J E Heffner

Summary

Affiliation: Medical University of South Carolina
Country: USA

Publications

  1. ncbi request reprint Using intranet-based order sets to standardize clinical care and prepare for computerized physician order entry
    John E Heffner
    Center for Clinical Effectiveness and Patient Safety, Medical University of South Carolina, Charleston, USA
    Jt Comm J Qual Saf 30:366-76. 2004
  2. ncbi request reprint Multilevel and continuous pleural fluid pH likelihood ratios for draining parapneumonic effusions
    John E Heffner
    Division of Pulmonary and Critical Care Medicine, Medical University of South Carolina, Charleston, SC, USA
    Respiration 72:351-6. 2005
  3. ncbi request reprint Management of the chronically ventilated patient with a tracheostomy
    J E Heffner
    Medical University of South Carolina, 169 Ashley Avenue, PO Box 250332, Charleston, South Carolina 29425, USA
    Chron Respir Dis 2:151-61. 2005
  4. ncbi request reprint Discriminating between transudates and exudates
    John E Heffner
    Center of Clinical Effectiveness and Patient Safety, Medical University of South Carolina, 169 Ashley Avenue, PO Box 250332, Charleston, SC 29426, USA
    Clin Chest Med 27:241-52. 2006
  5. ncbi request reprint The guideline approach to chronic obstructive pulmonary disease: how effective?
    John E Heffner
    Center for Clinical Effectiveness and Patient Safety, Medical University of South Carolina, Charleston SC 29425, USA
    Respir Care 48:1257-66; discussion 1267-8. 2003
  6. ncbi request reprint Chronic obstructive pulmonary disease in geriatric critical care
    John E Heffner
    Pulmonary Divison, 812 CSB, Medical University of South Carolina, 96 Jonathan Lucas Street, P O Box 250623, Charleston, SC 29425, USA
    Crit Care Clin 19:713-27. 2003
  7. ncbi request reprint Tracheotomy application and timing
    John E Heffner
    Division of Pulmonary and Critical Care Medicine, 812 CSB, Medical University of South Carolina, 96 Jonathan Lucas Street, Post Office Box 250623, Charleston, SC 29425, USA
    Clin Chest Med 24:389-98. 2003
  8. ncbi request reprint Multilevel and continuous pleural fluid pH likelihood ratios for evaluating malignant pleural effusions
    John E Heffner
    Division of Pulmonary and Critical Care Medicine, Medical University of South Carolina, Charleston, SC 29425, USA
    Chest 123:1887-94. 2003
  9. ncbi request reprint A meta-analysis derivation of continuous likelihood ratios for diagnosing pleural fluid exudates
    John E Heffner
    Medical University of South Carolina, Division of Pulmonary and Critical Care Medicine 812CSB, 96 Jonathan Lucas Street, P O Box 250623, Charleston, SC 29425, USA
    Am J Respir Crit Care Med 167:1591-9. 2003
  10. ncbi request reprint Safety in training and learning in the intensive care unit
    John E Heffner
    Department of Medicine, Medical University of South Carolina, 169 Ashley Avenue, P O Box 250332, Charleston, SC 29425, USA
    Crit Care Clin 21:129-48, ix. 2005

