Selected Publications in Quality Improvement from UCSD Hospitalists

Transitions of Care | Glycemic Control | Health Information Technology | Liver Disease | Management of Pneumonia | Sepsis | VTE Prevention | Other QI Topics | Prose | Case Reports


Transitions of Care


Clay BJ, Quartarolo J. Medication Reconciliation. e472-e480. Hospital Medicine Clinics 2013; 2(3): e305-e480. Eds. Ian Jenkins and Nasim Afsar-manesh. eBook

Hansen LO, Greenwald JL, Budnitz T, Howell E, Halasyamani L, Maynard G, Vidyarthi A, Coleman EA, Williams MV. Project BOOST: Effectiveness of a multihospital effort to reduce rehospitalization. J Hosp Med. 2013 Aug;8(8):421-7. doi: 10.1002/jhm.2054. Epub 2013 Jul 22. PDF


Clay BJ, Halasyamani L, Stucky ER, Greenwald JL, Williams MV. Results of a medication reconciliation survey from the 2006 Society of Hospital Medicine national meeting. J Hosp Med. 2008 Nov-Dec;3(6):465-72. doi: 10.1002/jhm.370. Abstract


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Glycemic Control

Cobaugh DJ, Maynard G, Cooper L, Kienle PC, Vigersky R, Childers D, Weber R, Carson SL, Mabrey ME, Roderman N, Blum F, Burkholder R, Dortch M, Grunberger G, Hays D, Henderson R, Ketz J, Lemke T, Varma SK, Cohen M. Enhancing insulin-use safety in hospitals: Practical recommendations from an ASHP Foundation expert consensus panel. Am J Health Syst Pharm. 2013 Aug 15;70(16):1404-1413. PDF

Ramos P, Childers D, Maynard G, Box K, Namba J, Stadalman K, Renvall M. Maintaining glycemic control when transitioning from infusion insulin: a protocol-driven, multidisciplinary approach. J Hosp Med. 2010 Oct;5(8):446-51.
doi: 10.1002/jhm.810. Abstract

Maynard G, Lee J, Phillips G, Fink E, Renvall M. Improved inpatient use of basal insulin, reduced hypoglycemia, and improved glycemic control: effect of structured subcutaneous insulin orders and an insulin management algorithm. J Hosp Med. 2009 Jan;4(1):3-15. doi: 10.1002/jhm.391. Abstract


Clay BJ, Lee J, Zelazny Z, Maynard G. Indication-Based Ordering: A New Paradigm for Glycemic Control in Hospitalized Patients. Abstract, Society of Hospital Medicine Annual Meeting, April 3-5, 2008, San Diego. J Hospital Med 2008; 3(S1):55.   PDF (see PDF document p. 7)

Maynard GA, Huynh MP, Renvall M. Iatrogenic inpatient hypoglycemia: risk factors, treatment, and prevention. Analysis of current practice at an academic medical center with implications for improvement efforts. Diabetes Spectrum 2008; 21(4):241-247.   Abstract

Maynard G, Wesorick DH, O'Malley C, Inzucchi SE; Society of Hospital Medicine Glycemic Control Task Force. Subcutaneous insulin order sets and protocols: effective design and implementation strategies. J Hosp Med. 2008 Sep;3(5 Suppl):29-41. doi: 10.1002/jhm.354. PDF.

Maynard G, O'Malley CW, Kirsh SR. Perioperative care of the geriatric patient with diabetes or hyperglycemia. Clinics in Geriatric Medicine 2008 (Nov); 24(4):649-665.   Abstract | Full text (UCSD computers only)

Ramos P, Childers D, Maynard GA. Glycemic Control Following Transition from an Insulin Drip: A Pilot Study. Abstract, Society of Hospital Medicine Annual Meeting, April 3-5, 2008, San Diego. J Hospital Med 2008; 3(S1):36-37.   PDF (see PDF document pp. 38-39)

Asudani D; Calles-Escandon, Jorge. Inpatient hyperglycemia: Slide through the scale but cover the bases first. Journal of Hospital Medicine 2007 Volume: 2 Supplement: 1 Pages: 23-32 Abstract


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Health Information Technology


El-Kareh R, Hasan O, Schiff GD. Use of health information technology to reduce diagnostic errors. BMJ Qual Saf. 2013 Aug 7. doi: 10.1136/bmjqs-2013-001884. Abstract

Jiang X, Boxwala AA, El-Kareh R, Kim J, Ohno-Machado L. A patient-driven adaptive prediction technique to improve personalized risk estimation for clinical decision support. J Am Med Inform Assoc. 2012 Jun;19(e1):e137-44. Epub 2012 Apr 4. Abstract

