2024
Barriers to Optimal Clinician Guideline Adherence in Management of Markedly Elevated Blood Pressure
Lu Y, Arowojolu O, Qiu X, Liu Y, Curry L, Krumholz H. Barriers to Optimal Clinician Guideline Adherence in Management of Markedly Elevated Blood Pressure. JAMA Network Open 2024, 7: e2426135. PMID: 39106065, PMCID: PMC11304113, DOI: 10.1001/jamanetworkopen.2024.26135.Peer-Reviewed Original ResearchConceptsBarriers to guideline adherenceElectronic health recordsGuideline adherenceClinician adherenceEHR dataElevated blood pressureHypertension managementAnalysis of EHR dataYale New Haven Health SystemSevere hypertensionClinical practice guidelinesAdherence scenariosQualitative content analysisPublic health challengeThematic saturationHealth recordsHealth systemBlood pressureThematic analysisTargeted interventionsManagement of severe hypertensionQualitative studyHealth challengesPractice guidelinesPatient outcomes
2023
Developing an Actionable Taxonomy of Persistent Hypertension Using Electronic Health Records
Lu Y, Du C, Khidir H, Caraballo C, Mahajan S, Spatz E, Curry L, Krumholz H. Developing an Actionable Taxonomy of Persistent Hypertension Using Electronic Health Records. Circulation Cardiovascular Quality And Outcomes 2023, 16: e009453. PMID: 36727515, DOI: 10.1161/circoutcomes.122.009453.Peer-Reviewed Original ResearchConceptsPersistent hypertensionElectronic health recordsBlood pressureHealth recordsPharmacologic agentsPrescribed treatmentYale New Haven Health SystemTreatment planAdditional pharmacologic agentsAntihypertensive treatment intensificationConsecutive outpatient visitsElevated blood pressurePersistence of hypertensionElectronic health record dataHealth record dataEligible patientsTreatment intensificationChart reviewHispanic patientsOutpatient visitsMean agePharmacological treatmentConventional content analysisHypertensionClinician notes
2020
An instrument for assessing the quality of informed consent documents for elective procedures: development and testing
Spatz ES, Suter LG, George E, Perez M, Curry L, Desai V, Bao H, Geary LL, Herrin J, Lin Z, Bernheim SM, Krumholz HM. An instrument for assessing the quality of informed consent documents for elective procedures: development and testing. BMJ Open 2020, 10: e033297. PMID: 32434933, PMCID: PMC7247404, DOI: 10.1136/bmjopen-2019-033297.Peer-Reviewed Original Research
2015
Organizational culture in cardiovascular care in Chinese hospitals: a descriptive cross-sectional study
Yin ES, Downing NS, Li X, Singer SJ, Curry LA, Li J, Krumholz HM, Jiang L. Organizational culture in cardiovascular care in Chinese hospitals: a descriptive cross-sectional study. BMC Health Services Research 2015, 15: 569. PMID: 26689591, PMCID: PMC4685633, DOI: 10.1186/s12913-015-1211-7.Peer-Reviewed Original ResearchAdultAgedAttitude of Health PersonnelCardiac Care FacilitiesCardiovascular DiseasesChinaCross-Sectional StudiesEfficiencyFemaleHospitalsHumansLeadershipMaleMiddle AgedModels, OrganizationalOrganizational CultureQuality Assurance, Health CareQuality ImprovementQuality of Health CareRetrospective StudiesSurveys and QuestionnairesSymptom Recognition and Healthcare Experiences of Young Women With Acute Myocardial Infarction
Lichtman JH, Leifheit-Limson EC, Watanabe E, Allen NB, Garavalia B, Garavalia LS, Spertus JA, Krumholz HM, Curry LA. Symptom Recognition and Healthcare Experiences of Young Women With Acute Myocardial Infarction. Circulation Cardiovascular Quality And Outcomes 2015, 8: s31-s38. PMID: 25714826, PMCID: PMC4801001, DOI: 10.1161/circoutcomes.114.001612.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsConflict, PsychologicalFemaleHealth Knowledge, Attitudes, PracticeHealth Status DisparitiesHealthcare DisparitiesHospitalizationHumansInterviews as TopicMiddle AgedMyocardial InfarctionPatient Acceptance of Health CarePreventive Health ServicesQualitative ResearchRecognition, PsychologyRisk AssessmentRisk FactorsSex FactorsTime FactorsTime-to-TreatmentConceptsAcute myocardial infarctionCare-seeking behaviorAcute careMyocardial infarctionProdromal symptomsHeart diseaseSymptom recognitionAcute myocardial infarction symptomsAcute myocardial infarction mortalityHealthcare systemMyocardial infarction symptomsPreventive health careCare-seeking experiencesMyocardial infarction mortalityAcute medical therapyPreventive health behaviorsCardiovascular riskMedical therapyPrompt recognitionPreventive carePrimary careInfarction symptomsAged menMortality riskHealth behaviors