Detail Information

Publications36

  1. ncbi request reprint Using intranet-based order sets to standardize clinical care and prepare for computerized physician order entry
    John E Heffner
    Center for Clinical Effectiveness and Patient Safety, Medical University of South Carolina, Charleston, USA
    Jt Comm J Qual Saf 30:366-76. 2004
    ..INTRANET CLINICIAN ORDER FORMS (COF): The COF system at the Medical University of South Carolina (MUSC) allows caregivers to enter and print orders through the intranet at points of care and to access decision support resources...
  2. ncbi request reprint Multilevel and continuous pleural fluid pH likelihood ratios for draining parapneumonic effusions
    John E Heffner
    Division of Pulmonary and Critical Care Medicine, Medical University of South Carolina, Charleston, SC, USA
    Respiration 72:351-6. 2005
    ..Although clinical practice guidelines endorse the use of pleural fluid pH to select patients with parapneumonic effusions for pleural drainage, no studies have reported likelihood ratios for pleural fluid pH...
  3. ncbi request reprint Management of the chronically ventilated patient with a tracheostomy
    J E Heffner
    Medical University of South Carolina, 169 Ashley Avenue, PO Box 250332, Charleston, South Carolina 29425, USA
    Chron Respir Dis 2:151-61. 2005
    ..Avoiding complications from tracheostomy requires a skilled multi-disciplinary approach to ensure that the benefits outweigh the risks of the procedure...
  4. ncbi request reprint Discriminating between transudates and exudates
    John E Heffner
    Center of Clinical Effectiveness and Patient Safety, Medical University of South Carolina, 169 Ashley Avenue, PO Box 250332, Charleston, SC 29426, USA
    Clin Chest Med 27:241-52. 2006
    ..Considerable misclassifications can occur with all available testing strategies, so clinicians benefit from adopting a nondichotomous, bayesian approach for interpreting test results...
  5. ncbi request reprint The guideline approach to chronic obstructive pulmonary disease: how effective?
    John E Heffner
    Center for Clinical Effectiveness and Patient Safety, Medical University of South Carolina, Charleston SC 29425, USA
    Respir Care 48:1257-66; discussion 1267-8. 2003
    ..The present article reviews those guidelines, evidence for their effectiveness, and approaches to improve their implementation...
  6. ncbi request reprint Chronic obstructive pulmonary disease in geriatric critical care
    John E Heffner
    Pulmonary Divison, 812 CSB, Medical University of South Carolina, 96 Jonathan Lucas Street, P O Box 250623, Charleston, SC 29425, USA
    Crit Care Clin 19:713-27. 2003
    ..Most patients survive hospitalization in the ICU for an episode of respiratory failure. The severity of the underlying lung disease, however, underlies the poor outcomes of patients in terms of postdischarge survival and quality of life...
  7. ncbi request reprint Tracheotomy application and timing
    John E Heffner
    Division of Pulmonary and Critical Care Medicine, 812 CSB, Medical University of South Carolina, 96 Jonathan Lucas Street, Post Office Box 250623, Charleston, SC 29425, USA
    Clin Chest Med 24:389-98. 2003
    ..Regardless of the method for performing tracheotomy, meticulous surgical technique and careful postoperative management are necessary to maintain the excellent safety record of tracheotomy for critically ill patients...
  8. ncbi request reprint Multilevel and continuous pleural fluid pH likelihood ratios for evaluating malignant pleural effusions
    John E Heffner
    Division of Pulmonary and Critical Care Medicine, Medical University of South Carolina, Charleston, SC 29425, USA
    Chest 123:1887-94. 2003
    ..Thus, we quantitatively assessed different methods for deriving likelihood ratios from pleural fluid pH and evaluated the potential role of pH in selecting patients for pleurodesis...
  9. ncbi request reprint A meta-analysis derivation of continuous likelihood ratios for diagnosing pleural fluid exudates
    John E Heffner
    Medical University of South Carolina, Division of Pulmonary and Critical Care Medicine 812CSB, 96 Jonathan Lucas Street, P O Box 250623, Charleston, SC 29425, USA
    Am J Respir Crit Care Med 167:1591-9. 2003
  10. ncbi request reprint Safety in training and learning in the intensive care unit
    John E Heffner
    Department of Medicine, Medical University of South Carolina, 169 Ashley Avenue, P O Box 250332, Charleston, SC 29425, USA
    Crit Care Clin 21:129-48, ix. 2005
    ....
  11. ncbi request reprint Pleural fluid pH as a predictor of survival for patients with malignant pleural effusions
    J E Heffner
