2024
Implementation Barriers Encountered During a Universal Suicide Screening Program in Pediatric Emergency Departments
Seag D, Cervantes P, Narcisse I, Wiener E, Tay E, Knapp K, Horwitz S. Implementation Barriers Encountered During a Universal Suicide Screening Program in Pediatric Emergency Departments. Pediatric Emergency Care 2024, 40: 731-735. PMID: 38748454, PMCID: PMC11560740, DOI: 10.1097/pec.0000000000003221.Peer-Reviewed Original ResearchPediatric emergency departmentResearch assistantsComputerized adaptive testingUniversal suicide risk screeningWorkflow issuesEmergency departmentManagement of suicidal behaviorStudy assessed barriersQuality improvement initiativesSuicide risk screeningSuicide screening programsThematic content analysisScreening barriersClinical staffImprovement initiativesImplementation barriersPhysician educationClinical protocolsRisk screeningScreening programLimited integrationAdaptive testingContent analysisScreening effortsScreeningReducing CAUTIs: Quality Improvement Journey on the Reduction and Prevention of Catheter-Associated Urinary Tract Infections
Rosenblum D, Duracek S, Pernigotti D, Bykowski E, Raynor C, Belcourt S, Rotman A, Kalafus L, Hrdlicka H. Reducing CAUTIs: Quality Improvement Journey on the Reduction and Prevention of Catheter-Associated Urinary Tract Infections. Archives Of Physical Medicine And Rehabilitation 2024, 105: e94-e95. DOI: 10.1016/j.apmr.2024.02.266.Peer-Reviewed Original ResearchClinical care teamCatheter-associated urinary tract infectionsCare teamDecreasing hospital-acquired infectionsAcute care hospitalsLong-term acute care hospitalPreventing catheter-associated urinary tract infectionsTask ForceInterdisciplinary team approachQuality improvement journeyIndwelling urinary catheterPrevention of catheter-associated urinary tract infectionsFoley catheter useClinical staffQI periodHospital-wideHospital-acquired infectionsCatheter useRate of catheter-associated urinary tract infectionQuality outcomesInterdisciplinary teamCare hospitalLicensed practitionersSupport staffInfection preventionIntegrating methadone into primary care settings in Ukraine: effects on provider stigma and knowledge
Bromberg D, Machavariani E, Madden L, Dumchev K, LaMonaca K, Earnshaw V, Pykalo I, Filippovych M, Haddad M, Dvoriak S, Altice F. Integrating methadone into primary care settings in Ukraine: effects on provider stigma and knowledge. Journal Of The International AIDS Society 2024, 27: e26202. PMID: 38379179, PMCID: PMC10879646, DOI: 10.1002/jia2.26202.Peer-Reviewed Original ResearchConceptsPrimary care clinicsStigma reduction interventionsOpioid agonist therapyClinicians' attitudesStigma constructsHIV preventionReduction interventionsEvidence-based HIV preventionCluster randomized controlled trialEvidence-based carePrimary care settingIntegrated care sitesDirect providersRandomized controlled trialsProvider stigmaCare clinicsCare sitesHIV careCare settingsHealth outcomesClinical staffSubstance use disordersLinear mixed-effects modelsTreatment continuumImprove attitudesEnhancing Staff Safety in Swallowing Assessment: Insights Post COVID Pandemic
Coutinho J, Warner H, Young N. Enhancing Staff Safety in Swallowing Assessment: Insights Post COVID Pandemic. Archives Of Gastroenterology Research 2024, 5: 15-20. DOI: 10.33696/gastroenterology.5.051.Peer-Reviewed Original ResearchDelivery of evidence-based careService deliveryEvidence-based careEnhance staff safetyCOVID-19 pandemicClinical workforceClinical staffStaff safetySwallowing assessmentHealthcare crisisSwallowing evaluationReduce viral transmissionClinical algorithmHigh riskRisk of viral transmissionInstrumental assessmentHealthcareViral transmissionCOVID-19StaffWorkforceHealthcare industryDeliveryCOVID pandemicHigh risk of viral transmission