El-Kareh R, Roy C, Williams DH, Poon EG. Impact of automated alerts on follow-up of post-discharge microbiology results: a cluster randomized controlled trial. J Gen Intern Med. 2012 Oct;27(10):1243-50. Epub 2012 Jan 26. Abstract

Kim H, El-Kareh R, Goel A, Vineet FN, Chapman WW. An approach to improve LOINC mapping through augmentation of local test names. J Biomed Inform. 2012 Aug;45(4):651-7. doi: 10.1016/j.jbi.2011.12.004. Epub 2011 Dec 21. Abstract

Jiang X, El-Kareh R, Ohno-Machado L. Improving predictions in imbalanced data using Pairwise Expanded Logistic Regression. AMIA Annu Symp Proc. 2011;2011:625-34. Epub 2011 Oct 22. Abstract

El-Kareh R, Roy C, Brodsky G, Perencevich M, Poon EG. Incidence and predictors of microbiology results returning postdischarge and requiring follow-up. J Hosp Med. 2011 May;6(5):291-6. doi: 10.1002/jhm.895. Abstract

El-Kareh RE, Gandhi TK, Poon EG, Newmark LP, Ungar J, Orav EJ, Sequist TD. Actionable reminders did not improve performance over passive reminders for overdue tests in the primary care setting. J Am Med Inform Assoc. 2011 Mar-Apr;18(2):160-3. doi: 10.1136/jamia.2010.003152. Epub 2011 Jan 27. Abstract

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Journal of Hospital Medicine Supplement Issue: SHM Glycemic Control Task Force

Maynard G, Umpierrez G. Introduction: Overview of efforts and lessons learned. J Hospital Med 2008; 3(S5):1-5.   PDF

Braithwaite SS, Magee M, Sharretts JM, Schnipper JL, Amin A, Maynard G. The case for supporting inpatient glycemic control programs now: The evidence and beyond. J Hospital Med 2008; 3(S5):6-16.   PDF

Maynard G, Wesorick DH, O'Malley C, Inzucchi SE. Subcutaneous insulin order sets and protocols: Effective design and implementation strategies. J Hospital Med 2008; 3(S5):29-41.   PDF

Ahmann AJ, Maynard G. Designing and implementing insulin infusion protocols and order sets. J Hospital Med 2008; 3(S5):42-54.   PDF

Schnipper JL, Magee M, Larsen K, Inzucchi SE, Maynard G. Society of Hospital Medicine Glycemic Control Task Force summary: Practical recommendations for assessing the impact of glycemic control efforts. J Hospital Med 2008; 3(S5):66-75.   PDF

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Liver Disease


Trimzi M, Trambley J, Patton H. Hepatic Encephalopathy. e386-e398. Hospital Medicine Clinics 2013; 2(3): e305-e480. Eds. Ian Jenkins and Nasim Afsar-manesh. eBook


Tirnitz-Parker, Jee; Gan, E. K.; Trimzi, M.; et al. Co-regulation of fibrogenic and liver progenitor cell responses in pre- and post-liver transplant recurrent chronic hepatitis C infection. Journal of Gastroenterology and Hepatology Volume: 25 Supplement: 3 Pages: A135-A136 Published: OCT 2010


Mendler, Michel Henry; Agarwal, Arun; Trimzi, Mateen; et al. A new highly sensitive point of care screen for spontaneous bacterial peritonitis using the leukocyte esterase method. Journal of Hepatology Volume: 53 Issue: 3 Pages: 477-483 DOI: 10.1016/j.jhep.2010.04.011 Published: SEP 2010 Abstract


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Management of Pneumonia

Schlueter M, James C, Dominguez A, Tsu L, Seymann G. Practice patterns for antibiotic de-escalation in culture-negative healthcare-associated pneumonia. Infection. 2010 Oct;38(5):357-62. doi: 10.1007/s15010-010-0042-z. Epub 2010 Jul 21. Abstract

Seymann GB, Di Francesco L, Sharpe B, Rohde J, Fedullo P, Schneir A, Fee C, Chan KM, Fatehi P, Dam TT. The HCAP gap: differences between self-reported practice patterns and published guidelines for health care-associated pneumonia.
Clin Infect Dis. 2009 Dec 15;49(12):1868-74. Abstract


Seymann G, Barger K, Choo S, Sawhney S, Davis D. Clinical judgment versus the Pneumonia Severity Index in making the admission decision. J Emerg Med. 2008 Apr;34(3):261-8. Epub 2008 Jan 4.   Abstract

Seymann GB. Health care-associated pneumonia: Meeting the clinical challenges. J Respir Dis 2008; 29(5):208-213.   PDF

