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David Vinson, MD

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Kaiser Permanente Division of Research
2000 Broadway
Oakland, CA 94612

916-846-5845 (phone)
david.r.vinson@kp.org


David R. Vinson, MD, is an adjunct investigator at the Kaiser Permanente Division of Research and a practicing emergency physician at the Kaiser Permanente Roseville and Sacramento medical centers. He has served as the research chair at the Kaiser Permanente Roseville Medical Center for over 15 years. Dr. Vinson has been part of the Permanente Medical Group Physician Researcher Program since 2017.

In 2008 he co-founded the KP CREST Network, a collaborative of clinical researchers in Kaiser Permanente with personnel from the Division of Research. Its members seek to improve the care of children and adult patients evaluated in the emergency department. He has served as the co-chair of the CREST Network since 2012.

In addition, he is a volunteer clinical faculty at UC Davis Health in Sacramento, where he mentors medical students and residents. He is also Clinical Associate Professor of Clinical Research and Emergency Medicine, California Northstate University College of Medicine in Elk Grove. He serves on the Low-risk Pulmonary Embolism and Deep Vein Thrombosis Expert Panel for the American College of Emergency Physicians.

His current research interests include observational studies and implementation research across a broad range of clinical conditions, including pulmonary embolism, atrial fibrillation, syncope and COVID-19.

Dr. Vinson earned his MD at University of California, Davis, after completing his BS at University of California, Berkeley. His first residency was in family medicine with a UC Davis Health affiliate program in Modesto, California. Upon completion, he stayed on as Assistant Professor of Family Medicine, training residents in primary care and emergency medicine. His second residency was in emergency medicine at the University of Washington in Seattle, after which he moved to the Sacramento region and joined the medical group in 1999.

Current Position(s):

Section Affiliations:

  • Health Care Delivery and Policy

Primary Research Interests:

  • Pulmonary embolism
  • Atrial fibrillation
  • Chest pain in adults
  • Head injury in children
  • Pediatric appendicitis
  • Stroke
  • COVID-19
  • Clinical decision support

    Reducing Variation in Hospitalization and Processes of Care in Emergency Department Patients with Atrial Fibrillation: A Stepped Wedge Cluster Randomized Trial

    This stepped-wedge cluster randomized trial will stagger implementation of a clinical decision support system (CDSS) across 13 KPNC emergency departments to assist emergency physicians and hospitalists in the comprehensive management of patients with atrial fibrillation/flutter. We will compare hospitalization rates, processes of care, and stroke prevention actions between emergency departments with and without the CDSS intervention.
    Investigator: Vinson, David
    Funder: TPMG Delivery Science Projects Program

    Optimal Anticoagulation Strategies for Acute Atrial Fibrillation

    The purpose of this project is to assess the variation and impact of oral anticoagulant prescribing in the emergency department in order to inform development of interventions to improve acute atrial fibrillation and flutter management. A longitudinal database will be constructed that links claims from inpatient facility services, outpatient services, physician services, and pharmacy services from Kaiser Permanente members with a new emergency department diagnosis of atrial fibrillation from 2010 to 2017, with the following aims: 1) Describe magnitude and reasons for the practice gap in acute oral anticoagulation prescribing for oral anticoagulant-naive patients with an emergency department diagnosis of atrial fibrillation or atrial flutter, and 2) Assess the impact of acute oral anticoagulant prescribing in naive atrial fibrillation and flutter patients on clinical outcomes.
    Investigator: Vinson, David
    Funder: National Heart, Lung, and Blood Institute

    Improving Stroke Prevention for High-risk Atrial Fibrillation by Discharge Redesign Using Electronic Clinical Decision Support

    This is a retrospective cohort study to describe the effect of adding direct oral anticoagulants to the Kaiser Permanente formulary on overall rates of oral anticoagulant initiation at the time of discharge for emergency department and inpatients with high-risk non-valvular atrial fibrillation or flutter across 21 medical centers from 2010-2017. The results of this study will inform the design of an electronic clinical decision support tool to aid emergency physicians and hospitalists in the comprehensive management of patients with atrial fibrillation or flutter. The tool will include evidence-based guidance on rate reduction, cardioversion, and stroke prevention. The tool will be evaluated in a pilot study at three large Kaiser Permanente medical centers in Northern California. If the tool improves outcomes of patient care, expansion of tool access across the region for further study will be considered.
    Investigator: Vinson, David
    Funder: The Permanente Medical Group
    No results found matching criteria

    Performance of Coronary Risk Scores Among Patients With Chest Pain in the Emergency Department

    Author(s): Mark DG; Huang J; Chettipally U; Kene MV; Anderson ML; Hess EP; Ballard DW; Vinson DR; Reed ME; Kaiser Permanente CREST Network Investigators

    J Am Coll Cardiol. 2018 Feb 13;71(6):606-616.

