Benrong Chen

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OBJECTIVE Peripherally inserted central catheter (PICC) tip malposition is potentially associated with complications, and postplacement adjustment of PICCs is widely performed. We sought to characterize the association between central line-associated bloodstream infection (CLABSI) or venous thrombus (VT) and PICC adjustment. DESIGN Retrospective cohort(More)
OBJECTIVES We sought to assess the impact of the American College of Cardiology's Guidelines Applied in Practice (GAP) project for acute myocardial infarction (AMI) care, encompassing 33 acute-care hospitals in southeastern Michigan, on rates of mortality in Medicare patients treated in Michigan. BACKGROUND The GAP project increases the use of(More)
BACKGROUND The American College of Cardiology's Guidelines Applied in Practice (GAP) initiative for acute myocardial infarction (AMI) has been shown to increase the use of guideline-based therapies and improve outcomes in patients with AMI. It is unknown whether hospitals that are more successful in using the standard discharge contract--a key component of(More)
BACKGROUND Racial disparities exist in the management of patients with cardiovascular disease in the United States. The aim of the study was to evaluate if a structured initiative for improving care of patients with acute myocardial infarction (Guidelines Applied in Practice [GAP]) led to comparable care of white and nonwhite patients admitted to GAP(More)
We investigated the impact of variation in densities of a guild of generalist predators on survival of young wolf spiders of the genus Schizocosa. Numbers of other spiders and centipedes were reduced by >80% in fenced 4-m2 plots in an experiment that was replicated twice in each of three forest locations. Schizocosa survival during the 1st month was low(More)
As part of the Centers for Medicare & Medicaid Services' plan to implement Outcome-Based Quality Improvement (OBQI) in home health settings nationwide, a pilot project was initiated in 5 states. This article analyzes the results of the Michigan Peer Review Organization's (MPRO's) pilot project in terms of changes in patient outcomes that occurred in(More)
BACKGROUND Studies have shown that women with acute myocardial infarction (AMI) are less likely to receive evidence-based care compared with men. The American College of Cardiology's AMI Guidelines Applied in Practice (GAP) program has been shown to increase the rates of evidence-based medicine use and reduce mortality in patients with AMI. The objective of(More)
OBJECTIVE Little is known about patient-specific factors contributing to central line-associated bloodstream infection (CLABSI) outside of the intensive care unit (ICU). We sought to describe these factors and hypothesized that dialysis patients would comprise a significant proportion of this cohort. DESIGN Retrospective observational study from January(More)
BACKGROUND Although antimicrobial stewardship programs (ASPs) are uniquely positioned to improve treatment of Clostridium difficile infection (CDI) through targeted interventions, studies to date have not rigorously evaluated the influence of ASP involvement on clinical outcomes attributed to CDI. METHODS We performed a quasiexperimental study of adult(More)
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