2014
Are Comparisons of Patient Experiences Across Hospitals Fair? A Study in Veterans Health Administration Hospitals
Cleary PD, Meterko M, Wright SM, Zaslavsky AM. Are Comparisons of Patient Experiences Across Hospitals Fair? A Study in Veterans Health Administration Hospitals. Medical Care 2014, 52: 619-625. PMID: 24926709, PMCID: PMC4682878, DOI: 10.1097/mlr.0000000000000144.Peer-Reviewed Original ResearchMeSH KeywordsAgedAttitude of Health PersonnelConfounding Factors, EpidemiologicContinuity of Patient CareFemaleHealth Services AccessibilityHealth Services ResearchHospitals, VeteransHumansMaleMiddle AgedMyocardial InfarctionPatient SatisfactionQuality of Health CareResidence CharacteristicsSocioeconomic FactorsSurveys and QuestionnairesUnited StatesConceptsAcute myocardial infarctionPatients' clinical characteristicsClinical characteristicsPatient characteristicsPatient experienceInitial acute myocardial infarctionPatient-reported health statusVeterans Health Administration hospitalsVeterans Affairs Medical CenterVA administrative dataPatient experience surveysPatient care experiencesComplex patientsMyocardial infarctionPatient surveyMedical recordsAdministration HospitalClinical dataHospital careMedical CenterClinical informationHOSPITAL scoreInpatient experienceHealth statusHospital
2013
Evaluation of a Care Coordination Measure for the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Medicare Survey
Hays RD, Martino S, Brown JA, Cui M, Cleary P, Gaillot S, Elliott M. Evaluation of a Care Coordination Measure for the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Medicare Survey. Medical Care Research And Review 2013, 71: 192-202. PMID: 24227813, PMCID: PMC3959996, DOI: 10.1177/1077558713508205.Peer-Reviewed Original ResearchConceptsCare coordinationHealthcare providersConsumer AssessmentCAHPS global ratingCare coordination measuresBetter care coordinationMedicare surveyOverall care qualityMedical recordsPersonal doctorPatient reportsStrong unique associationCare qualityGlobal ratingHealth careFive-item measureComposite scoreCarePlan performanceCoordination measuresUnique associationPatientsProviders
2012
Safety Climate and Medical Errors in 62 US Emergency Departments
Camargo CA, Tsai CL, Sullivan AF, Cleary PD, Gordon JA, Guadagnoli E, Kaushal R, Magid DJ, Rao SR, Blumenthal D. Safety Climate and Medical Errors in 62 US Emergency Departments. Annals Of Emergency Medicine 2012, 60: 555-563.e20. PMID: 23089089, DOI: 10.1016/j.annemergmed.2012.02.018.Peer-Reviewed Original ResearchConceptsEmergency departmentAdverse eventsNational Emergency Department Safety StudyMedical errorsNational treatment guidelinesUS emergency departmentsPreventable adverse eventsUrban emergency departmentSafety climateTreatment guidelinesED patientsNear missesMedical recordsMultivariable modelSafety studiesSafety climate scoresSystem factorsClimate scoresED conditionsDepartmentPatientsIncidence
2007
Correlations among measures of quality in HIV care in the United States: cross sectional study
Wilson IB, Landon BE, Marsden PV, Hirschhorn LR, McInnes K, Ding L, Cleary PD. Correlations among measures of quality in HIV care in the United States: cross sectional study. The BMJ 2007, 335: 1085. PMID: 17967826, PMCID: PMC2094195, DOI: 10.1136/bmj.39364.520278.55.Peer-Reviewed Original Research
2005
Quality of HIV care provided by nurse practitioners, physician assistants, and physicians.
Wilson IB, Landon BE, Hirschhorn LR, McInnes K, Ding L, Marsden PV, Cleary PD. Quality of HIV care provided by nurse practitioners, physician assistants, and physicians. Annals Of Internal Medicine 2005, 143: 729-36. PMID: 16287794, DOI: 10.7326/0003-4819-143-10-200511150-00010.Peer-Reviewed Original ResearchConceptsInfectious disease specialistsNurse practitionersHIV expertsQuality of carePhysician assistantsHIV careDisease specialistsHIV care sitesProtein derivative testingMedical record reviewPrimary care providersHigh-quality careCross-sectional analysisHIV expertisePatient characteristicsRecord reviewCare measuresPapanicolaou smearsComplex clinical processesMedical recordsAdjusted ratesCare sitesCare providersHIVCare
2004
Effects of a quality improvement collaborative on the outcome of care of patients with HIV infection: the EQHIV study.
