Publications by authors named "Debbie Vigliotti"
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.
Objective: The use of remote real-time continuous glucose monitoring (CGM) in the hospital has rapidly emerged to preserve personal protective equipment and reduce potential exposures during coronavirus disease 2019 (COVID-19).
Research Design And Methods: We linked a hybrid CGM and point-of-care (POC) glucose testing protocol to a computerized decision support system for continuous insulin infusion and integrated a validation system for sensor glucose values into the electronic health record. We report our proof-of-concept experience in a COVID-19 intensive care unit.
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.