2023
Characteristics of health care interventions in affordable senior housing: A scoping review
Toles M, Li Z, Bankole A, Conklin J, Vu T, Womack J. Characteristics of health care interventions in affordable senior housing: A scoping review. Geriatric Nursing 2023, 53: 122-129. PMID: 37536003, DOI: 10.1016/j.gerinurse.2023.07.009.Peer-Reviewed Original ResearchConceptsHealth care interventionsCare interventionsSenior housingOlder adultsOutcomes of health care interventionsUnmet health care needsHealth care usePrimary outcomeHealth care needsScoping review methodStudies of interventionsCare needsCare useSymptom managementPhysical functionNarrative synthesisClinical staffPromote healthScoping reviewChronic illnessEffective interventionsSystematic searchTeam of investigatorsInterventionHealthCreating a Longitudinal HCV Care Cascade for Persons With HIV/HCV Coinfection in Selected HIV Clinics Using Data to Care Methods
Brooks R, Wegener M, Speers S, Nichols L, Sideleau R, Valeriano T, Buchelli M, Villanueva M. Creating a Longitudinal HCV Care Cascade for Persons With HIV/HCV Coinfection in Selected HIV Clinics Using Data to Care Methods. Health Promotion Practice 2023, 24: 1039-1049. PMID: 37439600, DOI: 10.1177/15248399231169792.Peer-Reviewed Original ResearchConceptsHIV/HCV coinfectionHCV coinfectionHepatitis C virusSVR ratesHCV treatmentHIV clinicTreatment cascadeTreatment statusSustained virologic response ratesHCV care cascadeHCV treatment cascadeHCV treatment statusVirologic response ratesHIV viral suppressionPatient treatment statusPublic health approachCare cascadeHepatitis CViral suppressionActing antiviralsTreatment initiationC virusResponse rateClinical staffCoinfection
2022
Experiences with Telemedicine for HIV Care During the COVID-19 Pandemic: A Mixed-Methods Study
Harsono D, Deng Y, Chung S, Barakat LA, Friedland G, Meyer JP, Porter E, Villanueva M, Wolf MS, Yager JE, Edelman EJ. Experiences with Telemedicine for HIV Care During the COVID-19 Pandemic: A Mixed-Methods Study. AIDS And Behavior 2022, 26: 2099-2111. PMID: 35064390, PMCID: PMC8782707, DOI: 10.1007/s10461-021-03556-7.Peer-Reviewed Original ResearchConceptsHIV careRe-engage patientsMixed-methods studyCare team membersRoutine clinical experienceCOVID-19 pandemicBenefits of telemedicineHIV clinicTelemedicine visitsTelemedicine appointmentsReimbursement concernsClinical experienceClinical staffCareAppropriate billingPatientsPWHTelemedicinePatient remote monitoringReimbursement methodsPandemicHIVClinicVisits
2021
“We’ve Got Our Own Beliefs, Attitudes, Myths”: A Mixed Methods Assessment of Rural South African Health Care Workers' Knowledge of and Attitudes Towards PrEP Implementation
Asabor EN, Lett E, Moll A, Shenoi SV. “We’ve Got Our Own Beliefs, Attitudes, Myths”: A Mixed Methods Assessment of Rural South African Health Care Workers' Knowledge of and Attitudes Towards PrEP Implementation. AIDS And Behavior 2021, 25: 2517-2532. PMID: 33763802, PMCID: PMC8450017, DOI: 10.1007/s10461-021-03213-z.Peer-Reviewed Original ResearchConceptsLocal healthcare workersHealthcare workersPrEP implementationHealth care workers' knowledgeHIV pre-exposure prophylaxisSkilled clinical staffPre-exposure prophylaxisImpact of HIVPrEP interventionsHIV prevalenceHCW roleClinical staffTravel burdenMixed-methods assessmentDisproportionate burdenHIVWorkers' knowledgeAdditional concernsSexual behaviorBlack South AfricansBarriers researchersPrEPRisk compensationBurdenImplementation scientistsShortening “the Road” to Improve Engagement with HIV Testing Resources: A Qualitative Study Among Stakeholders in Rural Uganda
