Research Topics
| S R SimonSummaryAffiliation: Harvard University Country: USA Publications
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Publications
How well do second-year students learn physical diagnosis? Observational study of an Objective Structured Clinical Examination (OSCE)Claus Hamann
Geriatric Medicine Unit, Massachusetts General Hospital, 100 Charles River Plaza, Fifth Floor, Boston, MA, USA
BMC Med Educ 2:1. 2002..Little is known about using the Objective Structured Clinical Examination (OSCE) in physical diagnosis courses. The purpose of this study was to describe student performance on an OSCE in a physical diagnosis course...
Quality and correlates of medical record documentation in the ambulatory care settingCarlos M Soto
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
BMC Health Serv Res 2:22. 2002..We therefore undertook the present study to measure the rates of documentation of quality of care measures in an outpatient primary care practice setting that utilizes an electronic medical record...
Potentially inappropriate medication use by elderly persons in U.S. Health Maintenance Organizations, 2000-2001Steven R Simon
HMO Research Network, Center for Education and Research on Therapeutics, Harvard Pilgrim Health Care and Harvard Medical School, Boston, Massachusetts 02215, USA
J Am Geriatr Soc 53:227-32. 2005..To determine rates of potentially inappropriate medication use in elderly persons in managed care plans in the United States in 2000-2001...
The relationship between second-year medical students' OSCE scores and USMLE Step 2 scoresSteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
J Eval Clin Pract 13:901-5. 2007....
Failure of Internet-based audit and feedback to improve quality of care delivered by primary care residentsSteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue, 6th Floor, Boston, MA 02215, USA
Int J Qual Health Care 17:427-31. 2005..To determine the effectiveness of Internet-based audit and feedback to physicians to improve care for diabetes and hypertension...
Group versus individual academic detailing to improve the use of antihypertensive medications in primary care: a cluster-randomized controlled trialSteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue 6th Floor, Boston, MA 02215, USA
Am J Med 118:521-8. 2005..To compare group versus individual academic detailing to increase diuretic or beta-blocker use in hypertension...
Baseline laboratory monitoring of cardiovascular medications in elderly health maintenance organization enrolleesSteven R Simon
HMO Research Network Center for Education and Research in Therapeutics and Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts 02215, USA
J Am Geriatr Soc 53:2165-9. 2005..To identify correlates of laboratory monitoring errors in elderly health maintenance organization (HMO) members at the initiation of therapy with cardiovascular medications...
Geriatrics training in general internal medicine fellowship programs: current practice, barriers, and strategies for improvementSteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School, Harvard Pilgrim Health Care, and Hebrew Rehabilitation Center for Aged, Boston, Massachusetts 02215, USA
Ann Intern Med 139:621-7. 2003....
How do precepting physicians select patients for teaching medical students in the ambulatory primary care setting?Steven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue, 6th Floor, Boston, MA 02215, USA
J Gen Intern Med 18:730-5. 2003..To study how clinical preceptors select patients for medical student teaching in ambulatory care and to explore key factors they consider in the selection process...
Computerized prescribing alerts and group academic detailing to reduce the use of potentially inappropriate medications in older peopleSteven R Simon
HMO Research Network Center for Education and Research in Therapeutics, Harvard Medical School and Harvard Pilgrim Healthcare, Boston, MA 02215, USA
J Am Geriatr Soc 54:963-8. 2006....
The relationship between second-year medical students' OSCE scores and USMLE Step 1 scoresSteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Med Teach 24:535-9. 2002..This correlation suggests predictive validity of this OSCE and supports the use of OSCEs early in medical school...
Faculty training in general internal medicine: a survey of graduates from a research-intensive fellowship programS R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Acad Med 74:1253-5. 1999..To determine the fellowship experiences and career activities of the graduates of a research-intensive general internal medicine fellowship program...
Economic analysis of a randomized trial of academic detailing interventions to improve use of antihypertensive medicationsSteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School, Harvard Pilgrim Health Care, Boston, MA 02215, USA
J Clin Hypertens (Greenwich) 9:15-20. 2007..Information on costs of academic detailing could assist with health plan decision making in developing interventions to improve prescribing...
Clinical and nonclinical correlates of adherence to prescribing guidelines for hypertension in a large managed care organizationPhilip C Skelding
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
J Clin Hypertens (Greenwich) 8:414-9. 2006..48-0.91). Patient age was not a significant correlate of adherence to guidelines (OR, 1.01; 95% CI, 0.94-1.09). Understanding these observations may lead to strategies to improve guideline adherence and reduce health care disparities...
The effect of medical student teaching on patient satisfaction in a managed care settingS R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
J Gen Intern Med 15:457-61. 2000..Concerns about patient satisfaction should not prevent managed care organizations from participating in primary care education...
