Journal Article
Comparison of Two Prognostic Models in Trauma Outcome
This study compared the anatomical injury components of the Trauma Audit and Research Network model with the Trauma Mortality Prediction Model.
2018
Journal Article
Does Medicare Advantage Reduce Racial Disparity in 30-Day Rehospitalization for Medicare Beneficiaries?
This study determined potential racial and ethnic disparities in risk for all-cause 30-day readmission among traditional Medicare and Medicare Advantage beneficiaries initially hospitalized for acute myocardial infarction, congestive heart failure, or pneumonia.
2018
Journal Article
Risk Prediction Tools: The Need for Greater Transparency
If risk prediction tools are to be used in clinical care, it is essential that they be vetted with the same care as any new drug or medical device.
2018
Journal Article
Medicare Advantage Associated With More Racial Disparity Than Traditional Medicare For Hospital Readmissions
Risk-reduction strategies adopted by Medicare Advantage plans to prevent hospital readmissions have not succeeded in lowering the markedly higher rates of readmission for black patients compared to white patients.
Jul 26, 2017
Journal Article
Building Bridges Across Clinical Registries
For precision medicine and predictive analytics to become mainstream, we need an infrastructure that connects the massive number of digital breadcrumbs (Big Data) generated by individual patients over their lifetimes.
2017
Journal Article
Gunshot Wounds Resulting in Hospitalization in the United States: 2004–2013
We conducted an observational study of patients hospitalized for gunshot wounds in the National (Nationwide) Inpatient Sample, 2004–2013.
2017
Journal Article
Impact of Medicare's Nonpayment Program on Hospital-acquired Conditions
This article determines whether Medicare's Nonpayment Program was associated with changes in incidence of hospital-acquired conditions, and whether this association varies across hospitals with differential Medicare patient load.
2017
Journal Article
Impact on Hospital Ranking of Basing Readmission Measures on a Composite Endpoint of Death or Readmission Versus Readmissions Alone
Hospital performance on readmissions is significantly different from hospital performance on a composite metric based on readmission and mortality.
2017
Journal Article
Raising the Alarm on Brain Attacks in Surgical Patients: Are We Doing Enough to Prevent and Treat Postoperative Strokes?
The time is right to update existing clinical practice guidelines on the management of patients at high risk for perioperative acute ischemic stroke.
2017
Journal Article
The Differential Mortality of Glasgow Coma Score in Patients with and Without Head Injury
This article determines if the association of Glasgow Coma Score with mortality is influenced by the presence of traumatic brain injury.
2016
Journal Article
Feasibility of Report Cards for Measuring Anesthesiologist Quality for Cardiac Surgery
We conducted a study of 55,436 patients undergoing cardiac surgery between 2009 and 2012. Hierarchical logistic regression modeling was used to examine the variation in in-hospital mortality or major complications.
2016
Journal Article
Outcomes Are Worse in US Patients Undergoing Surgery on Weekends Compared With Weekdays
The aim of this study was to determine whether patients undergoing surgery on weekends are more likely to die or experience a major complication compared with patients undergoing surgery on a weekday.
2016
Journal Article
Quality of Quality Measurement: Impact of Risk Adjustment, Hospital Volume, and Hospital Performance
Monte Carlo simulation was used to examine the accuracy of performance profiling as a function of statistical methodology, case volume, and the extent to which hospital or physician performance deviates from the average.
2016
Journal Article
Disparities in 30-Day Rehospitalization Rates Among Medicare Skilled Nursing Facility Residents by Race and Site of Care
This article examines racial and site-of-care disparities in all-cause and potentially avoidable 30-day rehospitalization rates among a national cohort of Medicare skilled nursing facility residents.
2015
Journal Article
Does Mandating Nursing Home Participation in Quality Reporting Make a Difference? Evidence From Massachusetts
In this study, we investigate one of the mechanisms that may detract from the effectiveness of health care quality report cards: voluntary versus mandatory participation of nursing homes in public quality reporting.