Broderick K, Ponticiello M, Nabukalu D, Tushemereirwe P, Nuwagaba G, King R, Mwanga-Amumpaire J, Sundararajan R. Shortening “the Road” to Improve Engagement with HIV Testing Resources: A Qualitative Study Among Stakeholders in Rural Uganda. AIDS Patient Care And STDs 2021, 35: 56-62. PMID: 33471578, PMCID: PMC7885900, DOI: 10.1089/apc.2020.0235.Peer-Reviewed Original ResearchConceptsHIV testingMitigate barriersBarriers to HIV testingTraditional healersDeliver HIV testingHIV clinic staffHIV service uptakeHIV testing programsHIV care cascadeUptake of testingHealth care needsHIV testing resourcesHIV-endemic communitiesHigh HIV prevalenceStakeholder perspectivesMinimally structured interviewsGrounded theory approachService uptakeCare needsHIV servicesCare cascadeReceive careClinical staffHIV prevalenceHIV-endemic regions
2020
Implementation Evaluation of a Complex Intervention to Improve Timeliness of Care for Veterans with Transient Ischemic Attack
Damush T, Miech E, Rattray N, Homoya B, Penney L, Cheatham A, Baird S, Myers J, Austin C, Myers L, Perkins A, Zhang Y, Giacherio B, Kumar M, Murphy L, Sico J, Bravata D. Implementation Evaluation of a Complex Intervention to Improve Timeliness of Care for Veterans with Transient Ischemic Attack. Journal Of General Internal Medicine 2020, 36: 322-332. PMID: 33145694, PMCID: PMC7878645, DOI: 10.1007/s11606-020-06100-w.Peer-Reviewed Original ResearchConceptsTransient ischemic attackIschemic attackClinical improvementStepped-wedge implementation trialQI teamsGuideline-concordant careTimeliness of careQuality improvement interventionsVA healthcare systemComplex quality improvement interventionsPrimary outcomeTeam activationImplementation strategiesKey implementation strategiesImplementation trialImprovement interventionsClinical staffComplex interventionsConsolidated FrameworkQI programQI planExternal facilitationImplementation researchHealthcare systemPoint improvementDigital triage: Novel strategies for population health management in response to the COVID-19 pandemic
Lai L, Wittbold K, Dadabhoy F, Sato R, Landman A, Schwamm L, He S, Patel R, Wei N, Zuccotti G, Lennes I, Medina D, Sequist T, Bomba G, Keschner Y, Zhang H. Digital triage: Novel strategies for population health management in response to the COVID-19 pandemic. Healthcare 2020, 8: 100493. PMID: 33129176, PMCID: PMC7586929, DOI: 10.1016/j.hjdsi.2020.100493.Peer-Reviewed Original ResearchConceptsPre-hospital triagePotential viral transmissionHealthcare system capacityPopulation health managementCOVID-19 pandemicEmergency departmentCOVID-19 casesAppropriate careU.S. healthcare systemClinical staffViral transmissionPatient demandPartners HealthCareHealthcare systemCOVID-19PatientsCareNovel strategyHealth managementArtificial intelligenceHospitalizationPandemicUnique challengesClinicCliniciansPragmatic cluster randomized trial to evaluate effectiveness and implementation of enhanced EHR-facilitated cancer symptom control (E2C2)
Finney Rutten LJ, Ruddy KJ, Chlan LL, Griffin JM, Herrin J, Leppin AL, Pachman DR, Ridgeway JL, Rahman PA, Storlie CB, Wilson PM, Cheville AL. Pragmatic cluster randomized trial to evaluate effectiveness and implementation of enhanced EHR-facilitated cancer symptom control (E2C2). Trials 2020, 21: 480. PMID: 32503661, PMCID: PMC7275300, DOI: 10.1186/s13063-020-04335-w.Peer-Reviewed Original ResearchConceptsPragmatic clusterSymptom controlCancer patientsEvidence-based implementation strategiesModerate sleep disturbanceInadequate symptom controlSelf-management supportRural-dwelling patientsLevel of careTeam of cliniciansElectronic health recordsMixed-methods evaluationClinical outcomesCare guidelinesPhysical functionSleep disturbancesCollaborative careClinical trialsHybrid type 2Care modelFunctional limitationsPatientsEHR algorithmType 2Clinical staffA quasi-experiment assessing the six-months effects of a nurse care coordination program on patient care experiences and clinician teamwork in community health centers
