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DESIGN We introduced a long-term care facility (LTCF) infectious disease (ID) consultation service (LID service) that provides on-site consultations to residents of a Veterans Affairs (VA) LTCF. We determined the impact of the LID service on antimicrobial use and Clostridium difficile infections at the LTCF. SETTING A 160-bed VA LTCF. METHODS Systemic(More)
OBJECTIVES To examine the public health impact of mass vaccination with live attenuated human rotavirus vaccine (RIX4414) in a birth cohort in India, and to estimate the cost effectiveness and affordability of such a programme. DESIGN Decision analytical Markov model encompassing all direct medical costs. Infection risk and severity depended on age,(More)
BACKGROUND Despite being a critical part of improving healthcare quality, little is known about how best to move important research findings into clinical practice. To address this issue, the Department of Veterans Affairs (VA) developed the Quality Enhancement Research Initiative (QUERI), which provides a framework, a supportive structure, and resources to(More)
BACKGROUND Low adherence to chronic kidney disease (CKD) guidelines may be due to unrecognized CKD and lack of guideline awareness on the part of providers. The goal of this study was to evaluate the impact of provider education and access to a CKD registry on guideline adherence. METHODS We conducted a cluster randomized controlled trial at the Louis(More)
Brahmajee K. Nallamothu, MD, MPH, FACC, FAHA Carl L. Tommaso, MD, FACC, FAHA, FSCAI H. Vernon Anderson, MD, FACC, FAHA, FSCAI David J. Malenka, MD, FACC, FAHA Jeffrey L. Anderson, MD, FACC, FAHA, MACP Calin V. Maniu, MD, FACC, FAHA, FSCAI Joseph C. Cleveland Kevin W . McCabe , MD R . Adams Dudley, MD, MBA James D. Mortimer, Peter Louis Duffy, MD, MMM, FACC,(More)
BACKGROUND Safe use of intravenous heparin is an important safety goal. OBJECTIVE To improve the quality of intravenous heparin use. METHODS A pre-post intervention design assessed the number of patients who reached a therapeutic activated partial thromboplastin time (aPTT), time to aPTT goal, and complications. Fifty traditional care patients were(More)
OBJECTIVE To initiate a long-term care facility (LTCF) infectious disease (LID) service that provides on-site consultations to LTCF residents to improve the care of residents with possible infections. DESIGN Clinical demonstration project. SETTING A 160-bed LTCF affiliated with a tertiary care Veterans Affairs (VA) hospital. PARTICIPANTS Residents(More)
BACKGROUND We developed a practice-based learning and improvement (PBLI) curriculum to address important gaps in components of content and experiential learning activities through didactics and participation in systems-level quality improvement projects that focus on making changes in health care processes. METHODS We evaluated the impact of our(More)