Jeremy Kahn

Summary

Affiliation: University of Pennsylvania
Country: USA

Publications

  1. ncbi request reprint Transferring critically ill patients out of hospital improves the standardized mortality ratio: a simulation study
    Jeremy M Kahn
    Division of Pulmonary and Critical Care, Harborview Medical Center, University of Washington, Seattle WA, USA
    Chest 131:68-75. 2007
  2. pmc Intensivist physician staffing and the process of care in academic medical centres
    Jeremy M Kahn
    Division of Pulmonary, Allergy and Critical Care Medicine, Center for Clinical Epidemiology and Biostatistics, and the Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
    Qual Saf Health Care 16:329-33. 2007
  3. ncbi request reprint Barriers to implementing the Leapfrog Group recommendations for intensivist physician staffing: a survey of intensive care unit directors
    Jeremy M Kahn
    Division of Pulmonary and Critical Care Medicine, Harborview Medical Center, University of Washington, Seattle, WA 98119, USA
    J Crit Care 22:97-103. 2007
  4. pmc The structure of critical care transfer networks
    Theodore J Iwashyna
    Division of Pulmonary and Critical Care, Department of Medicine, University of Michigan, Ann Arbor, MI 48109, USA
    Med Care 47:787-93. 2009
  5. pmc Uncharted paths: hospital networks in critical care
    Theodore J Iwashyna
    Division of Pulmonary and Critical Care, Department of Medicine, University of Michigan, Ann Arbor, MI 48109, USA
    Chest 135:827-33. 2009
  6. ncbi request reprint Hospital volume and the outcomes of mechanical ventilation
    Jeremy M Kahn
    Division of Pulmonary and Critical Care Medicine, University of Washington, Seattle 98104, USA
    N Engl J Med 355:41-50. 2006
  7. ncbi request reprint Acute lung injury in patients with subarachnoid hemorrhage: incidence, risk factors, and outcome
    Jeremy M Kahn
    Division of Pulmonary and Critical Care Medicine, University of Washington, Seattle, WA, USA
    Crit Care Med 34:196-202. 2006
  8. doi request reprint The effect of multidisciplinary care teams on intensive care unit mortality
    Michelle M Kim
    Department of Health Care Management and Economics, Wharton School of Business, University of Pennsylvania, Philadelphia, PA 19104, USA
    Arch Intern Med 170:369-76. 2010
  9. doi request reprint Physician attitudes toward regionalization of adult critical care: a national survey
    Jeremy M Kahn
    Division of Pulmonary, Allergy, and Critical Care, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
    Crit Care Med 37:2149-54. 2009
  10. doi request reprint Regionalization of medical critical care: what can we learn from the trauma experience?
    Jeremy M Kahn
    Division of Pulmonary, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
    Crit Care Med 36:3085-8. 2008

