Daniel E. Hall
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View article: Real-world quantification of implementation dose across twenty-five implementation instances
Real-world quantification of implementation dose across twenty-five implementation instances Open
The EBP being implemented was a much stronger predictor of the implementation dose required than were other factors, such as experience implementing the EBP or characteristics of the medical center where the intervention was being implemen…
View article: On the same (evaluation) page: a novel approach to enhance mixed-methods implementation evaluation
On the same (evaluation) page: a novel approach to enhance mixed-methods implementation evaluation Open
Quality improvement and implementation science evaluations are often complex mixed methods approaches conducted by interdisciplinary teams. These efforts are challenging in normal circumstances; the COVID-19 pandemic and subsequent shift t…
View article: Differentiating Urgent from Elective Cases Matters in Minority Populations: Developing an Ordinal "Desirability of Outcome Ranking" to Increase Granularity and Sensitivity of Surgical Outcomes Assessment.
Differentiating Urgent from Elective Cases Matters in Minority Populations: Developing an Ordinal "Desirability of Outcome Ranking" to Increase Granularity and Sensitivity of Surgical Outcomes Assessment. Open
BACKGROUND: Surgical analyses often focus on single or binary outcomes; we developed an ordinal Desirability of Outcome Ranking (DOOR) for surgery to increase granularity and sensitivity of surgical outcome assessments. Many studies also c…
View article: Patient-centered intrathecal morphine dose response in major abdominal surgeries when augmented by innovative five-drug antiemetic prophylaxis
Patient-centered intrathecal morphine dose response in major abdominal surgeries when augmented by innovative five-drug antiemetic prophylaxis Open
Background For abdominal surgery involving cephalad surgical trespass (such as sleeve gastrectomy and pancreatectomy), existing intrathecal morphine (ITM) recommendations of ≤150 μg may not achieve meaningful analgesia, potentially leading…
View article: Area Deprivation, Fragmented Care, and Colectomy Case Acuity in the Veterans Health Administration
Area Deprivation, Fragmented Care, and Colectomy Case Acuity in the Veterans Health Administration Open
BACKGROUND: Colectomy for benign or malignant disease may be elective, urgent, or emergent. Data suggest successively worse outcomes for non-elective colectomy. Few data exist on the contribution of high area deprivation index and care fra…
View article: Historical perspectives supporting the ambitious anesthetist aiming for zero nausea/vomiting: should one trust every consensus statement every time?
Historical perspectives supporting the ambitious anesthetist aiming for zero nausea/vomiting: should one trust every consensus statement every time? Open
Within the domain of perioperative prophylaxis against postoperative nausea and/or vomiting (PONV), there seems to be (i) a consensus-guided “hard stop” recommendation after four prophylactic anti-emetic medications are utilized, and (ii) …
View article: Private-Sector Readmissions for Inpatient Surgery in Veterans Health Administration Hospitals
Private-Sector Readmissions for Inpatient Surgery in Veterans Health Administration Hospitals Open
Importance The Veterans Health Administration (VHA) reports multiple indicators of hospital surgical performance, including hospital risk-standardized 30-day readmission rates (RSRRs). Currently, most routinely reported measures do not inc…
View article: Assessment of Racial Bias within the Risk Analysis Index of Frailty
Assessment of Racial Bias within the Risk Analysis Index of Frailty Open
Objective: Our objective was to assess potential racial bias within the Risk Analysis Index (RAI). Background: Patient risk measures are rarely tested for racial bias. Measures of frailty, like the RAI, need to be evaluated for poor predic…
View article: Social Determinants of Health and Surgical Desirability of Outcome Ranking in Older Veterans
Social Determinants of Health and Surgical Desirability of Outcome Ranking in Older Veterans Open
Importance Evaluating how social determinants of health (SDOH) influence veteran outcomes is crucial, particularly for quality improvement. Objective To measure associations between SDOH, care fragmentation, and surgical outcomes using a D…
View article: Adaptation of the Risk Analysis Index for Frailty Assessment Using Diagnostic Codes
Adaptation of the Risk Analysis Index for Frailty Assessment Using Diagnostic Codes Open
Importance Frailty is associated with adverse outcomes after even minor physiologic stressors. The validated Risk Analysis Index (RAI) quantifies frailty; however, existing methods limit application to in-person interview (clinical RAI) an…
View article: Outcomes of Women Undergoing Noncardiac Surgery in Veterans Affairs Compared With Non–Veterans Affairs Care Settings
Outcomes of Women Undergoing Noncardiac Surgery in Veterans Affairs Compared With Non–Veterans Affairs Care Settings Open
