Research Topics
| Stephen D PersellSummaryAffiliation: Northwestern University Country: USA Publications
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Publications
Implementation of EHR-based strategies to improve outpatient CAD careStephen D Persell
Division of General Internal Medicine, Feinberg School of Medicine, Institute for Healthcare Studies, Northwestern University, 750 N Lake Shore Dr, 10th Fl, Chicago, IL 60611 E mail
Am J Manag Care 18:603-10. 2012..High performance was only achieved for 1 of 4 measures and recording of exceptions rather than increases in medication prescribing accounted for most of the observed improvements...
Electronic health record-based cardiac risk assessment and identification of unmet preventive needsStephen D Persell
Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA
Med Care 47:418-24. 2009..We compared EHR-based assessment with manual chart review to determine the accuracy of automated cardiac risk estimation and determination of candidates for antiplatelet or lipid-lowering interventions...- Improving hypertension quality measurement using electronic health recordsStephen D Persell
Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA
Med Care 47:388-94. 2009..Simple hypertension outcome measures may not indicate which patients receive poor care. This could be problematic as incentives increase... - Medication reconciliation and hypertension controlStephen D Persell
Division of General Internal Medicine, Institute for Healthcare Studies, Feinberg School of Medicine, Northwestern University, Chicago, Ill, USA
Am J Med 123:182.e9-182.e15. 2010..Discrepancies between the medical record and patient medication list are common. The relationship of discrepancies to chronic disease control has not been established... - Frequency of inappropriate medical exceptions to quality measuresStephen D Persell
Division of General Internal Medicine, Northwestern University, 750 North Lake Shore Drive, 10th Floor, Chicago, IL 60611, USA
Ann Intern Med 152:225-31. 2010..However, physician misconceptions or gaming potentially limit programs... - Potential use of 10-year and lifetime coronary risk information for preventive cardiology prescribing decisions: a primary care physician surveyStephen D Persell
Northwestern University, Chicago, IL 60611, USA
Arch Intern Med 170:470-7. 2010..Data are sparse regarding how physicians use coronary risk information for prescribing decisions... - Changes in performance after implementation of a multifaceted electronic-health-record-based quality improvement systemStephen D Persell
Division of General Internal Medicine, Feinberg School of Medicine, Institute for Healthcare Studies, Northwestern University, Chicago, IL 60611, USA
Med Care 49:117-25. 2011..Electronic health record (EHR) systems have the potential to revolutionize quality improvement (QI) methods by enhancing quality measurement and integrating multiple proven QI strategies... - Prevalence of resistant hypertension in the United States, 2003-2008Stephen D Persell
Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, 750 N Lake Shore Dr, 10th Floor, Chicago, IL 60611, USA
Hypertension 57:1076-80. 2011..Among those classified here as resistant, inadequate diuretic therapy may be a modifiable therapeutic target. Cardiovascular diseases, diabetes mellitus, obesity, and renal dysfunction were all common in this population... - Effects of standardized outreach for patients refusing preventive services: a quasiexperimental quality improvement studyStephen D Persell
Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
Am J Manag Care 17:e249-54. 2011..To determine the effect of standardized outreach on the receipt of preventive services for patients whose physicians record that the patient refused the service... - Patient-directed intervention versus clinician reminders alone to improve aspirin use in diabetes: a cluster randomized trialStephen D Persell
Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, USA
Jt Comm J Qual Patient Saf 34:98-105. 2008..Physician-directed approaches have not eliminated the underuse of effective preventive therapies... 
Implications of changing national cholesterol education program goals for the treatment and control of hypercholesterolemiaStephen D Persell
Division of General Internal Medicine, Department of Medicine, and the Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611 2927, USA
J Gen Intern Med 21:171-6. 2006..Modifications to the National Cholesterol Education Program (NCEP) guidelines lowered optional low-density lipoprotein cholesterol (LDL-C) treatment goals...- Understanding of drug indications by ambulatory care patientsStephen D Persell
Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611 2927, USA
Am J Health Syst Pharm 61:2523-7. 2004..Patients' knowledge of the indications of their prescription medications was studied and those medications that were most likely to be taken without patients understanding the correct indication were identified... - Assessing the validity of national quality measures for coronary artery disease using an electronic health recordStephen D Persell
Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611 2927, USA
Arch Intern Med 166:2272-7. 2006..To our knowledge, how well they reflect actual quality of care has not been studied. We sought to evaluate the validity of performance measures for coronary artery disease (CAD) using an ambulatory EHR... - Aspirin use among adults with diabetes: recent trends and emerging sex disparitiesStephen D Persell
Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Ill, USA
Arch Intern Med 164:2492-9. 2004..Despite high cardiovascular risk among adults with diabetes mellitus, aspirin use has been low... - Ambulatory hypercholesterolemia management in patients with atherosclerosis. Gender and race differences in processes and outcomesStephen D Persell
Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611 2927, USA
J Gen Intern Med 20:123-30. 2005..To determine whether outpatient cholesterol management varies by gender or race among patients with atherosclerosis, and assess factors related to subsequent cholesterol control... - Education, literacy, and health: Mediating effects on hypertension knowledge and controlAnjali U Pandit
