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Health Care Delivery Publications


Racial and Ethnic Disparities in Diabetes Care Quality among Women of Reproductive Age in an Integrated Delivery System

Diabetes is increasingly prevalent among women of reproductive age, yet little is known about quality of diabetes care for this population at increased risk of diabetes complications and poor maternal and infant health outcomes. Previous studies have iden...
Author(s): Marshall CJ; Rodriguez HP; Dyer W; Schmittdiel JA

Womens Health Issues. 2020 Apr 24.

PubMed abstract

Characteristics of Hospitalized Adults With COVID-19 in an Integrated Health Care System in California

Author(s): Myers LC; Parodi SM; Escobar GJ; Liu VX

JAMA. 2020 Apr 24.

PubMed abstract

Increased Risk of Colorectal Cancer in Individuals With a History of Serrated Polyps

Serrated polyp (SPs) are precursors to 20%-30% cases of colorectal tumors, but patients' long-term risk after removal of SPs is poorly understood. We investigated the risk of colorectal cancer (CRC) in individuals with a history of SPs. We performed a ret...
Author(s): Li D; Liu L; Fevrier HB; Alexeeff SE; Doherty AR; Menaka LR; Amsden LB; Lee JK; Levin TR; Corley DA; Herrinton LJ

Gastroenterology. 2020 Apr 08.

PubMed abstract

From Containment to Mitigation of COVID-19 in the US

Author(s): Parodi SM; Liu VX

JAMA. 2020 Mar 13.

PubMed abstract

Continuation of Angiotensin-Converting Enzyme Inhibitors and Angiotensin Receptor Blockers in the Face of Kidney Disease Progression-Safe and Possibly Life Saving

Author(s): DeJong C; Grant RW

JAMA Intern Med. 2020 Mar 09.

PubMed abstract

Testing patient-informed approaches for visually depicting the hemoglobin A1c value to patients with poorly controlled diabetes: a randomized, controlled trial

Patients' understanding of the hemoglobin A1c (HbA1c) has been linked to better diabetes care outcomes (glycemic control, self-care). This is concerning given low documented rates of HbA1c understanding. In this non-blinded, randomized trial, we compared ...
Author(s): Gopalan A; Suttner L; Troxel AB; McDonough K; Schapira MM

BMC Health Serv Res. 2020 Mar 06;20(1):178. Epub 2020-03-06.

PubMed abstract

Initial Glycemic Control and Care Among Younger Adults Diagnosed With Type 2 Diabetes

The prevalence of type 2 diabetes is increasing among adults under age 45. Onset of type 2 diabetes at a younger age increases an individual's risk for diabetes-related complications. Given the lasting benefits conferred by early glycemic control, we comp...
Author(s): Gopalan A; Mishra P; Alexeeff SE; Blatchins MA; Kim E; Man A; Karter AJ; Grant RW

Diabetes Care. 2020 Mar 04.

PubMed abstract

Assessment of Electronic Health Record Search Patterns and Practices by Practitioners in a Large Integrated Health Care System

The electronic health record (EHR) is a source of practitioner dissatisfaction in part because of challenges with information retrieval. To improve data accessibility, a better understanding of practitioners' information needs within individual patient re...
Author(s): Ruppel H; Bhardwaj A; Manickam RN; Adler-Milstein J; Flagg M; Ballesca M; Liu VX

JAMA Netw Open. 2020 Mar 02;3(3):e200512. Epub 2020-03-02.

PubMed abstract

What Do We Do After the Pilot Is Done? Implementation of a Hospital Early Warning System at Scale

Adults who deteriorate outside the ICU have high mortality. Most rapid response systems (RRSs) have employed manual detection processes that rapid response teams (RRTs) use to identify patients at risk. This project piloted the use of an automated early w...
Author(s): Paulson SS; Dummett BA; Green J; Scruth E; Reyes V; Escobar GJ

Jt Comm J Qual Patient Saf. 2020 Jan 21.

