Marcy Winget
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View article: Evaluation of four learning collaboratives for improving diagnostic excellence in radiology
Evaluation of four learning collaboratives for improving diagnostic excellence in radiology Open
Introduction Learning collaboratives are frequently used within healthcare to facilitate practice improvement through collaboration among clinical teams across multiple organizations. The aim of this study was to use the Agency for Healthc…
View article: Quality of Serious Illness Communication with Hospitalized Limited English Proficient Patients: A Mixed Methods Study
Quality of Serious Illness Communication with Hospitalized Limited English Proficient Patients: A Mixed Methods Study Open
Background: The Serious Illness Conversation Guide was developed to support high quality goals of care conversations with seriously ill patients; however, guide implementation for patients with limited English proficiency (LEP) has not bee…
View article: Qualitative Verification of Machine Learning-Based Burnout Predictors in Primary Care Physicians: An Exploratory Study
Qualitative Verification of Machine Learning-Based Burnout Predictors in Primary Care Physicians: An Exploratory Study Open
Electronic health record (EHR) usage measures may quantify physician activity at scale and predict practice settings with a high risk for physician burnout, but their relation to experiences is poorly understood. This study aimed to explor…
View article: Integrating a High Blood Pressure Advisory Across a Primary Care Network
Integrating a High Blood Pressure Advisory Across a Primary Care Network Open
Importance Leveraging technology to prompt team-based care might improve ambulatory hypertension care. Objective To assess whether an electronic medical record (EMR) high blood pressure (BP) advisory improves hypertension control. Design, …
View article: Towards a Novel Patient Experience Survey System: Incorporating Physician Perspectives into Performance Feedback Dashboard Design
Towards a Novel Patient Experience Survey System: Incorporating Physician Perspectives into Performance Feedback Dashboard Design Open
We aim to incorporate physician insights into the development of a performance dashboard based on a novel patient experience survey system at a large academic health system. A multidisciplinary team of physicians, researchers, and designer…
View article: Exploring implementation of interventions to facilitate integration in fragmented healthcare systems
Exploring implementation of interventions to facilitate integration in fragmented healthcare systems Open
Introduction Stanford Medicine is working to better coordinate care across the Stanford healthcare system, as well as improve patient and provider experiences in seeking and receiving care. This study aimed to explore the complexities of m…
View article: Nested order panels for primary care medication and laboratory orders: adoption and impact on ordering efficiency
Nested order panels for primary care medication and laboratory orders: adoption and impact on ordering efficiency Open
CONTEXT: Electronic health record (EHR) order preference lists and order sets potentially improve efficiency but have limited utility in complex primary care settings. OBJECTIVE: We assessed adoption, impact on time spent in orders, and cl…
View article: Reliability and Validity of a Comprehensiveness of Care Measure in Primary Care, A Case Study of the PRIME Registry
Reliability and Validity of a Comprehensiveness of Care Measure in Primary Care, A Case Study of the PRIME Registry Open
CONTEXT: Comprehensiveness of care represents an important process measure within the contexts of primary care for core services. These services represent the provision of integrated, accessible health care services by clinicians who are a…
View article: Partnering with non-physician team members for telehealth hypertension management, a pilot implementation and effectiveness mixed-methods evaluation of quality improvement
Partnering with non-physician team members for telehealth hypertension management, a pilot implementation and effectiveness mixed-methods evaluation of quality improvement Open
Background Treatment and control of hypertension remains suboptimal, and health systems are increasingly trying to address hypertension with strategies combining multiple interventions. Objective The purpose of this pilot study was to exam…
View article: Trauma-Informed Healthcare Leadership? Evidence and opportunities from interviews with leaders during COVID-19
