Research Topics
Species | T SperoffSummaryAffiliation: Vanderbilt University Country: USA Publications
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Publications
Impact of evidence-based standardized assessment on the disability clinical interview for diagnosis of service-connected PTSD: a cluster-randomized trialTheodore Speroff
Center for Health Services Research, Geriatric Research, Education, and Clinical Center, Veterans Affairs Tennessee Valley Healthcare System, Nashville, Tennessee, USA
J Trauma Stress 25:607-15. 2012..001), and, for functional impairment, 76% versus 3% (p < .001). The findings demonstrate that the quality of PTSD disability examination would be improved by using evidence-based assessment...- Quality improvement projects targeting health care-associated infections: comparing Virtual Collaborative and Toolkit approachesTheodore Speroff
Geriatric Research, Education, and Clinical Center GRECC and Center for Health Services Research, Veterans Affairs Tennessee Valley Healthcare System, Nashville, Tennessee, USA
J Hosp Med 6:271-8. 2011..Collaborative and toolkit approaches have gained traction for improving quality in health care... - Organisational culture: variation across hospitals and connection to patient safety climateT Speroff
Department of Medicine, Center for Health Services Research, Veterans Affairs Tennessee Valley Healthcare System, Vanderbilt University School of Medicine, Nashville, Tennessee 37232, USA
Qual Saf Health Care 19:592-6. 2010..Bureaucratic organisational culture is less favourable to quality improvement, whereas organisations with group (teamwork) culture are better aligned for quality improvement... 
Study designs for PDSA quality improvement researchTheodore Speroff
Department of Medicine and Preventive Medicine, Center for Health Services Research, Vanderbilt University Medical Center, Nashville, Tenn 37232, USA
Qual Manag Health Care 13:17-32. 2004....- Guidelines for appraisal and publication of PDSA quality improvementTheodore Speroff
Departments of Medicine and Preventive Medicine, Center for Health Services Research, Vanderbilt University Medical Center, Nashville, Tenn 37232, USA
Qual Manag Health Care 13:33-9. 2004.... - Evaluation of delirium in critically ill patients: validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU)E W Ely
Department of Internal Medicine, Divisions of General Internal Medicine and Center for Health Services Research, Vanderbilt University School of Medicine, Nashville, TN, USA
Crit Care Med 29:1370-9. 2001..To develop and validate an instrument for use in the intensive care unit to accurately diagnose delirium in critically ill patients who are often nonverbal because of mechanical ventilation... - Delirium in mechanically ventilated patients: validity and reliability of the confusion assessment method for the intensive care unit (CAM-ICU)E W Ely
Division of Allergy Pulmonary Critical Care Medicine, Center for Health Services Research, 6th Floor Medical Center East 6109, Vanderbilt University Medical Center, Nashville, TN 37323 8300, USA
JAMA 286:2703-10. 2001..Delirium is a common problem in the intensive care unit (ICU). Accurate diagnosis is limited by the difficulty of communicating with mechanically ventilated patients and by lack of a validated delirium instrument for use in the ICU... - Cost perspectives of laparoscopic and open appendectomyD E Moore
Department of Surgery, Vanderbilt University, 801 Oxford House, Nashville, TN 37232 4753, USA
Surg Endosc 19:374-8. 2005..Despite multiple studies comparing laparoscopic and open appendectomies, the clinically and economically superior procedure still is in question. A cost analysis was performed using both institutional and societal perspectives... - The hemochromatosis C282Y allele: a risk factor for hepatic veno-occlusive disease after hematopoietic stem cell transplantationA R Kallianpur
Division of General Internal Medicine and Public Health, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN 37212, USA
Bone Marrow Transplant 35:1155-64. 2005..Knowledge of these genotypes and monitoring of iron stores may facilitate risk-stratification and testing of strategies to prevent HVOD, such as iron chelation and pharmacologic support of the urea cycle... 
