Alexander Turchin

Summary

Affiliation: Massachusetts General Hospital
Country: USA

Publications

  1. pmc Lifestyle counseling in routine care and long-term glucose, blood pressure, and cholesterol control in patients with diabetes
    Fritha Morrison
    Division of Endocrinology, Brigham and Women s Hospital, Boston, Massachusetts, USA
    Diabetes Care 35:334-41. 2012
  2. pmc Documentation of body mass index and control of associated risk factors in a large primary care network
    Stephanie A Rose
    Division of General Internal Medicine, University of Kentucky, 740 South Limestone Street, Kentucky Clinic K507, Lexington, KY 40536, USA
    BMC Health Serv Res 9:236. 2009
  3. ncbi request reprint Clinical problem-solving. Mind the gap
    Alexander Turchin
    Division of Endocrinology, Diabetes and Hypertension, Department of Medicine, Brigham and Women s Hospital, Boston 02115, USA
    N Engl J Med 349:1465-9. 2003
  4. doi request reprint Effectiveness of interruptive alerts in increasing application functionality utilization: a controlled trial
    Alexander Turchin
    Clinical Informatics Research and Development, Partners HealthCare, Boston, MA, USA
    J Biomed Inform 44:463-8. 2011
  5. pmc Hypoglycemia and clinical outcomes in patients with diabetes hospitalized in the general ward
    Alexander Turchin
    Brigham and Women s Hospital, Boston, Massachusetts, USA
    Diabetes Care 32:1153-7. 2009
  6. pmc Comparison of information content of structured and narrative text data sources on the example of medication intensification
    Alexander Turchin
    Clinical Informatics Research and Development, Suite 201, 93 Worcester St, Wellesley, MA 02481, USA
    J Am Med Inform Assoc 16:362-70. 2009
  7. pmc Evaluation of an inpatient computerized medication reconciliation system
    Alexander Turchin
    Brigham and Women s Hospital, Boston, MA, USA
    J Am Med Inform Assoc 15:449-52. 2008
  8. doi request reprint Effect of board certification on antihypertensive treatment intensification in patients with diabetes mellitus
    Alexander Turchin
    Division of Endocrinology, Brigham and Women s Hospital, 221 Longwood Ave, Boston, MA 02115, USA
    Circulation 117:623-8. 2008
  9. pmc Encounter frequency and blood pressure in hypertensive patients with diabetes mellitus
    Alexander Turchin
    Division of Endocrinology, Brigham and Women s Hospital, 221 Longwood Ave, Boston, MA 02115, USA
    Hypertension 56:68-74. 2010
  10. ncbi request reprint The use of electronic medication reconciliation to establish the predictors of validity of computerized medication records
    Alexander Turchin
    Clinical Informatics Research and Development, Partners HealthCare, Boston, MA, USA
    Stud Health Technol Inform 129:1022-6. 2007

