S L Krein

..Whether initiatives to reduce HAI--such as the Centers for Medicare and Medicaid Services (CMS) no payment rule--have increased the use of preventive practices is not known...

..More than 70% of all kidney failure cases caused by diabetes and hypertension could have been prevented or delayed with healthy lifestyles and medications...

..Thus, Medicare's transplant experience allows us to examine the role of payer leverage in motivating hospital benchmark compliance...

..Exercise is one of the most effective strategies for managing chronic back pain. Yet, there are few clinical programs that use low cost approaches to help patients with chronic back pain initiate and maintain an exercise program...

..In addition, we hope that this article will stimulate increased interest and research in identifying strategies that will successfully move evidence from the peer-reviewed literature to the patient's bedside...

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..We examined how chronic pain affects patients' difficulty with recommended self-management activities and the potential intervening role of self-efficacy (the level of confidence in one's own ability to perform a specific task)...

..To examine the extent to which US acute care hospitals have adopted recommended practices to prevent central venous catheter-related bloodstream infections (CR-BSIs)...

..Moreover, our findings provide important insights about how and why different quality improvement strategies might perform across organizations with differing contextual characteristics...

..To determine what practices are used by hospitals to prevent ventilator-associated pneumonia (VAP) and, through qualitative methods, to understand more fully why hospitals use certain practices and not others...

..A difficult to manage comorbid condition, like chronic pain, could adversely affect the delivery of recommended care for other serious health problems, such as hypertension...

..The quality and outcomes of diabetes care were compared in an observational study among patients with and without serious mental illness...

..Many adults experience chronic pain, yet little is known about the consequences of such pain among individuals with diabetes. The purpose of this study was to examine whether and how chronic pain affects diabetes self-management...

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..The MDON model is a promising public health approach for improving diabetes care but it is necessary to identify program elements that are most effective...

..Because allogeneic blood transfusions are more common in women and have been associated with immunomodulation, the impact of transfusion on sex differences in infection and mortality was examined...

..We believe that using more tightly linked measures in quality assessment will identify important quality of care problems and is more likely to produce improved outcomes for those with chronic diseases...

..We explored the types and numbers of champions who lead efforts to implement best practices to prevent hospital-acquired infection in US hospitals...

..The majority of older adults have 2 or more chronic conditions and among patients with diabetes, 40% have at least three...

..We conducted a national study to examine the current practices used by hospitals to prevent hospital-acquired UTI...

..To examine how primary care providers (PCPs) prioritize management of chronic pain in patients with multiple chronic conditions and to determine PCP perspectives on chronic pain management and pain treatment resources...

..We thus conducted a multicenter study to understand better how US hospitals approach the prevention of hospital-acquired UTI...

..The agreement between diabetes quality measures constructed from clinical automated versus medical record data sources was compared, and the performance of hybrid measures derived from a combination of the two data sources was examined...

..This study examines current physician practices and the use of aspirin therapy by individuals with diabetes...

..To evaluate the amount of variation in diabetes practice patterns at the primary care provider (PCP), provider group, and facility level, and to examine the reliability of diabetes care profiles constructed using electronic databases...

..We explored these associations in a nationwide sample of Veterans' Affairs (VA) patients with diabetes...

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..This approach, integrated with and based in the primary care setting, was an effective and efficient approach to improving care, especially for those with poor glycemic control at baseline...

..To determine if the use of a more detailed quality measure affected the finding of gender disparities in lipid management...

..No studies have compared care in the Department of Veterans Affairs (VA) with that delivered in commercial managed care organizations, nor have studies focused in depth on care comparisons for chronic, outpatient conditions...

..001), and provision of greater basic and extended education (beta = 0.16, p < 0.004, and beta = 0.15, p < 0.007). The survey subscales can now be used for evaluating foot care and education needs for persons with high-risk feet...

..To examine organizational features of Veterans Affairs (VA) primary care programs hypothesized to be associated with better diabetes control, as indicated by hemoglobin A1C (HbA1C) levels...

..To outline the principles that direct the Veterans Affairs (VA) Quality Enhancement Research Initiative (QUERI) dedicated to diabetes quality improvement (QUERI-DM)...

..However, the extent to which differences in medical care processes and treatment intensity contribute to poorer diabetes outcomes is unknown...

..For this reason, a multilevel analysis was conducted using a population-based cohort to evaluate the amount of variation in laparoscopic donor nephrectomy use attributable to the individual, provider, and hospital levels...

..Because evidence-based health care is taking on increasing importance, we surveyed a national sample of infection control coordinators on their reading habits to discern which and how often various media are utilized...

..To evaluate the effects of a collaborative case management intervention for patients with poorly controlled type 2 diabetes on glycemic control, intermediate cardiovascular outcomes, satisfaction with care, and resource utilization...

..Our study will also provide insight on how to prevent other healthcare-associated infections, thereby creating a safer healthcare system. ..

..Our study will also provide insight on how to prevent other healthcare-associated infections, thereby creating a safer healthcare system. ..