Research Topics
| S M OrnsteinSummaryAffiliation: Medical University of South Carolina Country: USA Publications
Research Grants
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Detail Information
Publications
Medication cost information in a computer-based patient record system. Impact on prescribing in a family medicine clinical practiceS M Ornstein
Department of Family Medicine, Medical University of South Carolina, Charleston, USA
Arch Fam Med 8:118-21. 1999..Physicians have limited knowledge about drug costs, and no method of providing this information has demonstrated sustained cost reductions...- Improving the translation of research into primary care practice: results of a national quality improvement demonstration projectSteven Ornstein
Department of Family Medicine, Medical University of South Carolina, Charleston, South Carolina, USA
Jt Comm J Qual Patient Saf 34:379-90. 2008.... - Improving diabetes care through a multicomponent quality improvement model in a practice-based research networkSteven Ornstein
Department of Family Medicine, Medical University of South Carolina, 295 Calhoun Street, Charleston, SC 29425, USA
Am J Med Qual 22:34-41. 2007..The findings suggest that a multicomponent intervention can have a robust impact on quality of care for diabetes... 
Colorectal cancer screening in primary care: translating research into practiceSteven Ornstein
Department of Family Medicine, Medical University of South Carolina, Charleston, SC 29425, USA
Med Care 48:900-6. 2010..Because CRC screening is usually initiated upon recommendations of primary care physicians, interventions in these settings are needed to improve screening...- A multimethod quality improvement intervention to improve preventive cardiovascular care: a cluster randomized trialSteven Ornstein
Department of Family Medicine, Medical University of South Carolina, Charleston, South Carolina 29425, USA
Ann Intern Med 141:523-32. 2004..Research is needed to validate effective and practical strategies for improving the provision of evidence-based medicine in primary care... - Quality of care for chronic illness in primary care: opportunity for improvement in process and outcome measuresS M Ornstein
Medical University of South Carolina, Center for Health Care Research, Charleston 29425, USA
Am J Manag Care 5:621-7. 1999.... - System supports for chronic illness care and their relationship to clinical outcomesC Feifer
Department of Family Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA
Top Health Inf Manage 22:65-72. 2001..828, p = .006). Enhanced systems for provider decision support had the strongest positive correlation with clinical outcomes (r = .907, p = .001)... - Translating research into practice using electronic medical records the PPRNet-TRIP project: primary and secondary prevention of coronary heart disease and strokeS M Ornstein
Medical University of South Carolina, Charleston, South Carolina, USA
Top Health Inf Manage 22:52-8. 2001..The intervention began January 1, 2001 and will be completed on June 30, 2003... - Quality improvement using electronic medical records: a case study of a high-performing practiceC B Litvin
Medical University of South Carolina, Charleston, South Carolina, USA
Top Health Inf Manage 22:59-64. 2001..This case study describes the strategies a solo, family physician practice has adopted to improve care as part of a national cardiovascular disease prevention study... - Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research NetworkA M Wessell
Department of Family Medicine, Medical University of South Carolina, 295 Calhoun Street, Charleston, SC 29425, USA
Qual Saf Health Care 19:e21. 2010..In this article, a study is presented in which a set of medication prescribing and monitoring quality indicators were developed, and adherence to them was assessed among a group of US primary care practices... - How direct-to-consumer television advertising for osteoarthritis drugs affects physicians' prescribing behaviorW David Bradford
Center for Health Economic and Policy Studies, Department of Health Administration and Policy, Medical University of South Carolina, Charleston, USA
Health Aff (Millwood) 25:1371-7. 2006..DTC advertising of Vioxx increased the likelihood that patients received both Vioxx and Celebrex, but Celebrex ads only affected Vioxx use... - Alcohol screening and brief counseling in a primary care hypertensive population: a quality improvement interventionHeather Liszka Rose
Department of Family Medicine, Medical University of South Carolina, Charleston, SC 29425, USA
Addiction 103:1271-80. 2008..To determine the effect of an intervention to improve alcohol screening and brief counseling for hypertensive patients in primary care... - Initial steps taken by nine primary care practices to implement alcohol screening guidelines with hypertensive patients: the AA-TRIP projectPeter M Miller
Center for Drug and Alcohol Programs, Medical University of South Carolina, 67 President St, PO Box 250861, Charleston, SC 29425, USA
Subst Abus 27:61-70. 2006..Perceived time constraints, patient sensitivity to questions about alcohol, and possible stigma associated with a diagnosis of alcoholism were also relevant barriers requiring problem solving... - Achievable benchmarks of care for primary care quality indicators in a practice-based research networkAndrea M Wessell
South Carolina College of Pharmacy, Medical University of South Carolina Campus, Charleston, South Carolina 29425, USA
Am J Med Qual 23:39-46. 2008..Primary care practices can achieve high performance across a number of quality indicators, and PPRNet ABCs can serve as benchmarks for primary care practitioners and payers... - Effects of direct-to-consumer advertising of hydroxymethylglutaryl coenzyme a reductase inhibitors on attainment of LDL-C goalsW David Bradford
Center for Health Economic and Policy Studies, Department of Health Administration and Policy, Medical University of South Carolina, Charleston 29425, USA
Clin Ther 28:2105-18; discussion 2104. 2006..While the US Food and Drug Administration is currently reexamining its regulatory stance, little evidence exists regarding the impact of DTC advertising on patient health outcomes... - Practicing beautiful medicine beautifully: Hiram Curry's vision in the 21st centurySteven Ornstein
Practice Partner Research Network, Medical University of SC, Charleston, SC 29407, USA
J S C Med Assoc 99:227-32. 2003..quot;.. 
