Publications by authors named "D Nassisi"
Article Synopsis
- The EQUIPPED program aims to reduce potentially inappropriate medications (PIMs) prescribed to older adults after an emergency department discharge to 5% or less by implementing a tailored approach across three academic health systems over three years.
- The program was based on a model from the Veterans Health Administration and adapted to local practices using the Epic electronic medical record system, with early evaluations showing baseline PIM levels between 5.6% and 7.3%.
- After implementation, there was a significant reduction in PIMs at one site, with benzodiazepine prescriptions also decreasing across all sites, indicating that the EQUIPPED model can effectively enhance medication safety for older adults in diverse healthcare settings.
Description Of Problem: Streamlining communication between radiology and referring services is vital to ensure appropriate care with minimal delays. Increased subspecialization has led to compartmentalization of the radiology department with many physicians working in disparate areas. At our hospital, we anecdotally noted that a significant portion of incoming phone calls were misdirected to the wrong workstations.
View Article and Find Full Text PDFException from Informed Consent (EFIC) regulations detail specific circumstances in which Institutional Review Boards (IRB) can approve studies where obtaining informed consent is not possible prior to subject enrollment. To better understand how IRB members evaluate community consultation (CC) and public disclosure (PD) processes and results, semi-structured interviews of EFIC-experienced IRB members were conducted and analyzed using thematic analysis. Interviews with 11 IRB members revealed similar approaches to reviewing EFIC studies.
View Article and Find Full Text PDFPurpose: Glucocorticoids (GCs) and external radiotherapy (RT) are used for treating moderate-to-severe Graves' orbitopathy (GO). We aimed to assess whether GCs and RT were more effective when administered concomitantly or sequentially.
Methods: We retrospectively analyzed clinical outcomes [assessed by Clinical Activity Score (CAS) and NOSPECS classification] in 73 patients treated with both i.
Objectives: To present the three-site EQUIPPED academic health system research collaborative, which engaged in sequential implementation of the EQUIPPED medication safety program, as a learning health system; to understand how the organizations worked together to build resources for program scale-up.
Design: Following the Replicating Effective Programs framework, we analyzed content from implementation teams' focus groups, local and cross-site meeting minutes and sites' organizational profiles to develop an implementation package.
Setting: Three academic emergency departments that each implemented EQUIPPED over three successive years.