Research Topics
| JEFFREY LAWRENCE SCHNIPPERSummaryAffiliation: Massachusetts General Hospital Country: USA Publications
Research Grants
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Detail Information
Publications
Inpatient management of diabetes and hyperglycemia among general medicine patients at a large teaching hospitalJeffrey L Schnipper
Brigham and Women s Faulkner Hospitalist Program, Brigham and Women s Hospital and Harvard Medical School, Boston, Massachusetts 02120 1613, USA
J Hosp Med 1:145-50. 2006....
Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital dischargeJeffrey L Schnipper
Brigham and Women s Hospital Hospitalist Service, Brigham and Women s Hospital, Boston, Massachusetts, USA
J Am Med Inform Assoc 18:309-13. 2011..Review of feedback identified several usability issues that will inform subsequent versions of the tool and provide generalizable lessons for how best to design medication reconciliation tools for this setting...- Effects of an online personal health record on medication accuracy and safety: a cluster-randomized trialJeffrey L Schnipper
Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, Massachusetts 02120 1613, USA
J Am Med Inform Assoc 19:728-34. 2012..To determine the effects of a personal health record (PHR)-linked medications module on medication accuracy and safety... - Hospital readmission in general medicine patients: a prediction modelOmar Hasan
Division of General Internal Medicine, Brigham and Women s Hospital, 1620 Tremont Street, 3rd Floor, Boston, MA 02120 1613, USA
J Gen Intern Med 25:211-9. 2010..Previous studies of hospital readmission have focused on specific conditions or populations and generated complex prediction models... 
Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trialJeffrey L Schnipper
Harvard Medical School, Division of General Medicine, Brigham and Women s Hospital, 1620 Tremont St, Boston, MA 02120 1613, USA
Arch Intern Med 169:771-80. 2009..We sought to measure the impact of an information technology-based medication reconciliation intervention on medication discrepancies with potential for harm (potential adverse drug events [PADEs])...- Effects of a subcutaneous insulin protocol, clinical education, and computerized order set on the quality of inpatient management of hyperglycemia: results of a clinical trialJeffrey L Schnipper
Brigham and Women s Academic Hospitalist Program, Brigham and Women s Hospital and Harvard Medical School, Boston, Massachusetts 02120 1613, USA
J Hosp Med 4:16-27. 2009..Inpatient hyperglycemia is associated with poor patient outcomes. It is unknown how best to implement glycemic management strategies in the non-intensive care unit (ICU) setting... - Society of Hospital Medicine Glycemic Control Task Force summary: practical recommendations for assessing the impact of glycemic control effortsJeffrey L Schnipper
Brigham and Women's/Faulkner Hospitalist Service and Division of General Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts 02120-1613, USA
J Hosp Med 3:66-75. 2008 - Design and implementation of a web-based patient portal linked to an electronic health record designed to improve medication safety: the Patient Gateway medications moduleJeffrey L Schnipper
Academic Hospitalist Service and Associate Physician, Division of General Medicine and Primary Care, Brigham and Women s Hospital, 1620 Tremont Street, Boston, MA 02120, USA
Inform Prim Care 16:147-55. 2008..Further analyses will determine the effects of this module on important medication-related outcomes and identify further enhancements needed to improve on this approach... - Effects of a computerized order set on the inpatient management of hyperglycemia: a cluster-randomized controlled trialJeffrey L Schnipper
Division of General Medicine, Brigham and Women s Hospital, 1620 Tremont Street, Boston, MA 02120 1613, USA
Endocr Pract 16:209-18. 2010..To determine the effects of a computerized order set on the inpatient management of diabetes and hyperglycemia... - "Smart Forms" in an Electronic Medical Record: documentation-based clinical decision support to improve disease managementJeffrey L Schnipper
Division of General Medicine, Brigham and Women s Hospital, 1620 Tremont Street, Boston, MA 02120 1613, USA
J Am Med Inform Assoc 15:513-23. 2008..The current version of the Smart Form is designed around two chronic diseases: coronary artery disease and diabetes mellitus. The Smart Form has potential to improve the care of patients with both acute and chronic conditions... - Diagnostic yield and utility of neurovascular ultrasonography in the evaluation of patients with syncopeJeffrey L Schnipper