Landon BE, Wilson IB, McInnes K, Landrum MB, Hirschhorn L, Marsden PV, Gustafson D, Cleary PD. Effects of a quality improvement collaborative on the outcome of care of patients with HIV infection: the EQHIV study. Annals Of Internal Medicine 2004, 140: 887-96. PMID: 15172903, DOI: 10.7326/0003-4819-140-11-200406010-00010.Peer-Reviewed Original ResearchConceptsQuality of careQuality Improvement ProgramRyan White Comprehensive AIDS Resources Emergency (CARE) ActCollaborative quality improvement programProportion of patientsAppropriate screening testsOutcomes of careAntiretroviral therapyControl patientsQuality improvement strategiesHIV infectionIntervention clinicsStudy clinicRandomized trialsViral loadClinic typePostintervention studyCare measuresMedical recordsIntervention groupControl clinicsPatientsControl groupScreening testSociodemographic characteristics
2003
Guideline Recommendations for Treatment of Schizophrenia: The Impact of Managed Care
Dickey B, Normand SL, Hermann RC, Eisen SV, Cortes DE, Cleary PD, Ware N. Guideline Recommendations for Treatment of Schizophrenia: The Impact of Managed Care. JAMA Psychiatry 2003, 60: 340-348. PMID: 12695310, DOI: 10.1001/archpsyc.60.4.340.Peer-Reviewed Original ResearchMeSH KeywordsAdultAmbulatory CareAttitude to HealthFee-for-Service PlansFemaleFollow-Up StudiesGuideline AdherenceHealth Services ResearchHospitalizationHumansMaleManaged Care ProgramsMedicaidMedicareMiddle AgedOutcome Assessment, Health CarePersonal SatisfactionPractice Guidelines as TopicProspective StudiesQuality of LifeSchizophreniaConceptsTreatment of schizophreniaTreatment guidelinesMedicaid beneficiariesSchizophrenia Patient Outcomes Research Team (PORT) treatment recommendationsOutpatient mental health facilitiesDisabled Medicaid beneficiariesProspective observational studyHealth-related qualityHigh-risk adultsAdult Medicaid beneficiariesOutpatient medical recordsMain outcome measuresSchizophrenia treatment guidelinesClinician-reported outcomesWay mental health careMental health careSelf-reported qualityBehavioral health care organizationsMental health facilitiesDelivery of treatmentMental health benefitsClinical outcomesGuideline recommendationsOutpatient treatmentMedical records
1999
Benchmarking and quality improvement: the Harvard Emergency Department Quality Study∗∗Access the “Journal Club” discussion of this paper at http://www.elsevier.com/locate/ajmselect/
Burstin H, Conn A, Setnik G, Rucker D, Cleary P, O’Neil A, Orav E, Sox C, Brennan T, Investigators T. Benchmarking and quality improvement: the Harvard Emergency Department Quality Study∗∗Access the “Journal Club” discussion of this paper at http://www.elsevier.com/locate/ajmselect/. The American Journal Of Medicine 1999, 107: 437-449. PMID: 10569298, DOI: 10.1016/s0002-9343(99)00269-7.Peer-Reviewed Original ResearchConceptsPatient-reported problemsEmergency department careCare guidelinesMedical recordsPatient ratingsChief complaintEmergency departmentHospital emergency departmentQuality improvement interventionsPatient-reported measuresEmergency department directorsPatient-based measuresEmergency department (ED) qualityQuality improvement effortsEligible patientsPatient questionnairePreintervention periodPostintervention periodPatient reportsPatientsImprovement interventionsMultivariate analysisPercent complianceStudy periodCare
1997
The Boston AIDS Survival Score (BASS): a multidimensional AIDS severity instrument.