Health Literacy and Learning Program, Center for Communication in Healthcare, Division of General Internal Medicine, and Institute for Healthcare Studies, Northwestern University, Chicago, IL 60611, USA
Patient Educ Couns 75:381-5. 2009..To determine whether literacy mediates the association between education, hypertension knowledge and control... - Changes in disparities following the implementation of a health information technology-supported quality improvement initiativeMuriel Jean-Jacques
Division of General Internal Medicine, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
J Gen Intern Med 27:71-7. 2012.... - The implications of using adjusted versus unadjusted methods to measure health care disparities at the practice levelMuriel Jean-Jacques
Division of General Internal Medicine, Department of Medicine, Feinberg School of Medicine, 750 N Lake Shore Drive, Chicago, IL 60611, USA
Am J Med Qual 26:491-501. 2011..Health care organizations should consider the routine use of adjusted methods to measure disparities in order to better inform disparity reduction initiatives... - The marginal value of pre-visit paper reminders when added to a multifaceted electronic health record based quality improvement systemDavid W Baker
Department of Medicine, Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA
J Am Med Inform Assoc 18:805-11. 2011..This study examined whether providing pre-visit paper quality reminders could further improve performance, especially for physicians whose performance had not improved much during the first year... - Distribution of 10-year and lifetime predicted risks for cardiovascular disease in US adults: findings from the National Health and Nutrition Examination Survey 2003 to 2006Amanda K Marma
Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
Circ Cardiovasc Qual Outcomes 3:8-14. 2010.... - National Cholesterol Education Program risk assessment and potential for risk misclassificationStephen D Persell
Division of General Internal Medicine, Northwestern University, 676 N St Clair Street, Suite 200, Chicago, IL 60611 2927, USA
Prev Med 43:368-71. 2006..We aimed to determine who would be falsely classified as low risk using this approach... - Automated review of electronic health records to assess quality of care for outpatients with heart failureDavid W Baker
Northwestern University, Chicago, Illinois, USA
Ann Intern Med 146:270-7. 2007..Electronic health records (EHRs) may be used to assess quality of care... - Empiric antibiotic, mechanical ventilation, and central venous catheter duration as potential factors mediating the effect of a checklist prompting intervention on mortality: an exploratory analysisCurtis H Weiss
Division of Pulmonary and Critical Care Medicine, Northwestern University Feinberg School of Medicine, Suite 1400 676 N, St, Clair, Chicago, IL 60611, USA
BMC Health Serv Res 12:198. 2012..We sought to examine the degree to which these process of care improvements explained the observed difference in hospital mortality between the group that received prompting and an unprompted control group... - Increased blood pressure in the emergency department: pain, anxiety, or undiagnosed hypertension?Paula Tanabe
Department of Emergency Medicine, Feinberg School of Medicine, Northwestern University, Chicago IL, USA
Ann Emerg Med 51:221-9. 2008.... - Relationship of diabetes-specific knowledge to self-management activities, ambulatory preventive care, and metabolic outcomesStephen D Persell
Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
Prev Med 39:746-52. 2004..Providing patient education about diabetes care processes should be tested as a means of increasing ambulatory care to prevent diabetes complications... - Limited health literacy is a barrier to medication reconciliation in ambulatory careStephen D Persell
Health Literacy and Learning Program, Division of General Internal Medicine, and Institute for Healthcare Studies, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
J Gen Intern Med 22:1523-6. 2007..Limited health literacy may influence patients' ability to identify medications taken; a serious concern for ambulatory safety and quality... - Age-related differences in preventive care among adults with diabetesStephen D Persell
Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA
Am J Med 116:630-4. 2004 - Prompting physicians to address a daily checklist and process of care and clinical outcomes: a single-site studyCurtis H Weiss
Division of Pulmonary and Critical Care Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA
Am J Respir Crit Care Med 184:680-6. 2011..Checklists may reduce errors of omission for critically ill patients... - Patient outreach to promote colorectal cancer screening among patients with an expired order for colonoscopy: a randomized controlled trialKenzie A Cameron
Division of General Internal Medicine, Northwestern University Feinberg School of Medicine, 750 N Lake Shore Dr, 10th Floor, Chicago, IL 60611, USA
Arch Intern Med 171:642-6. 2011..Patients with an expired order for screening colonoscopy might be persuaded to follow through with screening by such an intervention... - Electronic health record identification of prediabetes and an assessment of unmet counselling needsLaura J Zimmermann
Institute for Healthcare Studies, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
J Eval Clin Pract 18:861-5. 2012..We explored whether electronic health record (EHR) query of glucose measurements can identify prediabetic patients, and we estimated rates of prediabetic lifestyle counselling in a large, urban, primary care practice... - Contextual errors and failures in individualizing patient care: a multicenter studySaul J Weiner
Veterans Affairs Center for the Management of Complex Chronic Care, University of Illinois at Chicago, Illinois 60612 7324, Chicago, USA
Ann Intern Med 153:69-75. 2010..In contrast to biomedical errors, which are not patient-specific, contextual errors represent a failure to individualize care... - Studying interventions to prevent the progression from prehypertension to hypertension: does TROPHY win the prize?Stephen D Persell
Am J Hypertens 19:1095-7. 2006