Health-related quality of life after different types of solid organ transplantationC W Pinson
Vanderbilt University Transplant Center, Nashville, Tennessee 37232 4753, USA
Ann Surg 232:597-607. 2000....- The effects of gender and age on health-related quality of life following kidney transplantationHongxia Liu
Vanderbilt University School of Nursing, 601 Godchaux Hall, 461 21st Ave S Nashville, TN 37240, USA
J Clin Nurs 17:82-9. 2008..To evaluate whether gender, age and their interaction affect health-related quality of life and overall health status following kidney transplantation... - Impact of donor, technical, and recipient risk factors on survival and quality of life after liver transplantationDerek E Moore
Department of Surgery and Vanderbilt University Transplant Center, 801 Oxford House, Nashville, TN 37232, USA
Arch Surg 140:273-7. 2005..Donor, technical, and recipient risk factors cumulatively impact survival and health-related quality of life after liver transplantation... - Reducing iatrogenic risks: ICU-acquired delirium and weakness--crossing the quality chasmEduard E Vasilevskis
Division of Pulmonary Sciences and Critical Care Medicine, Veterans Affairs, Tennessee Valley Healthcare System, Vanderbilt University Medical Center, 1215 21st Ave, S, 6006 Medical Center East, NT, Nashville, TN 37232 8300, USA
Chest 138:1224-33. 2010.... - Crew resource management training--clinicians' reactions and attitudesDaniel J France
Vanderbilt University Medical Center, Nashville, USA
AORN J 82:214-24; quiz 225-8. 2005..This article evaluates clinicians' attitudes about and reactions to CRM after they participated in an eight-hour, commercially developed training program... - Measuring and comparing safety climate in intensive care unitsDaniel J France
Center for Perioperative Research in Quality, 1211 21st Ave South, Suite 732, Nashville, TN 37212 1212, USA
Med Care 48:279-84. 2010..Learning about the factors that influence safety climate and improving the methods for assessing relative performance among hospital or units would improve decision-making for clinical improvement... - Integrating "best of care" protocols into clinicians' workflow via care provider order entry: impact on quality-of-care indicators for acute myocardial infarctionAsli Ozdas
Department of Biomedical Informatics, Vanderbilt University, Nashville, TN, USA
J Am Med Inform Assoc 13:188-96. 2006.... - Improved compliance with quality measures at hospital discharge with a computerized physician order entry systemJaved Butler
Cardiology Division, Department of Medicine, Vanderbilt University, VAMC, Nashville, TN, USA
Am Heart J 151:643-53. 2006..Implementation of disease-specific computerized physician order entry (CPOE) discharge tools may improve compliance with these measures... - Exploring socioeconomic variations in diabetes control strategies: impact of outcome expectationsM Kathleen Figaro
Department of Medicine, Center for Health Services Research, Vanderbilt University Medical Center, USA
J Natl Med Assoc 101:18-23. 2009..This paper explores outcome expectations of adults of varied socioeconomic status with type 2 diabetes, examining differences between African Americans and whites... - Effect of crew resource management on diabetes care and patient outcomes in an inner-city primary care clinicCathy R Taylor
Vanderbilt University School of Nursing, Nashville, TN 37240, USA
Qual Saf Health Care 16:244-7. 2007..A crew resource management (CRM) intervention (communication and teamwork, process and workflow organisation, and standardised information debriefings) was implemented to improve diabetes care and patient outcomes... - Improving blood pressure control through provider education, provider alerts, and patient education: a cluster randomized trialChristianne L Roumie
Tennessee Valley Healthcare System, Vanderbilt University, and the Veterans Administration Medical Center, Nashville, Tennessee 37212, USA
Ann Intern Med 145:165-75. 2006..Inadequate blood pressure control is a persistent gap in quality care... - Assessment of adverse drug events among patients in a tertiary care medical centerPhilip E Johnston
Department of Pharmaceutical Services, Vanderbilt University Medical Center VUMC, Nashville, TN 37232, USA
Am J Health Syst Pharm 63:2218-27. 2006..Specific patient and clinical characteristics associated with an increased risk of sustaining an adverse event (AE) were identified... - Clinical inertia: a common barrier to changing provider prescribing behaviorChristianne L Roumie
Vanderbilt University, USA