Division of General Medicine, Brigham and Women s Hospital, Massachusetts General Hospital, Boston 02120 1613, USA
Mayo Clin Proc 80:480-8. 2005..To determine the diagnostic utility of neurovascular ultrasonography (transcranial Doppler and carotid ultrasonography) in patients with syncope... - Effects of documentation-based decision support on chronic disease managementJeffrey L Schnipper
Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA 02120, USA
Am J Manag Care 16:SP72-81. 2010..To evaluate whether a new documentation-based clinical decision support system (CDSS) is effective in addressing deficiencies in the care of patients with coronary artery disease (CAD) and diabetes mellitus (DM)... - Role of pharmacist counseling in preventing adverse drug events after hospitalizationJeffrey L Schnipper
Brigham and Women s Faulkner Hospitalist Program, Division of General Medicine, Brigham and Women s Hospital, Boston, Massachusetts 02120 1613, USA
Arch Intern Med 166:565-71. 2006..Our objectives were to identify drug-related problems during and after hospitalization and to determine the effect of patient counseling and follow-up by pharmacists on preventable ADEs... - Improving glycemic control in medical inpatients: a pilot studyJennifer M Trujillo
Northeastern University School of Pharmacy, Boston, MA 02115, USA
J Hosp Med 3:55-63. 2008..Inpatient hyperglycemia is associated with poor patient outcomes. Current guidelines recommend that in an inpatient non-ICU setting there be treatment to achieve a glucose level below 180 mg/dL... - Rationale and design of the Pharmacist Intervention for Low Literacy in Cardiovascular Disease (PILL-CVD) studyJeffrey L Schnipper
Division of General Medicine and Primary Care, Brigham and Women s Hospital, Harvard Medical School, Boston, MA, USA
Circ Cardiovasc Qual Outcomes 3:212-9. 2010..Pharmacist-based interventions may be effective in promoting the safe and effective use of medications, especially among high-risk patients such as those with low health literacy... - Classifying and predicting errors of inpatient medication reconciliationJennifer R Pippins
Division of General Medicine, Brigham and Women s Hospital, Boston, MA 02120 1613, USA
J Gen Intern Med 23:1414-22. 2008..Failure to reconcile medications across transitions in care is an important source of potential harm to patients. Little is known about the predictors of unintentional medication discrepancies and how, when, and where they occur... - Discharge documentation of patients discharged to subacute facilities: a three-year quality improvement process across an integrated health care systemEsteban Gandara
Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, USA
Jt Comm J Qual Patient Saf 36:243-51. 2010..Partners Healthcare (Boston) has been engaged in a multi-year process to measure and improve the quality of documentation of all patients discharged from its five acute care hospitals to subacute facilities... - Documentation-based clinical decision support to improve antibiotic prescribing for acute respiratory infections in primary care: a cluster randomised controlled trialJeffrey A Linder
Division of General Medicine and Primary Care, Brigham and Women s Hospital, 1620 Tremont Street, BC 3 2X, Boston, MA 02120, USA
Inform Prim Care 17:231-40. 2009..Electronic health record (EHR)-based clinical decision support has the potential to improve antibiotic prescribing for ARIs... - Complementary methods of system usability evaluation: surveys and observations during software design and development cyclesJan Horsky
Clinical Informatics Research and Development, Partners HealthCare, Boston, USA
J Biomed Inform 43:782-90. 2010..Appropriate use of these methods consistently during development may significantly improve system usability and contribute to higher adoption rates among clinicians and to improved quality of care... - Self-reported familiarity with acute respiratory infection guidelines and antibiotic prescribing in primary careJeffrey A Linder
Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA 02120, USA
Int J Qual Health Care 22:469-75. 2010..We sought to determine if self-reported familiarity with acute respiratory infection (ARI) antibiotic treatment guidelines was associated with reduced or more appropriate antibiotic prescribing for ARIs in primary care... - Implementing practice-linked pre-visit electronic journals in primary care: patient and physician use and satisfactionJonathan S Wald
Harvard Medical School, Boston, MA, USA