2015
Journal Article
What Can the National Quality Forum Tell Us About Performance Measurement in Anesthesiology?
In this article, we describe the current state of performance measurement in anesthesia care at the national level and highlight gaps and opportunities in performance measurement for anesthesiologists.
2015
Journal Article
Rates of Major Obstetrical Complications Vary Almost Fivefold Among U. S. Hospitals
Our finding that the rate of major obstetrical complications varies markedly across US hospitals should prompt clinicians and policy makers to develop comprehensive quality metrics for obstetrical care and focus on improving obstetrical outcomes.
Aug 1, 2014
Journal Article
Anesthesiologists and the Transformation of the Healthcare System: A Call to Action
This is the second in a series of six editorials on the changing definitions of safety across the perioperative period and how anesthesiologists can participate in and lead the transformation of health care with focus on patient value.
2014
Journal Article
Association Between Surgical Resident Involvement and Blood Use in Noncardiac Surgery
Senior surgery resident participation in noncardiac surgery is associated with a 56% to 78% higher risk of receiving a blood transfusion intraoperatively.
2014
Journal Article
Effectiveness of Nonpublic Report Cards for Reducing Trauma Mortality
Nonpublic reporting of hospital risk-adjusted mortality rates does not lead to improved in-hospital mortality outcomes in trauma patients.
2014
Journal Article
Hospital Readmission After Noncardiac Surgery: The Role of Major Complications
To examine whether the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) predicted risk of major complications can be used to identify surgical patients at risk for rehospitalization.
2014
Journal Article
Preoperative Thrombocytopenia and Postoperative Outcomes After Noncardiac Surgery
Platelet count abnormalities found in preoperative coagulation testing are associated with increased risk of blood transfusion, mortality, and major complications.
2014
Journal Article
Racial Disparities in the Use of Blood Transfusion in Major Surgery
We detected racial disparities in the use of blood transfusion for patients undergoing major surgery.
2014
Journal Article
Redesigning Surgical Decision Making for High-Risk Patients
This article discusses how patients should be counseled about the risks of complications and functional impairment after major surgery.
2014
Journal Article
Trends in Family Ratings of Experience With Care and Racial Disparities Among Maryland Nursing Homes
We analyzed trends of consumer ratings publicly reported for Maryland nursing homes during 2007-2010, and determined whether racial/ethnic disparities in experiences with care changed.
2014
Journal Article
Impact of Present-on-admission Indicators on Risk-adjusted Hospital Mortality Measurement
We sought to develop and validate a risk index for in-hospital mortality using only present-on-admission diagnoses, principal procedures, and secondary procedures occurring before the date of the principal procedure.
2013
Journal Article
Mental Illness, Access to Hospitals with Invasive Cardiac Services, and Receipt of Cardiac Procedures by Medicare Acute Myocardial Infarction Patients
Mental illness was associated with reduced cardiac procedure use within each type of admitting hospital (with on-site invasive cardiac services or not).
2013
Journal Article
Racial and Ethnic Differences in Outcomes in Older Patients With Acute Ischemic Stroke
Long-term outcomes of acute ischemic stroke vary by race/ethnicity among older patients with AIS.
2013
Journal Article
Satisfaction With Massachusetts Nursing Home Care Was Generally High During 2005–09, With Some Variability Across Facilities
Satisfaction with care in Massachusetts nursing homes is high, but family members are less satisfied with the physical and social activities available to residents.
2013
Journal Article
Trends in Racial Disparities for Injured Patients Admitted to Trauma Centers
We performed an observational cohort study to determine whether outcome disparities between black and white trauma patients have decreased over the last 10 years.
2013
Journal Article
Blood Transfusion in the Perioperative Period
Anemia is associated with perioperative mortality and morbidity, and blood transfusion exposes the patient to both infectious and noninfectious complications.
2012
Journal Article
State "Technical Assistance Programs" for Nursing Home Quality Improvement: Variations and Potential Implications
We conducted a national survey on state technical assistance programs for nursing homes to collect data on program design, operations, financing, and perceived effectiveness.