Nembhard IM, Buta E, Lee YSH, Anderson D, Zlateva I, Cleary PD. A quasi-experiment assessing the six-months effects of a nurse care coordination program on patient care experiences and clinician teamwork in community health centers. BMC Health Services Research 2020, 20: 137. PMID: 32093664, PMCID: PMC7038598, DOI: 10.1186/s12913-020-4986-0.Peer-Reviewed Original ResearchConceptsHigh-risk patientsCare coordinationCare experiencesOffice visitsSix-month effectsCare coordination programSame health systemCommunity health centersPatient office visitsPatient care experiencesLow-resource settingsMonths of useMonths of implementationPre-post designHealth centersPatient reportsPatient experiencePatientsProgram enrolleesHealthcare providersQuasi-experimental studyClinical staffHealth systemCoordination programStudy outcomes
2019
Pediatric Nonsuicidal Self-Injury: A Call to Action for Inpatient Staff Training
PLUHAR E, FREIZINGER M, NIKOLOV R, BURTON E. Pediatric Nonsuicidal Self-Injury: A Call to Action for Inpatient Staff Training. Journal Of Psychiatric Practice 2019, 25: 395-401. PMID: 31505528, DOI: 10.1097/pra.0000000000000417.Peer-Reviewed Original ResearchConceptsTreatment of NSSIClinical staffGeneral healthcare settingsPsychiatric treatment settingsNSSI behaviorsInpatient psychiatric unitInpatient treatment facilityNSSI assessmentSelf-reported comfortPediatric populationNursing staffPsychiatric unitThird of respondentsTreatment settingsMental disordersStaff comfortHealthcare settingsStatistical ManualFormal trainingNSSISubstantial percentageFurther studiesPatientsAccurate skillsNeeds assessmentA Feasibility Study to Detect Neonatal Hypoglycemia in Infants of Diabetic Mothers Using Real-Time Continuous Glucose Monitoring
Nally LM, Bondy N, Doiev J, Buckingham BA, Wilson DM. A Feasibility Study to Detect Neonatal Hypoglycemia in Infants of Diabetic Mothers Using Real-Time Continuous Glucose Monitoring. Diabetes Technology & Therapeutics 2019, 21: 170-176. PMID: 30839229, DOI: 10.1089/dia.2018.0337.Peer-Reviewed Original ResearchConceptsHours of lifeBlinded continuous glucose monitorContinuous glucose monitorGlucose checksAsymptomatic hypoglycemiaBlood glucoseRM groupPredictive valueTime Continuous Glucose MonitoringWeeks of gestationGroups of infantsFear of painNegative predictive valuePositive predictive valueContinuous glucose monitoringResearch staffDiabetic mothersHypoglycemic episodesNeonatal hypoglycemiaCGM useHypoglycemiaFull cohortClinical staffInfantsHospital standards
2018
“No more falling through the cracks”: A qualitative study to inform measurement of integration of care of HIV and opioid use disorder
Oldfield BJ, Muñoz N, Boshnack N, Leavitt R, McGovern MP, Villanueva M, Tetrault JM, Edelman E. “No more falling through the cracks”: A qualitative study to inform measurement of integration of care of HIV and opioid use disorder. Journal Of Substance Use And Addiction Treatment 2018, 97: 28-40. PMID: 30577897, DOI: 10.1016/j.jsat.2018.11.007.Peer-Reviewed Original ResearchConceptsOpioid use disorderIntegration of HIVUse disordersClinical staffCare of HIVCommunity-based participatory research principlesBehavioral health integrationImproved patient outcomesEvidence-based treatmentsDiverse care settingsParticipatory research principlesPrimary carePatient outcomesPatient-centered policiesCare settingsHealth integrationHIVQualitative studyStages of changeClinic leadershipCare instrumentIntegrated carePatientsBehavioral healthMeasures of qualityHumanizing the Chart: Becoming More Responsive to Patient Needs Through Implementation of PatientWisdom