PubMed abstract

Sounds good: the bright future of clinical alarm management initiatives

Author(s): Ruppel H; Bonafide CP

BMJ Qual Saf. 2020 Feb 21.

PubMed abstract

Association of Mobile Patient Portal Access With Diabetes Medication Adherence and Glycemic Levels Among Adults With Diabetes

Online patient portals support self-management, and mobile devices expand portal access, but whether this translates to improvements in diabetes outcomes is unclear. To examine the association of adding mobile patient portal access with diabetes medicatio...
Author(s): Graetz I; Huang J; Muelly ER; Fireman B; Hsu J; Reed ME

JAMA Netw Open. 2020 Feb 05;3(2):e1921429. Epub 2020-02-05.

PubMed abstract

Association Between Peripheral Blood Oxygen Saturation (SpO2)/Fraction of Inspired Oxygen (FiO2) Ratio Time at Risk and Hospital Mortality in Mechanically Ventilated Patients

Acute respiratory failure requiring mechanical ventilation is a leading cause of mortality in the intensive care unit. Although single peripheral blood oxygen saturation/fraction of inspired oxygen (SpO2/FiO2) ratios of hypoxemia have been evaluated to ri...
Author(s): Adams JY; Rogers AJ; Schuler A; Marelich GP; Fresco JM; Taylor SL; Riedl AW; Baker JM; Escobar GJ; Liu VX

Perm J. 2020;24. Epub 2020-01-31.

PubMed abstract

'No growth to date'? Predicting positive blood cultures in critical illness

Author(s): Liu VX; Wiens J

Intensive Care Med. 2020 Jan 21.

PubMed abstract

Primary Care Practitioners' Perspectives on Burnout and What to Do About It

Author(s): Grant RW; Goitein L

JAMA Intern Med. 2020 Jan 06.

PubMed abstract

Goldilocks, the Three Bears and Intensive Care Unit Utilization: Delivering Enough Intensive Care But Not Too Much. A Narrative Review

Professional societies have developed recommendations for patient triage protocols, but wide variations in triage patterns for many acute conditions exist among hospitals in the United States. Differences in hospitals' triage patterns can be attributed to...
Author(s): Myers LC; Escobar G; Liu VX

Pulm Ther. 2020 Jan 03.

PubMed abstract

The Hospital Readmissions Reduction Program and Readmissions for Chronic Obstructive Pulmonary Disease, 2006-2015.

RATIONALE: In October 2012, the initial phase of the Hospital Readmission Reduction Program (HRRP) imposed financial penalties on hospitals with higher than expected risk-adjusted 30-day readmission rate...
Author(s): Myers, Laura C; Faridi, Mohammad K; Hasegawa, Kohei; Hanania, Nicola A; Camargo, Carlos A

Annals of the American Thoracic Society. 2019 Dec 20;():. Epub 2019-12-20.

PubMed abstract

ICU Utilization for Patients With Acute Exacerbation of Chronic Obstructive Pulmonary Disease Receiving Noninvasive Ventilation.

OBJECTIVES: We investigated whether patients with chronic obstructive pulmonary disease could safely receive noninvasive ventilation outside of the ICU.

DESIGN: Retr...
Author(s): Myers, Laura C; Faridi, Mohammad Kamal; Currier, Paul; Camargo, Carlos A

Critical care medicine. 2019 05 20;47(5):677-684. Epub 2019-12-20.

PubMed abstract

Outcomes of Robotic Hysterectomy for Treatment of Benign Conditions: Influence of Patient Complexity

Robotic hysterectomy may offer advantages for complex cases over the conventional laparoscopic approach. To assess the association of surgical approach (robotic vs conventional) with blood loss, risks of readmission, reoperation, complications, and averag...
Author(s): Herrinton LJ; Raine-Bennett T; Liu L; Alexeeff SE; Ramos W; Suh-Burgmann B

Perm J. 2020;24. Epub 2019-12-18.