Different paths to high-quality care: three archetypes of top-performing practice sitesChris Feifer
Department of Family Medicine, Keck School of Medicine, University of Southern California, Los Angeles, Calif 90033, USA
Ann Fam Med 5:233-41. 2007..The aim of this study was to examine variations in the adoption of improvements among sites achieving the best outcomes...- Inappropriate medication use in the elderly: results from a quality improvement project in 99 primary care practicesAndrea M Wessell
Department of Clinical Pharmacy and Outcome Sciences, South Carolina College of Pharmacy, Medical University of South Carolina, Charleston, South Carolina, USA
Am J Geriatr Pharmacother 6:21-7. 2008..The use of potentially inappropriate medications (PIMs) in the elderly population is common. Interventions to decrease PIM use in primary care settings are needed... - Strategies to accelerate translation of research into primary care within practices using electronic medical recordsLynne S Nemeth
The College of Nursing, Medical University of South Carolina, Charleston, South Carolina, USA
J Nurs Care Qual 22:343-9. 2007..Quantitative survey results provide mean scores reflecting the integration of these strategies by practices. Nursing staff plays important roles to facilitate quality improvement within collaborative primary care practices... - Achieving blood pressure control in patients with diabetes: a case study in primary careAndrea M Wessell
Department of Pharmacy Practice, Medical University of South Carolina, Charleston, SC, USA
Top Health Inf Manage 24:3-7. 2003..Blood pressure control is achieved in a majority of patients in this practice secondary to their focus on guidelines, involvement of nursing staff in case management, and medication use consistent with recommendations... - Quality improvement for prevention of cardiovascular disease and stroke in an academic family medicine center: do racial differences in outcome exist?Ruth G Jenkins
Department of Family Medicine, Medical University of South Carolina, Charleston, South Carolina 29425, USA
Ethn Dis 16:132-7. 2006.... - Effect of terminal digit preference on blood pressure measurement and treatment in primary carePaul J Nietert
Department of Biostatistics, Bioinformatics, and Epidemiology, Medical University of South Carolina, Charleston, USA
Am J Hypertens 19:147-52. 2006..This article examines the prevalence of terminal digit preference (TDP) in primary care practices and the effect that a practice's level of TDP influences patients' BP measurements and management... - Strategies for increasing adherence to clinical guidelines and improving patient outcomes in small primary care practicesChris Feifer
Clinical Family Medicine, Keck School of Medicine, University of Southern California, Alhambra, California, USA
Jt Comm J Qual Saf 30:432-41. 2004..A model describing practice-based improvement strategies was validated using prospective data from 10 intervention and 9 control sites... - Self-report and biomarker alcohol screening by primary care physicians: the need to translate research into guidelines and practicePeter M Miller
Center for Drug and Alcohol Programs, Medical University of South Carolina, 67 President Street, P O Box 250861, Charleston 29425, USA
Alcohol Alcohol 39:325-8. 2004..To assess knowledge and use of alcohol self-report and biomarker screening by physicians... - Hypertension management and control in primary care: a study of 20 practices in 14 statesSteven M Ornstein
Department of Family Medicine, Medical University of South Carolina, Charleston 29425, USA
Pharmacotherapy 24:500-7. 2004..Good control in this study was not due to specific drug choice, but instead may have been due to regular monitoring of blood pressure and motivation of the practice to improve patient care... - Comparison of changes in blood pressure measurements and antihypertensive therapy in older, hypertensive, ambulatory care patients prescribed celecoxib or rofecoxibPaul J Nietert
Center for Health Care Research, Department of Medicine, Medical University of South Carolina, Charleston 29425, USA
Pharmacotherapy 23:1416-23. 2003..To determine if changes in blood pressure and changes in class or dosing of antihypertensive drugs were significantly different in patients treated with celecoxib versus rofecoxib, two cyclooxygenase (COX)-2 inhibitors... - An interactive voice response system to enhance antidepressant medication complianceGail W Stuart
College of Nursing, Medical University of South Carolina, Charleston, SC, USA
Top Health Inf Manage 24:15-20. 2003..The findings underscore the need to carefully match intervention strategies with the needs of specific patient populations, and the importance of human dialog in the context of healing... - The logic behind a multimethod intervention to improve adherence to clinical practice guidelines in a nationwide network of primary care practicesChris Feifer
University of Southern California, USA
Eval Health Prof 29:65-88. 2006..Theories and evidence supporting these interventions are described and could prove useful to others trying to translate medical research into practice. Additional theory development is needed to support translation in medical offices...
Research Grants
- Colorectal Cancer Screening in Primary Care PracticeSteven Ornstein; Fiscal Year: 2007..A mixed-method process evaluation will also be conducted to assess the adoption of PPRNet-TRIP within participating practices. ..
- Medication Safety in Primary Care Practice - Translating Research into PracticeSteven Ornstein; Fiscal Year: 2007..A mixed-method process evaluation will also be conducted to assess project. The findings will then be disseminated to other PPRNet practices and more broadly through presentations and publications. ..
- Colorectal Cancer Screening in Primary Care PracticeSteven Ornstein; Fiscal Year: 2009..A mixed-method process evaluation will also be conducted to assess the adoption of PPRNet-TRIP within participating practices. ..