2014
Hospital Strategy Uptake and Reductions in Unplanned Readmission Rates for Patients with Heart Failure: A Prospective Study
Bradley EH, Sipsma H, Horwitz LI, Ndumele CD, Brewster AL, Curry LA, Krumholz HM. Hospital Strategy Uptake and Reductions in Unplanned Readmission Rates for Patients with Heart Failure: A Prospective Study. Journal Of General Internal Medicine 2014, 30: 605-611. PMID: 25523470, PMCID: PMC4395590, DOI: 10.1007/s11606-014-3105-5.Peer-Reviewed Original ResearchConceptsRisk-standardized readmission ratesUnplanned readmission rateUptake of strategiesReadmission ratesHeart failureProspective studyGreater reductionAvoidable Rehospitalizations (STAAR) initiativeSame time pointsFinal analytic sampleParticipantsThe studyMain MeasuresWeHospitalPatientsWeb-based surveyAnalytic sampleTime pointsBaselineHospital strategiesSignificant reductionOne-quarterMonthsMore strategiesNational sampleAssociationStrategies to reduce hospital 30-day risk-standardized mortality rates for patients with acute myocardial infarction: a cross-sectional and longitudinal survey
Bradley EH, Sipsma H, Brewster AL, Krumholz HM, Curry L. Strategies to reduce hospital 30-day risk-standardized mortality rates for patients with acute myocardial infarction: a cross-sectional and longitudinal survey. BMC Cardiovascular Disorders 2014, 14: 126. PMID: 25252826, PMCID: PMC4182840, DOI: 10.1186/1471-2261-14-126.Peer-Reviewed Original ResearchMeSH KeywordsCooperative BehaviorCross-Sectional StudiesEmergency Medical ServicesEmergency Medical TechniciansHealth Care SurveysHospital MortalityHospitalsHumansInservice TrainingInterdisciplinary CommunicationLongitudinal StudiesMedical Order Entry SystemsMyocardial InfarctionOrganizational CulturePatient Care TeamQuality ImprovementQuality Indicators, Health CareTime FactorsUnited StatesConceptsAcute myocardial infarctionAMI mortality ratesPercentage of hospitalsMortality rateMyocardial infarctionAMI mortalityHospital AMI mortality ratesRisk-standardized mortality ratesEmergency medical services (EMS) providersHospital strategiesCross-sectional surveyPhysician order entryBackgroundSurvival ratesAMI careMedical service providersResultsBetween 2010HospitalU.S. hospitalsOrder entryRegular trainingInfarctionLongitudinal analysisHospital performanceMortalityCurrent useStrategies to Reduce Heart Failure Readmissions
Bradley EH, Curry LA, Krumholz HM. Strategies to Reduce Heart Failure Readmissions. JAMA 2014, 311: 1160-1160. PMID: 24643613, DOI: 10.1001/jama.2014.678.Peer-Reviewed Original Research
2012
Hospital Strategies for Reducing Risk-Standardized Mortality Rates for Acute Myocardial Infarction
Bradley E, Curry L, Krumholz H. Hospital Strategies for Reducing Risk-Standardized Mortality Rates for Acute Myocardial Infarction. Annals Of Internal Medicine 2012, 157: 599. DOI: 10.7326/0003-4819-157-8-201210160-00022.Peer-Reviewed Original ResearchCorrelations among risk‐standardized mortality rates and among risk‐standardized readmission rates within hospitals
Horwitz LI, Wang Y, Desai MM, Curry LA, Bradley EH, Drye EE, Krumholz HM. Correlations among risk‐standardized mortality rates and among risk‐standardized readmission rates within hospitals. Journal Of Hospital Medicine 2012, 7: 690-696. PMID: 22865546, PMCID: PMC3535010, DOI: 10.1002/jhm.1965.Peer-Reviewed Original ResearchConceptsRisk-standardized mortality ratesAcute myocardial infarctionRisk-standardized readmission ratesReadmission ratesRisk-standardized mortalityHeart failureMortality rateReadmission measuresUS hospitalsMortality measuresCross-sectional studyMortality cohortReadmission cohortHospital outcomesSame hospitalMyocardial infarctionMedicare patientsMedicare feeService beneficiariesTeaching hospital membersHospitalSame quartileHospital membersPneumoniaCohortContemporary Evidence About Hospital Strategies for Reducing 30-Day Readmissions A National Study
