Publications

Association Between Mobile Telephone Interruptions and Medication Administration Errors in a Pediatric Intensive Care Unit

Christopher Bonafide, MD
Dec. 20, 2020

Christopher P. Bonafide, Jeffrey M. Miller, A. Russell Localio, Amina Khan, Adam C. Dziorny, Mark Mai, MD, Shannon Stemler, Wanxin Chen, John H. Holmes, Vinay M. Nadkarni, Ron Keren

Abstract [from journal]

Importance: Incoming text messages and calls on nurses’ mobile telephones may interrupt medication administration, but whether such interruptions are associated with errors has not been established.
 

Objective: To assess whether a temporal association exists between mobile telephone interruptions and subsequent errors by pediatric intensive care unit (PICU) nurses during medication administration.

Design, Setting, and Participants: A retrospective cohort study was...

Changes in Outpatient Imaging Utilization and Spending Under a New Population-Based Primary Care Payment Model

Jan. 17, 2020

Claire T. Dinh, Kristin A. Linn, Ulysses Isidro, Ezekiel J. EmanuelKevin G.Volpp, Amelia M. Bond, Kristen Caldarella, Andrea B. Troxel, Jingsan Zhu, Lin Yang, Shireen E. Matloubieh, Elizabeth Drye, Susannah...

Abstract [from journal]

Objective: To evaluate whether the implementation of a new population-based primary care payment system, Population-Based Payments for Primary Care (3PC), initiated by Hawaii Medical Service Association (HMSA; the Blue Cross Blue Shield of Hawaii), was associated with changes in spending and utilization for outpatient imaging in its first year.

Methods: In this observational study, we used claims data from January 1, 2012, to December 31, 2016. We used a propensity-weighted difference-in-differences design to

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Quality of End of Life Care in Magnet® and Non-Magnet Hospitals

Jan. 10, 2020

Karen B. Lasater, Amelia E. Schlak

Abstract [from journal]

Objective: To examine whether end-of-life care quality is superior in Magnet hospitals, a recognition designating nursing excellence.

Background: Considerable research shows better patient outcomes in hospitals with excellent nurse work environments, but end-of-life care quality has not been studied in Magnet hospitals.

Methods: An analysis of cross-sectional data was completed using surveys of nurses and hospitals. Multivariate logistic regression models were used to determine the

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Suicide in Foster Care: A High-Priority Safety Concern

Jan. 10, 2020

Lily A. Brown

Abstract [from journal]

Suicide rates among youths in foster care are among the highest in the United States. Despite this fact, many foster-care agencies do not perform universal suicide-risk assessments as part of routine care. This commentary includes an argument for the importance of implementing universal suicide-risk assessments for youths in foster care. Important contextual information that prevents behavioral-health clinicians from implementing universal suicide screenings of youths in foster care is discussed. Several possible strategies for implementing universal

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Offering Payment in Clinical Research: Enrolling Individuals With or at Risk for Opioid Use Disorder

Jan. 10, 2020

Candace Wickliffe, Holly Fernandez Lynch, Emily A. Largent

Abstract [from journal]

Offering payment is an important means of facilitating research participation. Yet, offers of payment raise ethical challenges that may be heightened when prospective participants suffer from or are at risk for opioid use disorder (OUD). We surveyed principal investigators (PIs) conducting research in this population to characterize the relative importance they assign to various ethical and practical factors when designing offers of payment and also analyzed descriptions of payment in both their study advertisements and consent forms. Overall, we

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Utilization of Medications With Cognitive Impairment Side Effects and the Implications for Older Adults' Cognitive Function

Jason S. Schnittker, PhD
Jan. 6, 2020

Duy Do, Jason Schnittker

Abstract [from journal]

Objectives: Many medications have cognitive impairment, memory loss, amnesia, or dementia as side effects ("cognitive side effects" hereafter), but little is known about trends in the prevalence of these medications or their implications for population-level cognitive impairment. 

Method: We use data from the National Health and Nutrition Examination Survey (1999-2016) to describe trends in the use of medications with cognitive side effects among adults aged 60+ (N = 16,937) and their implications for cognitive

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Breadth of Media Scanning Leads to Vaping Among Youth and Young Adults: Evidence of Direct and Indirect Pathways from a National Longitudinal Survey

Robert C. Hornik, PhD
Jan. 3, 2020

Jiaying Liu, Kirsten Lochbuehler, Qinghua Yang, Laura A. Gibson, Robert C. Hornik

Abstract [from journal]

Electronic cigarette use among youth and young adults has reached an epidemic proportion of growth. This study examined the direct and indirect effects of the breadth of media scanning about e-cigarette use on subsequent vaping behavior through interpersonal communication and changes in descriptive norm perceptions. We conducted a nationally representative longitudinal phone survey of 13- to 25-year-olds from June 2014 to March 2017, with 11,013 respondents who completed a baseline survey, among which 3,212 completed a follow-up 6 months later. The

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Buprenorphine Initiation in the Emergency Department: a Thematic Content Analysis of a #firesidetox Tweetchat

Jan. 2, 2020

Megan Chenworth, Jeanmarie Perrone, Jennifer S. Love, Howard A. Greller, Abeed Sarker, Peter R. Chai

Abstract [from journal]

Introduction: The height of the opioid epidemic in the USA has led to an increasing call for access to medication assisted treatment for opioid use disorder, including buprenorphine initiation from the emergency department (ED). However, only a small percentage of emergency physicians feel prepared or have the necessary training to prescribe buprenorphine. Twitter has increasingly been used as a tool for medical education, and there is growing interest in using this forum to actively engage medical providers and the public. This study

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Impact of the Young Adult Dependent Coverage Expansion on Opioid Overdoses and Deaths: a Quasi-Experimental Study

Kit Delgado, MD, MS
Jan. 2, 2020

Edouard Coupet Jr, Rachel M. Werner, Daniel Polsky, David Karp, M. Kit Delgado 

Abstract [from journal]

Background: Several policymakers have suggested that the Affordable Care Act (ACA) has fueled the opioid epidemic by subsidizing opioid pain medications. These claims have supported numerous efforts to repeal the ACA.