Physicians and electronic health records: a statewide surveySteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Arch Intern Med 167:507-12. 2007..Electronic health records (EHRs) allow for a variety of functions, ranging from visit documentation to laboratory test ordering, but little is known about physicians' actual use of these functions...
Correlates of electronic health record adoption in office practices: a statewide surveySteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue, Sixth Floor, Boston, MA 02215, USA
J Am Med Inform Assoc 14:110-7. 2007..We sought to measure the correlates of EHR adoption...
Electronic health records: use, barriers and satisfaction among physicians who care for black and Hispanic patientsAshish K Jha
Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
J Eval Clin Pract 15:158-63. 2009..Given that a small group of providers care for most racial/ethnic minorities, we sought to determine whether minority-serving providers adopt EHR systems at comparable rates to other providers...
Physicians' use of key functions in electronic health records from 2005 to 2007: a statewide surveySteven R Simon
MPH Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
J Am Med Inform Assoc 16:465-70. 2009..System refinements, certification efforts, and health policies, including standards development, should address the gaps in both EHR adoption and the use of key functions...
Reducing the prescribing of heavily marketed medications: a randomized controlled trialRobert J Fortuna
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
J Gen Intern Med 24:897-903. 2009..Prescription drug costs are a major component of health care expenditures, yet resources to support evidence-based prescribing are not widely available...
Relationship between use of electronic health record features and health care quality: results of a statewide surveyEric G Poon
Division of General Medicine, Brigham and Women s Hospital, Boston, MA, USA
Med Care 48:203-9. 2010..However, evidence regarding their effectiveness for this purpose is mixed, and existing studies have generally considered EHR usage a binary factor and have not considered the availability and use of specific EHR features...
Characteristics of medicine-pediatrics practices: results from the national ambulatory medical care surveyRobert J Fortuna
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts 02215, USA
Acad Med 84:396-401. 2009..A more comprehensive understanding of med-peds practices is important to inform medical students and guide evolving curricula and accreditation standards...
Communication problems for patients hospitalized with chest painS R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
J Gen Intern Med 13:836-8. 1998..New models of inpatient care delivery can maintain patient satisfaction but to do so must focus attention on improving physician-patient communication...
Teaching population health as a basic science at Harvard Medical SchoolJonathan A Finkelstein
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Acad Med 83:332-7. 2008..Preclinical courses represent a progressive step in developing a workforce of physicians who embrace their responsibility to improve the health of the population as a whole, as well as the health of the patient in front of them...
Clinician attitudes towards prescribing and implications for interventions in a multi-specialty group practiceRobert J Fortuna
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
J Eval Clin Pract 14:969-73. 2008..Although numerous factors influence prescribing, resources to support unbiased evidence-based prescribing are not widely available...
Readiness for electronic health records: comparison of characteristics of practices in a collaborative with the remainder of MassachusettsSteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue, Boston, MA 02215, USA
Inform Prim Care 16:129-37. 2008..This study's objective was to assess the degree to which these practices are representative of physicians' practices statewide...
Electronic health records: which practices have them, and how are clinicians using them?Steven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
J Eval Clin Pract 14:43-7. 2008..Limited data exist to estimate the use of electronic health records (EHRs) in ambulatory care practices in the United States...
Medical students' knowledge of the U.S. health care system and their preferences for curricular change: a national surveyJaya R Agrawal
Department of Medicine, Brigham and Women s Hospital, Boston, MA 02215, USA
Acad Med 80:484-8. 2005..To measure medical students' knowledge of central issues in the U.S. health care system and to understand their perception of the importance and quality of health policy curricula at their medical schools...
Ability to generate patient registries among practices with and without electronic health recordsAdam Wright
Clinical Informatics Research and Development, Partners HealthCare System, Boston, MA, USA
J Med Internet Res 11:e31. 2009..However, it is not known how many providers have the ability to generate such registries...
Variation in predictors of primary care career choice by year and stage of trainingMaureen T Connelly
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Mass 02215, USA
J Gen Intern Med 18:159-69. 2003..It is not known whether factors associated with primary care career choice affect trainees differently at different times or stages of medical education...
Physician attitudes toward health information exchange: results of a statewide surveyAdam Wright
Brigham and Women s Hospital, Boston, Massachusetts 02120, USA
J Am Med Inform Assoc 17:66-70. 2010..Objective: To assess physicians' attitudes toward health information exchange (HIE) and physicians' willingness to pay to participate in HIE...
Implementation and use of an electronic health record within the Indian Health ServiceThomas D Sequist
Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA 02120, USA
J Am Med Inform Assoc 14:191-7. 2007..There are limited data regarding implementing electronic health records (EHR) in underserved settings. We evaluated the implementation of an EHR within the Indian Health Service (IHS), a federally funded health system for Native Americans...