2012
Journal Article
Increases in Mortality, Length of Stay, and Cost Associated with Hospital-Acquired Infections in Trauma Patients
Many hospital-acquired infections are preventable; reducing them would reduce in-hospital mortality, length of stay, and inpatient costs for trauma patients.
Jul 1, 2011
Journal Article
Impact of Date Stamping on Patient Safety Measurement in Patients Undergoing CABG: Experience with the AHRQ Patient Safety Indicators
The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSIs) provide information on hospital risk-adjusted rates for potentially preventable adverse events. Use of the present-on-admission indicator increases PSI accuracy.
Aug 13, 2008
Journal Article
Are High-Quality Cardiac Surgeons Less Likely to Operate on High-Risk Patients Compared to Low-Quality Surgeons? Evidence from New York State
Finds that high-risk coronary artery bypass graft patients are significantly more likely to receive care from high-quality surgeons compared with lower-risk patients.
2008
Journal Article
Impact of the Present-On-Admission Indicator on Hospital Quality Measurement: Experience with the Agency for Healthcare Research and Quality (AHRQ) Inpatient Quality Indicators
Measures of hospital quality using routinely available administrative data do not include a present-on-admission indicator to distinguish between preexisting conditions and complications. The inclusion of the indicator frequently changes rankings.
2008
Journal Article
A Trauma Mortality Prediction Model Based on the Anatomic Injury Scale
Develop a statistically rigorous trauma mortality prediction model based on empiric estimates of severity for each injury in the abbreviated injury scale (AIS) and compare the performance of this new model with the injury severity score (ISS).
2008
Journal Article
Nurse Working Conditions and Patient Safety Outcomes
Nurse working conditions were associated with all outcomes measured. Improving working conditions will most likely promote patient safety.
Jun 1, 2007
Journal Article
Effect of Complications on Mortality After Coronary Artery Bypass Grafting Surgery: Evidence from New York State
The objective of this study is to quantify the increased odds of dying from complications after isolated coronary artery bypass grafting surgery.
2007
Journal Article
Estimating the Potential Impact of Regionalizing Health Care Delivery Based on Volume Standards Versus Risk-Adjusted Mortality Rate
Whether basing regionalization on risk-adjusted mortality would lead to better population outcomes than basing regionalization on procedure volume.
2007
Journal Article
Misspecification Issues in Risk Adjustment and Construction of Outcome-Based Quality Indicators
Hospital report cards reporting risk-adjusted health outcomes are increasingly used to benchmark quality of care.
2007
Journal Article
Racial Differences in the Use of Epidural Analgesia for Labor
There is strong evidence that pain is undertreated in black and Hispanic patients.
2007
Journal Article
Use of a Matching Algorithm to Evaluate Hospital Coronary Artery Bypass Grafting Performance as an Alternative to Conventional Risk Adjustment
Basing outcome assessment on matching or regression modeling yielded similar findings on hospital ranking but moderate level of agreement on quality.
2007
Journal Article
Accuracy of Hospital Report Cards Based on Administrative Data
Many of the publicly available health quality report cards are based on administrative data.
2006
Journal Article
Does Date Stamping ICD-9-CM Codes Increase the Value of Clinical Information in Administrative Data?
Comorbidity measures are designed to exclude complications when they map International Classification of Diseases codes to diagnostic categories.
2006
Journal Article
Impact of Changing the Statistical Methodology on Hospital and Surgeon Ranking: The Case of the New York State Cardiac Surgery Report Card
Risk adjustment is central to the generation of health outcome report cards.
2006
Journal Article
Impact of Patient Volume on the Mortality Rate of Adult Intensive Care Unit Patients
There is evidence that high ICU patient volumes are associated with lower mortality rates in high-risk critically ill adults.
2006
Journal Article
The Relation Between Surgeon Volume and Outcome Following Off-Pump Vs On-Pump Coronary Artery Bypass Graft Surgery
Off-pump coronary artery bypass graft (CABG) surgery has been recently reintroduced into clinical practice.
2006