PubMed abstract

An Examination of Medical Malpractice Claims Involving Physician Trainees.

PURPOSE: To identify patient-, provider- and claim-related factors of medical malpractice claims in which physician trainees were directly involved in the harm events.

METHOD: The author...
Author(s): Myers, Laura C; Gartland, Rajshri M; Skillings, Jillian; Heard, Lisa; Bittner, Edward A; Einbinder, Jonathan; Metlay, Joshua P; Mort, Elizabeth

Academic medicine : journal of the Association of American Medical Colleges. 2019 Dec 10;47(5):677-684. Epub 2019-12-10.

PubMed abstract

Multiyear Rehospitalization Rates and Hospital Outcomes in an Integrated Health Care System

Since the introduction of the rehospitalization rate as a quality measure, multiple changes have taken place in the US health care delivery system. Interpreting rehospitalization rates without taking a global view of these changes and new data elements fr...
Author(s): Escobar GJ; Plimier C; Greene JD; Liu V; Kipnis P

JAMA Netw Open. 2019 Dec 02;2(12):e1916769. Epub 2019-12-02.

PubMed abstract

Changing Results-Engage and Activate to Enhance Wellness: A Randomized Clinical Trial to Improve Cardiovascular Risk Management

Background Despite the success of current cardiovascular disease (CVD) management programs, many patients do not achieve optimal control of CVD-related risk factors. New strategies are needed to better activate and engage these patients. Methods and Resul...
Author(s): Iturralde E; Sterling SA; Uratsu CS; Mishra P; Ross TB; Grant RW

J Am Heart Assoc. 2019 Dec 03;8(23):e014021. Epub 2019-11-30.

PubMed abstract

Comorbid Diabetes and Severe Mental Illness: Outcomes in an Integrated Health Care Delivery System

Diabetes prevalence is twice as high among people with severe mental illness (SMI) when compared to the general population. Despite high prevalence, care outcomes are not well understood. To compare diabetes health outcomes received by people with and wit...
Author(s): Mangurian C; Schillinger D; Newcomer JW; Vittinghoff E; Essock S; Zhu Z; Dyer W; Young-Wolff KC; Schmittdiel J

J Gen Intern Med. 2019 Nov 08.

PubMed abstract

Enhanced Recovery After Surgery to Change Process Measures and Reduce Opioid Use After Cesarean Delivery: A Quality Improvement Initiative.

OBJECTIVE: To evaluate implementation of an enhanced recovery after surgery (ERAS) program for patients undergoing elective cesarean delivery by comparing opioid exposure, multimodal analgesia use, and other process and ou...
Author(s): Hedderson, Monique M; Lee, Derrick D; Hunt, Eric E; Lee, Kimberly K; Xu, Fei F; Mustille, Alex A; Galin, Jessica J; Campbell, Cynthia C; Quesenberry, Charles C; Reyes, Vivian V; Huang, Mengfei M; Nicol, Barbara B; Paulson, Shirley S; Liu, Vincent V

Obstetrics and gynecology. 2019 Sep ;134(3):511-519. Epub --.

PubMed abstract

More Than We Bargained For: The "Dominating" Cost Effectiveness of Sepsis Quality Improvement?

Author(s): Peltan ID; Liu VX

Crit Care Med. 2019 Oct;47(10):1464-1467.

PubMed abstract

Use and Discontinuation of Insulin Treatment Among Adults Aged 75 to 79 Years With Type 2 Diabetes

Among older individuals with type 2 diabetes, those with poor health have greater risk and derive less benefit from tight glycemic control with insulin. To examine whether insulin treatment is used less frequently and discontinued more often among older i...
Author(s): Weiner JZ; Gopalan A; Mishra P; Lipska KJ; Huang ES; Laiteerapong N; Karter AJ; Grant RW

JAMA Intern Med. 2019 Sep 23.

PubMed abstract