Matthew Sirrine

Developing and Demonstrating the Viability and Availability of the Multilevel Implementation Strategy for Syncope Optimal Care Through Engagement (MISSION) Syncope App: Evidence-Based Clinical Decision Support Tool

Shiraz Amin, Vedant Arun Gupta, Gaixin Du, Colleen A. McMullen et autres

BACKGROUND: Syncope evaluation and management is associated with testing overuse and unnecessary hospitalizations. The 2017 American College of Cardiology/American Heart Association (ACC/AHA) Syncope Guideline aims to standardize clinical practice and reduce unnecessary services. The use of clinical decision support (CDS) tools offers …

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“Passing Out is a Serious Thing”: Patient Expectations for Syncope Evaluation and Management

Jessica Miller Clouser, Matthew Sirrine, Colleen A. McMullen, Amy Cowley et autres

PURPOSE: Syncope is a complex symptom requiring thoughtful evaluation. The ACC/AHA/HRS published syncope management guidelines in 2017. Effective guideline implementation hinges on overcoming multilevel barriers, including providers' perceptions that patients prefer aggressive diagnostic testing when presenting to the emergency department (ED) with …

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Developing and Demonstrating the Viability and Availability of the Multilevel Implementation Strategy for Syncope Optimal Care Through Engagement (MISSION) Syncope App: Evidence-Based Clinical Decision Support Tool (Preprint)

Shiraz Amin, Vedant Arun Gupta, Gaixin Du, Colleen A. McMullen et autres

BACKGROUND Syncope evaluation and management is associated with testing overuse and unnecessary hospitalizations. The 2017 American College of Cardiology/American Heart Association (ACC/AHA) Syncope Guideline aims to standardize clinical practice and reduce unnecessary services. The use of clinical decision support (CDS) tools offers …

Identifying Guideline-Practice Gaps to Optimize Evaluation and Management for Patients With Syncope

Susan S. Smyth, Vedant Arun Gupta, Mark V. Williams, Amy Cowley et autres

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Value-based syncope evaluation and management: Perspectives of health care professionals on readiness, barriers and enablers

Jing Li, Vedant Arun Gupta, Susan S. Smyth, Amy Cowley et autres

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Abstract 15678: Multi-Level and Multifactorial Barriers to Implementation of Guideline Directed Syncope Care Substantially Increases Resource Utilization With Dramatic Impact on Potential Cost

Vedant Arun Gupta, Amy Cowley, Hilary L. Surratt, Susan S. Smyth et autres

Introduction: Syncope is a common reason for ED visits and costs over $20 billion annually in the US. Recent guidelines published in 2017 focused on high value testing, but the effect on implementa...