Jt Comm J Qual Patient Saf 33:277-85. 2007.... - Cost-effectiveness of routine radiographs after emergent open cavity operationsLesly A Dossett
Department of Surgery, Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, TN, USA
Surgery 144:317-21. 2008..We hypothesized that the institutional costs resulting from a RSS would make routine intraoperative radiography (IOR) more cost-effective than surgical counts in preventing RSS after emergent open cavity cases... - Survey of infection control programs in a large national healthcare systemThomas R Talbot
Department of Medicine, Vanderbilt University Medical Center, Nashville, TN 37232, USA
Infect Control Hosp Epidemiol 28:1401-3. 2007..Infection control practices and resources varied substantially among hospitals, and many facilities reported difficulty acquiring the data they needed to report infection rates... - Behind-the-scenes of patient-centered care: content analysis of electronic messaging among primary care clinic providers and staffRenee A Stiles
Department of General Internal Medicine, Vanderbilt University School of Medicine, Nashville Tennessee, USA
Med Care 45:1205-9. 2007..A taxonomy for codifying clinical text messages into standardized categories could facilitate content analysis of work performed or enhanced via electronic messaging... - Perioperative blood transfusion is predictive of poststernotomy surgical site infection: marker for morbidity or true immunosuppressant?Thomas R Talbot
Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA
Clin Infect Dis 38:1378-82. 2004..41-7.31) and diabetes (OR, 3.65; 95% CI, 1.42-9.36) were predictors for SSI. The exact role of blood transfusion in the pathogenesis of SSI, whether as a direct immunosuppressant or a surrogate marker for morbidity, remains unresolved... - Monitoring sedation status over time in ICU patients: reliability and validity of the Richmond Agitation-Sedation Scale (RASS)E Wesley Ely
Department of Medicine, Center for Health Services Research, Vanderbilt University School of Medicine, Tennessee Valley Veteran s Affairs Healthcare System, Geriatric Research Education and Clinical Center, Nashville 37232, USA
JAMA 289:2983-91. 2003.... - Diabetes patient education: a meta-analysis and meta-regressionShelley E Ellis
Department of Medicine, Veterans Affairs Tennessee Valley Healthcare System, Nashville, TN, USA
Patient Educ Couns 52:97-105. 2004..We highlight three potential components of educational interventions that may predict an increased likelihood of success in ameliorating glycemic control... - Effects of diabetes and cadaveric organs on functional performance and health-related quality of life after kidney transplantationA Tarik Kizilisik
Vanderbilt University Transplant Center, 912 Oxford House, Nashville, TN 37232 4753, USA
Am J Surg 186:535-9. 2003..The current study was undertaken to identify factors specific to kidney transplantation that are associated with posttransplant functional performance (FP) and health-related quality of life (HRQOL)... - Effects of hepatitis C virus infection and its recurrence after liver transplantation on functional performance and health-related quality of lifeIrene D Feurer
Vanderbilt University Transplant Center, Nashville, TN 37232 4753, USA
J Gastrointest Surg 6:108-15. 2002..Post-transplant functional performance, in turn, directly affects post-transplant quality of life. Severe, recurrent HCV illness is associated with reduced functional performance... - Refining a health-related quality of life assessment strategy for solid organ transplant patientsIrene D Feurer
Department of Surgery and Vanderbilt Transplant Center, Nashville, TN 37232 4753, USA
Clin Transplant 18:39-45. 2004..The psychometric properties of generic health-related quality of life (HRQOL) assessment instruments were evaluated to identify a reliable, valid, and non-redundant battery to measure longitudinal outcomes in organ transplant patients... - A three-part intervention to change the use of hormone replacement therapy in response to new evidenceChristianne L Roumie
Veterans Administration Tennessee Valley Healthcare System and Vanderbilt University, Nashville, Tennessee, USA
Ann Intern Med 141:118-25. 2004..Slow adaptation of new information by providers may result in suboptimal care... - Risk factors for recurrent asthma hospital visits and death among a population of indigent older adults with asthmaTina V Hartert
Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee 37232 8300, USA