Research Grants

Collaborators

Detail Information

Publications38

  1. pmc Lifestyle counseling in routine care and long-term glucose, blood pressure, and cholesterol control in patients with diabetes
    Fritha Morrison
    Division of Endocrinology, Brigham and Women s Hospital, Boston, Massachusetts, USA
    Diabetes Care 35:334-41. 2012
    ..However, little is known about the long-term effects of lifestyle counseling on patients with diabetes in routine clinical settings...
  2. pmc Documentation of body mass index and control of associated risk factors in a large primary care network
    Stephanie A Rose
    Division of General Internal Medicine, University of Kentucky, 740 South Limestone Street, Kentucky Clinic K507, Lexington, KY 40536, USA
    BMC Health Serv Res 9:236. 2009
    ..We evaluated current documentation of BMI, and documentation and control of associated risk factors by BMI category, based on electronic health records from a 12-clinic primary care network...
  3. ncbi request reprint Clinical problem-solving. Mind the gap
    Alexander Turchin
    Division of Endocrinology, Diabetes and Hypertension, Department of Medicine, Brigham and Women s Hospital, Boston 02115, USA
    N Engl J Med 349:1465-9. 2003
  4. doi request reprint Effectiveness of interruptive alerts in increasing application functionality utilization: a controlled trial
    Alexander Turchin
    Clinical Informatics Research and Development, Partners HealthCare, Boston, MA, USA
    J Biomed Inform 44:463-8. 2011
    ..0001). Alerts led to a nearly 2-fold increase in utilization of the promoted functionalities. Interruptive alerts are an effective method of delivering information about application functionalities to users...
  5. pmc Hypoglycemia and clinical outcomes in patients with diabetes hospitalized in the general ward
    Alexander Turchin
    Brigham and Women s Hospital, Boston, Massachusetts, USA
    Diabetes Care 32:1153-7. 2009
    ..In this study, we aimed to determine whether hypoglycemic episodes are associated with higher mortality in diabetic patients hospitalized in the general ward...
  6. pmc Comparison of information content of structured and narrative text data sources on the example of medication intensification
    Alexander Turchin
    Clinical Informatics Research and Development, Suite 201, 93 Worcester St, Wellesley, MA 02481, USA
    J Am Med Inform Assoc 16:362-70. 2009
    ..Clinical validity of information in both sources was demonstrated by correlation with changes in blood pressure...
  7. pmc Evaluation of an inpatient computerized medication reconciliation system
    Alexander 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...
  8. doi request reprint Effect of board certification on antihypertensive treatment intensification in patients with diabetes mellitus
    Alexander Turchin
    Division of Endocrinology, Brigham and Women s Hospital, 221 Longwood Ave, Boston, MA 02115, USA
    Circulation 117:623-8. 2008
    ..We therefore carried out a study to determine whether the frequency of antihypertensive treatment intensification for diabetic patients changes with time since their physicians' last board certification...
  9. pmc Encounter frequency and blood pressure in hypertensive patients with diabetes mellitus
    Alexander Turchin
    Division of Endocrinology, Brigham and Women s Hospital, 221 Longwood Ave, Boston, MA 02115, USA
    Hypertension 56:68-74. 2010
    ..Greatest benefits were observed at encounter intervals (<or=2 weeks) shorter than what is currently recommended...
  10. ncbi request reprint The use of electronic medication reconciliation to establish the predictors of validity of computerized medication records
    Alexander Turchin
    Clinical Informatics Research and Development, Partners HealthCare, Boston, MA, USA
    Stud Health Technol Inform 129:1022-6. 2007
    ..Several characteristics of electronic medication records are strongly associated with their validity. These findings could be incorporated in the design of CIS software to alert providers to medication records less likely to be accurate...
  11. ncbi request reprint Computational analysis of non-adherence and non-attendance using the text of narrative physician notes in the electronic medical record
    Alexander Turchin
    Division of Endocrinology, Brigham and Women s Hospital, Boston, MA 02115, USA
    Med Inform Internet Med 32:93-102. 2007
    ..This approach has been validated at several levels and demonstrated to correlate with clinical outcomes...
  12. ncbi request reprint Relationship of physician volume with process measures and outcomes in diabetes
    Alexander Turchin
    Division of Endocrinology, Brigham and Women s Hospital, Boston, Massachusetts 02115, USA
    Diabetes Care 30:1442-7. 2007
    ..It is not known whether a similar association exists for treatment of diabetes. In this study we aimed to determine whether physician volume is associated with improved process measures and outcomes in diabetes care...