Importance Recent legislation facilitates veterans’ ability to receive non–Veterans Affairs (VA) surgical care. Although veterans are predominantly male, the number of women receiving care within the VA has nearly doubled to 10% over the p…
View article: Development and validity evidence for the resident-led large group teaching assessment instrument in the United States: a methodological study
Development and validity evidence for the resident-led large group teaching assessment instrument in the United States: a methodological study Open
Purpose: Despite educational mandates to assess resident teaching competence, limited instruments with validity evidence exist for this purpose. Existing instruments do not allow faculty to assess resident-led teaching in a large group for…
View article: Presentation Acuity and Surgical Outcomes for Patients With Health Insurance Living in Highly Deprived Neighborhoods
Presentation Acuity and Surgical Outcomes for Patients With Health Insurance Living in Highly Deprived Neighborhoods Open
Importance Insurance coverage expansion has been proposed as a solution to improving health disparities, but insurance expansion alone may be insufficient to alleviate care access barriers. Objective To assess the association of Area Depri…
View article: Association of Frailty With Health Care Utilization for Patients Over One Year Following Surgical Evaluation
Association of Frailty With Health Care Utilization for Patients Over One Year Following Surgical Evaluation Open
Objective: Characterize the distribution of health care utilization associated with preoperative frailty in the year following evaluation by a surgeon. Background: Frailty is associated with increased morbidity, mortality, and costs for su…
View article: RURAL–URBAN DIFFERENCES IN POSTSURGICAL SERVICE USE AND OUTCOMES AMONG VETERANS WITH DEMENTIA
RURAL–URBAN DIFFERENCES IN POSTSURGICAL SERVICE USE AND OUTCOMES AMONG VETERANS WITH DEMENTIA Open
Adults with dementia have worse post-surgical outcomes than those without dementia, including readmission and death. The use of home health or facility-based skilled nursing after discharge may prevent poor outcomes. We know little about r…
View article: Development of My Decision/Mi Decisión, a web-based decision aid to support permanent contraception decision making
Development of My Decision/Mi Decisión, a web-based decision aid to support permanent contraception decision making Open
OBJECTIVE: To develop a patient-centered, web-based decision aid to support informed and value-concordant decision making among Medicaid enrollees considering tubal sterilization. METHODS: We used the Ottawa Decision Support Framework and …
View article: Exploring Olfactory Dysfunction as a Marker of Frailty and Postoperative Outcomes in Head and Neck Cancer
Exploring Olfactory Dysfunction as a Marker of Frailty and Postoperative Outcomes in Head and Neck Cancer Open
Importance Olfactory dysfunction (OD) is increasingly recognized as a robust marker of frailty and mortality. Despite broad recognition of frailty as a critical component of head and neck cancer (HNC) care, there is no standardized frailty…
View article: A Surgical Desirability of Outcome Ranking (DOOR) Reveals Complex Relationships Between Race/Ethnicity, Insurance Type, and Neighborhood Deprivation
A Surgical Desirability of Outcome Ranking (DOOR) Reveals Complex Relationships Between Race/Ethnicity, Insurance Type, and Neighborhood Deprivation Open
Objective: Develop an ordinal Desirability of Outcome Ranking (DOOR) for surgical outcomes to examine complex associations of Social Determinants of Health. Background: Studies focused on single or binary composite outcomes may not detect …
View article: Frailty and Outcomes Following Cardiopulmonary Resuscitation for Perioperative Cardiac Arrest
Frailty and Outcomes Following Cardiopulmonary Resuscitation for Perioperative Cardiac Arrest Open
Importance Frailty is associated with mortality following surgery and cardiopulmonary resuscitation (CPR) for in-hospital cardiac arrest. Despite the growing focus on frailty as a basis for preoperative risk stratification and concern that…
View article: Comparison of Claims-Based Frailty Indices in U.S. Veterans 65 and Older for Prediction of Long-Term Institutionalization and Mortality
Comparison of Claims-Based Frailty Indices in U.S. Veterans 65 and Older for Prediction of Long-Term Institutionalization and Mortality Open
Background Frailty is increasingly recognized as a useful measure of vulnerability in older adults. Multiple claims-based frailty indices (CFIs) can readily identify individuals with frailty, but whether 1 CFI improves prediction over anot…
View article: Differentiating Urgent from Elective Cases Matters in Minority Populations: Developing an Ordinal “Desirability of Outcome Ranking” to Increase Granularity and Sensitivity of Surgical Outcomes Assessment
Differentiating Urgent from Elective Cases Matters in Minority Populations: Developing an Ordinal “Desirability of Outcome Ranking” to Increase Granularity and Sensitivity of Surgical Outcomes Assessment Open
BACKGROUND: Surgical analyses often focus on single or binary outcomes; we developed an ordinal Desirability of Outcome Ranking (DOOR) for surgery to increase granularity and sensitivity of surgical outcome assessments. Many studies also c…