Anil N. Makam

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BACKGROUND Despite considerable financial incentives for adoption, there is little evidence available about providers' use and satisfaction with key functions of electronic health records (EHRs) that meet "meaningful use" criteria. METHODS We surveyed primary care providers (PCPs) in 11 general internal medicine and family medicine practices affiliated(More)
RATIONALE, AIMS AND OBJECTIVES To describe primary care providers' (PCP) attitudes about the impact of a mature, commercial electronic health records (EHR) on clinical practice in settings with experience using the system and to evaluate whether a provider's propensity to adopt new technologies is associated with more favourable perceptions. METHOD We(More)
IMPORTANCE Cardiac biomarker testing is not routinely indicated in the emergency department (ED) because of low utility and potential downstream harms from false-positive results. However, current rates of testing are unknown. OBJECTIVE To determine the use of cardiac biomarker testing overall, as well as stratified by disposition status and selected(More)
OBJECTIVES To evaluate the risk and predictors of thiazide-induced adverse events (AEs) in multimorbid older adults in real-world clinical settings. DESIGN Observational cohort study. SETTING National Veterans Affairs data from 2007 to 2008. PARTICIPANTS Veterans aged 65 and older newly prescribed a thiazide (N = 1,060) compared with(More)
BACKGROUND Incorporating clinical information from the full hospital course may improve prediction of 30-day readmissions. OBJECTIVE To develop an all-cause readmissions risk-prediction model incorporating electronic health record (EHR) data from the full hospital stay, and to compare "full-stay" model performance to a "first day" and 2 other validated(More)
BACKGROUND Effective population management of patients with diabetes requires timely recognition. Current case-finding algorithms can accurately detect patients with diabetes, but lack real-time identification. We sought to develop and validate an automated, real-time diabetes case-finding algorithm to identify patients with diabetes at the earliest(More)
BACKGROUND Although timely treatment of sepsis improves outcomes, delays in administering evidence-based therapies are common. PURPOSE To determine whether automated real-time electronic sepsis alerts can: (1) accurately identify sepsis and (2) improve process measures and outcomes. DATA SOURCES We systematically searched MEDLINE, Embase, The Cochrane(More)
BACKGROUND Although hypothesized to be a hazard of hospitalization, it is unclear whether hospital-acquired anemia (HAA) is associated with increased adverse outcomes following discharge. OBJECTIVE To examine the incidence, predictors, and postdischarge outcomes associated with HAA. DESIGN Observational cohort study using electronic health record data.(More)