    PubMed abstract

    Thromboprophylaxis for Patients with High-risk Atrial Fibrillation and Flutter Discharged from the Emergency Department

    Author(s): Vinson DR; Warton EM; Mark DG; Ballard DW; Reed ME; Chettipally UK; Singh N; Bouvet SZ; Kea B; Ramos PC; Glaser DS; Go AS

    West J Emerg Med. 2018 Mar;19(2):346-360. Epub 2018-02-12.

    PubMed abstract

    Outpatient Management of Emergency Department Patients With Acute Pulmonary Embolism: Variation, Patient Characteristics, and Outcomes.

    Author(s): Vinson DR; Ballard DW; Huang J; Reed ME; Lin JS; Kene MV; Sax DR; Rauchwerger AS; Wang DH; McLachlan DI; Pleshakov TS; Silver MA; Clague VA; Klonecke AS; Mark DG

    Annals of emergency medicine. 2017 Dec 13;144(2):269-283. Epub 2017-12-13.

    PubMed abstract

    Population-based study of ischemic stroke risk after trauma in children and young adults

    Author(s): Fox CK; Hills NK; Vinson DR; Numis AL; Dicker RA; Sidney S; Fullerton HJ

    Neurology. 2017 Nov 08.

    PubMed abstract

    Ibutilide Effectiveness and Safety in the Cardioversion of Atrial Fibrillation and Flutter in the Community Emergency Department

    Author(s): Vinson DR; Lugovskaya N; Warton EM; Rome AM; Stevenson MD; Reed ME; Nagam MR; Ballard DW; Pharm CAFÉ Investigators of the CREST Network

    Ann Emerg Med. 2017 Sep 29.

    PubMed abstract

    ​Risk stratifying emergency department patients with acute pulmonary embolism: Does the simplified Pulmonary Embolism Severity Index perform as well as the original?

    Author(s): Vinson DR; Ballard DW; Mark DG; Huang J; Reed ME; Rauchwerger AS; Wang DH; Lin JS; Kene MV; Pleshakov TS; Sax DK; Sax JM; McLachlan DI; Yamin CK; Swap CJ; Iskin HR; Vemula R; Fleming BS; Elms AR; Aujesky D;

    ​Thromb Res. 2016 Dec;148:1-8. doi: 10.1016/j.thromres.2016.09.023. Epub 2016 Sep 24.

    PubMed abstract

    Optimizing Clinical Decision Support in the Electronic Health Record. Clinical Characteristics Associated with the Use of a Decision Tool for Disposition of ED Patients with Pulmonary Embolism

    Author(s): Ballard DW; Vemula R; Chettipally UK; Kene MV; Mark DG; Elms AK; Lin JS; Reed ME; Huang J; Rauchwerger AS; Vinson DR; KP CREST Network Investigators

    Appl Clin Inform. 2016;7(3):883-98. Epub 2016-09-21.

    PubMed abstract

    Implementation of Computerized Physician Order Entry Is Associated With Increased Thrombolytic Administration for Emergency Department Patients With Acute Ischemic Stroke

    Author(s): Ballard DW; Kim AS; Huang J; Park DK; Kene MV; Chettipally UK; Iskin HR; Hsu J; Vinson DR; Mark DG; Reed ME; KP CREST Network Investigators

    Ann Emerg Med. 2015 Sep 1.

    PubMed abstract

    Emergency Department Management of Atrial Fibrillation and Flutter and Patient Quality of Life at One Month Postvisit

    Author(s): Ballard DW; Reed ME; Singh N; Rauchwerger AS; Hamity CA; Warton EM; Chettipally UK; Mark DG; Vinson DR; KP Crest NetworkInvestigators

    Ann Emerg Med. 2015 May 29.

    PubMed abstract

    The Accuracy of an Electronic Pulmonary Embolism Severity Index Auto-Populated from the Electronic Health Record: Setting the stage for computerized clinical decision support

    Author(s): Vinson DR; Morley JE; Huang J; Liu V; Anderson ML; Drenten CE; Radecki RP; Nishijima DK; Reed ME

    Appl Clin Inform. 2015;6(2):318-33. Epub 2015-05-13.

    PubMed abstract

    Impact of Relative Contraindications to Home Management in Emergency Department Patients with Low-Risk Pulmonary Embolism

    Author(s): Vinson DR; Drenten CE; Huang J; Morley JE; Anderson ML; Reed ME; Nishijima DK; Liu V; Kaiser Permanente Clinical Research on Emergency Services and Treatment (CREST) Network

    Ann Am Thorac Soc. 2015 May;12(5):666-73.

    PubMed abstract

    Pneumothorax is a rare complication of thoracic central venous catheterization in community EDs

    Author(s): Vinson DR; Ballard DW; Hance LG; Stevenson MD; Clague VA; Rauchwerger AS; Reed ME; Mark DG; Kaiser Permanente CREST Network Investigators

    Am J Emerg Med. 2015 Jan;33(1):60-6. Epub 2014-10-18.