Seymann GB. Community-acquired pneumonia: defining quality care. J Hosp Med. 2006 Nov;1(6):344-53. Review. PDF


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Jenkins I. Evidence-based sepsis therapy: a hospitalist perspective. J Hosp Med. 2006 Sep;1(5):285-95. Review. Abstract


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VTE Prevention

Khanna R, Maynard G, Sadeghi B, Hensley L, Medvedev S, Danielsen B, White R. Incidence of hospital-acquired venous thromboembolic codes in medical patients hospitalized in academic medical centers. J Hosp Med. 2014 Feb 5. PDF

Maynard G, Jenkins IH, Merli GJ. Venous thromboembolism prevention guidelines for medical inpatients: Mind the (implementation) Gap. J Hosp Med. 2013 Aug 27. doi: 10.1002/jhm.2071. Abstract

Sadeghi B, White RH, Maynard G, Zrelak P, Strater A, Hensley L, Cerese J, Romano P. Improved Coding of Postoperative Deep Vein Thrombosis and Pulmonary Embolism in Administrative Data (AHRQ Patient Safety Indicator 12) After Introduction of New ICD-9-CM Diagnosis Codes. Med Care. 2013 Apr 1. Abstract


Khanna RR, Kim SB, Jenkins I, El-Kareh R, Afsarmanesh N, Amin A, Sand H, Auerbach A, Chia CY, Maynard G, Romano PS, White RH. Predictive Value of the Present-On-Admission Indicator for Hospital-acquired Venous Thromboembolism. Med Care. 2013 Apr 1. Abstract


Jenkins I, Helmons PJ, Martin-Armstrong LM, Montazeri ME, Renvall M. High rates of venous thromboembolism prophylaxis did not increase the incidence of heparin-induced thrombocytopenia. Jt Comm J Qual Patient Saf. 2011
Apr;37(4):163-9. Abstract


Maynard G, Stein J. Designing and implementing effective venous thromboembolism prevention protocols: lessons from collaborative efforts. J Thromb Thrombolysis. 2010 Feb;29(2):159-66. doi: 10.1007/s11239-009-0405-4. Abstract


Maynard GA, Morris TA, Jenkins IH, Stone S, Lee J, Renvall M, Fink E, Schoenhaus R. Optimizing prevention of hospital-acquired venous thromboembolism (VTE): prospective validation of a VTE risk assessment model. J Hosp Med. 2010 Jan;5(1):10-8. doi: 10.1002/jhm.562. Abstract


Maynard G, Jenkins I, Stone S, Lee J, Fink E, Morris T, Schoenhaus R, Renvall M. Optimizing prevention of hospital-acquired venous thromboembolism. First-place research presentation at the Society of Hospital Medicine Annual Meeting, April 3-5, 2008, San Diego. J Hospital  Med 2008; 3(S1):29.   PDF (see PDF document p. 31)


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Other QI Topics

Chang W, Friedman S. Hip Fracture Management. e399-e421. Hospital Medicine Clinics 2013; 2(3): e305-e480. Eds. Ian Jenkins and Nasim Afsar-manesh. July 2013 eBook

Ho KJ, Xue H, Mauro CR, Nguyen B, Yu P, Tao M, Seidman MA, Brunelli SM, Ozaki CK. Impact of uremia on human adipose tissue phenotype. J Surg Res. 2013 Jan;179(1):175-82. doi: 10.1016/j.jss.2012.08.043. Epub 2012 Sep 6. Abstract


Xue H, Ix JH, Wang W, Brunelli SM, Lazarus M, Hakim R, Lacson E Jr. Hemodialysis access usage patterns in the incident dialysis year and associated catheter-related complications. Am J Kidney Dis. 2013 Jan;61(1):123-30. doi: 10.1053/j.ajkd.2012.09.006. Epub 2012 Nov 16. Abstract


Bouland DL, Fink E, Dehaan C, Fontanesi J. Data envelopment analysis: dynamic possibilities in an academic medical center application. J Med Pract Manage. 2012 Sep-Oct;28(2):109-15. Abstract


Cummins S, Zhu SH, Gamst A, Kirby C, Brandstein K, Klonoff-Cohen H, Chaplin E, Morris T, Seymann G, Lee J. Nicotine patches and quitline counseling to help hospitalized smokers stay quit: study protocol for a randomized controlled trial.
Trials. 2012 Aug 1;13:128. Abstract


