Nitin Mehdiratta

Operationalizing a Learning Health System in the Intensive Care Unit: Development of a Performance Dashboard and Framework for Continuous Improvement

Mahmoud Alwakeel, Mohammed Akbar, Armando Bedoya, Karthik Raghunathan et autres

us (code pays fourni par la source)

Apolipoprotein E Mimetic Peptide CN-105 and Postoperative Delirium in Older Patients

Noah J. Timko, Mary Cooter Wright, Melody R. Smith, Piper C. Boykin et autres

Importance: The apolipoprotein E (APOE) gene ε4 allele leads to increased Alzheimer disease risk and neuroinflammation and is also believed to play a role in postoperative delirium. However, the safety and feasibility of modulating apoE protein signaling to reduce postoperative neuroinflammation and …

us, gb, se, cn, fr, gr (code pays fourni par la source)

Assessing blood culture appropriateness in solid organ transplant recipients: a diagnostic stewardship approach

Julie M. Steinbrink, Nitin Mehdiratta, Heather Pena, Ian J. Welsby et autres

OBJECTIVE: Diagnostic stewardship of blood culture utilization is important to mitigate the risks associated with unnecessary culturing. Although blood culture algorithms have been studied previously, there is a lack of data on their application among solid organ transplant (SOT) recipients. This study …

us (code pays fourni par la source)

Association of Intraoperative Hydroxocobalamin Exposure With Severe Acute Kidney Injury in Patients After Liver Transplantation

Ronald M. Harris, Morgan Rosser, Vijay Krishnamoorthy, Nitin Mehdiratta et autres

il, us (code pays fourni par la source)

Optimizing Blood Culture Draws Through Use of an Algorithm Can Reduce Utilization in a Community ICU

Nitin Mehdiratta, Erin Gettler, Vijay Krishnamoorthy, Kathleen Claus et autres

Objective To evaluate the implementation of a blood culture algorithm in a mixed medical-surgical ICU at a community hospital, and examine the association with blood culture utilization rate and patient outcomes. Design: A quasi-experimental study examining pre- and post-implementation periods. Setting: A …

us (code pays fourni par la source)

415. Optimizing Blood Culture Utilization in Solid Organ Transplant Recipients: A Diagnostic Stewardship Approach

Julie M. Steinbrink, Nitin Mehdiratta, Heather Pena, Ian J. Welsby et autres

Abstract Background Diagnostic stewardship of blood culture utilization is paramount to mitigate the risks associated with excessive culturing, including increased contamination rates and inappropriate antimicrobial administration. Although blood culture algorithms have been studied previously, there is insufficient data on their application specifically …

us (code pays fourni par la source)

ICU outcomes following a Central Line Associated Blood Stream Infections (CLABSI) reduction quality improvement project

Ronald M. Harris, Nitin Mehdiratta, Morgan Rosser, Anand M. Chowdhury et autres

BACKGROUND: Central Line Associated Blood Stream Infections (CLABSI) are significant complications for hospitalized patients. Several different approaches have been used to reduce CLABSI. OBJECTIVE: This study aimed to (1) describe a systematic approach used to analyze and reduce CLABSI rates in a …

us (code pays fourni par la source)

Implementation of a diagnostic stewardship intervention to improve blood-culture utilization in 2 surgical ICUs: Time for a blood-culture change

Jessica Seidelman, Rebekah W. Moehring, Erin Gettler, Jay Krishnan et autres

Abstract Objective: We compared the number of blood-culture events before and after the introduction of a blood-culture algorithm and provider feedback. Secondary objectives were the comparison of blood-culture positivity and negative safety signals before and after the intervention. Design: Prospective cohort design. …

us (code pays fourni par la source)

The Quality Improvement Fellow: Educating on Making the Difference

Rodrigo O. L. Pereira, Tetsu Ohnuma, Nitin Mehdiratta, Nazish Hashmi et autres

The critical care medicine (CCM) fellowship is an opportunity for advanced anesthesiology trainees to refine their quality improvement (QI) skills. However, the short training period and inconsistent curricula make this challenging. The QI fellow (QIF) is described as an education program to …

us (code pays fourni par la source)

An Analysis of Outcomes Following a Central Line Associated Blood Stream Infections (CLABSI) Reduction Quality Improvement Project in a Tertiary Care Center

Ronald M. Harris, M Rosser, Nitin Mehdiratta, Anand Chowdhurry et autres

Central Line Associated Blood Stream Infections (CLABSI) continue to be a significant complication for hospitalized patients. Hospitals have used various strategies to reduce CLABSI events due to the significant complications and associated costs. In this QI analysis, we examined the impact of …

us (code pays fourni par la source)

Implementation of diagnostic stewardship in two surgical ICUs: Time for a blood-culture change

Jessica Seidelman, Rebekah W. Moehring, Erin Gettler, Jay Krishnan et autres

Background: Blood cultures are commonly ordered for patients with low risk of bacteremia. Liberal blood-culture ordering increases the risk of false-positive results, which can lead to increased length of stay, excess antibiotics, and unnecessary diagnostic procedures. We implemented a blood-culture indication algorithm …

A randomised pilot trial of combined cognitive and physical exercise prehabilitation to improve outcomes in surgical patients

Kimberly F. Rengel, Nitin Mehdiratta, Susan Vanston, Kristin R. Archer et autres

us (code pays fourni par la source)