  13. ncbi request reprint Severe hypercholesterolemia mediated by lipoprotein X in patients with chronic graft-versus-host disease of the liver
    A Turchin
    Division of Endocrinology, Diabetes and Hypertension, Brigham and Women s Hospital, 221 Longwood Avenue, Boston, MA 02115, USA
    Bone Marrow Transplant 35:85-9. 2005
    ..It is important for clinicians to familiarize themselves with the diagnostic and therapeutic challenges this condition presents...
  14. pmc Using regular expressions to abstract blood pressure and treatment intensification information from the text of physician notes
    Alexander Turchin
    Clinical Informatics Research and Development, Partners HealthCare System, 93 Worcester Street, Suite 201, Wellesley, MA 02481, USA
    J Am Med Inform Assoc 13:691-5. 2006
    ..8%, specificity of 95.0%, and precision of 85.9%. Regular expressions can be an effective method for focused information extraction tasks related to high-priority disease areas such as hypertension...
  15. ncbi request reprint Identification of patients with diabetes from the text of physician notes in the electronic medical record
    Alexander Turchin
    Division of Endocrinology, BrighamWomen s Hospital, Boston, MA 02115, USA
    Diabetes Care 28:1794-5. 2005
  16. ncbi request reprint Effect of acute aldosterone administration on gene expression profile in the heart
    Alexander Turchin
    Division of Endocrinology, Brigham and Women s Hospital, 221 Longwood Avenue, Boston, Massachusetts 02115, USA
    Endocrinology 147:3183-9. 2006
    ..These results provide the first description of cardiac genetic response to aldosterone and identify several potential mediators of known biochemical sequelae of aldosterone administration in the heart...
  17. doi request reprint Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial
    Jeffrey 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])...
  18. pmc Lexical concept distribution reflects clinical practice
    Eugene Breydo
    Quality Performance Management, Partners HealthCare, Boston, MA, USA
    AMIA Annu Symp Proc 2012:61-6. 2012
    ..These findings provide evidence that narrative medical documents directly reflect clinical practice and constitute a valid source of medical data...
  19. pmc Treatment intensification and blood glucose control among hospitalized diabetic patients
    Michael E Matheny
    Decision Systems Group, Brigham and Women s Hospital, Boston, MA 02115, USA
    J Gen Intern Med 23:184-9. 2008
    ..We evaluated the relationship between treatment intensification and changes in blood glucose in hospitalized diabetic patients...
  20. pmc Prevalence and factors affecting home blood pressure documentation in routine clinical care: a retrospective study
    Michael H Kramer
    Department of Computer Science, Harvard College, Cambridge, MA, USA
    BMC Health Serv Res 10:139. 2010
    ..However, the prevalence of its documentation has not been examined. The objective of this study was to analyze the prevalence and factors affecting documentation of home BP in routine clinical care...
  21. pmc Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge
    Jeffrey 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...
  22. pmc Encounter frequency and serum glucose level, blood pressure, and cholesterol level control in patients with diabetes mellitus
    Fritha Morrison
    Division of Endocrinology, Brigham and Women s Hospital, Harvard Medical School, 221 Longwood Ave, Boston, MA 02115, USA
    Arch Intern Med 171:1542-50. 2011
    ....
  23. pmc Performance of primary care physicians and other providers on key process measures in the treatment of diabetes
    Fritha Morrison
    Division of Endocrinology, Brigham and Women s Hospital, Boston, MA, USA
    Diabetes Care 36:1147-52. 2013
    ..This study aims to determine whether primary care physicians (PCPs) provide more frequent medication intensification, lifestyle counseling, and patient encounters than other providers in the primary care setting...
  24. pmc Meaningful measurement: developing a measurement system to improve blood pressure control in patients with chronic kidney disease
    Jeffrey O Greenberg
    Deparment of Medicine, Brigham and Women s Hospital, Boston, Massachusetts 02115, USA
    J Am Med Inform Assoc 20:e97-e101. 2013
    ....
  25. pmc Classifying and predicting errors of inpatient medication reconciliation
    Jennifer 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...
  26. pmc Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network
    Eric 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...
  27. pmc An unintended consequence of electronic prescriptions: prevalence and impact of internal discrepancies
    Matvey B Palchuk
    Harvard Medical School, Boston, Massachusetts, USA
    J Am Med Inform Assoc 17:472-6. 2010
    ..Improvements in electronic medical record design are necessary to minimize the risk of discrepancies and resulting adverse events...
