Cara B. Litvin

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BACKGROUND Research is needed to validate effective and practical strategies for improving the provision of evidence-based medicine in primary care. OBJECTIVE To determine whether a multimethod quality improvement intervention was more effective than a less intensive intervention for improving adherence to 21 quality indicators for primary and secondary(More)
INTRODUCTION Multimorbidity (multiple chronic illnesses) greatly affects the delivery of health care and assessment of health care quality. There is a lack of basic epidemiologic data on multimorbidity in the United States. This article addresses the prevalence of 24 chronic illnesses and multimorbidity from primary care practices across the United States.(More)
INTRODUCTION Medication errors have been associated with poor patient outcomes and pose significant public health consequences. Establishing medication safety quality indicators is crucial to capturing the pervasiveness of preventable errors and is a fundamental first step in the process of improvement. In this article, a study is presented in which a set(More)
BACKGROUND Antibiotics are often inappropriately prescribed for acute respiratory infections (ARIs). OBJECTIVE To assess the impact of a clinical decision support system (CDSS) on antibiotic prescribing for ARIs. DESIGN A two-phase, 27-month demonstration project. SETTING Nine primary care practices in PPRNet, a practice-based research network whose(More)
PURPOSE Overuse of antibiotics for acute respiratory infections (ARIs) in primary care is an established risk factor for worsening antimicrobial resistance. The "Reducing Inappropriate Prescribing of Antibiotics by Primary Care Clinicians" study is assessing the impact of a clinical decision support system (CDSS) on antibiotic prescribing for ARIs using a(More)
Electronic medical record (EMR) systems are useful tools that can help primary care practices improve clinical care; however, the successful implementation of an EMR system depends on dedicated users who optimize the system to suit their practice needs. This case study describes the strategies a solo, family physician practice has adopted to improve care as(More)
Innovative methods are needed to incorporate effective geriatric education into internal medicine residency programs. The purpose of this report is to describe the development and use of clinical decision-support (CDS) tools to facilitate geriatric education and improve the care delivered to older adults in an academic internal medicine residency ambulatory(More)
PURPOSE Whether patients with 1 or more chronic illnesses are more or less likely to receive recommended preventive services is unclear and an important public health and health care system issue. We addressed this issue in a large national practice-based research network (PBRN) that maintains a longitudinal database derived from electronic health records.(More)