Scholars@Duke
David Michael Gallagher

David Michael Gallagher

Professor of Medicine
Medicine, General Internal Medicine
DUMC 100800, Room 1151 Yellow Zone Duke South, Durham, NC 27710
DUMC Box 3508, Durham, NC 27710

Selected Publications

Factors influencing central nervous system medication deprescribing and behavior change in hospitalized older adults.

Journal Article J Am Geriatr Soc · August 2024 BACKGROUND: Central nervous system (CNS) medications are linked to higher morbidity and mortality in older adults. Hospitalization allows for deprescribing opportunities. This qualitative study investigates clinician and patient perspectives on CNS medicat ... Full text Link to item Cite

Central nervous system medication use around hospitalization.

Journal Article J Am Geriatr Soc · June 2024 BACKGROUND: Central nervous system (CNS) medication use is common among older adults, yet the impact of hospitalizations on use remains unclear. This study details CNS medication use, discontinuations, and user profiles during hospitalization periods. METH ... Full text Link to item Cite

Impact of geographical cohorting, multidisciplinary rounding and incremental case management support on hospital length of stay and readmission rates: a propensity weighted analysis.

Journal Article BMJ Open Qual · May 23, 2024 Hospital length of stay (LOS) in the USA has been increasing since the start of the COVID-19 pandemic, with numerous negative outcomes, including decreased quality of care, worsened patient satisfaction and negative financial impacts on hospitals. While ma ... Full text Link to item Cite

Development of an Emergency Department Case Management Case-Finding Tool.

Conference Prof Case Manag · May 2024 PURPOSE OF STUDY: Identifying emergency department (ED) patients who are at high risk for return visits is an important goal for case management to improve patient care. This quality improvement study describes the development and evaluation of the Emergen ... Full text Open Access Link to item Cite

Development of an Emergency Department Case Management Case-Finding Tool

Journal Article Professional Case Management · May 2024 Purpose of Study:Identifying emergency department (ED) patients who are at high risk for return visits is an important goal for case management to improve patient care. This quality impro ... Full text Cite

Translating ethical and quality principles for the effective, safe and fair development, deployment and use of artificial intelligence technologies in healthcare.

Journal Article J Am Med Inform Assoc · February 16, 2024 OBJECTIVE: The complexity and rapid pace of development of algorithmic technologies pose challenges for their regulation and oversight in healthcare settings. We sought to improve our institution's approach to evaluation and governance of algorithmic techn ... Full text Link to item Cite

Electronic health record-based readmission risk model performance for patients undergoing outpatient parenteral antibiotic therapy (OPAT).

Journal Article PLOS Digit Health · August 2023 BACKGROUND: Outpatient Parenteral Antibiotic Therapy (OPAT) provides coordinated services to deliver parenteral antibiotics outside of the acute care setting. However, the reduction in monitoring and supervision may impact the risks of readmission to the h ... Full text Link to item Cite

Development of Emergency Department Case Management Case-Finding Tool

Conference Journal of Hospital Medicine · March 27, 2023 Background: Case Managers (CM) are now a standard presence in emergency departments (ED) of large hospitals, partnering with ED and Hospital Medicine providers to improve care. They are integral in improving hospital throughput and reducing unnecessary hos ... Full text Open Access Link to item Cite

Inpatient pharmacists using a readmission risk model in supporting discharge medication reconciliation to reduce unplanned hospital readmissions: a quality improvement intervention.

Journal Article BMJ Open Qual · March 2022 INTRODUCTION: Reducing unplanned hospital readmissions is an important priority for all hospitals and health systems. Hospital discharge can be complicated by discrepancies in the medication reconciliation and/or prescribing processes. Clinical pharmacist ... Full text Link to item Cite

Development of a Community Hospital Medicine Affiliated Inpatient Rotation for Family Medicine Residents-A Collaborative Success.

Journal Article J Community Hosp Intern Med Perspect · 2022 BACKGROUND: Hospitalists perform key roles as inpatient educators for family medicine residents. For the past decade, Duke University Family Medicine Residency Program had its inpatient family medicine resident rotation at non-Duke facilities. OBJECTIVE: T ... Full text Link to item Cite

Communicating With COVID-19: A Transitions of Care Model

Conference · November 16, 2021 Background - Duke University Hospital was working on implementing a series of transitions of care interventions focused on General Medicine patient populations when the COVID-19 pandemic hit. Hospitals across the US have experienced an increased need to o ... Full text Link to item Cite

Implementation and Continuous Monitoring of an Electronic Health Record Embedded Readmissions Clinical Decision Support Tool.