The relationship between medical practice characteristics and quality of care for cardiovascular diseaseBruce E Landon
Harvard Medical School, Boston, USA
Med Care Res Rev 65:167-86. 2008....
Community-wide implementation of health information technology: the Massachusetts eHealth Collaborative experienceAllan H Goroll
Harvard Medical School and Massachusetts General Hospital, Medical Service, 15 Parkman Street, Suite 645, Boston, MA 02114, USA
J Am Med Inform Assoc 16:132-9. 2009..This article describes the formation and implementation phases of the Collaborative, focusing on barriers identified, lessons learned, and policy issues...
Understanding the decisions and values of stakeholders in health information exchanges: experiences from MassachusettsRobert S Rudin
Partners HealthCare System Inc, Boston, MA, USA
Am J Public Health 99:950-5. 2009..Our aim was to understand how these kinds of information exchanges can be made viable...
Drug therapy in the elderly: improving quality and accessSteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School, Boston, MA, USA
Clin Pharmacol Ther 73:387-93. 2003
Using health information technology to improve drug monitoring: a systematic reviewGeoffrey L Hayward
Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA
Pharmacoepidemiol Drug Saf 18:1232-7. 2009..To conduct a systematic review of current evidence regarding the use of health information technology (HIT) interventions to improve drug monitoring in ambulatory care...
Electronic health records and malpractice claims in office practiceAnunta Virapongse
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Ave, Sixth Floor, Boston, MA 02215, USA
Arch Intern Med 168:2362-7. 2008..Electronic health records (EHRs) may improve patient safety and health care quality, but the relationship between EHR adoption and settled malpractice claims is unknown...
The relationship between perceived practice quality and quality improvement activities and physician practice dissatisfaction, professional isolation, and work-life stressMariah A Quinn
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts 02215, USA
Med Care 47:924-8. 2009..However, little is known about how physicians' self-reported quality improvement (QI) activities and quality of care are related to their practice dissatisfaction, professional isolation, and work-life stress...
Protecting an endangered species: training physicians to conduct clinical researchMary Ellen J Goldhamer
Massachusetts General Hospital, Bulfinch Medical Group, Boston, MA 02114, USA
Acad Med 84:439-45. 2009..The authors sought to evaluate the research careers of physician graduates and to determine correlates of National Institutes of Health (NIH) grant funding...
Patients' attitudes toward electronic health information exchange: qualitative studySteven R Simon
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
J Med Internet Res 11:e30. 2009..In many countries, there has been substantial progress in establishing the electronic transmission of patients' health information between health care providers, but little is known about how best to engage patients in the process...
Failure of automated telephone outreach with speech recognition to improve colorectal cancer screening: a randomized controlled trialSteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Arch Intern Med 170:264-70. 2010..Automated telephone outreach with speech recognition (ATO-SR) is used extensively by health plans. Whether ATO-SR can increase rates of colorectal cancer (CRC) screening is unknown...
How to design computerized alerts to safe prescribing practicesAdrianne Feldstein
Center for Health Research, Kaiser Permanente, Portland, Oregon, USA
Jt Comm J Qual Saf 30:602-13. 2004..This study was designed to develop and evaluate medication safety alerts and processes for educating prescribers about the alerts...
The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluationDavid H Smith
Kaiser Permanente Center for Health Research, Portland, OR 97227, USA
Arch Intern Med 166:1098-104. 2006..The objective of this study was to examine the effects of computerized provider order entry with clinical decision support in reducing the use of potentially contraindicated agents in elderly persons...
Web-based learning versus standardized patients for teaching clinical diagnosis: a randomized, controlled, crossover trialMichael K Turner
Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, Minnesota, USA
Teach Learn Med 18:208-14. 2006..Start-up costs were comparable, but the ongoing costs of the WB format were less expensive, suggesting that WB teaching may be a viable strategy...
Laboratory monitoring of drugs at initiation of therapy in ambulatory careMarsha A Raebel
Kaiser Permanente of Colorado Clinical Research Unit, Denver, CO 80237 8066, USA
J Gen Intern Med 20:1120-6. 2005..The objective of this study was to describe laboratory monitoring among ambulatory patients dispensed medications for which laboratory testing is recommended at therapy initiation...
Reducing warfarin medication interactions: an interrupted time series evaluationAdrianne C Feldstein
Center for Health Research, Kaiser Permanente, 3800 N Interstate Avenue, Portland, OR 97227, USA
Arch Intern Med 166:1009-15. 2006..The usefulness of academic detailing to enhance the effectiveness of medication interaction alerts also is uncertain...
