David R. Vinson, MD

People

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):

Adjunct Investigator, Kaiser Permanente Division of Research
Physician Researcher, Delivery Science & Applied Research Physician Researcher Program, The Permanente Medical Group
Senior Physician, Department of Emergency Medicine, Kaiser Permanente Roseville and Sacramento Medical Centers
Co-chair, KP CREST Network
Research Chair, Kaiser Permanente Roseville Medical Center

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

Studies

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

Highlighted Publications

No results found matching criteria

Publications

Sustainability of a Clinical Decision Support Intervention for Outpatient Care for Emergency Department Patients With Acute Pulmonary Embolism.

Author(s): Vinson DR; Casey SD; Vuong PL; Huang J; Ballard DW; Reed ME

JAMA Netw Open. 2022 May 2;5(5):e2212340. doi: 10.1001/jamanetworkopen.2022.12340.

Current Position(s):

Section Affiliations:

Primary Research Interests:

Studies

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

Optimal Anticoagulation Strategies for Acute Atrial Fibrillation

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

Highlighted Publications

Publications

Sustainability of a Clinical Decision Support Intervention for Outpatient Care for Emergency Department Patients With Acute Pulmonary Embolism.

Graded Coronary Risk Stratification for Emergency Department Patients With Chest Pain: A Controlled Cohort Study

Echocardiography for risk stratification in patients with pulmonary embolism at low risk of death: a response

Emergency Department Encounters Among Youth With Suicidal Thoughts or Behaviors During the COVID-19 Pandemic

Clinical characteristics of COVID-19 patients evaluated in the emergency department: A retrospective cohort study of 801 cases.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

The safety of telephone management of presumed cystitis in women

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

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