Detail Information

Publications38

  1. ncbi request reprint Transferring critically ill patients out of hospital improves the standardized mortality ratio: a simulation study
    Jeremy M Kahn
    Division of Pulmonary and Critical Care, Harborview Medical Center, University of Washington, Seattle WA, USA
    Chest 131:68-75. 2007
    ..We sought to quantify the effect of out-of-hospital transfers on the standardized mortality ratio (SMR), an outcome-based measure of ICU performance...
  2. pmc Intensivist physician staffing and the process of care in academic medical centres
    Jeremy M Kahn
    Division of Pulmonary, Allergy and Critical Care Medicine, Center for Clinical Epidemiology and Biostatistics, and the Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
    Qual Saf Health Care 16:329-33. 2007
    ..Although intensivist physician staffing is associated with improved outcomes in critical care, little is known about the mechanism leading to this observation...
  3. ncbi request reprint Barriers to implementing the Leapfrog Group recommendations for intensivist physician staffing: a survey of intensive care unit directors
    Jeremy M Kahn
    Division of Pulmonary and Critical Care Medicine, Harborview Medical Center, University of Washington, Seattle, WA 98119, USA
    J Crit Care 22:97-103. 2007
    ..The purpose of this study was to examine the perception of the Leapfrog standards among ICU directors and determine the potential barriers to implementing these standards...
  4. pmc The structure of critical care transfer networks
    Theodore J Iwashyna
    Division of Pulmonary and Critical Care, Department of Medicine, University of Michigan, Ann Arbor, MI 48109, USA
    Med Care 47:787-93. 2009
    ..These transfers may be particularly important in critical care, where small relative improvements can yield substantial absolute changes in survival...
  5. pmc Uncharted paths: hospital networks in critical care
    Theodore J Iwashyna
    Division of Pulmonary and Critical Care, Department of Medicine, University of Michigan, Ann Arbor, MI 48109, USA
    Chest 135:827-33. 2009
    ....
  6. ncbi request reprint Hospital volume and the outcomes of mechanical ventilation
    Jeremy M Kahn
    Division of Pulmonary and Critical Care Medicine, University of Washington, Seattle 98104, USA
    N Engl J Med 355:41-50. 2006
    ..The relationship between the number of patients admitted (hospital volume) and outcome among patients with critical illnesses is unknown...
  7. ncbi request reprint Acute lung injury in patients with subarachnoid hemorrhage: incidence, risk factors, and outcome
    Jeremy M Kahn
    Division of Pulmonary and Critical Care Medicine, University of Washington, Seattle, WA, USA
    Crit Care Med 34:196-202. 2006
    ..Ventilator management was analyzed to determine the proportion of patients with subarachnoid hemorrhage and acute lung injury who a received a low-tidal volume ventilation strategy...
  8. doi request reprint The effect of multidisciplinary care teams on intensive care unit mortality
    Michelle M Kim
    Department of Health Care Management and Economics, Wharton School of Business, University of Pennsylvania, Philadelphia, PA 19104, USA
    Arch Intern Med 170:369-76. 2010
    ..Critically ill patients are medically complex and may benefit from a multidisciplinary approach to care...
  9. doi request reprint Physician attitudes toward regionalization of adult critical care: a national survey
    Jeremy M Kahn
    Division of Pulmonary, Allergy, and Critical Care, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
    Crit Care Med 37:2149-54. 2009
    ..Regionalization has been proposed as a method to improve outcomes for patients with critical illness. We sought to determine intensivist physician attitudes and potential barriers to the regionalization of adult critical care...
  10. doi request reprint Regionalization of medical critical care: what can we learn from the trauma experience?
    Jeremy M Kahn
    Division of Pulmonary, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
    Crit Care Med 36:3085-8. 2008
    ..To review the rationale for the regionalization of adult critical care and discuss how lessons from the trauma experience may be relevant to this debate...
  11. doi request reprint Inter-hospital variability in post-cardiac arrest mortality
    Brendan G Carr
    The Robert Wood Johnson Clinical Scholars Program, University of Pennsylvania School of Medicine UPENN SOM, USA
    Resuscitation 80:30-4. 2009
    ..We examined hospital-level variation in mortality of patients admitted to United States intensive care units (ICUs) with a diagnosis of cardiac arrest...
  12. doi request reprint The impact of development of acute lung injury on hospital mortality in critically ill trauma patients
    Chirag V Shah
    Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
    Crit Care Med 36:2309-15. 2008
    ..We assessed the contribution of acute lung injury to in-hospital mortality in critically ill trauma patients...
  13. pmc Perceived barriers to the regionalization of adult critical care in the United States: a qualitative preliminary study
    Jeremy M Kahn
    Division of Pulmonary, Allergy and Critical Care, University of Pennsylvania School of Medicine, 3400 Spruce Street, Philadelphia, PA 19104, USA
    BMC Health Serv Res 8:239. 2008
    ..We sought to develop a framework for understanding clinician attitudes toward regionalization and potential barriers to developing a tiered, regionalized system of care in the United States...
