Derek W. Meeks

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BACKGROUND Surgical site infections (SSIs) are associated with significant morbidity, mortality, and resource utilization and are potentially preventable. Peri-operative hyperglycaemia has been associated with increased SSIs and previous recommendations have been to treat glucose levels above 200 mg/dL. However, recent studies have questioned the optimal(More)
OBJECTIVE The intersection of electronic health records (EHR) and patient safety is complex. To examine the applicability of two previously developed conceptual models comprehensively to understand safety implications of EHR implementation in the English National Health Service (NHS). METHODS We conducted a secondary analysis of interview data from a(More)
BACKGROUND Many healthcare organisations (HCOs) use peer review to evaluate clinical performance, but it is unclear whether these data provide useful insights for assessing the sharp end of patient safety. OBJECTIVE To describe outcomes of peer review within the Department of Veterans Affairs (VA) healthcare system and identify opportunities to leverage(More)
BACKGROUND Appendectomy for appendicitis is a common operation that is performed by most general surgeons. Despite the large number of appendectomies, numerous management controversies continue. METHODS Review of the pertinent English language literature. RESULTS Controversy persists regarding the use of imaging studies for diagnosis, laparoscopic vs.(More)
IMPORTANCE Little is known about the relationship between physicians' diagnostic accuracy and their confidence in that accuracy. OBJECTIVE To evaluate how physicians' diagnostic calibration, defined as the relationship between diagnostic accuracy and confidence in that accuracy, changes with evolution of the diagnostic process and with increasing(More)
BACKGROUND the purpose of this study was to assess predictive factors and compliance with surgical site infection (SSI) prevention guidelines at 2 county hospitals. DESIGN chart review and analysis of laparotomy patients undergoing colorectal, hysterectomy, or abdominal vascular procedures over two 6-month periods 1 year apart and evaluation of safety(More)
OBJECTIVE A recent Institute of Medicine report called for attention to safety issues related to electronic health records (EHRs). We analyzed EHR-related safety concerns reported within a large, integrated healthcare system. METHODS The Informatics Patient Safety Office of the Veterans Health Administration (VA) maintains a non-punitive, voluntary(More)
Houston VA Center for Innovations in Quality, Effectiveness and Safety, Michael E DeBakey Veterans Affairs Medical Center, Houston, Texas, USA Department of Family and Community Medicine, Baylor College of Medicine, Houston, Texas, USA Section of Health Services Research, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA Informatics(More)
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