalized patients. Design, Setting, Participants This prospective cohort study, including medical record review patient telephone calls, took place across 48 Michigan hospitals. Trained abstractors retrospectively assessed patients treated for between July 1, 2017, March 31, 2020. Patients were eligible...
To determine the prognostic value of baseline plasma adiponectin levels in patients with known or suspected coronary artery disease referred for angiography.Adiponectin was measured 325 male stable angina, troponin-negative unstable and non-ST-segment elevation myocardial infarction (MI) undergoing angiography at a Veterans Administration Medical Center. The were then followed prospectively occurrence all-cause mortality, cardiac MI. Follow-up data 24 months available 97% patients....
BackgroundGrowing use of peripherally inserted central catheters (PICCs) has led to recognition the risk PICC-associated bloodstream infection. We sought identify rates, patterns, and patient, provider, device characteristics associated with this adverse outcome.MethodsA retrospective cohort consecutive adults who underwent PICC placement from June 2009 July 2012 was assembled. Using multivariable logistic Cox-proportional hazards regression models, covariates specified a priori were...
OBJECTIVES: Vascular access device decision-making for pediatric patients remains a complex, highly variable process. To date, evidence-based criteria to inform these choices do not exist. The objective of the Michigan Appropriateness Guide Intravenous Catheters in pediatrics (miniMAGIC) was provide guidance on selection, characteristics, and insertion technique clinicians, balancing contextualizing evidence with current practice through multidisciplinary panel experts. METHODS: RAND...