PhD Joshua P. Metlay MD

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To determine the rates of resolution of symptoms and return to premorbid health status and assess the association of these outcomes with health care utilization in patients with community-acquired pneumonia. A prospective, multicenter cohort study. Inpatient and outpatient facilities at three university hospitals, one community hospital, and one staff-model(More)
Patient adherence to warfarin may influence anticoagulation control; yet, adherence among warfarin users has not been rigorously studied. Our goal was to quantify warfarin adherence over time and to compare electronic medication event monitoring systems (MEMS) cap measurements with both self-report and clinician assessment of patient adherence. We performed(More)
Adverse drug events are an important cause of preventable hospitalizations. To identify whether patient report of receipt of medication instructions and markers of complex care (multiple physicians, recent hospitalization) predict the risk of serious bleeding for older adults on warfarin. Prospective cohort study of older adults. Subjects filled new or(More)
Implementation Science Workshop: An Open Call for Cases for a New JGIM Feature Bridging Research and Practice Lindsay E. Jubelt, MD, Joshua P. Metlay, MD, PhD, and Richard L. Kravitz, MD, MSPH Robert Wood Johnson Foundation Clinical Scholars, Philadelphia Veterans Affairs Medical Center, University of Pennsylvania, Philadelphia, PA, USA; General Medicine(More)
T his issue of JGIM includes two studies examining the effects of different diagnostic strategies on antibiotic treatment of acute respiratory tract infections. In Litvin et al., a computerized decision support tool (CDS) based on established clinical practice guidelines was used by 39 volunteering clinicians with 38,592 office visits over a 27month period.(More)
The 2014–2015 Ebola virus disease (Ebola) epidemic centered in West Africa highlighted recurring challenges in the United States regarding risk communication and preparedness during global epidemics. To investigate perceptions, preparedness, and knowledge among U.S. internists with regard to Ebola risk. Cross-sectional Web-based national survey distributed(More)
Inappropriate antibiotic use contributes to the emergence and spread of drug resistant infections. Though injection drug users are at increased risk for drug resistant infections, few studies have examined antibiotic use in this population. To understand patterns and determinants of antibiotic use among injection drug users. Five focus groups were conducted(More)
Alcohol and drug use results in substantial morbidity, mortality, and cost. Individuals with alcohol and drug use disorders are overrepresented in general medical settings. Hospital-based interventions offer an opportunity to engage with a vulnerable population that may not otherwise seek treatment. To determine whether inpatient addiction consultation(More)
I n an era of growing emphasis on evidence-based medical practice, few practices are as “evidence-free” as the use of antibiotics for treating the common cold and related upper respiratory tract infections (URIs). Indeed, increasing attention has been focused on the strikingly high rate of antibiotic use for these conditions. 1 The reasons we should be(More)
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