Affiliation: University of California
- The effects of quality of care on costs: a conceptual frameworkTeryl K Nuckols
David Geffen School of Medicine, University of California, Los Angeles, CA 90024, USA
Milbank Q 91:316-53. 2013..The quality of health care and the financial costs affected by receiving care represent two fundamental dimensions for judging health care performance. No existing conceptual framework appears to have described how quality influences costs...
- Cost implications of ACGME's 2011 changes to resident duty hours and the training environmentTeryl K Nuckols
Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at the University of California, 911 Broxton Avenue, Los Angeles, CA 90095, USA
J Gen Intern Med 27:241-9. 2012..In July 2011, the Accreditation Council for Graduate Medical Education (ACGME) will implemented stricter duty-hour limits and related changes to the training environment. This may affect preventable adverse event (PAE) rates...
- Cost implications to health care payers of improving glucose management among adults with type 2 diabetesTeryl K Nuckols
Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California Los Angeles, 911 Broxton Avenue, Los Angeles, CA 90024, USA
Health Serv Res 46:1158-79. 2011..The incremental cost per patient newly attaining HEDIS goals enables payers to consider costs as well as outcomes that are linked to future profitability...
- Quality measures for the diagnosis and non-operative management of carpal tunnel syndrome in occupational settingsTERYL NUCKOLS
Health Services Researcher, RAND Corporation, 1776 Main St, PO Box 2138, Santa Monica, CA 90407 2138, USA
J Occup Rehabil 21:100-19. 2011..This study sought to develop quality measures for the diagnostic evaluation and non-operative management of CTS, including managing occupational activities and functional limitations...
- Cost implications of reduced work hours and workloads for resident physiciansTeryl K Nuckols
Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at UCLA, Los Angeles, USA
N Engl J Med 360:2202-15. 2009..A new Institute of Medicine (IOM) report recommends, among other changes, improved adherence to the 2003 ACGME limits, naps during extended shifts, a 16-hour limit for shifts without naps, and reduced workloads...
- Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitalsTeryl K Nuckols
Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA, USA
Jt Comm J Qual Patient Saf 35:139-45. 2009..These approaches were compared in an analysis of 2,228 paper incident reports for 16,575 randomly selected inpatients at an academic hospital and a community hospital in the United States in 2001...
- Contributing factors identified by hospital incident report narrativesT K Nuckols
Department of Medicine, David Geffen School f Medicine at the University of California, Los Angeles, Los Angeles, CA 90095 1736, USA
Qual Saf Health Care 17:368-72. 2008..For established reporting systems in US hospitals, little is known about how well the reports identify contributing factors...
- Rates and types of events reported to established incident reporting systems in two US hospitalsTeryl K Nuckols
THE RAND CORPORATION, Santa Monica, California, USA
Qual Saf Health Care 16:164-8. 2007..To facilitate substantial improvements in patient safety, the systems should capture incidents reflecting the spectrum of adverse events that are known to occur in hospitals...
- Residency work-hours reform. A cost analysis including preventable adverse eventsTeryl K Nuckols
Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at the University of California, Los Angeles, Calif, USA
J Gen Intern Med 20:873-8. 2005..The cost may be substantial but, if successful, the reform might lower preventable adverse event costs in hospital and after discharge...
- Selection of workers' compensation treatment guidelines: California experiencePhilip Harber
Division of Occupational and Environmental Medicine, Department of Family Medicine, David Geffen School of Medicine at the University of California, Los Angeles, Calif, USA
J Occup Environ Med 50:1282-92. 2008..Workers' compensation systems increasingly use mandatory treatment guidelines to guide clinicians and for utilization management. This article describes the steps for selecting such guidelines...
- Indications for performing carpal tunnel surgery: clinical quality measuresMelinda A Maggard
Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, Calif 90095, USA
Plast Reconstr Surg 126:169-79. 2010..Rates of carpal tunnel surgery vary for unclear reasons. In this study, the authors developed measures determining when surgery is necessary (benefits exceed risks), inappropriate (risks outweigh benefits), or optional...
- Costs of intravenous adverse drug events in academic and nonacademic intensive care unitsTeryl K Nuckols
THE RAND CORPORATION, Santa Monica, California 90407 2138, USA
Med Care 46:17-24. 2008..Precise cost estimates have not been reported for academic ICUs, and no studies have included nonacademic ICUs...
- Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug eventsTeryl K Nuckols
THE RAND CORPORATION, Santa Monica, CA, USA
J Gen Intern Med 23:41-5. 2008..Patients in intensive care units (ICUs) frequently experience adverse drug events involving intravenous medications (IV-ADEs), which are often preventable...
- Rigorous development does not ensure that guidelines are acceptable to a panel of knowledgeable providersTeryl K Nuckols
RAND Corporation, Santa Monica, CA, USA
J Gen Intern Med 23:37-44. 2008..No studies have examined whether this technical quality consistently leads to acceptability...