Seage G, Gatsonis C, Weissman J, Haas J, Cleary P, Fowler F, Massagli M, Stone V, Craven D, Makadon H, Goldberg J, Coltin K, Levin K, Epstein A. The Boston AIDS Survival Score (BASS): a multidimensional AIDS severity instrument. American Journal Of Public Health 1997, 87: 567-73. PMID: 9146433, PMCID: PMC1380834, DOI: 10.2105/ajph.87.4.567.Peer-Reviewed Original Research
1995
Physical and Psychosocial Functioning of Women and Men After Coronary Artery Bypass Surgery
Ayanian J, Guadagnoli E, Cleary P. Physical and Psychosocial Functioning of Women and Men After Coronary Artery Bypass Surgery. JAMA 1995, 274: 1767-1770. PMID: 7500506, DOI: 10.1001/jama.1995.03530220033028.Peer-Reviewed Original ResearchConceptsCoronary artery bypass surgeryArtery bypass surgeryCongestive heart failureRecent myocardial infarctionBypass surgeryHeart failureMyocardial infarctionMental healthClass IV anginaObservational cohort studySeverity of anginaTime of surgeryCoronary artery diseaseMajor teaching hospitalCohort studyArtery diseaseConsecutive patientsNurse reviewersMedical recordsTeaching hospitalInstrumental activitiesPostoperative functioningDaily livingSurgeryPsychosocial functioningPrognostic Stratification in Critically Ill Patients With Acute Renal Failure Requiring Dialysis
Chertow G, Christiansen C, Cleary P, Munro C, Lazarus J. Prognostic Stratification in Critically Ill Patients With Acute Renal Failure Requiring Dialysis. JAMA Internal Medicine 1995, 155: 1505-1511. PMID: 7605152, DOI: 10.1001/archinte.1995.00430140075007.Peer-Reviewed Original ResearchConceptsAcute renal failureHospital mortalityRenal failureIll patientsMechanical ventilationAcute Renal Failure Requiring DialysisIntensive care unit technologyMultivariate logistic regression analysisCritically Ill PatientsHospital mortality rateHigh-risk patientsOrgan system failureIntensive care unitLogistic regression analysisOminous conditionUnderlying malignancyHospital dischargeConsecutive patientsCare unitComorbid conditionsLaboratory variablesEarly mortalityPrognostic stratificationMedical recordsProspective validation
1994
ASA Physical Status and Age Predict Morbidity After Three Surgical Procedures
Cullen D, Apolone G, Greenfield S, Guadagnoli E, Cleary P. ASA Physical Status and Age Predict Morbidity After Three Surgical Procedures. Annals Of Surgery 1994, 220: 3-9. PMID: 8024356, PMCID: PMC1234280, DOI: 10.1097/00000658-199407000-00002.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAgedAnalysis of VarianceAnesthesiologyCaliforniaCholecystectomyDiagnosis-Related GroupsFemaleFollow-Up StudiesHip ProsthesisHospitals, TeachingHumansLength of StayMaleMassachusettsMiddle AgedMorbidityOffice VisitsPostoperative ComplicationsPrognosisProstatectomySeverity of Illness IndexSocieties, MedicalConceptsLength of stayASA-PS scoreTotal hip replacementComplication rateTransurethral prostatectomySurgical patientsAnesthesiologists physical status scoreLonger LOSPreoperative risk factorsPostoperative complication rateASA physical statusPhysician office visitsHigh complication rateCase-mix differencesAcademic medical centerSelf-administered questionnairePostoperative morbidityCoexistent diseasePhysician visitsSurgical morbidityOffice visitsStatus scoreMedical recordsRisk factorsMedical CenterThe influence of age on clinical and patient-reported outcomes after cholecystectomy
Mort E, Guadacnoli E, Schroeder S, Greenfield S, Mulley A, McNeil B, Cleary P. The influence of age on clinical and patient-reported outcomes after cholecystectomy. Journal Of General Internal Medicine 1994, 9: 61-65. PMID: 8164078, DOI: 10.1007/bf02600200.Peer-Reviewed Original ResearchConceptsPostoperative complication rateYounger patientsLength of stayOlder patientsComplication rateAbdominal painCholecystectomy patientsSymptom reliefFunctional statusPatient satisfactionMedical recordsMajor postoperative complication rateOverall major complication rateUniversity-affiliated teaching hospitalPreoperative abdominal painMajor complication ratePatient-reported outcomesPatients' medical recordsQuestionnaire three monthsInfluence of ageHospital complicationsHospital dischargePostoperative complicationsSurgical complicationsLess recurrence
1993
The Importance of Co-existent Disease in the Occurrence of Postoperative Complications and One-Year Recovery in Patients Undergoing Total Hip Replacement
Greenfield S, Apolone G, McNeil B, Cleary P. The Importance of Co-existent Disease in the Occurrence of Postoperative Complications and One-Year Recovery in Patients Undergoing Total Hip Replacement. Medical Care 1993, 31: 141-154. PMID: 8433577, DOI: 10.1097/00005650-199302000-00005.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAdultAgedCohort StudiesComorbidityDemographyFemaleHealth StatusHip ProsthesisHumansLogistic ModelsMaleMiddle AgedOdds RatioOutcome Assessment, Health CarePostoperative ComplicationsPrognosisQuality of LifeSeverity of Illness IndexSurveys and QuestionnairesUnited StatesConceptsCo-existent diseaseTotal hip replacementPostoperative complicationsHip replacementFunctional outcomeMedical recordsTotal hip replacement patientsFunctional outcome 1 yearHealth-related qualityTime of surgeryPost-operative complicationsSeverity of illnessOutcomes 1 yearHip replacement patientsPatients' medical recordsSignificant predictorsEffectiveness of careOne-year recoveryMedical record informationHospital complicationsICED scoreComorbid diseasesComplication rateHospital dischargePatient characteristicsUsing patient reports to assess health-related quality of life after total hip replacement
