Sarah L. Krein
YOU?
Author Swipe
View article: Turnover in Nursing Homes That Serve Residents With Serious Mental Illness
Turnover in Nursing Homes That Serve Residents With Serious Mental Illness Open
Nursing home staff turnover rates were high across staff types with no meaningful relationship or consistent trends between the proportion of residents with SMI and staff turnover. Nursing homes might focus on other factors when developing…
View article: Barriers to Discharge for Nursing Home Residents With Serious Mental Illness
Barriers to Discharge for Nursing Home Residents With Serious Mental Illness Open
Importance Nursing homes deliver rehabilitative and long-term care for people with serious medical illnesses, functional impairment, and/or cognitive impairment. The population of nursing home residents with serious mental illness (ie, bip…
View article: Leveraging de-implementation science to promote infection prevention and stewardship: a roadmap and practical examples (Part II of II)
Leveraging de-implementation science to promote infection prevention and stewardship: a roadmap and practical examples (Part II of II) Open
De-implementation of established practices is a common challenge in infection prevention and antimicrobial stewardship and a necessary part of the life cycle of healthcare quality improvement programs. Promoting de-implementation of ineffe…
View article: Health Insurance and Interhospital Transfer for Critically Ill Patients With Respiratory Failure
Health Insurance and Interhospital Transfer for Critically Ill Patients With Respiratory Failure Open
Importance Critically ill patients with acute respiratory failure may benefit from transfer to higher-volume centers with specialized care. However, health insurance is often considered prior to interhospital transfer and may represent a f…
View article: Characteristics of central sensitization and its relationship with demographics and pain indicators among veterans with chronic pain: A cross-sectional study
Characteristics of central sensitization and its relationship with demographics and pain indicators among veterans with chronic pain: A cross-sectional study Open
Central sensitization (CS) is a neural mechanism associated with the development and perpetuation of chronic pain. The purpose of this study was to examine the severity and prevalence of central sensitization and examine its relationships …
View article: Reddit as a Social Media Self-Management Tool for Inflammatory Bowel Disease: Qualitative Analysis
Reddit as a Social Media Self-Management Tool for Inflammatory Bowel Disease: Qualitative Analysis Open
Background Given the widespread discussion of inflammatory bowel disease (IBD)–related topics on social media, these platforms play an important role in increasing our understanding of the needs, preferences, and experiences of patients li…
View article: Guiding <i>Clostridioides difficile</i> Infection Prevention Efforts in a Hospital Setting With AI
Guiding <i>Clostridioides difficile</i> Infection Prevention Efforts in a Hospital Setting With AI Open
Importance Increasingly, artificial intelligence (AI) is being used to develop models that can identify patients at high risk for adverse outcomes. However, the clinical impact of these models remains largely unrealized. Objective To evalu…
View article: Impact of a Collaboration-Focused Intervention to Prevent Healthcare-Associated Infections Before and During the COVID-19 Pandemic
Impact of a Collaboration-Focused Intervention to Prevent Healthcare-Associated Infections Before and During the COVID-19 Pandemic Open
Background Nursing home (NH) residents are susceptible to healthcare-associated infections (HAIs). Alignment among NHs, hospitals, and health departments is critical for effective implementation of infection prevention efforts. We tested a…
View article: A stepped wedge cluster randomized implementation trial to increase outpatient management of low-risk pulmonary embolism from the emergency department – the MEDIC ALERT PE study
A stepped wedge cluster randomized implementation trial to increase outpatient management of low-risk pulmonary embolism from the emergency department – the MEDIC ALERT PE study Open
Background Home-based care for patients diagnosed in emergency departments (EDs) with low-risk pulmonary embolism (PE) is an evidence-based, guideline-recommended practice that is not widely adopted in the US. Few studies demonstrate how t…
View article: Caregiver and care team perspectives of caregiver psychological distress and well-being during critical care hospitalization: a qualitative study
Caregiver and care team perspectives of caregiver psychological distress and well-being during critical care hospitalization: a qualitative study Open
Background Family caregiver psychological distress during an older adult’s critical care hospitalization can compromise their well-being and ability to function in a supportive role for patient recovery. Understanding factors influencing f…
View article: 202. Targeting <i>Clostridioides difficile</i> Infection Prevention Efforts with Artificial Intelligence
202. Targeting <i>Clostridioides difficile</i> Infection Prevention Efforts with Artificial Intelligence Open
Background Infections with Clostridioides difficile are associated with prolonged hospital stays, higher costs, and significant morbidity. Artificial intelligence (AI) tools can accurately predict which hospitalized patients are most likel…
View article: Preoperative factors and four-year decompressive laminectomy success in symptomatic lumbar spinal stenosis