Crotty B, Holt J, Cusatis R, Asan O, Williams J, Flynn K, Moore J, Makoul G. Humanizing the Chart: Becoming More Responsive to Patient Needs Through Implementation of PatientWisdom. Iproceedings 2018, 4: e11793. DOI: 10.2196/11793.Peer-Reviewed Original ResearchContextual dataSecure web applicationsPatient experienceHealth systemHealth information technologyPatient contextual dataWeb applicationElectronic health recordsAcademic health systemExperience of careInformation technologySociotechnical modelWorkflow assessmentHealth recordsClinician interviewsCare modelPatient engagementPatient valuesClinical staffPatientsConsolidated FrameworkCliniciansPatient dataRoutine incorporationVisitsA Feasibility Study to Detect Neonatal Hypoglycemia Using Real-Time Continuous Glucose Monitoring
NALLY L, BONDY N, DOIEV J, BUCKINGHAM B, WILSON D. A Feasibility Study to Detect Neonatal Hypoglycemia Using Real-Time Continuous Glucose Monitoring. Diabetes 2018, 67 DOI: 10.2337/db18-906-p.Peer-Reviewed Original ResearchHours of lifeBlood glucoseDiabetes careBG checksTime Continuous Glucose MonitoringStandard of careDuration of hypoglycemiaCGM readingsContinuous glucose monitoringResearch staffDiabetic mothersNeonatal characteristicsNeonatal hypoglycemiaWeeks' gestationT1D ExchangeHypoglycemic eventsKidney diseasePositive rateHigh riskCGM glucoseHypoglycemiaMedtronic MiniMedClinical staffInfantsCGM records
2017
Barriers and facilitators to provide quality TIA care in the Veterans Healthcare Administration
Damush TM, Miech EJ, Sico JJ, Phipps MS, Arling G, Ferguson J, Austin C, Myers L, Baye F, Luckhurst C, Keating AB, Moran E, Bravata DM. Barriers and facilitators to provide quality TIA care in the Veterans Healthcare Administration. Neurology 2017, 89: 2422-2430. PMID: 29117959, PMCID: PMC5729798, DOI: 10.1212/wnl.0000000000004739.Peer-Reviewed Original ResearchMeSH KeywordsAftercareAttitude of Health PersonnelContinuity of Patient CareCross-Sectional StudiesEmergency MedicineGuideline AdherenceHealth Services AccessibilityHospitalistsHumansIschemic Attack, TransientLeadershipMedical Staff, HospitalNeuroimagingNeurologistsNursesOphthalmologistsPhysiciansPractice Guidelines as TopicQualitative ResearchQuality of Health CareRadiologistsSurgeonsUnited StatesUnited States Department of Veterans AffairsConceptsTIA careVeterans Health AdministrationNurse coordinatorClinical staffNational Veterans Health AdministrationInadequate staff educationSystem-level facilitatorsGuideline-based careVeterans Healthcare AdministrationHealth care facilitiesSystem-level factorsTIA patientsVHA hospitalsTimely followEmergency departmentEvidence-based practiceCare coordinationInpatient settingObservational studyIndividual patientsContinuous careStaff educationCare facilitiesHealth AdministrationPatient careFactors Influencing Patients' Sleep in the Intensive Care Unit: Perceptions of Patients and Clinical Staff.
Ding Q, Redeker NS, Pisani MA, Yaggi HK, Knauert MP. Factors Influencing Patients' Sleep in the Intensive Care Unit: Perceptions of Patients and Clinical Staff. American Journal Of Critical Care 2017, 26: 278-286. PMID: 28668912, PMCID: PMC5559223, DOI: 10.4037/ajcc2017333.Peer-Reviewed Original ResearchConceptsIntensive care unitMedical intensive care unitPatients' sleepCare unitSleep improvementIntensive care unit staffIntensive care unit environmentPerceptions of patientsAdequate sleep opportunityIll patientsBeliefs of staffClinical outcomesSleep qualityRestorative sleepUnit staffPatientsClinical staffPatient surrogatesSleepUnit environmentSleep opportunityOnly factorPatients' emotionsNonenvironmental factorsSemistructured interviews
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