Scholars@Duke
David Michael Gallagher

David Michael Gallagher

Professor of Medicine
Medicine, Hospital Medicine
DUMC Box 3814, Room 1131F (Near DS Green Zone), Durham, NC 27710
ORCID iDhttps://orcid.org/0000-0002-9104-744X
DUMC Box 3814, Durham, NC 27710

Scholarly Works - Journal articles

Learning From the Adoption of a Readmission Clinical Decision Support Tool: Group Model Building Approach.

Journal article JMIR Hum Factors · April 29, 2026 BACKGROUND: Computerized clinical decision support (CDS) has the potential to improve patient outcomes by offering evidence-based guidance at the point of care-enhancing guideline adherence and diagnostic accuracy-and supporting system-level outcomes by en ... Full text Link to item Cite

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

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

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 Open Access 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

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

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

Journal article The American journal of cardiovascular pathology · January 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 Cite