    PubMed abstract

    Timing of Discharge Follow-up for Acute Pulmonary Embolism: Retrospective Cohort Study

    Author(s): Vinson DR; Ballard DW; Huang J; Rauchwerger AS; Reed ME; Mark DG; Kaiser Permanente CREST Network

    West J Emerg Med. 2015 Jan;16(1):55-61. Epub 2015-01-12.

    PubMed abstract

    Bleeding complications of central venous catheterization in septic patients with abnormal hemostasis

    Author(s): Vinson DR; Ballard DW; Hance LG; Hung Y; Rauchwerger AS; Reed ME; Kene MV; Chettipally UK; Elms AR; Mark DG; Kaiser Permanente CREST Network Investigators

    Am J Emerg Med. 2014 Jul;32(7):737-42. Epub 2014-03-19.

    PubMed abstract

    Emergency Physician Perspectives on Central Venous Catheterization in the Emergency Department: A Survey-based Study

    Author(s): Ballard DW; Reed ME; Rauchwerger AS; Chettipally UK; Offerman SR; Mark DG; Vinson DR; Kaiser Permanente CREST Network Investigators

    Acad Emerg Med. 2014 Jun;21(6):623-30.

    PubMed abstract

    Predictors of Unattempted Central Venous Catheterization in Septic Patients Eligible for Early Goal-directed Therapy

    Author(s): Vinson DR; Ballard DW; Stevenson MD; Mark DG; Reed ME; Rauchwerger AS; Chettipally UK; Offerman SR

    West J Emerg Med. 2014 Feb;15(1):67-75.

    PubMed abstract

    Emergency Physicians' Knowledge and Attitudes of Clinical Decision Support in the Electronic Health Record: A Survey-based Study

    Author(s): Ballard DW; Rauchwerger AS; Reed ME; Vinson DR; Mark DG; Offerman SR; Chettipally UK; Graetz I; Dayan P; Kuppermann N; Kaiser Permanente CREST Network

    Acad Emerg Med. 2013 Apr;20(4):352-60.

    PubMed abstract

    Use of an electronic medical record 'dotphrase' data template for a prospective head injury study

    Author(s): Offerman SR; Rauchwerger AS; Nishijima DK; Ballard DW; Chettipally UK; Vinson DR; Reed ME; Holmes JF

    West J Emerg Med. 2013 Mar;14(2):109-13.

    PubMed abstract

    Risk of traumatic intracranial hemorrhage in patients with head injury and preinjury warfarin or clopidogrel use

    Author(s): Nishijima DK; Offerman SR; Ballard DW; Vinson DR; Chettipally UK; Rauchwerger AS; Reed ME; Holmes JF; Clinical Research in Emergency Services and Treatment (CREST) Network

    Acad Emerg Med. 2013 Feb;20(2):140-5.

    PubMed abstract

    Immediate and delayed traumatic intracranial hemorrhage in patients with head trauma and preinjury warfarin or clopidogrel use

    Author(s): Nishijima DK; Offerman SR; Ballard DW; Vinson DR; Chettipally UK; Rauchwerger AS; Reed ME; Holmes JF; Clinical Research in Emergency Services and Treatment (CREST) Network

    Ann Emerg Med. 2012 Jun;59(6):460-8.e1-7.

    PubMed abstract

    Patient sex and quality of ED care for patients with myocardial infarction

    Author(s): Vinson DR; Magid DJ; Brand DW; Masoudi FA; Ho PM; Lyons EE; Crounse L; Van Der Vlugt TM; Padgett TG; Tricomi AJ; Go AS; Rumsfeld JS

    Am J Emerg Med. 2007 Nov;25(9):996-1003.

    PubMed abstract

    Telephone management of presumed cystitis in women: Factors associated with recurrence

    Author(s): Vinson DR; Quesenberry CP

    J Clin Outcomes Manag. 2007 Jan;14(1):41-6.

    PubMed abstract

    Older emergency department patients with acute myocardial infarction receive lower quality of care than younger patients

    Author(s): Magid DJ; Masoudi FA; Vinson DR; van der Vlugt TM; Padgett TG; Tricomi AJ; Lyons EE; Crounse L; Brand DW; Go AS; Ho PM; Rumsfeld JS

    Ann Emerg Med. 2005 Jul;46(1):14-21.

    PubMed abstract

    The safety of telephone management of presumed cystitis in women

    Author(s): Vinson DR; Quesenberry CP Jr

    Arch Intern Med. 2004 May 10;164(9):1026-9.

    PubMed abstract

    Slow infusion for the prevention of akathisia induced by prochlorperazine: a randomized controlled trial

    Author(s): Vinson DR; Migala AF; Quesenberry CP Jr

    J Emerg Med. 2001 Feb;20(2):113-9.

    PubMed abstract