    Division of Pulmonary and Critical Care Medicine, Medical University of South Carolina, Charleston, SC 29425, USA
    Chest 117:79-86. 2000
    ..To assess the accuracy of pleural fluid (PF) pH in predicting duration of survival of patients with malignant pleural effusions...
  12. ncbi request reprint Pleural fluid pH as a predictor of pleurodesis failure: analysis of primary data
    J E Heffner
    Division of Pulmonary and Critical Care Medicine, Medical University of South Carolina, Charleston, SC 29425, USA
    Chest 117:87-95. 2000
    ..To determine the predictive accuracy of pH for identifying patients with malignant pleural effusions who will fail pleurodesis...
  13. ncbi request reprint End-of-life care preferences of patients enrolled in cardiovascular rehabilitation programs
    J E Heffner
    Department of Medicine, Medical University of South Carolina, Charleston 29425, USA
    Chest 117:1474-81. 2000
    ..The study assessed the interests of ambulatory cardiac patients in advance planning and their willingness to participate in rehabilitation program-based end-of-life education...
  14. ncbi request reprint Tracheostomy management in the chronically ventilated patient
    J E Heffner
    Department of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA
    Clin Chest Med 22:55-69. 2001
    ..Preparing patients for airway decannulation after they have weaned from mechanical ventilation requires a similar level of skill and attention to detail...
  15. ncbi request reprint Effects of advance care education in cardiovascular rehabilitation programs: a prospective randomized study
    J E Heffner
    Department of Medicine, Medical University of South Carolina, Charleston 29425, USA
    J Cardiopulm Rehabil 21:387-91. 2001
    ..To determine the effect of advance care education provided to patients enrolled in cardiovascular rehabilitation (CVR) programs and assess patients' acceptance of the educational program...
  16. ncbi request reprint Chronic obstructive pulmonary disease: on an exponential curve of progress
    John E Heffner
    Division of Pulmonary and Critical Care Medicine, Medical University of South Carolina, Charleston 29425, USA
    Respir Care 47:586-607. 2002
    ..In this review, evidence is presented that we are on the upward limb of an exponential curve of progress in managing COPD, which will produce major advances in our ability to recognize and treat this disorder in its earliest stages...
  17. ncbi request reprint Long-term effects of inhaled corticosteroids on FEV1 in patients with chronic obstructive pulmonary disease. A meta-analysis
    Kristin B Highland
    Division of Pulmonary, Critical Care, Allergy and Clinical Immunology, Medical University of South Carolina, 96 Jonathan Lucas Street, 812 CSB, Box 250623, Charleston, South Carolina 29425, USA
    Ann Intern Med 138:969-73. 2003
    ..There is no consensus on the effectiveness of inhaled corticosteroids for the treatment of chronic obstructive pulmonary disease (COPD)...
  18. ncbi request reprint Overcoming barriers to pneumococcal vaccination in patients with pneumonia
    Danielle B Scheurer
    Brigham and Women s Hospital in Boston, Massachusetts, Department of Medicine and Hospitalist Medicine, 75 Francis Street, PB B4 424, Boston, MA 02115, USA
    Am J Med Qual 21:18-29. 2006
    ..This study suggests that a multidimensional intervention is required to improve compliance with inpatient vaccination best clinical practices...
  19. ncbi request reprint The role of tracheotomy in weaning
    J E Heffner
    Medical University of South Carolina, Division of Pulmonary and Critical Care Medicine, Allergy, and Clinical Immunology, Charleston, SC, USA
    Chest 120:477S-81S. 2001
    ..Tracheotomy then is performed when the patient appears likely to gain one or more of the benefits ascribed to the procedure...
  20. doi request reprint Recent advances in the diagnosis and management of malignant pleural effusions
    John E Heffner
    Department of Medicine, Providence Portland Medical Center, Oregon Health and Science University, 5040 NE Hoyt St, Ste 540, Portland, OR 97213, USA
    Mayo Clin Proc 83:235-50. 2008
    ..Studies in the English language were identified by searching the MEDLINE database (1980-2007) using the search terms pleura, pleural, malignant, pleurodesis, and thoracoscopy...
  21. ncbi request reprint Multilevel likelihood ratios for identifying exudative pleural effusions(*)
    John E Heffner
    Medical University of South Carolina Drs Heffner and Sahn, Charleston, SC
    Chest 121:1916-20. 2002
    ..To determine multilevel likelihood ratios for pleural fluid tests that are commonly used to discriminate between exudative and transudative pleural effusions...