Cleary P, Reilly D, Greenfield S, Mulley A, Wexler L, Frankel F, McNeil B. Using patient reports to assess health-related quality of life after total hip replacement. Quality Of Life Research 1993, 2: 3-11. PMID: 8490615, DOI: 10.1007/bf00642884.Peer-Reviewed Original ResearchConceptsTotal hip replacementHip replacementUnilateral total hip replacementHealth-related qualityOutcomes 1 yearQuestionnaire 12 monthsProcess of careGood construct validityReponse rateRheumatoid arthritisFunctional statusMedical recordsTeaching hospitalPatient reportsHip arthroplastyHealth statusDisease severitySociodemographic characteristicsPatientsStrongest predictorConstruct validityQuestionnaireStatusHospitalizationArthritis
1991
Variations in Length of Stay and Outcomes for Six Medical and Surgical Conditions in Massachusetts and California
Cleary P, Greenfield S, Mulley A, Pauker S, Schroeder S, Wexler L, McNeil B. Variations in Length of Stay and Outcomes for Six Medical and Surgical Conditions in Massachusetts and California. JAMA 1991, 266: 73-79. PMID: 2046132, DOI: 10.1001/jama.1991.03470010077034.Peer-Reviewed Original ResearchMeSH KeywordsAdultCaliforniaCholecystectomyComorbidityConsumer BehaviorCoronary Artery BypassFemaleHip ProsthesisHospitals, TeachingHumansLength of StayMaleMassachusettsMyocardial InfarctionOutcome and Process Assessment, Health CareProstatectomySurgical Procedures, OperativeSurveys and QuestionnairesConceptsLength of stayAcute myocardial infarctionHospital dischargeTotal hip replacementMyocardial infarctionFunctional statusPatient satisfactionMedical recordsHospital careCoronary artery bypass graft surgeryHip replacementArtery bypass graft surgeryInterinstitutional differencesBypass graft surgeryProbability of readmissionPatients' medical recordsAvailable outcome dataCase-mix differencesFollow-up questionnaireHospital complicationsGraft surgeryPatient characteristicsTransurethral prostatectomyWorse outcomesSurgical conditionsThe relation between hypochondriasis and age
Barsky A, Frank C, Cleary P, Wyshak G, Klerman G. The relation between hypochondriasis and age. American Journal Of Psychiatry 1991, 148: 923-928. PMID: 2053634, DOI: 10.1176/ajp.148.7.923.Peer-Reviewed Original ResearchConceptsHypochondriacal patientsMedical morbidityMedical recordsSelf-report questionnairesAggregate medical morbidityComparison groupGeneral medical clinicPatients' medical recordsYears of ageConsecutive patientsPossible confounding influenceStudy groupMedical statusAxis IPsychiatric disordersCutoff levelPatientsOverall healthMedical clinicsHypochondriacal groupGlobal assessmentHypochondriacal attitudesHypochondriasisResearch batteryMorbidity
1990
The identification of psychiatric illness by primary care physicians
Cleary P, Burns B, Nycz G. The identification of psychiatric illness by primary care physicians. Journal Of General Internal Medicine 1990, 5: 355-360. PMID: 2374045, DOI: 10.1007/bf02600406.Peer-Reviewed Original ResearchConceptsPrimary care physiciansPsychiatric illnessCare physiciansGeneral Health QuestionnaireMental health problemsMultispecialty group practiceStratified probability samplePrimary careMedical recordsHealth QuestionnairePsychiatric disordersAffective disordersHealth problemsMental disordersStudy participantsPatientsIllnessPhysiciansGroup practiceDisordersSemirural areaFrequent usersProbability sampleWomenMen
1987
Differences in Determinants of Physician Use Between Aged and Middle-Aged Persons
Levkoff S, Cleary P, Wetle T. Differences in Determinants of Physician Use Between Aged and Middle-Aged Persons. Medical Care 1987, 25: 1148-1160. PMID: 3501048, DOI: 10.1097/00005650-198712000-00004.Peer-Reviewed Original ResearchConceptsPhysician useAge groupsNumber of diagnosesMiddle-aged personsMiddle-aged individualsPhysical health measuresIllness responseBed daysMedical recordsPsychologic factorsHealth measuresImportant predictorProbability samplePredictorsAge differencesChronicGroupDifferencesIllnessYearsDiagnosisIndividualsDifferences in the appraisal of health between aged and middle-aged adults.
Levkoff S, Cleary P, Wetle T. Differences in the appraisal of health between aged and middle-aged adults. Journal Of Gerontology 1987, 42: 114-20. PMID: 3794190, DOI: 10.1093/geronj/42.1.114.Peer-Reviewed Original ResearchConceptsPsychological distressHealth assessmentMiddle-aged adultsMusculoskeletal deformitiesMedical recordsIllness behaviorDepressive symptomsNervous systemPoor healthDiagnostic categoriesMiddle AgedPhysical healthDigestive problemsStrong associationHealthProbability sampleDistressSymptomsDeformityDiagnosisRheumatism