Health plan members' views on forgiving medical errorsKathleen M Mazor
Meyers Primary Care Institute, University of Massachusetts Medical School and Fallon Foundation, Worcester, Mass 01605, USA
Am J Manag Care 11:49-52. 2005..Research is needed on how the circumstances that surround a medical error affect how patients respond...
Liver and thyroid monitoring in ambulatory patients prescribed amiodarone in 10 HMOsMarsha A Raebel
Kaiser Permanente Colorado Clinical Research Unit, P O Box 378066, Denver, CO 80237 8066, USA
J Manag Care Pharm 12:656-64. 2006..Amiodarone can cause liver and thyroid toxicity, but little is known about compliance with laboratory tests to evaluate liver and thyroid function among ambulatory patients who are dispensed amiodarone...
Academic detailing to improve laboratory testing among outpatient medication usersJennifer Elston Lafata
Department of Internal Medicine, Center for Health Services Research, Henry Ford Health System, Detroit, Michigan, USA
Med Care 45:966-72. 2007..To determine whether group academic detailing with performance feedback increases recommended laboratory monitoring among outpatients dispensed medications...
Psychometric structure of a comprehensive objective structured clinical examination: a factor analytic approachKevin Volkan
Program in Psychology, Rm 206, Prof Building California State University Channel Islands Camarillo, CA 93012, USA
Adv Health Sci Educ Theory Pract 9:83-92. 2004..This study examines a factor analytic model of a comprehensive OSCE and addresses implications for measurement of clinical performance...
Monitoring of drugs with a narrow therapeutic range in ambulatory careMarsha A Raebel
Clinical Research Unit, Kaiser Permanente of Colorado, PO Box 378066, Denver, CO 80237 8066, USA
Am J Manag Care 12:268-74. 2006....
Laboratory monitoring of potassium and creatinine in ambulatory patients receiving angiotensin converting enzyme inhibitors and angiotensin receptor blockersMarsha A Raebel
Kaiser Permanente of Colorado Clinical Research Unit and School of Pharmacy, University of Colorado at Denver and Health Sciences Center, Denver, CO 80237 8066, USA
Pharmacoepidemiol Drug Saf 16:55-64. 2007..The purpose of this retrospective cohort study was to assess creatinine and potassium monitoring and characteristics associated with monitoring among patients dispensed ACEi or ARB...
Communicating with patients about medical errors: a review of the literatureKathleen M Mazor
Meyers Primary Care Institute, University of Massachusetts Medical School, and Fallon Foundation, Worcester 01605, USA
Arch Intern Med 164:1690-7. 2004....
Frequency of serum creatinine monitoring during allopurinol therapy in ambulatory patientsMarsha A Raebel
Kaiser Permanente of Colorado Clinical Research Unit and School of Pharmacy, University of Colorado at Denver, 80237, USA
Ann Pharmacother 40:386-91. 2006..Allopurinol dosage reduction is recommended in patients with renal dysfunction because drug toxicity risk is increased. Little information is available about serum creatinine (SCr) monitoring in ambulatory patients taking allopurinol...
Improved therapeutic monitoring with several interventions: a randomized trialAdrianne C Feldstein
Center for Health Research, Kaiser Permanente, Portland, OR, USA
Arch Intern Med 166:1848-54. 2006..Differences between guideline recommendations and actual frequency of therapeutic laboratory monitoring are substantial. This study evaluated interventions to improve laboratory monitoring at initiation of medication therapy...
Universal health care and reform of the health care system: views of medical students in the United StatesJeffrey Huebner
Department of Family Medicine, University of Washington, Seattle, Washington 98103, USA
Acad Med 81:721-7. 2006..Recent studies have documented physicians' support for various remedies, including universal health care. The authors undertook this study to assess medical students' views on these topics...
Laboratory evaluation of potassium and creatinine among ambulatory patients prescribed spironolactone: are we monitoring for hyperkalemia?Marsha A Raebel
Kaiser Permanente Colorado Clinical Research Unit and School of Pharmacy, University of Colorado at Denver and Health Sciences Center, Denver, CO 80237, USA
Ann Pharmacother 41:193-200. 2007..Serum potassium and creatinine evaluation is recommended in patients prescribed spironolactone, yet the proportion of ambulatory patients chronically dispensed spironolactone receiving evaluation is not well understood...
Health plan members' views about disclosure of medical errorsKathleen M Mazor
Meyers Primary Care Institute, University of Massachusetts Medical School, and Fallon Foundation, Worcester, Massachusetts 01605, USA
Ann Intern Med 140:409-18. 2004..In some circumstances, the desire to seek legal advice may not diminish despite full disclosure...