Objective: To determine the effect of the ACA's young adult dependent coverage insurance expansion on emergency department (ED) encounters and out-of-hospital deaths from opioid overdose.

Design: Difference-in-differences analyses comparing ED encounters and out-of-hospital

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Moving Organizational Theory in Health Care Forward: A Discussion with Suggestions for Critical Advancements

Jan. 1, 2020

Ingrid M Nembhard, Ann Barry Flood, John R Kimberly, Anthony R Kovner, Stephen M Shortell, Jacqueline S Zinn

Abstract [from journal] 

In May 2019, scholars in management and organization of health care organizations and systems met. The opening plenary was a moderated discussion with five distinguished scholars who have exemplified pushing the frontier of organizational theory and practice throughout their careers: Ann Barry Flood of Dartmouth College, John Kimberly of the University of Pennsylvania, Anthony (Tony) Kovner of New York University, Stephen (Steve) Shortell of University of California at Berkeley, and Jacqueline (Jackie) Zinn of Temple University. The discussion was...

The Impact Of Bundled Payment On Health Care Spending, Utilization, And Quality: A Systematic Review

Amole Navathe19-head
Jan. 1, 2020

Rajender Agarwal, Joshua M. Liao, Ashutosh Gupta, Amol S. Navathe

Abstract [from journal]

The Centers for Medicare and Medicaid Services (CMS) has promoted bundled payment programs nationwide as one of its flagship value-based payment reforms. Under bundled payment, providers assume accountability for the quality and costs of care delivered during an episode of care. We performed a systematic review of the impact of three CMS bundled payment programs on spending, utilization, and quality outcomes. The three programs were the Acute Care Episode Demonstration, the voluntary Bundled Payments for Care Improvement initiative, and the mandatory

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Variability in Transitional Care Outcomes Across Hospitals Discharging Veterans to Skilled Nursing Facilities

Kira Rysinka, MD
Dec. 30, 2019

Robert E. Burke, Anne Canamucio, Thomas J. Glorioso, Anna E. Barón, Kira L. Ryskina

Abstract [from journal]

Background: The period after transition from hospital to skilled nursing facility (SNF) is high-risk, but variability in outcomes related to transitions across hospitals is not well-known.

Objectives: Evaluate variability in transitional care outcomes across Veterans Health Administration (VHA) and non-VHA hospitals for Veterans, and identify characteristics of high-performing and low-performing hospitals.

Research Design: Retrospective observational study using the 2012-2014 Residential

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Risk Factors and Racial Disparities Related to Low Maternal Birth Satisfaction with Labor Induction: A Prospective, Cohort Study

Dec. 30, 2019

Rebecca F. Hamm, Sindhu K. Srinivas, Lisa D. Levine 

Abstract [from journal]

Background: Decreased birth satisfaction has been associated with labor induction. Yet, there is a paucity of data evaluating risk factors for decreased satisfaction associated with labor induction. We aimed to determine what factors impact low birth satisfaction in labor induction and evaluate racial disparities in birth satisfaction.

Methods: We performed a prospective cohort study of women with term, singleton gestations undergoing labor induction at our institution from Jan 2018 to Jun 2018. Women completed

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Exposure to Intravenous Opioids is Associated With Future Exposure to Opioids in Hospitalized Patients With Inflammatory Bowel Diseases

Shivan J. Mehta, MD, MBA
Dec. 27, 2019

Rahul S. Dalal, Sonali Palchaudhuri, Christopher K. Snider, James D. Lewis, Shivan J. Mehta, Gary R. Lichtenstein

Abstract [from journal]

Backgorund & Aims: Opioid use is associated with increased mortality in patients with inflammatory bowel diseases (IBD). Hospitalized patients with IBD often receive high-potency intravenous opioids (IVOPIs). It is not known whether exposure to IVOPIs affects post-discharge opioid use or complications. We investigated the association between inpatient administration of IVOPIs and a post-discharge opioid prescription (OPIRx) in patients with IBD.

Methods: We performed a retrospective cohort study of 862

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Comparative Effectiveness of Proton vs Photon Therapy as Part of Concurrent Chemoradiotherapy for Locally Advanced Cancer

Dec. 26, 2019

Brian C. Baumann, Nandita Mitra, Joanna G. Harton, Ying Xiao, Andrzej P. Wojcieszynski, Peter E. Gabriel, Haoyu Zhong, Huaizhi Geng, Abigail Doucette, Jenny Wei, Peter J. O’Dwyer, Justin E. Bekelman, James M. Metz

Abstract [from journal]

Importance: Concurrent chemoradiotherapy is the standard-of-care curative treatment for many cancers but is associated with substantial morbidity. Concurrent chemoradiotherapy administered with proton therapy might reduce toxicity and achieve comparable cancer control outcomes compared with conventional photon radiotherapy by reducing the radiation dose to normal tissues.

Objective: To assess whether proton therapy in the setting of concurrent chemoradiotherapy is associated with fewer 90-day unplanned...

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