Eric M. Cheng
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View article: A Randomized-Clinical Trial of Two Ambient Artificial Intelligence Scribes: Measuring Documentation Efficiency and Physician Burnout
A Randomized-Clinical Trial of Two Ambient Artificial Intelligence Scribes: Measuring Documentation Efficiency and Physician Burnout Open
Importance Ambient artificial intelligence (AI) scribes record patient encounters and generate visit notes almost instantaneously, representing a promising solution to documentation burden and associated physician burnout. Despite swift an…
View article: Effect of egg consumption on cognition in healthy young adults: findings from a randomised controlled trial
Effect of egg consumption on cognition in healthy young adults: findings from a randomised controlled trial Open
Eggs contain several nutrients that are positively linked to neurological function, including phospholipids (regulate neurotransmitter receptors), choline (produces acetylcholine, involved in memory and learning (1) , tryptophan (produces …
View article: Displaying Cost and Completion Time for Reference Laboratory Test Orders—A Randomized Controlled Trial
Displaying Cost and Completion Time for Reference Laboratory Test Orders—A Randomized Controlled Trial Open
Objectives Reduction in unnecessary services is one strategy for increasing the value of health care. Reference laboratory, or send-out, tests are associated with considerable costs. We investigated whether displaying cost and turnaround t…
View article: Implementation fidelity of a nurse-led RCT-tested complex intervention, care coordination for health promotion and activities in Parkinson’s disease (CHAPS) in meeting challenges in care management
Implementation fidelity of a nurse-led RCT-tested complex intervention, care coordination for health promotion and activities in Parkinson’s disease (CHAPS) in meeting challenges in care management Open
Background Parkinson’s disease (PD) complexity poses challenges for individuals with Parkinson’s, providers, and researchers. A recent multisite randomized trial of a proactive, telephone-based, nurse-led care management intervention - Car…
View article: 29043 Using Milestones to Judge the Progress of Clinical Informatics Fellows Compared with their Personal Goals
29043 Using Milestones to Judge the Progress of Clinical Informatics Fellows Compared with their Personal Goals Open
IMPACT: We report a novel metric for assessing clinical informatics fellows relative to their personal goals, using standardized milestones that have been approved for the field by ACGME. OBJECTIVES/GOALS: ACGME has defined 20 milestones t…
View article: Factors Associated With Participation in the Chronic Disease Self-Management Program
Factors Associated With Participation in the Chronic Disease Self-Management Program Open
Background and Purpose: Self-management programs may improve quality of life and self-efficacy for stroke survivors, but participation is low. In a randomized controlled trial of a complex, multidisciplinary, team-based secondary stroke pr…
View article: Assessment of the Protocol-Guided Rapid Evaluation of Veterans Experiencing New Transient Neurological Symptoms (PREVENT) Program for Improving Quality of Care for Transient Ischemic Attack
Assessment of the Protocol-Guided Rapid Evaluation of Veterans Experiencing New Transient Neurological Symptoms (PREVENT) Program for Improving Quality of Care for Transient Ischemic Attack Open
ClinicalTrials.gov Identifier: NCT02769338.
View article: Low prevalence (0.13%) of COVID-19 infection in asymptomatic pre-operative/pre-procedure patients at a large, academic medical center informs approaches to perioperative care
Low prevalence (0.13%) of COVID-19 infection in asymptomatic pre-operative/pre-procedure patients at a large, academic medical center informs approaches to perioperative care Open
View article: Quality and extent of implementation of a nurse-led care management intervention: care coordination for health promotion and activities in Parkinson’s disease (CHAPS)
Quality and extent of implementation of a nurse-led care management intervention: care coordination for health promotion and activities in Parkinson’s disease (CHAPS) Open
View article: Comparative Effectiveness of Carotid Endarterectomy vs Initial Medical Therapy in Patients With Asymptomatic Carotid Stenosis
Comparative Effectiveness of Carotid Endarterectomy vs Initial Medical Therapy in Patients With Asymptomatic Carotid Stenosis Open
This study found that the absolute reduction in the risk of fatal and nonfatal strokes associated with early CEA was less than half the risk difference in trials from 20 years ago and was no longer statistically significant when the compet…
View article: Noninterruptive Clinical Decision Support Decreases Ordering of Respiratory Viral Panels during Influenza Season
Noninterruptive Clinical Decision Support Decreases Ordering of Respiratory Viral Panels during Influenza Season Open
Objective A growing body of evidence suggests that testing for influenza virus alone is more appropriate than multiplex respiratory viral panel (RVP) testing for general populations of patients with respiratory tract infections. We aimed t…
View article: The protocol-guided rapid evaluation of veterans experiencing new transient neurological symptoms (PREVENT) quality improvement program: rationale and methods
The protocol-guided rapid evaluation of veterans experiencing new transient neurological symptoms (PREVENT) quality improvement program: rationale and methods Open
View article: Teleneurology clinics for polyneuropathy: a pilot study
Teleneurology clinics for polyneuropathy: a pilot study Open
View article: Processes of Care Associated With Risk of Mortality and Recurrent Stroke Among Patients With Transient Ischemic Attack and Nonsevere Ischemic Stroke
Processes of Care Associated With Risk of Mortality and Recurrent Stroke Among Patients With Transient Ischemic Attack and Nonsevere Ischemic Stroke Open
Patients who received 6 readily available processes of care had lower adjusted mortality 1 year after TIA or nonsevere ischemic stroke. Clinicians caring for patients with TIA and nonsevere ischemic stroke should seek to ensure that patien…
View article: The quality of medication optimization among patients with transient ischemic attack or minor stroke
The quality of medication optimization among patients with transient ischemic attack or minor stroke Open