  28. pmc Structured vs. unstructured: factors affecting adverse drug reaction documentation in an EMR repository
    Stephen Skentzos
    Brigham and Women s Hospital, Inc, Boston, MA, USA
    AMIA Annu Symp Proc 2011:1270-9. 2011
    ..6, p < 0.0001). Integration of information flow between EMR modules can help improve documentation and potentially prevent adverse drug events...
  29. pmc Hypoglycemia, with or without insulin therapy, is associated with increased mortality among hospitalized patients
    Rajesh Garg
    Brigham and Women s Hospital, Harvard Medical School, Boston, MA, USA
    Diabetes Care 36:1107-10. 2013
    ..Hypoglycemia is associated with increased mortality in hospitalized patients. We investigated the relationship between spontaneous hypoglycemia versus insulin-associated hypoglycemia and mortality in hospitalized patients...
  30. pmc Activation of the mineralocorticoid receptor increases striatin levels
    Luminita H Pojoga
    Division of Endocrinology, Diabetes and Hypertension, Department of Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts, USA
    Am J Hypertens 25:243-9. 2012
    ..Striatin, a membrane associated protein, interacts with estrogen receptors in endothelial cells...
  31. pmc Routinely measuring and reporting pneumococcal vaccination among immunosuppressed rheumatology outpatients: the first step in improving quality
    Sonali P Desai
    Department of Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
    Rheumatology (Oxford) 50:366-72. 2011
    ..Data suggest that rates of vaccination in this population are not optimal. To support continuous quality improvement efforts, we electronically measured vaccination status among rheumatology outpatients over time...
  32. pmc Unexpected effects of unintended consequences: EMR prescription discrepancies and hemorrhage in patients on warfarin
    Alexander Turchin
    Partners HealthCare System, Inc, Boston, MA, USA
    AMIA Annu Symp Proc 2011:1412-7. 2011
    ..045) compared to controls.Consequences of EMR errors may not be obvious. Studies that directly examine clinical outcomes are necessary to identify categories of EMR errors likely to cause patient harm...
  33. ncbi request reprint Increasing pneumococcal vaccination for immunosuppressed patients: a cluster quality improvement trial
    Sonali P Desai
    Brigham and Women s Hospital, Boston, Massachusetts 02115, USA
    Arthritis Rheum 65:39-47. 2013
    ....
  34. pmc "Summary Page": a novel tool that reduces omitted data in research databases
    Saveli I Goldberg
    Massachusetts General Hospital, Boston, MA, USA
    BMC Med Res Methodol 10:91. 2010
    ..Omitted data are of particular concern because they are more common than erroneously inserted data and therefore could potentially affect research findings. However, few affordable strategies for their prevention are available...
  35. ncbi request reprint An online spaced-education game among clinicians improves their patients' time to blood pressure control: a randomized controlled trial
    B Price Kerfoot
    From the Veterans Affairs Boston Healthcare System, Boston, MA B P K, D G, P R C Harvard Medical School, Boston, MA B P K, A T, P R C Brigham and Women s Hospital, Boston, MA A T, E B, P R C Partners HealthCare, Boston, MA A T Pharmacoepidemiology Research Group Massachusetts Veterans Epidemiology Research and Information Center, Boston D G and Boston University School of Public Health, MA D G
    Circ Cardiovasc Qual Outcomes 7:468-74. 2014
    ..We investigated whether an online spaced-education (SE) game among primary care clinicians can decrease time to BP target among their hypertensive patients...
  36. ncbi request reprint Statin use and calcific uremic arteriolopathy: a matched case-control study
    Sagar U Nigwekar
    Division of Nephrology, Dermatopathology Unit, Massachusetts General Hospital, Boston, MA 02114, USA
    Am J Nephrol 37:325-32. 2013
    ..Prior research has shown that statins have anticalcification, antithrombotic and antiinflammatory properties; however, the association between statin use and CUA has not been investigated...
  37. doi request reprint Building a departmental quality program: a patient-based and provider-led approach
    Lara E Szent-Gyorgyi
    Department of Medicine, Brigham and Women s Hospital, Boston, Massachusetts 02115, USA
    Acad Med 86:314-20. 2011
    ..The program's system-based focus encourages providers to develop solutions within the existing framework of clinic resources, primarily targeting work flows and processes, while minimizing large expenditures on additional staffing...
  38. doi request reprint An algorithm for the care of type 2 diabetes
    Alan Cole
    Division of Endocrinology, Diabetes and Hypertension, Brigham and Women s Hospital, Harvard Medical School, Boston, MA, USA
    Crit Pathw Cardiol 8:156-65. 2009
    ..Additional teaching is provided in the form of frequently asked questions answered by domain experts...

Research Grants1