• Publications
  • Influence
Effect of the transformation of the Veterans Affairs Health Care System on the quality of care.
BACKGROUND In the mid-1990s, the Department of Veterans Affairs (VA) health care system initiated a systemwide reengineering to, among other things, improve its quality of care. We sought toExpand
  • 657
  • 32
Targeted versus universal decolonization to prevent ICU infection.
BACKGROUND Both targeted decolonization and universal decolonization of patients in intensive care units (ICUs) are candidate strategies to prevent health care-associated infections, particularlyExpand
  • 563
  • 23
  • PDF
The Veterans Health Administration: quality, value, accountability, and information as transforming strategies for patient-centered care.
The Veterans Health Administration is the United States' largest integrated health system. Once disparaged as a bureaucracy providing mediocre care, the Department of Veterans Affairs (VA) reinventedExpand
  • 222
  • 11
Association of a bundled intervention with surgical site infections among patients undergoing cardiac, hip, or knee surgery.
IMPORTANCE Previous studies suggested that a bundled intervention was associated with lower rates of Staphylococcus aureus surgical site infections (SSIs) among patients having cardiac or orthopedicExpand
  • 172
  • 9
  • PDF
Mental disorders and quality of diabetes care in the veterans health administration.
OBJECTIVE The population of persons with mental disorders is potentially vulnerable to poor quality of medical care. This study examined the relationship between mental disorders and quality ofExpand
  • 207
  • 8
Quality of Preventive Medical Care for Patients With Mental Disorders
Background/Objectives. This study compares quality of preventive services between persons with and without mental/substance use disorders for a national sample of medical outpatients. ResearchExpand
  • 297
  • 7
Differences in health-related quality of life in rural and urban veterans.
OBJECTIVES We sought to determine whether disparities in health-related quality of life exist between veterans who live in rural settings and their suburban or urban counterparts. METHODS WeExpand
  • 208
  • 7
  • PDF
Estimating the economic burden of status epilepticus to the health care system
PURPOSE Status epilepticus (SE) is a major neurological condition associated with significant morbidity and mortality. No studies to evaluate the cost burden of SE have been performed to date. ThisExpand
  • 103
  • 6
Kindling with rapidly recurring hippocampal seizures
Bipolar electrodes, stereotactically implanted in the hippocampus of adult rats, were used to deliver 10 s trains of suprathreshold tetanic electrical stimuli every few minutes. As indices of seizureExpand
  • 140
  • 4
Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient safety.
In a health care delivery system with an annual delivery rate of approximately 220,000, a comprehensive redesign of patient safety process was undertaken based on the following principles: (1)Expand
  • 104
  • 4