scholarly journals Feasibility Study of a Quasi‐experimental Regional Opioid Safety Prescribing Program in Veterans Health Administration Emergency Departments

2020 ◽  
Vol 27 (8) ◽  
pp. 734-741
Author(s):  
Nathalie Dieujuste ◽  
Rachel Johnson‐Koenke ◽  
Melissa Christopher ◽  
Elise C. Gunzburger ◽  
Thomas Emmendorfer ◽  
...  
Keyword(s):  
Feasibility Study ◽  
Emergency Departments ◽  
Veterans Health Administration ◽  
Veterans Health ◽  
Health Administration ◽  
Quasi Experimental

scholarly journals High Variability of Opioid Prescribing Within and Across Emergency Departments in the US Veterans Health Administration

2018 ◽  
Vol 33 (11) ◽  
pp. 1831-1832
Author(s):  
Timothy Joseph Sowicz ◽  
Adam J. Gordon ◽  
Walid F. Gellad ◽  
Xinhua Zhao ◽  
Hongwei Zhang ◽  
...  
Keyword(s):  
Emergency Departments ◽  
Veterans Health Administration ◽  
High Variability ◽  
Veterans Health ◽  
Health Administration ◽  
Opioid Prescribing ◽  
The Us ◽  
Us Veterans

Evaluation of antibiotic prescribing in emergency departments and urgent care centers across the Veterans’ Health Administration

2020 ◽  
pp. 1-8
Author(s):  
James L. Lowery ◽  
Bruce Alexander ◽  
Rajeshwari Nair ◽  
Brett H. Heintz ◽  
Daniel J. Livorsi
Keyword(s):  
Emergency Departments ◽  
Respiratory Infections ◽  
Antibiotic Use ◽  
Veterans Health Administration ◽  
Urgent Care ◽  
Antibiotic Prescribing ◽  
Veterans Health ◽  
Health Administration ◽  
Urgent Care Centers ◽  
Exacerbation Of Copd

Abstract Objective: Assessments of antibiotic prescribing in ambulatory care have largely focused on viral acute respiratory infections (ARIs). It is unclear whether antibiotic prescribing for bacterial ARIs should also be a target for antibiotic stewardship efforts. In this study, we evaluated antibiotic prescribing for viral and potentially bacterial ARIs in patients seen at emergency departments (EDs) and urgent care centers (UCCs). Design: This retrospective cohort included all ED and UCC visits by patients who were not hospitalized and were seen during weekday, daytime hours during 2016–2018 in the Veterans Health Administration (VHA). Guideline concordance was evaluated for viral ARIs and for 3 potentially bacterial ARIs: acute exacerbation of COPD, pneumonia, and sinusitis. Results: There were 3,182,926 patient visits across 129 sites: 80.7% in EDs and 19.3% in UCCs. Mean patient age was 60.2 years, 89.4% were male, and 65.6% were white. Antibiotics were prescribed during 608,289 (19.1%) visits, including 42.7% with an inappropriate indication. For potentially bacterial ARIs, guideline-concordant management varied across clinicians (median, 36.2%; IQR, 26.0–52.7) and sites (median, 38.2%; IQR, 31.7–49.4). For viral ARIs, guideline-concordant management also varied across clinicians (median, 46.2%; IQR, 24.1–68.6) and sites (median, 40.0%; IQR, 30.4–59.3). At the clinician and site levels, we detected weak correlations between guideline-concordant management for viral ARIs and potentially bacterial ARIs: clinicians (r = 0.35; P = .0001) and sites (r = 0.44; P < .0001). Conclusions: Our findings suggest that, across EDs and UCCs within VHA, there are major opportunities to improve management of both viral and potentially bacterial ARIs. Some clinicians and sites are more frequently adhering to ARI guideline recommendations on antibiotic use.

A Review of Adverse Event Reports From Emergency Departments in the Veterans Health Administration

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Sonia Gill ◽  
Peter D. Mills ◽  
Bradley V. Watts ◽  
Douglas E. Paull ◽  
Anne Tomolo
Keyword(s):  
Adverse Event ◽  
Emergency Departments ◽  
Veterans Health Administration ◽  
Veterans Health ◽  
Health Administration

scholarly journals Potentially avoidable Inter-Facility transfer from Veterans Health Administration emergency departments: A cohort study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Nicholas M. Mohr ◽  
Chaorong Wu ◽  
Michael J. Ward ◽  
Candace D. McNaughton ◽  
Kelly Richardson ◽  
...  
Keyword(s):  
Cohort Study ◽  
Emergency Departments ◽  
Veterans Health Administration ◽  
Veterans Health ◽  
Health Administration

An Intervention With Meaning

Crisis ◽  
2017 ◽  
Vol 38 (6) ◽  
pp. 376-383 ◽  
Author(s):  
Brooke A. Levandowski ◽  
Constance M. Cass ◽  
Stephanie N. Miller ◽  
Janet E. Kemp ◽  
Kenneth R. Conner
Keyword(s):  
High Risk ◽  
Qualitative Methodology ◽  
Veterans Health Administration ◽  
Veterans Health ◽  
Safety Planning ◽  
Health Administration ◽  
Suicide Method ◽  
Treatment Providers ◽  
Interactive Nature ◽  
Behavioral Health Treatment

Abstract. Background: The Veterans Health Administration (VHA) health-care system utilizes a multilevel suicide prevention intervention that features the use of standardized safety plans with veterans considered to be at high risk for suicide. Aims: Little is known about clinician perceptions on the value of safety planning with veterans at high risk for suicide. Method: Audio-recorded interviews with 29 VHA behavioral health treatment providers in a southeastern city were transcribed and analyzed using qualitative methodology. Results: Clinical providers consider safety planning feasible, acceptable, and valuable to veterans at high risk for suicide owing to the collaborative and interactive nature of the intervention. Providers identified the types of veterans who easily engaged in safety planning and those who may experience more difficulty with the process. Conclusion: Additional research with VHA providers in other locations and with veteran consumers is needed.

Veterans Health Administration Mental Health Program Evaluation Technical Manual

2009 ◽  
Author(s):  
Marcela Horovitz-Lennon ◽  
Katherine E. Watkins ◽  
Harold Alan Pincus ◽  
Lisa R. Shugarman ◽  
Brad Smith ◽  
...  
Keyword(s):  
Mental Health ◽  
Program Evaluation ◽  
Health Program ◽  
Mental Health Program ◽  
Veterans Health Administration ◽  
Veterans Health ◽  
Health Administration ◽  
Technical Manual
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