  14. doi request reprint Disseminating clinical trial results in critical care
    Jeremy M Kahn
    Division of Pulmonary, Allergy and Critical Care, University of Pennsylvania School of Medicine, Philadelphia PA, USA
    Crit Care Med 37:S147-53. 2009
    ..It is essential that investigators conducting clinical trials prioritize knowledge transfer to ensure that new therapies in critical care are actually reaching the critically ill...
  15. pmc Effect of work-hours regulations on intensive care unit mortality in United States teaching hospitals
    Meeta Prasad
    Division of Pulmonary, Allergy, and Critical Care Medicine MP, JDC, JMK, Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
    Crit Care Med 37:2564-9. 2009
    ..The United States instituted restrictions on resident work-hours in July 2003. The clinical impact of this reform on critically ill patients is unknown...
  16. doi request reprint Predictors of hospital mortality in a population-based cohort of patients with acute lung injury
    Colin R Cooke
    Division of Pulmonary and Critical Care Medicine, Harborview Medical Center, University of Washington, Seattle, WA 98104, USA
    Crit Care Med 36:1412-20. 2008
    ..We sought to determine the predictors of mortality in a population-based cohort of patients with acute lung injury and to characterize the performance of current severity of illness scores in this population...
  17. pmc Potential value of regionalized intensive care for mechanically ventilated medical patients
    Jeremy M Kahn
    Division of Pulmonary, Allergy, and Critical Care, University of Pennsylvania School of Medicine, 723 Blockley Hall, 423 Guardian Drive, Philadelphia, PA 19104, USA
    Am J Respir Crit Care Med 177:285-91. 2008
    ..Regionalization has been proposed as a method to improve outcomes for medical patients receiving mechanical ventilation in the intensive care unit...
  18. pmc Accuracy of the discharge destination field in administrative data for identifying transfer to a long-term acute care hospital
    Jeremy M Kahn
    Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Blockley Hall 723, 423 Guardian Drive, Philadelphia, PA 19104
    BMC Res Notes 3:205. 2010
    ....
  19. pmc Long-term acute care hospital utilization after critical illness
    Jeremy M Kahn
    Division of Pulmonary, Allergy, and Critical Care, Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Blockley Hall 723, 423 Guardian Dr, Philadelphia, PA 19104, USA
    JAMA 303:2253-9. 2010
    ..Long-term acute care hospitals have emerged as a novel approach for the care of patients recovering from severe acute illness, but the extent and increases in their activity at the national level are unknown...
  20. pmc The availability of clinical protocols in US teaching intensive care units
    Meeta Prasad
    Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA
    J Crit Care 25:610-9. 2010
    ..Clinical protocols to standardize care may improve patient outcomes but worsen trainee education. Our objective was to determine the availability of clinical protocols in teaching medical intensive care units (ICUs)...
  21. doi request reprint Cost savings attributable to reductions in intensive care unit length of stay for mechanically ventilated patients
    Jeremy M Kahn
    Division of Pulmonary, Allergy and Critical Care, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA
    Med Care 46:1226-33. 2008
    ....
  22. pmc The relationship between hospital volume and mortality in mechanical ventilation: an instrumental variable analysis
    Jeremy M Kahn
    Division of Pulmonary, Allergy and Critical Care, Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, 723 Blockley Hall, Philadelphia, PA 19104, USA
    Health Serv Res 44:862-79. 2009
    ..To examine the relationship between hospital volume and mortality for nonsurgical patients receiving mechanical ventilation...
  23. pmc Volume, outcome, and the organization of intensive care
    Jeremy M Kahn
    Division of Pulmonary, Allergy and Critical Care, University of Pennsylvania School of Medicine, 723 Blockley Hall, 423 Guardian Drive, Philadelphia, PA 19104, USA
    Crit Care 11:129. 2007
    ..Future research efforts should be directed at better characterizing the process of care in high-volume ICUs and exploring the feasibility of creating a regionalized system of care...
  24. ncbi request reprint Health policy and future planning for survivors of critical illness
    Jeremy M Kahn
    Division of Pulmonary, Allergy and Critical Care, Leonard Davis Institute of Health Economics, Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, USA
    Curr Opin Crit Care 13:514-8. 2007
    ..This review will assess some of the health system-level barriers to effective post-intensive care unit care and provide a framework for policy decisions directed at improving outcomes for survivors of critical illness...
  25. ncbi request reprint Identifying and implementing quality improvement measures in the intensive care unit
    Jeremy M Kahn
    Division of Pulmonary, Allergy and Critical Care, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA
    Curr Opin Crit Care 13:709-13. 2007
    ..We review recent advances in the field of quality improvement and discuss some of the challenges to successful quality improvement initiatives in critical care...
  26. doi request reprint Critical illness outcomes in specialty versus general intensive care units
    Jason P Lott
    University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA
    Am J Respir Crit Care Med 179:676-83. 2009
    ..General intensive care units (ICUs) provide care across a wide range of diagnoses, whereas specialty ICUs provide diagnosis-specific care. Risk-adjusted outcome differences across such units are unknown...
  27. pmc Adverse events during rotary-wing transport of mechanically ventilated patients: a retrospective cohort study
    Christopher W Seymour
    Division of Pulmonary and Critical Care, University of Washington School of Medicine, Campus Box 356522, Seattle, WA 98195 6522, USA
    Crit Care 12:R71. 2008
    ..The incidence of physiologic adverse events and their predisposing factors in mechanically ventilated patients undergoing aeromedical transport are unknown...
  28. pmc Cost-effectiveness of implementing low-tidal volume ventilation in patients with acute lung injury
    Colin R Cooke
    Division of Pulmonary and Critical Care Medicine, Harborview Medical Center, University of Washington, Seattle, WA 98104, USA
    Chest 136:79-88. 2009
    ..We sought to estimate the incremental clinical and economic outcomes associated with LPV and determined the maximum cost of a hypothetical intervention to improve adherence with LPV that remained cost-effective...
  29. doi request reprint Prediction of critical illness during out-of-hospital emergency care
    Christopher W Seymour
    Division of Pulmonary and Critical Care Medicine, University of Washington, Harborview Medical Center, PO Box 359762, Seattle, WA 98104, USA
    JAMA 304:747-54. 2010
    ..Early identification of nontrauma patients in need of critical care services in the emergency setting may improve triage decisions and facilitate regionalization of critical care...
  30. pmc The effect of an intensive care unit staffing model on tidal volume in patients with acute lung injury
    Colin R Cooke
    Division of Pulmonary and Critical Care Medicine, University of Washington School of Medicine, Harborview Medical Center, 325 9th Avenue, Box 359762, Seattle, Washington, 98104, USA
    Crit Care 12:R134. 2008
    ..We aimed to assess the effect of closed-model intensive care on evidence-based ventilatory practice in patients with acute lung injury (ALI)...
  31. ncbi request reprint Understanding economic outcomes in critical care
    Jeremy M Kahn
    Division of Pulmonary and Critical Care Medicine, University of Washington, Seattle, Washington 98119, USA
    Curr Opin Crit Care 12:399-404. 2006
    ..Costs are markedly different than other clinical outcomes, both in their measurement and their interpretation...
  32. ncbi request reprint Translating evidence into practice in the intensive care unit: the need for a systems-based approach
    Jeremy M Kahn
    Division of Pulmonary and Critical Care Medicine, University of Washington, Seattle, WA 98104, USA
    J Crit Care 20:204-6. 2005
  33. ncbi request reprint Low tidal volume ventilation does not increase sedation use in patients with acute lung injury
    Jeremy M Kahn
    Division of Pulmonary and Critical Care Medicine, Harborview Medical Center, University of Washington, Seattle, WA, USA
    Crit Care Med 33:766-71. 2005
    ..We compared the doses and duration of sedatives and opioid analgesics in patients receiving low vs. traditional tidal volumes at our institution...
  34. ncbi request reprint Stress ulcer prophylaxis in mechanically ventilated patients: integrating evidence and judgment using a decision analysis
    Jeremy M Kahn
    Division of Pulmonary and Critical Care Medicine, Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98119, USA
    Intensive Care Med 32:1151-8. 2006
    ..We sought to clarify the tradeoffs involved in selecting a prophylactic strategy...
  35. ncbi request reprint Prioritizing the organization and management of intensive care services in the United States: the PrOMIS Conference
    Amber E Barnato
    Center for Research on Health Care, and the CRISMA Laboratory Clinical Research, Investigation, and Systems Modeling of Acute Illness, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA, USA
    Crit Care Med 35:1003-11. 2007
    ..We sought to elicit the perceived problems and solutions to the delivery of critical care services from a broad set of U.S. stakeholders...
  36. doi request reprint Improving sepsis care: the road ahead
    Jeremy M Kahn
    JAMA 299:2322-3. 2008
  37. ncbi request reprint Building a better intensive care unit: the role of industrial process improvement in critical care
    Jeremy M Kahn
    Respir Care 53:858-9. 2008
  38. ncbi request reprint Reducing the cost of critical care: new challenges, new solutions
    Jeremy M Kahn
    Am J Respir Crit Care Med 174:1167-8. 2006

Research Grants7

  1. Development and validation of an Instrument to Measure Critical Care Organization
    Jeremy Kahn; Fiscal Year: 2007
    ..The instrument generated in this research will be used in future studies examining specific interventions to improve ICU organization. (End of Abstract) ..
  2. The role of long term acute care hospitals in prolonged mechanical ventilation
    Jeremy M Kahn; Fiscal Year: 2010
    ..This project will directly inform key clinical and health policy decisions about long-term acute care hospitals and the care of patients with PMV. ..
  3. The Effect of Patient Volume on Outcome in the ICU
    Jeremy Kahn; Fiscal Year: 2006
    ..A greater understanding of the effects of volume on critical care outcome will guide future investigations into the processes of care at high volume centers that may determine the volume-outcome relationship. ..