Ann Allergy Asthma Immunol 89:467-73. 2002..Little is known about the morbidity and mortality among older adults with asthma requiring hospital care... - Modeling the effects of functional performance and post-transplant comorbidities on health-related quality of life after heart transplantationJaved Butler
Transplant Center, Division of Cardiovascular Diseases, 383 PRB, Vanderbilt University Medical Center, Nashville, Tennessee 37232, USA
J Heart Lung Transplant 22:1149-56. 2003..This study investigates the impact of pre-transplant functional performance and post-transplant rejection episodes, obesity and osteopenia on post-transplant health-related quality of life and functional performance... - Survival and quality of life after organ transplantation in veterans and nonveteransDerek Moore
Department of Surgery and Vanderbilt University Transplant Center, 801 Oxford House, Nashville, TN 37232 4753, USA
Am J Surg 186:476-80. 2003..We examined more than a decade of experience with solid organ transplantation at a single center and compared VA patients with nonveteran patients to assess long-term patient and graft survival and health-related quality of life (HRQOL)... - Using real time process measurements to reduce catheter related bloodstream infections in the intensive care unitR J Wall
Veterans Affairs National Quality Scholars Program, Tennessee Valley Healthcare System, Nashville, TN, USA
Qual Saf Health Care 14:295-302. 2005..Our inability to measure the process of central venous catheter (CVC) care in real time prevented CQI efforts aimed at reducing catheter related bloodstream infections (CR-BSIs) from these devices... - The impact of delirium in the intensive care unit on hospital length of stayE W Ely
Departments of Internal Medicine, Divisions of General Internal Medicine and Center for Health Services Research, Vanderbilt University Medical Center, Nashville, TN 37232 8300, USA
Intensive Care Med 27:1892-900. 2001..To determine the relationship between delirium in the intensive care unit (ICU) and outcomes including length of stay in the hospital... - Predictors of influenza virus vaccination status in hospitalized childrenK A Poehling
Department of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee, USA
Pediatrics 108:E99. 2001..To determine predictors of influenza virus vaccination status in children who are hospitalized during the influenza season... - Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unitE Wesley Ely
Department of Medicine, Division of General Internal Medicine and Center for Health Services Research and the Veterans Affairs Tennessee Valley Geriatric Research, Education and Clinical Center, Nashville, Tenn, USA
JAMA 291:1753-62. 2004..CONCLUSION: Delirium was an independent predictor of higher 6-month mortality and longer hospital stay even after adjusting for relevant covariates including coma, sedatives, and analgesics in patients receiving mechanical ventilation... - Relationship between patient complaints and surgical complicationsH J Murff
Division of General Internal Medicine, Vanderbilt University Medical Center, Nashville, TN 37212 2637, USA
Qual Saf Health Care 15:13-6. 2006..The purpose of this study was to determine whether an association exists between patient complaints and surgical complications... - Health-related quality of life before and after solid organ transplantation. Measurement consideration, reported outcomes, and future directionsI D Feurer
Vanderbilt University Transplant Center, Vanderbilt University Medical Center, Nashville, Tennessee, USA
Minerva Chir 57:257-71. 2002..These lines of research will help identify potential interventions designed to promote better HRQOL in organ transplant recipients... - Cervical spine evaluation in urban trauma centers: lowering institutional costs and complications through helical CT scanEric L Grogan
Departments of Surgery, Vanderbilt University, Nashville, TN, USA
J Am Coll Surg 200:160-5. 2005.... - Patients' values for health states associated with hepatitis C and physicians' estimates of those valuesS J Cotler
Department of Medicine, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois, USA
Am J Gastroenterol 96:2730-6. 2001..21, p = 0.025). CONCLUSIONS: There was little agreement between patients' preference values about hepatitis C and their physicians' estimates of those values. Utility analysis could facilitate shared decision making about hepatitis C... - Delirium and sedation in the intensive care unit: survey of behaviors and attitudes of 1384 healthcare professionalsRina P Patel
School of Medicine RPP, Vanderbilt University School of Medicine, Nashville, TN, USA