Bradley EH, Curry L, Horwitz LI, Sipsma H, Thompson JW, Elma M, Walsh MN, Krumholz HM. Contemporary Evidence About Hospital Strategies for Reducing 30-Day Readmissions A National Study. Journal Of The American College Of Cardiology 2012, 60: 607-614. PMID: 22818070, PMCID: PMC3537181, DOI: 10.1016/j.jacc.2012.03.067.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionPrimary medical doctorHeart failurePreventable readmissionsOutpatient prescription recordsReadmission of patientsCross-sectional studyQuality improvement initiativesQuality improvement teamReadmission ratesPrescription recordsMyocardial infarctionReadmissionCommunity physiciansHigh riskLocal hospitalPatientsHospital practiceQuality improvement resourcesStandard frequency analysisHospitalWeb-based surveyPrevalence of practicesDischarge summariesMost hospitalsHospital strategies for reducing risk-standardized mortality rates in acute myocardial infarction.
Bradley EH, Curry LA, Spatz ES, Herrin J, Cherlin EJ, Curtis JP, Thompson JW, Ting HH, Wang Y, Krumholz HM. Hospital strategies for reducing risk-standardized mortality rates in acute myocardial infarction. Annals Of Internal Medicine 2012, 156: 618-26. PMID: 22547471, PMCID: PMC3386642, DOI: 10.7326/0003-4819-156-9-201205010-00003.Peer-Reviewed Original ResearchConceptsRisk-standardized mortality ratesAcute myocardial infarctionLower risk-standardized mortality ratesMyocardial infarctionNurse championsMortality rateHospital strategiesHospital risk-standardized mortality ratesHospital-level factorsIntensive care unitAcute care hospitalsCardiac catheterization laboratoryCross-sectional surveyUnited Health FoundationCare hospitalCare unitCross-sectional designAMI casesAMI volumeCatheterization laboratoryHospital cliniciansHospitalMultivariate analysisPatientsHealth Foundation
2011
Survival after Acute Myocardial Infarction (SAMI) study: The design and implementation of a positive deviance study
Krumholz HM, Curry LA, Bradley EH. Survival after Acute Myocardial Infarction (SAMI) study: The design and implementation of a positive deviance study. American Heart Journal 2011, 162: 981-987.e9. PMID: 22137070, PMCID: PMC3688068, DOI: 10.1016/j.ahj.2011.09.004.Peer-Reviewed Original ResearchInputs to quality: supervision, management, and community involvement in health facilities in Egypt in 2004
Cherlin EJ, Allam AA, Linnander EL, Wong R, El-Toukhy E, Sipsma H, Krumholz HM, Curry LA, Bradley EH. Inputs to quality: supervision, management, and community involvement in health facilities in Egypt in 2004. BMC Health Services Research 2011, 11: 282. PMID: 22014078, PMCID: PMC3216250, DOI: 10.1186/1472-6963-11-282.Peer-Reviewed Original ResearchConceptsHealth unitsMiddle-income countriesHealth facilitiesHealth Survey websiteService Provision Assessment surveyMinority of facilitiesQuality improvement initiativesRural health unitsUrban health unitsCross-sectional analysisHealth care deliveryMinistry of HealthHealth reformMeasure DemographicFinal sampleGeneral service hospitalsMore rural partsService hospitalsChild healthStandard frequency analysisCare deliveryFacility characteristicsHealth careStatistical significanceImprovement initiativesQuality of Care in the US Territories
Nunez-Smith M, Bradley EH, Herrin J, Santana C, Curry LA, Normand SL, Krumholz HM. Quality of Care in the US Territories. JAMA Internal Medicine 2011, 171: 1528-1540. PMID: 21709184, PMCID: PMC3251926, DOI: 10.1001/archinternmed.2011.284.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionRisk-standardized readmission ratesRisk-standardized mortality ratesHeart failureMortality rateReadmission ratesProcess measuresHospital characteristicsHighest risk-standardized mortality ratesPrincipal discharge diagnosisQuality of careHealth care qualityDischarge diagnosisService patientsMyocardial infarctionTerritorial HospitalNonfederal hospitalsUS territoriesMedicare feePneumoniaHospitalCare qualityPatientsPerformance of hospitalsUS statesWhat distinguishes top-performing hospitals in acute myocardial infarction mortality rates? A qualitative study.