Objective To assess the quality of medication optimization for transient ischemic attack (TIA) and minor stroke patients across the Veterans Health Administration (VHA), and to identify characteristics predicting medication optimization fo…
View article: Physicians Voluntarily Using an EHR-Based CDS Tool Improved Patients' Guideline-Related Statin Prescription Rates: A Retrospective Cohort Study
Physicians Voluntarily Using an EHR-Based CDS Tool Improved Patients' Guideline-Related Statin Prescription Rates: A Retrospective Cohort Study Open
Background In 2013, the American College of Cardiology (ACC) and the American Heart Association (AHA) released a revised guideline on statin therapy initiation. The guideline included a 10-year risk calculation based on regression modeling…
View article: MON-600 Reducing Inappropriate Serum T3 Laboratory Ordering in Patients with Treated Hypothyroidism
MON-600 Reducing Inappropriate Serum T3 Laboratory Ordering in Patients with Treated Hypothyroidism Open
Background: Choosing Wisely is a campaign of the American Board of Internal Medicine that aims to promote evidence-based practices to reduce unnecessary ordering of tests or procedures. As part of this campaign, national organizations incl…
View article: Risk Prediction Tools to Improve Patient Selection for Carotid Endarterectomy Among Patients With Asymptomatic Carotid Stenosis
Risk Prediction Tools to Improve Patient Selection for Carotid Endarterectomy Among Patients With Asymptomatic Carotid Stenosis Open
Importance:
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\nRandomized clinical trials have demonstrated that patients with asymptomatic carotid stenosis are eligible for carotid endarterectomy (CEA) if the 30-day surgical complication rate is less than 3% and the patient's life ex…
View article: Uncertainty as a Key Influence in the Decision To Admit Patients with Transient Ischemic Attack
Uncertainty as a Key Influence in the Decision To Admit Patients with Transient Ischemic Attack Open
View article: Receipt of cardiac screening does not influence 1-year post–cerebrovascular event mortality
Receipt of cardiac screening does not influence 1-year post–cerebrovascular event mortality Open
In this observational cohort study of patients with cerebrovascular disease, cardiac screening was relatively uncommon and was not associated with 1-year mortality. Additional work is needed to understand the utility of CHD screening among…
View article: P046: A quality improvement initiative for improving integration of resource stewardship concepts into undergraduate medical education
P046: A quality improvement initiative for improving integration of resource stewardship concepts into undergraduate medical education Open
View article: Quality of Care for Veterans With Transient Ischemic Attack and Minor Stroke
Quality of Care for Veterans With Transient Ischemic Attack and Minor Stroke Open
This national study of VHA system quality of care for patients with TIA or minor stroke identified opportunities to improve care quality, particularly for patients who were discharged from the ED. Health care systems should engage in ongoi…
View article: Comparison of Risk Factor Control in the Year After Discharge for Ischemic Stroke Versus Acute Myocardial Infarction
Comparison of Risk Factor Control in the Year After Discharge for Ischemic Stroke Versus Acute Myocardial Infarction Open
Background and Purpose— The Veterans Health Administration has engaged in quality improvement to improve vascular risk factor control. We sought to examine blood pressure (<140/90 mm Hg), lipid (LDL [low-density lipoprotein] cholesterol <1…
View article: Development and Validation of Electronic Quality Measures to Assess Care for Patients With Transient Ischemic Attack and Minor Ischemic Stroke
Development and Validation of Electronic Quality Measures to Assess Care for Patients With Transient Ischemic Attack and Minor Ischemic Stroke Open
Background— Despite interest in using electronic health record (EHR) data to assess quality of care, the accuracy of such data is largely unknown. We sought to develop and validate transient ischemic attack and minor ischemic stroke electr…
View article: Impact of Hospital Admission for Patients with Transient Ischemic Attack
Impact of Hospital Admission for Patients with Transient Ischemic Attack Open
View article: Have clinicians adopted the use of brain MRI for patients with TIA and minor stroke?
Have clinicians adopted the use of brain MRI for patients with TIA and minor stroke? Open
Within a national health system, about 40% of patients with TIA/minor stroke had MRI performed within 2 days. Performance of MRI appeared to be influenced by several patient and facility-level variables, suggesting that there has been part…
View article: The UCLA Health Resident Informaticist Program – A Novel Clinical Informatics Training Program
The UCLA Health Resident Informaticist Program – A Novel Clinical Informatics Training Program Open
Few opportunities exist for physician trainees to gain exposure to, and training in, the field of clinical informatics, an Accreditation Council for Graduate Medical Education–accredited, recently board-certified specialty. Currently, 21 a…
View article: Common Reasons That Asymptomatic Patients Who Are 65 Years and Older Receive Carotid Imaging
Common Reasons That Asymptomatic Patients Who Are 65 Years and Older Receive Carotid Imaging Open
Carotid bruit and follow-up for carotid disease accounted for approximately half of all indications provided by physicians for carotid testing. Strong consideration should be given to improving the evidence base around carotid testing, esp…
View article: Study protocol of “CHAPS”: a randomized controlled trial protocol of Care Coordination for Health Promotion and Activities in Parkinson’s Disease to improve the quality of care for individuals with Parkinson’s disease
Study protocol of “CHAPS”: a randomized controlled trial protocol of Care Coordination for Health Promotion and Activities in Parkinson’s Disease to improve the quality of care for individuals with Parkinson’s disease Open
View article: A comparative analysis of Patient-Reported Expanded Disability Status Scale tools
A comparative analysis of Patient-Reported Expanded Disability Status Scale tools Open
Background: Patient-Reported Expanded Disability Status Scale (PREDSS) tools are an attractive alternative to the Expanded Disability Status Scale (EDSS) during long term or geographically challenging studies, or in pressured clinical serv…