Preoperative factors and four-year decompressive laminectomy success in symptomatic lumbar spinal stenosis Open
Background/context Decompressive laminectomy (DL) for lumbar spinal stenosis (LSS) is the most common spinal surgery for older adults. Biopsychosocial factors are associated with 1-year outcomes in these patients. While most surgical failu…
View article: Multicenter Analysis of the Relationship Between Operative Team Familiarity and Safety and Efficiency Outcomes in Cardiac Surgery
Multicenter Analysis of the Relationship Between Operative Team Familiarity and Safety and Efficiency Outcomes in Cardiac Surgery Open
BACKGROUND: Safety in cardiac surgical procedures is predicated on effective team dynamics. This study associated operative team familiarity (ie, the extent of clinical collaboration among surgical team members) with procedural efficiency …
View article: Clinician contributions to central nervous system‐active polypharmacy among older adults with dementia in the <scp>United States</scp>
Clinician contributions to central nervous system‐active polypharmacy among older adults with dementia in the <span>United States</span> Open
Background Exposure to central nervous system (CNS)‐active polypharmacy—overlapping exposure to three or more CNS‐active medications—is potentially harmful yet common among persons living with dementia (PLWD). The extent to which these med…
View article: A Group Approach to Clinical Research Mentorship at a Veterans Affairs Medical Center
A Group Approach to Clinical Research Mentorship at a Veterans Affairs Medical Center Open
A group-based research mentorship program was positively viewed by participants, proved to be successful in helping mentees obtain funding for research, and had an impact on increasing participants' work satisfaction and reducing levels of…
View article: Impact of large scale, multicomponent intervention to reduce proton pump inhibitor overuse in integrated healthcare system: difference-in-difference study
Impact of large scale, multicomponent intervention to reduce proton pump inhibitor overuse in integrated healthcare system: difference-in-difference study Open
Objective To determine how a large scale, multicomponent, pharmacy based intervention to reduce proton pump inhibitor (PPI) overuse affected prescribing patterns, healthcare utilization, and clinical outcomes. Design Difference-in-differen…
View article: Diagnostic uncertainty and decision‐making in home‐based primary care: A qualitative study of antibiotic prescribing
Diagnostic uncertainty and decision‐making in home‐based primary care: A qualitative study of antibiotic prescribing Open
Background Evaluating infection in home‐based primary care is challenging, and these challenges may impact antibiotic prescribing. A refined understanding of antibiotic decision‐making in this setting can inform strategies to promote antib…
View article: ICE volume 45 issue 1 Cover and Front matter
ICE volume 45 issue 1 Cover and Front matter Open
An abstract is not available for this content so a preview has been provided. As you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
View article: Factors affecting Accountable Care Organizations’ decisions to remain in or exit the Medicare Shared Savings Program following Pathways to Success
Factors affecting Accountable Care Organizations’ decisions to remain in or exit the Medicare Shared Savings Program following Pathways to Success Open
The Medicare Shared Savings Program (MSSP) is an alternative payment model launched in 2012, creating Accountable Care Organizations (ACOs) to improve quality and lower costs for Traditional Medicare patients. Most MSSP participants were e…
View article: The role of hospital‐based vascular access teams and implications for patient safety: A multi‐methods study
The role of hospital‐based vascular access teams and implications for patient safety: A multi‐methods study Open
Background Peripherally inserted central catheters (PICCs) and midline catheters are often placed by nurse‐led vascular access teams (VATs). While some data regarding the effectiveness of these teams exists, less is known about their struc…
View article: Excellence in Antibiotic Stewardship: A Mixed-Methods Study Comparing High-, Medium-, and Low-Performing Hospitals
Excellence in Antibiotic Stewardship: A Mixed-Methods Study Comparing High-, Medium-, and Low-Performing Hospitals Open
Background Despite antibiotic stewardship programs existing in most acute care hospitals, there continues to be variation in appropriate antibiotic use. While existing research examines individual prescriber behavior, contextual reasons fo…
View article: ICE volume 44 issue 12 Cover and Front matter
ICE volume 44 issue 12 Cover and Front matter Open
An abstract is not available for this content so a preview has been provided. As you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
View article: Comparing practices to prevent infectious diseases transmission among Veterans Affairs and Nonveterans Affairs hospitals: Results from a national survey in the United States
Comparing practices to prevent infectious diseases transmission among Veterans Affairs and Nonveterans Affairs hospitals: Results from a national survey in the United States Open
Our national cross-sectional survey of United States hospitals found greater implementation of contact precautions for multidrug-resistant organisms and a higher percentage reporting the use of supplemental no-touch disinfection devices am…