Trauma-Informed Healthcare Leadership? Evidence and opportunities from interviews with leaders during COVID-19 Open
Background COVID-19 impacted the mental health of healthcare workers, who endured pressures as they provided care during a prolonged crisis. We aimed to explore whether and how a Trauma-Informed Care (TIC) approach was reflected in qualita…
View article: Medicine plus mindset: A mixed-methods evaluation of a novel mindset-focused training for primary care teams
Medicine plus mindset: A mixed-methods evaluation of a novel mindset-focused training for primary care teams Open
View article: Impact assessment of health and social determinants in shelter retention in San Mateo County
Impact assessment of health and social determinants in shelter retention in San Mateo County Open
CONTEXT: Homeless shelters facilitate interventions to reduce the health disparities faced by homeless people and help them return to permanent housing. Poor retention in shelters, however, limits their effectiveness. There is a lack of sc…
View article: A Nurse-Led Care Delivery App and Telehealth System for Patients Requiring Wound Care: Mixed Methods Implementation and Evaluation Study
A Nurse-Led Care Delivery App and Telehealth System for Patients Requiring Wound Care: Mixed Methods Implementation and Evaluation Study Open
Background Innovative solutions to nursing care are needed to address nurse, health system, patient, and caregiver concerns related to nursing wellness, work flexibility and control, workforce retention and pipeline, and access to patient …
View article: Perspectives on the Intersection of Electronic Health Records and Health Care Team Communication, Function, and Well-being
Perspectives on the Intersection of Electronic Health Records and Health Care Team Communication, Function, and Well-being Open
Importance Understanding of the interplay between the electronic health record (EHR), health care team relations, and physician well-being is currently lacking. Approaches to cultivate interpersonal interactions may be necessary to complem…
View article: Evaluating the Implementation of Patient-Reported Outcomes in Heart Failure Clinic: A Qualitative Assessment
Evaluating the Implementation of Patient-Reported Outcomes in Heart Failure Clinic: A Qualitative Assessment Open
Background: Patient-reported outcomes (PROs) may improve care for patients with heart failure. The Kansas City Cardiomyopathy Questionnaire-12 (KCCQ-12) is a patient survey that captures symptom frequency, symptom burden, physical limitati…
View article: Human vs. Machine: A Comparison of Strategies for Case Finding and Eliciting Referrals in Palliative Care (Sci234)
Human vs. Machine: A Comparison of Strategies for Case Finding and Eliciting Referrals in Palliative Care (Sci234) Open
View article: “Building a Presence”: Strategies Used to Implement and Expand Palliative Care Services Across Six Diverse Health Systems (Sci205)
“Building a Presence”: Strategies Used to Implement and Expand Palliative Care Services Across Six Diverse Health Systems (Sci205) Open
Outcomes.1. Through analyzing the process and results of an intervention to increase documented goals-of-care conversations, participants will self-report the ability to apply lessons learned to their clinical practice.2. Participants will…
View article: Evolution of a Project to Improve Inpatient-to-Outpatient Dermatology Care Transitions: Mixed Methods Evaluation
Evolution of a Project to Improve Inpatient-to-Outpatient Dermatology Care Transitions: Mixed Methods Evaluation Open
Background In-hospital dermatological care has shifted from dedicated dermatology wards to consultation services, and some consulted patients may require postdischarge follow-up in outpatient dermatology. Safe and timely care transitions f…
View article: Factors Associated with the Breast Cancer Diagnostic Interval across Five Canadian Provinces: A CanIMPACT Retrospective Cohort Study
Factors Associated with the Breast Cancer Diagnostic Interval across Five Canadian Provinces: A CanIMPACT Retrospective Cohort Study Open
The cancer diagnostic process can be protracted, and it is a time of great anxiety for patients. The objective of this study was to examine inter- and intra-provincial variation in diagnostic intervals and explore factors related to the va…
View article: Targeting repetitive laboratory testing with electronic health records-embedded predictive decision support: A pre-implementation study
Targeting repetitive laboratory testing with electronic health records-embedded predictive decision support: A pre-implementation study Open