J Am Med Inform Assoc 17:502-6. 2010..013), helpful to patients in visit preparation (66% vs 20%; p=0.082), and would recommend them to colleagues (78% vs 22%; p=0.0143). eJournal integration into practice warrants further study... - Electronic health record feedback to improve antibiotic prescribing for acute respiratory infectionsJeffrey A Linder
Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA 02120, USA
Am J Manag Care 16:e311-9. 2010..To examine whether the Acute Respiratory Infection (ARI) Quality Dashboard, an electronic health record (EHR)-based feedback system, changed antibiotic prescribing... - Communication and information deficits in patients discharged to rehabilitation facilities: an evaluation of five acute care hospitalsEsteban Gandara
Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, Massachusetts 02120 1613, USA
J Hosp Med 4:E28-33. 2009..The quality of discharge documentation in patients discharged to rehabilitation centers and other subacute facilities is less well studied than that of patients discharged home... - Decision support for acute problems: the role of the standardized patient in usability testingJeffrey A Linder
Division of General Medicine, Brigham and Women s Hospital, Boston, MA, USA
J Biomed Inform 39:648-55. 2006..Standardized patients should be considered for usability testing, especially if an application is to be used during the patient interview... - Design and implementation of a web-based patient portal linked to an ambulatory care electronic health record: patient gateway for diabetes collaborative careRichard W Grant
Division of General Medicine, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
Diabetes Technol Ther 8:576-86. 2006.... - Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery networkEric G Poon
Clinical Informatics Research and Development, Suite 201, 93 Worcester St, Wellesley, MA 02481, USA
J Am Med Inform Assoc 13:581-92. 2006..Results from early pilot testing suggest that this new medication reconciliation process is well accepted by clinicians and has significant potential to prevent medication errors during transitions of care... - Empowering patients to improve the quality of their care: design and implementation of a shared health maintenance module in a US integrated healthcare delivery networkEric G Poon
Partners Information Systems, Partners HealthCare, Boston, MA, USA
Stud Health Technol Inform 129:1002-6. 2007..Further research will determine the long term impact and sustainability of this approach... - Evaluation of an inpatient computerized medication reconciliation systemAlexander Turchin
Brigham and Women s Hospital, Boston, MA, USA
J Am Med Inform Assoc 15:449-52. 2008..Most users agreed that medication reconciliation improves patient care but requested tighter integration of the different stages of the medication reconciliation process. Further training may be helpful in improving user efficiency... - Deficits in discharge documentation in patients transferred to rehabilitation facilities on anticoagulation: results of a systemwide evaluationEsteban Gandara
Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, USA
Jt Comm J Qual Patient Saf 34:460-3. 2008..Anticoagulation is a commonly prescribed and effective therapy for several medical conditions but requires detailed communication among clinicians to avoid adverse patient outcomes following hospital discharge... - Practice-linked online personal health records for type 2 diabetes mellitus: a randomized controlled trialRichard W Grant
Division of General Medicine, Massachusetts General Hospital, 50 9 Staniford St, Boston, Massachusetts 02114, USA
Arch Intern Med 168:1776-82. 2008..Web-based personal health records (PHRs) have been advocated as a means to improve type 2 diabetes mellitus (DM) care. However, few Web-based systems are linked directly to the electronic medical record (EMR) used by physicians... - Implementation of a physician assistant/hospitalist service in an academic medical center: impact on efficiency and patient outcomesChristopher L Roy
Department of Medicine, Division of General Medicine and Primary Care, Hospitalist Service, Brigham and Women s Hospital, Boston, Massachusetts 02115, USA
J Hosp Med 3:361-8. 2008.... - Using qualitative studies to improve the usability of an EMRAlan F Rose
Clinical Informatics Research and Development, Partners HealthCare System, Boston, MA 01752, USA
J Biomed Inform 38:51-60. 2005..We used the findings of these studies to recommend design changes to the user interface of the results management module...
Research Grants
- Using Information Systems to Improve Cardiac PreventionJeffrey Schnipper; Fiscal Year: 2007..Schnipper's development as an independent researcher in improving the quality of care of patients with CAD. ..