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Feasibility and Short-Term Effects of a Multi-Component Emergency Department Blood Pressure Intervention: A Pilot Randomized Trial.
Spieker AJ, Nelson LA, Rothman RL, Roumie CL, Kripalani S, Coco J, Fabbri D, Levy P, Collins SP, Wang T, Liu D, McNaughton CD. Spieker AJ, et al. Among authors: roumie cl. J Am Heart Assoc. 2022 Mar;11(5):e024339. doi: 10.1161/JAHA.121.024339. Epub 2022 Feb 23. J Am Heart Assoc. 2022. PMID: 35195015 Free PMC article. Clinical Trial.
Background Emergency department (ED) visits can be opportunities to address uncontrolled hypertension. We sought to compare short-term blood pressure measures between the Vanderbilt Emergency Room Bundle (VERB) intervention and usual care plus education. ...
Background Emergency department (ED) visits can be opportunities to address uncontrolled hypertension. We sought to compare short-term …
Computable Phenotype Implementation for a National, Multicenter Pragmatic Clinical Trial: Lessons Learned From ADAPTABLE.
Ahmad FS, Ricket IM, Hammill BG, Eskenazi L, Robertson HR, Curtis LH, Dobi CD, Girotra S, Haynes K, Kizer JR, Kripalani S, Roe MT, Roumie CL, Waitman R, Jones WS, Weiner MG. Ahmad FS, et al. Among authors: roumie cl. Circ Cardiovasc Qual Outcomes. 2020 Jun;13(6):e006292. doi: 10.1161/CIRCOUTCOMES.119.006292. Epub 2020 May 29. Circ Cardiovasc Qual Outcomes. 2020. PMID: 32466729 Free PMC article.
This methods paper provides an overview of the development and implementation of a computable phenotype in ADAPTABLE (Aspirin Dosing: a Patient-Centric Trial Assessing Benefits and Long-Term Effectiveness)-a pragmatic, randomized, open-label clinical trial testing the opti …
This methods paper provides an overview of the development and implementation of a computable phenotype in ADAPTABLE (Aspirin Dosing: a Pati …
Opioid Prescriptions at Hospital Discharge Are Associated With More Postdischarge Healthcare Utilization.
Liberman JS, Samuels LR, Goggins K, Kripalani S, Roumie CL; VICS (Vanderbilt Inpatient Cohort Study). Liberman JS, et al. Among authors: roumie cl. J Am Heart Assoc. 2019 Feb 5;8(3):e010664. doi: 10.1161/JAHA.118.010664. J Am Heart Assoc. 2019. PMID: 30689500 Free PMC article.
Background Many patients use opioids for nonmalignant pain, and opioid use in the general population has been associated with poor long-term outcomes. The use of high-risk medications, including opioid analgesics, may increase the risk of unplanned healthcare utilization. …
Background Many patients use opioids for nonmalignant pain, and opioid use in the general population has been associated with poor long-t …
Recruiting for a pragmatic trial using the electronic health record and patient portal: successes and lessons learned.
Pfaff E, Lee A, Bradford R, Pae J, Potter C, Blue P, Knoepp P, Thompson K, Roumie CL, Crenshaw D, Servis R, DeWalt DA. Pfaff E, et al. Among authors: roumie cl. J Am Med Inform Assoc. 2019 Jan 1;26(1):44-49. doi: 10.1093/jamia/ocy138. J Am Med Inform Assoc. 2019. PMID: 30445631 Free PMC article.
We aimed to measure the effectiveness of EHR-driven recruitment in the context of ADAPTABLE (Aspirin Dosing: A Patient-centric Trial Assessing Benefits and Long-Term Effectiveness)-a pragmatic trial aiming to recruit 15 000 patients. ...
We aimed to measure the effectiveness of EHR-driven recruitment in the context of ADAPTABLE (Aspirin Dosing: A Patient-centric Trial Assessi …
A multifaceted quality improvement strategy reduces the risk of catheter-associated urinary tract infection.
Theobald CN, Resnick MJ, Spain T, Dittus RS, Roumie CL. Theobald CN, et al. Among authors: roumie cl. Int J Qual Health Care. 2017 Aug 1;29(4):564-570. doi: 10.1093/intqhc/mzx073. Int J Qual Health Care. 2017. PMID: 28633453
We describe the implementation of a multifaceted program to reduce catheter use and CAUTI rates while simultaneously addressing barriers to long-term success. DESIGN/SETTING/PARTICIPANTS: Pre-post study of medical inpatient veterans between December 2012 and February 2015. …
We describe the implementation of a multifaceted program to reduce catheter use and CAUTI rates while simultaneously addressing barriers to …
Linkage between theory-based measurement of organizational readiness for change and lessons learned conducting quality improvement-focused research.
Jackson GL, Roumie CL, Rakley SM, Kravetz JD, Kirshner MA, Del Monte PS, Bowen ME, Oddone EZ, Weiner BJ, Shaw RJ, Bosworth HB. Jackson GL, et al. Among authors: roumie cl. Learn Health Syst. 2016 Oct 10;1(2):e10013. doi: 10.1002/lrh2.10013. eCollection 2017 Apr. Learn Health Syst. 2016. PMID: 31245556 Free PMC article.
On the basis of consensus of medical center and research partners, we enumerated implementation process barriers and facilitators. The primary ORC barrier was unclear long-term commitment of nursing to provide continued resources to the program. ...
On the basis of consensus of medical center and research partners, we enumerated implementation process barriers and facilitators. The prima …
Organizational factors associated with readiness to implement and translate a primary care based telemedicine behavioral program to improve blood pressure control: the HTN-IMPROVE study.
Shaw RJ, Kaufman MA, Bosworth HB, Weiner BJ, Zullig LL, Lee SY, Kravetz JD, Rakley SM, Roumie CL, Bowen ME, Del Monte PS, Oddone EZ, Jackson GL. Shaw RJ, et al. Among authors: roumie cl. Implement Sci. 2013 Sep 8;8:106. doi: 10.1186/1748-5908-8-106. Implement Sci. 2013. PMID: 24010683 Free PMC article.
Positive organizational characteristics likely to impact ORC included: other similar programs that support buy-in, adequate staff, and alignment with the existing site environment; improved patient outcomes; is positive for the professional nurse role, and is evidence-based; unde …
Positive organizational characteristics likely to impact ORC included: other similar programs that support buy-in, adequate staff, and align …
Over-the-counter analgesics in older adults: a call for improved labelling and consumer education.
Roumie CL, Griffin MR. Roumie CL, et al. Drugs Aging. 2004;21(8):485-98. doi: 10.2165/00002512-200421080-00001. Drugs Aging. 2004. PMID: 15182214 Review.
Over-the-counter (OTC) analgesics are generally well tolerated and effective when taken for brief periods of time and at recommended dosages. However, their long-term use, use at inappropriately high doses, or use by persons with contraindications may result in adverse eff …
Over-the-counter (OTC) analgesics are generally well tolerated and effective when taken for brief periods of time and at recommended dosages …