D J Magid

..To determine whether a pharmacist-led, Heart360-enabled, home blood pressure monitoring (HBPM) intervention improves blood pressure (BP) control compared with usual care (UC)...

..The objective of this study was to demonstrate the use of the Heckman two-step method to assess and correct for bias due to missing health related quality of life (HRQL) surveys in a clinical study of acute coronary syndrome (ACS) patients...

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..However, whether impaired HRR is associated with incident AF is unknown. We studied the association of impaired HRR with the development of incident AF, after controlling for demographic and clinical confounders...

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..Clinical practice guidelines recommend multiple cardioprotective medications to reduce recurrent events. We evaluated the association between cardioprotective medication adherence and mortality among patients with diabetes and IHD...

..The objective of this study was to examine the association between diabetes and patients' health status outcomes one year after an acute coronary syndrome (ACS)...

..The purpose of this study is to assess the degree to which EDs are designed, managed, and supported in ways that ensure patient safety...

..We assessed the independent relationship between age and the quality of medical care provided to patients presenting to the emergency department (ED) with acute myocardial infarction...

..However, no trial has assessed the comparative effectiveness of 2nd-line therapy in patients whose BP was not controlled with a thiazide diuretic...

..GOAL The goal was to assess adherence to the CDC guideline recommendations for the treatment of genital chlamydial infection, by clinicians at two group model managed care organizations...

..Research to improve the quality of emergency care can benefit from a more systematic consideration of the domains of quality and the research steps necessary to generate evidence and inform quality improvement efforts in practice...

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..However, no large studies have directly compared outcomes of primary angioplasty vs thrombolytic therapy as a function of institutional experience...

..Our goal was to assess the prevalence of the failure to identify high-risk ECG findings in ED patients with AMI and to determine whether this failure is associated with lower-quality care...

..This study evaluated the participation rates for the program and the predictors of attendance and graduation...

..Health-related quality of life may be useful in identifying patients at increased risk for asthma exacerbation requiring emergency care...

..Despite the importance of blood pressure (BP) control in secondary prevention, a significant proportion of patients with coronary disease have uncontrolled BP...

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..This study examined the association between the parental decision to decline pneumococcal conjugate (PCV7) vaccinations and the risk of hospitalization due to pneumococcal disease or lobar pneumonia in children...

..Variability in office-based blood pressure readings suggests that further improvements in recognition and treatment may be achieved with more specific automated approaches to identifying hypertension...

..S. Food and Drug Administration pregnancy risk category D or X medications was effective in decreasing dispensings of these medications...

..0001), COPD (p < 0.0001), absence of regular specialist care (p = 0.006), higher BMI (p = 0.01), gastroesophageal reflux (p = 0.02), not being Caucasian (p = 0.04), and low income (p = 0.04)...

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..57-0.64); and lowest with the environment domain (r = 0.38-0.43). Asthma control tools reflect the symptoms and activity themes of asthma quality of life well, but reflect the environmental domain less well...

..To examine the association between primary care provider turnover in managed care organizations and measures of member satisfaction and preventive care...

..To provide additional validity data for the Asthma Control TestTM (ACT) using a different criterion measure, setting, and population...

..We attempted to develop clinical prediction rules for adherence with antihypertensive medications in 2 healthcare delivery systems...

..More robust data are also needed on how well clinical trials are translated into contemporary community practice and the associated resource use, costs, and outcomes...

..The objective of this study was to determine if children who contracted pertussis infection were more likely to have parents who refused pertussis vaccinations than a similar group of children who did not develop pertussis infection...

..Little is known about the effect of nonadherence among patients with coronary artery disease (CAD) on a broad spectrum of outcomes including cardiovascular mortality, cardiovascular hospitalizations, and revascularization procedures...

..To quantify both the individual-level and attributable risk of varicella infection requiring medical care in children whose parents refuse varicella immunizations...

..To determine whether an electronic tool effectively increases the percentage of patients receiving laboratory monitoring during ongoing drug therapy...

..To assess the level of reported compliance with renal dosing guidelines in inpatient, long-term care, and ambulatory settings...

..To determine the frequency of monitoring of international normalized ratio (INR) within 14 days of coprescription of warfarin and antimicrobial therapy and to evaluate differences in INR monitoring among antimicrobials...

..The objective of this study was to describe laboratory monitoring among ambulatory patients dispensed medications for which laboratory testing is recommended at therapy initiation...

