Jeremy M Kahn

Summary

Affiliation: University of Pennsylvania
Country: USA

Publications

  1. 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
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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
  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 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

Detail Information

Publications47

  1. 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...
  2. 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...
  3. 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)...
  4. 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...
  5. 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
    ....
  6. 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...
  7. 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...
  8. 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...
  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 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...
  11. 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...
  12. 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...
  13. 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...
  14. 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
    ....
  15. doi request reprint Insurance and racial differences in long-term acute care utilization after critical illness
    Meghan B Lane-Fall
    Department of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, PA, USA
    Crit Care Med 40:1143-9. 2012
    ..To determine whether insurance coverage and race are associated with long-term acute care hospital utilization in critically ill patients requiring mechanical ventilation...
  16. 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...
  17. 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...
  18. doi request reprint Clinical protocols and trainee knowledge about mechanical ventilation
    Meeta Prasad
    Department of Medicine, University of Pennsylvania School of Medicine, 3600 Spruce St, Eighth Floor, West Gates Bldg, Philadelphia, PA 19104, USA
    JAMA 306:935-41. 2011
    ..Clinical protocols are associated with improved patient outcomes; however, they may negatively affect medical education by removing trainees from clinical decision making...
  19. 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...
  20. pmc The effect of insurance status on mortality and procedural use in critically ill patients
    Sarah M Lyon
    Division of Pulmonary, Allergey, and Critical Care Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA
    Am J Respir Crit Care Med 184:809-15. 2011
    ..Lack of health insurance maybe an independent risk factor for mortality and differential treatment in critical illness...
  21. pmc An alternative method of acute lung injury classification for use in observational studies
    Chirag V Shah
    Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pennsylvania School of Medicine, Blockley Hall, 423 Guardian Dr, Philadelphia, PA, USA
    Chest 138:1054-61. 2010
    ..We assessed the impact of excluding patients with difficult-to-classify or equivocal ALI diagnosis on clinical and genetic risk factor associations for ALI after trauma...
  22. pmc Reasons underlying interhospital transfers to an academic medical intensive care unit
    Jason Wagner
    Division of Pulmonary, Allergy and Critical Care, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA
    J Crit Care 28:202-8. 2013
    ..We examined clinician and patient/surrogate perceptions about interhospital transfers and assessed their agreement on these transfers...
  23. doi request reprint Variation in long-term acute care hospital use after intensive care
    Jeremy M Kahn
    University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
    Med Care Res Rev 69:339-50. 2012
    ..These findings highlight the need for research into LTAC admission criteria and the incentives driving variation in LTAC utilization across hospitals...
  24. pmc The epidemiology of intensive care unit readmissions in the United States
    Sydney E S Brown
    Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania 19104 6021, USA
    Am J Respir Crit Care Med 185:955-64. 2012
    ..The incidence of intensive care unit (ICU) readmissions across the United States is unknown...
  25. 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)...
  26. doi request reprint Perceived effects of attending physician workload in academic medical intensive care units: a national survey of training program directors
    Nicholas S Ward
    Division of Pulmonary, Critical Care and Sleep Medicine, Brown Alpert Medical School, Providence, RI, USA
    Crit Care Med 40:400-5. 2012
    ..This is especially concerning in academic intensive care units where attending physicians must couple teaching duties with patient care...
  27. 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...
  28. doi request reprint Use of intensive care services and associated hospital mortality after massachusetts healthcare reform*
    Sarah M Lyon
    1Division of Pulmonary, Allergy and Critical Care, Hospital of the University of Pennsylvania, Philadelphia, PA 2Department of Anesthesiology, Columbia University, New York, NY 3Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA 4Center for Health Equity Research and Promotion, Philadelphia VA Medical Center, Philadelphia, PA 5Division of Traumatology, Surgical Critical Care and Emergency Surgery, Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA 6Center for Policy Research, Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 7CRISMA Center, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA 8Division of Pulmonary and Critical Care Medicine, University of Michigan, Ann Arbor, MI 9Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor, MI
    Crit Care Med 42:763-70. 2014
    ..To use the natural experiment of health insurance reform in Massachusetts to study the impact of increased insurance coverage on ICU utilization and mortality...
  29. pmc The costs of critical care telemedicine programs: a systematic review and analysis
    Gaurav Kumar
    Division of Pulmonary, Critical Care, and Occupational Health, Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA
    Chest 143:19-29. 2013
    ..We performed a systematic literature review to summarize existing data on the costs of tele-ICUs and collected detailed data on the costs of implementing a tele-ICU in a network of Veterans Health Administration (VHA) hospitals...
  30. doi request reprint Bedside nurses' perceptions of intensive care unit telemedicine
    Margaret Mullen-Fortino
    University of Pennsylvania Health System, Philadelphia, USA
    Am J Crit Care 21:24-31; quiz 32. 2012
    ..Intensive care unit telemedicine is an innovative approach to providing critical care services for a broad geographic area, but its success may depend on acceptance by bedside providers...
  31. 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...
  32. 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...
  33. 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...
  34. 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...
  35. 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...
  36. pmc Improving risk classification of critical illness with biomarkers: a simulation study
    Christopher W Seymour
    Departments of Critical Care and Emergency Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA The Clinical Research, Investigation, and Systems Modeling of Acute Illness CRISMA Center, Department of Critical Care, Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA Electronic address
    J Crit Care 28:541-8. 2013
    ..Optimal triage of patients at risk for critical illness requires accurate risk prediction, yet few data on the performance criteria required of a potential biomarker to be clinically useful exists...
  37. pmc Working with capacity limitations: operations management in critical care
    Christian Terwiesch
    Department of Operations and Information Management, The Wharton School, Leonard Davis Institute of Health Economics, University of Pennsylvania, Huntsman Hall 573, 3730 Walnut Street, Philadelphia, PA 19104, USA
    Crit Care 15:308. 2011
    ....
  38. 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...
  39. 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...
  40. 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...
  41. 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...
  42. 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
  43. doi request reprint Improving sepsis care: the road ahead
    Jeremy M Kahn
    JAMA 299:2322-3. 2008
  44. 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
  45. 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...
  46. 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...
  47. 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