View article: “Never waste a good crisis”: A qualitative study of the impact of COVID-19 on palliative care in seven hospitals using the Dynamic Sustainability Framework
“Never waste a good crisis”: A qualitative study of the impact of COVID-19 on palliative care in seven hospitals using the Dynamic Sustainability Framework Open
Background: The COVID-19 pandemic led to rapid adaptations among palliative care services, but it is unclear how these adaptations vary in relation to their unique organizational contexts. Aim: Understand how the pandemic impacted the impl…
View article: The patient-reported outcome measurement in heart failure clinic trial: Rationale and methods of the PRO-HF trial
The patient-reported outcome measurement in heart failure clinic trial: Rationale and methods of the PRO-HF trial Open
View article: Evolution of a Project to Improve Inpatient-to-Outpatient Dermatology Care Transitions: Mixed Methods Evaluation (Preprint)
Evolution of a Project to Improve Inpatient-to-Outpatient Dermatology Care Transitions: Mixed Methods Evaluation (Preprint) Open
BACKGROUND In-hospital dermatological care has shifted from dedicated dermatology wards to consultation services, and some consulted patients may require postdischarge follow-up in outpatient dermatology. Safe and timely care transitions …
View article: A Nurse-Led Care Delivery App and Telehealth System for Patients Requiring Wound Care: Mixed Methods Implementation and Evaluation Study (Preprint)
A Nurse-Led Care Delivery App and Telehealth System for Patients Requiring Wound Care: Mixed Methods Implementation and Evaluation Study (Preprint) Open
BACKGROUND Innovative solutions to nursing care are needed to address nurse, health system, patient, and caregiver concerns related to nursing wellness, work flexibility and control, workforce retention and pipeline, and access to patient…
View article: Evaluating clinician‐led quality improvement initiatives: A system‐wide embedded research partnership at Stanford Medicine
Evaluating clinician‐led quality improvement initiatives: A system‐wide embedded research partnership at Stanford Medicine Open
Introduction Many healthcare delivery systems have developed clinician‐led quality improvement (QI) initiatives but fewer have also developed in‐house evaluation units. Engagement between the two entities creates unique opportunities. Stan…
View article: Professional Behavior and Value Erosion: A Qualitative Study of Physicians and the Electronic Health Record
Professional Behavior and Value Erosion: A Qualitative Study of Physicians and the Electronic Health Record Open
Goal: Occurrences of physician burnout have reached epidemic numbers, and the electronic health record (EHR) is a commonly cited cause of the distress. To enhance current understanding of the relationship between burnout and the EHR, we ex…
View article: Teledermatology to Facilitate Patient Care Transitions From Inpatient to Outpatient Dermatology: Mixed Methods Evaluation
Teledermatology to Facilitate Patient Care Transitions From Inpatient to Outpatient Dermatology: Mixed Methods Evaluation Open
Background Both clinicians and patients have increasingly turned to telemedicine to improve care access, even in physical examination–dependent specialties such as dermatology. However, little is known about whether teledermatology support…
View article: A 360 degree mixed-methods evaluation of a specialized COVID-19 outpatient clinic and remote patient monitoring program
A 360 degree mixed-methods evaluation of a specialized COVID-19 outpatient clinic and remote patient monitoring program Open
View article: Gearing Up for a Vaccine Requirement: A Mixed Methods Study of COVID-19 Vaccine Confidence Among Workers at an Academic Medical Center
Gearing Up for a Vaccine Requirement: A Mixed Methods Study of COVID-19 Vaccine Confidence Among Workers at an Academic Medical Center Open
SUMMARY Goal: Assessing barriers to vaccination among healthcare workers may be particularly important given their roles in their respective communities. We conducted a mixed methods study to explore healthcare worker perspectives on recei…
View article: Teledermatology to Facilitate Patient Care Transitions from Inpatient to Outpatient Dermatology: a Mixed Methods Evaluation (Preprint)
Teledermatology to Facilitate Patient Care Transitions from Inpatient to Outpatient Dermatology: a Mixed Methods Evaluation (Preprint) Open
BACKGROUND Both clinicians and patients have increasingly turned to telemedicine to improve access to care, even in physical exam dependent specialties like dermatology. However, little is known whether teledermatology supports effective …