..Opportunity exists to improve monitoring, with the potential to decrease therapy complications...

..These findings further support the importance of depression as a risk marker for adverse outcomes after ACS...

..Our objectives were to characterize patterns of change in Hb over time in patients with HF and to evaluate the relationship between longitudinal measures of Hb and adverse outcomes...

..Little is known about the competing risk of bleeding from clopidogrel in "real world" clinical practice...

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..In contrast, the annual incidence of reported stranger assaults was similar in the two study years...

..To achieve the best outcomes, hospitals providing PCI during off-hours should commit to doing so in a timely manner...

..The frequency with which patients delay filling a clopidogrel prescription after DES implantation and the association of this delay with adverse outcomes is unknown...

..We sought to determine whether the absence of supplemental Medicare coverage is associated with increased delay in seeking care for acute myocardial infarction...

..A primary care group visit (i.e., several patients meeting together with the provider at the same time) may reduce fragmentation of care and subsequent emergency department utilization...

..Little is known about the determinants of health-related quality of life after coronary artery bypass surgery. We determined the predictors of overall physical and mental health status 6 months after the operation...

..Our objective was to determine the prognostic importance of exercise capacity for nonfatal cardiac events in a clinical population...

..We compared the health status and rehospitalization of patients with ACS admitted to primary versus tertiary care Veterans Affairs hospitals...

..We compared six-month health-related quality of life (HRQL) for high-risk patients with medically refractory ischemia randomized to percutaneous coronary intervention (PCI) versus coronary artery bypass graft (CABG) surgery...

..It is unknown whether patients are at increased short-term risk for adverse events following clopidogrel cessation...

..Patient satisfaction is increasingly recognized as a quality indicator and important outcome of care. Little is known about the clinical factors associated with satisfaction after myocardial infarction (MI)...

..Little is known about the association between clopidogrel use and long-term outcomes after stent implantation for acute coronary syndromes (ACS) in clinical practice...

..To assess the association between impaired chronotropic response (CR) and adverse events among patients with diabetes referred for exercise treadmill testing (ETT)...

..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...

..The association of obesity with asthma outcomes is not well understood...

..87, respectively; p for trend <0.001). In conclusion, timely administration of fibrinolytic therapy continues to significantly impact on mortality in the modern era, particularly in patients presenting early after symptom onset...

..CONCLUSIONS: Several specific hospital strategies are associated with a significant reduction in the door-to-balloon time in the management of myocardial infarction with ST-segment elevation...

..CONCLUSIONS: Greater specialization with PPCI is associated with lower in-hospital mortality and shorter door-to-balloon times in STEMI patients treated with PPCI...

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..Relatively few hospitals have shown substantial improvement...

..Women reported significantly worse health status than men, but the differences observed were small and were attenuated after adjusting for socioeconomic status, smoking, body mass index, and comorbid illness...

..The aim of the study was to assess the quality of care between male and female emergency department (ED) patients with acute myocardial infarction (AMI)...

..NEDSS is the first comprehensive national study of the frequency and types of medical errors in EDs. This article describes the methods used to develop and implement the study...

..We sought to identify achievable subinterval times based on the experience of top performing hospitals...

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..Medication nonadherence may reduce the effectiveness of therapies. To our knowledge, the association between medication nonadherence and mortality remains unexplored outside the context of clinical trials...

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..Multiple measures that reflect a variety of processes and also outcomes, such as risk-standardized mortality rates, are needed to more fully characterize hospital performance...

..0]; p < 0.0001). CONCLUSIONS: The national use of pre-hospital ECG to diagnose and facilitate the treatment of STEMI remains low. When used, however, pre-hospital ECG is associated with a significantly shorter time to reperfusion...

..The goal of the conceptual model is to provide a practical framework on which an organized research, policy, and operations management agenda can be based to alleviate ED crowding...

..Efforts to shorten door-to-balloon time should apply to all patients...

..In conclusion, although evidence of "what works" is based on observational studies rather than randomized trials, there is evidence on effective interventions to reduce door-to-balloon time...

..Controversy remains regarding whether gender differences exist in clinical management after exercise treadmill testing (ETT)...

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..We identify measures of emergency department (ED) and hospital workflow that would be of value in understanding, monitoring, and managing crowding...

..Although it is known that reperfusion therapy for ST-elevation myocardial infarction (STEMI) is underused, the reasons for the failure to provide this potentially life-saving treatment are not well described...