Joel Boggan

Journal article J Gen Intern Med · July 2020 Featured Publication BACKGROUND: Technology-based systems can facilitate remote decision-making to triage patients to the appropriate level of care. Despite technologic advances, the effects of implementation of these systems on patient and utilization outcomes are unclear. We ... Full text Open Access Link to item Cite

Improving Timely Resident Follow-Up and Communication of Results in Ambulatory Clinics Utilizing a Web-Based Audit and Feedback Module.

Journal article J Grad Med Educ · April 2017 Featured Publication BACKGROUND: Failure to follow up and communicate test results to patients in outpatient settings may lead to diagnostic and therapeutic delays. Residents are less likely than attending physicians to report results to patients, and may face additional barri ... Full text Open Access Link to item Cite

The Burden of Burnout.

Journal article Am J Med Qual · 2017 Featured Publication This study sought to determine burnout prevalence and factors associated with burnout in internal medicine residents after introduction of the 2011 ACGME duty hour rules. Burnout was evaluated using an anonymized, abbreviated version of the Maslach Burnout ... Full text Open Access Link to item Cite

Guideline-based decision support has a small, non-sustained effect on transthoracic echocardiography ordering frequency.

Journal article BMJ Qual Saf · January 2016 Featured Publication BACKGROUND: Guidance for appropriate utilisation of transthoracic echocardiograms (TTEs) can be incorporated into ordering prompts, potentially affecting the number of requests. METHODS: We incorporated data from the 2011 Appropriate Use Criteria for Echoc ... Full text Open Access Link to item Cite

An Automated Surveillance Strategy to Identify Infectious Complications After Cardiac Implantable Electronic Device Procedures.

Journal article Open Forum Infect Dis · December 2015 Featured Publication Background. The optimum approach for infectious complication surveillance for cardiac implantable electronic device (CIED) procedures is unclear. We created an automated surveillance tool for infectious complications after CIED procedures. Methods. Adult ... Full text Open Access Link to item Cite

An evaluation of physician predictions of discharge on a general medicine service.

Journal article J Hosp Med · December 2015 Featured Publication The goal of this study was to evaluate general medicine physicians' ability to predict hospital discharge. We prospectively asked study subjects to predict whether each patient under their care would be discharged on the next day, on the same day, or neith ... Full text Open Access Link to item Cite

Poor Positive Predictive Value of Lyme Disease Serologic Testing in an Area of Low Disease Incidence.

Journal article Clin Infect Dis · November 1, 2015 Featured Publication BACKGROUND: Lyme disease is diagnosed by 2-tiered serologic testing in patients with a compatible clinical illness, but the significance of positive test results in low-prevalence regions has not been investigated. METHODS: We reviewed the medical records ... Full text Open Access Link to item Cite

Vaginal Self-Sampling for Human Papillomavirus Infection as a Primary Cervical Cancer Screening Tool in a Haitian Population.

Journal article Sex Transm Dis · November 2015 Featured Publication BACKGROUND: Human papillomavirus (HPV) testing as primary cervical cancer screening has not been studied in Caribbean women. We tested vaginal self-collection versus physician cervical sampling in a population of Haitian women. METHODS: Participants were s ... Full text Open Access Link to item Cite

A Novel Approach to Practice-Based Learning and Improvement Using a Web-Based Audit and Feedback Module.

Journal article J Grad Med Educ · September 2014 Featured Publication BACKGROUND: Systematically engaging residents in large programs in quality improvement (QI) is challenging. OBJECTIVE: To coordinate a shared QI project in a large residency program using an online tool. METHODS: A web-based QI tool guided residents throug ... Full text Open Access Link to item Cite

An adverse reaction to a medication given to treat an adverse reaction: a teachable moment.

Journal article JAMA Intern Med · July 2014 Featured Publication Full text Open Access Link to item Cite

Standardizing and Evaluating Transitions of Care in the Era of Duty Hour Reform: One Institution's Resident-Led Effort.

Journal article J Grad Med Educ · December 2013 Featured Publication BACKGROUND: Compliance with the Accreditation Council for Graduate Medical Education duty hour standards may necessitate more frequent transitions of patient responsibility. INTERVENTION: We created a multidisciplinary Patient Safety and Quality Council wi ... Full text Open Access Link to item Cite

Pediatric-specific antimicrobial susceptibility data and empiric antibiotic selection.

Journal article Pediatrics · September 2012 Featured Publication OBJECTIVE: Duke University Health System (DUHS) generates annual antibiograms combining adult and pediatric data. We hypothesized significant susceptibility differences exist for pediatric isolates and that distributing these results would alter antibiotic ... Full text Open Access Link to item Cite