Crit Care Med 37:825-32. 2009..Our objective was to assess beliefs and practices regarding ICU delirium and sedation management... - Decompensated heart failure: symptoms, patterns of onset, and contributing factorsGordon D Schiff
Department of Medicine, Cook County Hospital, 1900 W Polk, Room 901 AX, Chicago, IL 60612, USA
Am J Med 114:625-30. 2003..To examine the time course, contributing factors, and patient responses to decompensated heart failure... - The impact of aviation-based teamwork training on the attitudes of health-care professionalsEric L Grogan
Department of Surgery, Vanderbilt University, Nashville, TN 37232-9485, USA
J Am Coll Surg 199:843-8. 2004..Participants agreed that CRM training will reduce errors and improve patient safety... - Reduced heart rate volatility: an early predictor of death in trauma patientsEric L Grogan
VA Quality Scholars Program, Vanderbilt University, Nashville, TN, USA
Ann Surg 240:547-54; discussion 554-6. 2004..CONCLUSIONS: CVRD identifies a subgroup of patients with a high probability of dying. Death is predicted within first 24 hours of stay. We hypothesize CVRD is a surrogate for autonomic nervous system dysfunction... - Improving documentation of patient acuity level using a progress note templateEric L Grogan
Department of Surgery, Vanderbilt University, Nashville, TN 37232-9485, USA
J Am Coll Surg 199:468-75. 2004..The progress note template also improves surgical residents' documentation knowledge and satisfaction... - Volatility: a new vital sign identified using a novel bedside monitoring strategyEric L Grogan
VA Quality Scholars Program, Vanderbilt University Department of Surgery, Nashville, Tennessee, USA
J Trauma 58:7-12; discussion 12-4. 2005..3) Densely sampled aggregated physiologic data may identify sub-groups of patients requiring new treatment strategies... - eQuality: electronic quality assessment from narrative clinical reportsSteven H Brown
Department of Veterans Affairs Compensation and Pension Examination Program, Nashville, Tenn, USA
Mayo Clin Proc 81:1472-81. 2006..To evaluate an electronic quality (eQuality) assessment tool for dictated disability examination records... - A model for improving the quality and timeliness of compensation and pension examinations in VA facilitiesWilliam Brinson Weeks
Dartmouth Medical School, Hanover, New Hampshire, USA
J Healthc Manag 48:252-61; discussion 262. 2003..Visible, ongoing support by leadership and alignment of project objectives with strategic goals are associated with improved project outcomes... - Costs associated with delirium in mechanically ventilated patientsEric B Milbrandt
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 32:955-62. 2004..Future efforts to prevent or treat intensive care unit delirium have the potential to improve patient outcomes and reduce costs of care... - Changing incident diabetes regimens: a Veterans Administration cohort study from 2000 to 2005Mary Margaret Huizinga
Diabetes Care 30:e85. 2007 - Costs and net health effects of contraceptive methodsFrank A Sonnenberg
Division of General Internal Medicine, UMDNJ Robert Wood Johnson Medical School, 125 Paterson Street, Room 2302, New Brunswick, NJ 08903 USA
Contraception 69:447-59. 2004..Pregnancy and contraceptive methods both have important health effects that include risks and benefits. The net impact of contraception on women's health has not been reported previously... - Evidence-based assessment: patient, procedure, or operator factors associated with ERCP complicationsNaomi Aronson
Technology Evaluation Center, Blue Cross Blue Shield Association, Chicago, Illinois 60601-7680, USA
Gastrointest Endosc 56:S294-302. 2002 - Effect of short call admission on length of stay and quality of care for acute decompensated heart failureJennifer L Schuberth
St Thomas Medical Group, Nashville Tenn, USA
Circulation 117:2637-44. 2008..Few data exist on the effect of short call on quality of patient care. Our objective was to examine the effect of short call admission on length of stay and quality of care for patients with acute decompensated heart failure... - Evidence-based algorithms for diagnosing and treating ventilator-associated pneumoniaRichard J Wall
Pulmonary, Critical Care and Sleep Disorders Medicine, Southlake Clinic, Valley Medical Center, Renton, Washington 98055, USA
J Hosp Med 3:409-22. 2008..Given the complexity of caring for heterogeneous populations in the intensive care unit (ICU), however, there is still uncertainty regarding how to diagnose and manage VAP...