Journal Article J Pers Med · August 26, 2020 Unplanned hospital readmissions represent a significant health care value problem with high costs and poor quality of care. A significant percentage of readmissions could be prevented if clinical inpatient teams were better able to predict which patients w ... Full text Link to item Cite

Physical Activity in the Hospital: Documentation and Influence on Venous Thromboembolism Prophylaxis.

Journal Article J Aging Phys Act · April 24, 2020 This study describes the availability of physical activity information in the electronic health record, explores how electronic health record documentation correlates with accelerometer-derived physical activity data, and examines whether measured physical ... Full text Link to item Cite

Accelerometer-Measured Hospital Physical Activity and Hospital-Acquired Disability in Older Adults.

Journal Article J Am Geriatr Soc · February 2020 BACKGROUND: Hospital-acquired disability (HAD) is common and often related to low physical activity while in the hospital. OBJECTIVE: To examine whether wearable hospital activity trackers can be used to predict HAD. DESIGN: A prospective observational stu ... Full text Link to item Cite

Automated versus Manual Data Extraction of the Padua Prediction Score for Venous Thromboembolism Risk in Hospitalized Older Adults.

Journal Article Appl Clin Inform · July 2018 OBJECTIVE: Venous thromboembolism (VTE) prophylaxis is an important consideration for hospitalized older adults, and the Padua Prediction Score (PPS) is a risk prediction tool used to prioritize patient selection. We developed an automated PPS (APPS) algor ... Full text Link to item Cite

Is objective mobility data associated with pharmacologic venous thromboembolism (VTE) prophylaxis use among hospitalized older adults?

Conference Journal of Hospital Medicine · April 10, 2018 Background: Clinical practice guidelines state that mobility is supposed to play an important role in determining use and duration of pharmacologic VTE prophylaxis. This study examines whether measured mobility levels relate to pharmacologic VTE prophylaxi ... Open Access Link to item Cite

Incorporating Patient Acuity Rating Score Into Patient Handoffs and the Correlation With Rapid Responses and Unexpected ICU Transfers.

Journal Article Am J Med Qual · 2017 Handoffs and rapid response team (RRT) activations have been a focus for quality improvement in hospital medicine. This study aimed to incorporate a previously used scoring system (1-7) for severity of illness on initial encounter as a handoff adjunct and ... Full text Link to item Cite

Automated versus manual data extraction of venous thromboembolism risk among hospitalized older adults

Conference Journal of the American Geriatrics Society, Special Issue 2016: Annual Scientific Meeting Abstract Book · April 22, 2016 Full text Link to item Cite

Patient Acuity Scores to Prevent Rapid Responses

Conference The Ochsner journal · March 1, 2015 Background: In the last 10 years, patient safety committees nationwide have focused on creating taskforces such as rapid response teams (RRTs) that can intervene when patients start to decompensate prior to a code. At Duke Regional Hospital, approximately ... Open Access Link to item Cite

Transferring general medicine patients from Duke Hospital to Durham Regional Hospital to address hospital bed capacity

Conference · December 10, 2010 Transferring general medicine patients from Duke Hospital to Durham Regional Hospital to address hospital bed capacity David Gallagher MD, Duke University Background: Hospital and emergency department overcrowding can affect the quality and safety of car ... Open Access Cite

Outcomes of a Structured Hospitalist Peer Mentoring Program

Conference · October 21, 2010 Outcomes of a Structured Hospitalist Peer Mentoring Program David Gallagher MD, CT Woods-Powell MA, Duke University, Durham NC Background: Hospitalist programs are often challenged with decreasing physician turnover while adding new physicians to meet h ... Open Access Cite

Multi-source or “360” reviews in hospitalist performance appraisals

Conference · October 21, 2010 Multi-source or “360” reviews in hospitalist performance appraisals David Gallagher MD, Duke University, Durham, North Carolina Background: Physician performance appraisal programs are used to evaluate competence in important behaviors and skills. Multi ... Open Access Cite

Primary aortoduodenal fistula caused by severe atherosclerosis, not by aneurysm.

Journal Article Am J Cardiovasc Pathol · 1993 Primary aortoduodenal fistula is an uncommon cause of massive upper gastrointestinal hemorrhage usually due to pressure erosion of an abdominal aortic aneurysm into the third portion of the duodenum. This report describes a case of a 59-year-old man who di ... Open Access Link to item Cite

University of California San Francisco Lab Medicine Resident Critical Reviews - Disseminated Histoplasmosis and the Urinary Histoplasmosis Antigen

Other University of California San Francisco Lab Medicine Resident Critical Reviews · June 1, 1992 Review article written for University of California San Francisco Laboratory Medicine "Critical reviews" in June 1992 by Dr David Gallagher. Covers background of disseminated histoplasmosis and diagnostic approach. Critical review of the urinary histoplas ... Open Access Cite