Curry LA, Spatz E, Cherlin E, Thompson JW, Berg D, Ting HH, Decker C, Krumholz HM, Bradley EH. What distinguishes top-performing hospitals in acute myocardial infarction mortality rates? A qualitative study. Annals Of Internal Medicine 2011, 154: 384-90. PMID: 21403074, PMCID: PMC4735872, DOI: 10.7326/0003-4819-154-6-201103150-00003.Peer-Reviewed Original Research
2010
Variation in Hospital Mortality Rates for Patients With Acute Myocardial Infarction
Bradley EH, Herrin J, Curry L, Cherlin EJ, Wang Y, Webster TR, Drye EE, Normand SL, Krumholz HM. Variation in Hospital Mortality Rates for Patients With Acute Myocardial Infarction. The American Journal Of Cardiology 2010, 106: 1108-1112. PMID: 20920648, DOI: 10.1016/j.amjcard.2010.06.014.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionHospital characteristicsMyocardial infarctionMortality rateCross-sectional national studyHospital mortality rateHospital patient populationAmerican Hospital Association surveyAMI dischargeMean hospitalHospital outcomesCardiac facilitiesPatient populationAMI volumeMultivariable modelPatient profilesMedicare beneficiariesHospitalHospital bedsPatientsTeaching statusUnited States Census dataStates Census dataInfarctionStatus profileAchieving large ends with limited means: grand strategy in global health
Curry LA, Luong MA, Krumholz HM, Gaddis J, Kennedy P, Rulisa S, Taylor L, Bradley EH. Achieving large ends with limited means: grand strategy in global health. International Health 2010, 2: 82-86. PMID: 24037468, DOI: 10.1016/j.inhe.2010.02.002.Peer-Reviewed Original Research
2009
Attitudes, Training Experiences, and Professional Expectations of US General Surgery Residents: A National Survey
Yeo H, Viola K, Berg D, Lin Z, Nunez-Smith M, Cammann C, Bell RH, Sosa JA, Krumholz HM, Curry LA. Attitudes, Training Experiences, and Professional Expectations of US General Surgery Residents: A National Survey. JAMA 2009, 302: 1301-1308. PMID: 19773565, DOI: 10.1001/jama.2009.1386.Peer-Reviewed Original ResearchMeSH KeywordsAdultAttitude of Health PersonnelCareer ChoiceClinical CompetenceCross-Sectional StudiesEducation, Medical, GraduateFemaleGeneral SurgeryHumansInternship and ResidencyJob SatisfactionLongitudinal StudiesMaleProspective StudiesResearch DesignSex FactorsStudents, MedicalSurveys and QuestionnairesTime FactorsUnited StatesConceptsUS general surgery residentsGeneral surgery residentsSurgery residentsCross-sectional studyGeneral surgery residency programsCategorical general surgery residentsSurgery In-Training ExaminationResidency programsTraining yearSurgery residency programsSurgical residency programsPostgraduate year 2Postgraduate year 5In-Training ExaminationUnmet needYear 5Supportive peer relationshipsPrior yearSpecialty trainingNational surveyMost respondentsYear 2American BoardSources of strainPeer relationshipsResearch in action: using positive deviance to improve quality of health care
Bradley EH, Curry LA, Ramanadhan S, Rowe L, Nembhard IM, Krumholz HM. Research in action: using positive deviance to improve quality of health care. Implementation Science 2009, 4: 25. PMID: 19426507, PMCID: PMC2690576, DOI: 10.1186/1748-5908-4-25.Peer-Reviewed Original Research