  22. ncbi request reprint Communicating do-not-resuscitate orders with a computer-based system
    J E Heffner
    Department of Medicine, St Joseph s Hospital and Medical Center, Phoenix, Ariz 85001, USA
    Arch Intern Med 158:1090-5. 1998
    ..A computer-based system was developed to improve the communication of a procedure-specific DNR order form...
  23. ncbi request reprint Pocket computer for interpretation of office spirometry
    J E Heffner
    Division of Pulmonary Medicine and Critical Care, Medical University of South Carolina, Charleston 29425
    South Med J 81:354-6. 1988
    ..The reliability of the results and interpretations permits convenient and low-cost pulmonary function testing in office patients when clinically warranted...
  24. doi request reprint Interventional management of pleural infections
    John E Heffner
    Department of Medicine, Providence Portland Medical Center, Oregon Health and Science Center, Portland, OR 97213, USA
    Chest 136:1148-59. 2009
    ..The present review provides an update on the pathogenesis and interventional therapy of pleural infections with an emphasis on the unique role of image-guided drainage with small-bore catheters...
  25. ncbi request reprint Training resident physicians toward improved patient safety
    John E Heffner
    MUSC, Charleston, SC 29425, USA
    J S C Med Assoc 100:168-71. 2004
    ..Capturing this potential for improved patient safety requires a broadened training curriculum that focuses on patient safety...
  26. ncbi request reprint Pleural effusion in interstitial lung disease
    Kristin B Highland
    Division of Pulmonary Critical Care Medicine and Allergy, Medical University of South Carolina, Charleston, South Carolina 29425, USA
    Curr Opin Pulm Med 10:390-6. 2004
    ..This review reports recent information on the occurrence of pleural effusions in association with disorders that produce interstitial parenchymal lung disease...
  27. doi request reprint An official American Thoracic Society clinical policy statement: palliative care for patients with respiratory diseases and critical illnesses
    Paul N Lanken
    Am J Respir Crit Care Med 177:912-27. 2008
  28. ncbi request reprint A new ATS Committee: competing in the marketplace of ideas
    Holger J Schunemann
    Am J Respir Crit Care Med 172:1067-8. 2005
  29. pmc Tracheostomy decannulation: marathons and finish lines
    John E Heffner
    Providence Portland Medical Center, NE Hoyt St, Portland, Oregon, 97213 USA
    Crit Care 12:128. 2008
    ..Such models exist in the literature for adult patients and for children with tracheostomies who are managed by expert teams with requisite knowledge and skills...
  30. ncbi request reprint The ethical conduct of clinical research involving critically ill patients in the United States and Canada: principles and recommendations
    John M Luce
    Am J Respir Crit Care Med 170:1375-84. 2004
  31. doi request reprint Diagnosis and management of malignant pleural effusions
    John E Heffner
    Oregon Health and Science University, Portland, OR, USA
    Respirology 13:5-20. 2008
    ..Management is palliative with interventions directed towards decreasing the volume of intrapleural fluid and the severity of associated symptoms...
  32. ncbi request reprint Intrapleural fibrinolytic therapy for pleural infection
    Demosthenes Bouros
    Department of Pneumonology, Medical School University of Thrace, Alexandroupolis 68100, Greece
    Pulm Pharmacol Ther 20:616-26. 2007
    ..The scope of this article is to systematically review evidence for the efficacy of intrapleural fibrinolytic therapy in the treatment of PPE and PE with emphasis on controlled trials and present some of the future perspectives...
  33. ncbi request reprint Pleurodesis practice for malignant pleural effusions in five English-speaking countries: survey of pulmonologists
    Y C Gary Lee
    University of Oxford and Osler Chest Unit, Churchill Hospital, Oxford OX3 7BN, UK
    Chest 124:2229-38. 2003
    ..Pleurodesis is important in the management of malignant pleural effusions, but no consensus exists on the optimal agent or methods of pleurodesis. How pleurodesis is practiced worldwide has not been studied...
  34. ncbi request reprint Multicenter trials of treatment for empyema--after all these years
    John E Heffner
    N Engl J Med 352:926-8. 2005
  35. ncbi request reprint Management of secondary spontaneous pneumothorax: there's confusion in the air
    John E Heffner
    Chest 125:1190-2. 2004
  36. ncbi request reprint Using COPD guidelines to improve patient care
    John E Heffner
    Am Fam Physician 73:590-1. 2006