Maynard GA, Budnitz TL, Nickel WK, Greenwald JL, Kerr KM, Miller JA, Resnic JN, Rogers KM, Schnipper JL, Stein JM, Whitcomb WF, Williams MV. 2011 John M. Eisenberg Patient Safety and Quality Awards. Mentored implementation: building leaders and achieving results through a collaborative improvement model. Innovation in patient safety and quality at the national level. Jt Comm J Qual Patient Saf. 2012 Jul;38(7):301-10. Abstract


Goldin M, Li J, Amirrezvani A, Riker D. Pulmonary giant cell carcinoma associated with pseudomyxoma peritonei. J Bronchology Interv Pulmonol. 2012 Jan;19(1):50-3. Abstract


Stucky ER, Dresselhaus TR, Dollarhide A, Shively M, Maynard G, Jain S, Wolfson T, Weinger MB, Rutledge T. Intern to attending: assessing stress among physicians. Acad Med. 2009 Feb;84(2):251-7. doi: 10.1097/ACM.0b013e3181938aad. Abstract


Clay BJ, Martin-Armstrong L. Contributing Factors to Short-Term Readmissions to an Academic Center Hospital Medicine Program. Abstract, Society of Hospital Medicine Annual Meeting, April 3-5, 2008, San Diego. J Hospital Med 2008; 3(S1):54-55.   PDF (see PDF document pp. 6-7)

Bouland DL, Fink E, Fontanesi J. Introduction of the Balanced Scorecard into an academic department of medicine: creating a road map to success. J Med Pract Manage. 2011 May-Jun;26(6):331-5. Abstract

Huang B, Dam T, Gin D, Maynard G, Quartarolo J, Tallian K, Zeller A. A Pilot Study Using the Confusion Assessment Method (CAM) Instrument to Assess for Delirium among Hospitalized Patients. Abstract, Society of Hospital Medicine Annual Meeting, April 3-5, 2008, San Diego. J Hospital Med 2008; 3(S1):60.   PDF (see PDF document p. 12)

Ryder RW, Maynard GA. Strengthening Clinical Research in an Academic Hospitalist Program Via a Master Teacher Position. Abstract, Society of Hospital Medicine Annual Meeting, April 3-5, 2008, San Diego. J Hospital Med 2008; 3(S1):68.   PDF (see PDF document p. 20)

Fein S, Hilborne L, Spiritus E, Seymann GB, Keenan CR, Shojania KG, Kagawa-Singer M, Wenger NS. The many faces of error disclosure: A common set of elements and a definition. J of Gen Int Med 2007. 22(6): 755-761. Abstract


Quartarolo JM, Thoelke M, Schafers SJ. Reporting of estimated glomerular filtration rate: effect on physician recognition of chronic kidney disease and prescribing practices for elderly hospitalized patients. J Hosp Med. 2007
Mar;2(2):74-8. PDF


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Jenkins I. A grumpy old man. J Hosp Med. 2012 Feb;7(2):154-5. doi: 10.1002/jhm.982. Epub 2011 Nov 10. PDF


Binnicker, Matthew J.; Popa, Alina S.; Catania, Jelena; et al. Meningeal Coccidioidomycosis Diagnosed by Real-Time Polymerase Chain Reaction Analysis of Cerebrospinal Fluid. MYCOPATHOLOGIA Volume: 171 Issue: 4 Pages: 285-289 PDF


Asudani D. The belongings. Ann Intern Med. 2008 Dec 2;149(11):833. Abstract


Asudani D, Wretzel S, Patel R, Stayman A. A judgment call. Cleve Clin J Med. 2008 Oct;75(10):690-1, 695. Abstract


Jenkins I. Ghost story. J Hosp Med. 2006 Sep;1(5):323-5. PDF


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Case Reports


Seymann G, Savides T, Richman KM. Massive Subcutaneous Emphysema after Endoscopic Retrograde Cholangiopancreatography. American J of Med. 2010. 123(9): e15-16. Abstract


Saghafi O, Crull M, Jenkins IH. Images Dx. Plummer-Vinson (Patterson-Kelly) syndrome. J Hosp Med. 2010 May-Jun;5(5):311-2. doi: 10.1002/jhm.465. PDF


Jenkins I, Vinetz J. The devil is in the details. J Hosp Med. 2009 Jul;4(6):382-6. doi: 10.1002/jhm.463. PDF


Asudani D, Broder MI, Natanasabapathy S. Spotting a zebra by its stripes. Am J Med. 2007 Dec;120(12):1028-30. Abstract


Jenkins I. Linezolid- and vancomycin-resistant Enterococcus faecium endocarditis: successful treatment with tigecycline and daptomycin. J Hosp Med. 2007 Sep;2(5):343-4. PDF


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UCSD Medical Center, Hillcrest
UCSD Medical Center, Hillcrest



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