Chairman @cudeptmedicine, Researcher, Mentor, Deputy Editor @AnnalsofIM, Focus: #ptsafety #vascularaccess #PICCs #MAGIC #Mindfulness #Mentorship
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Articles by Vineet Chopra
Top-Notch Laptop Repair in Okhla
Top-Notch Laptop Repair in Okhla - Fast, Reliable & Affordable Body: > Are you searching for laptop repair in Okhla that's fast, professional, and affordable? Whether your laptop is overheating, has a broken screen, a dead battery, or software issues, Zodiac Computer Systems is your one-stop solution near Okhla, Delhi.
Prevalence of Hospitalizations Among a National Sample of U.S. Adults With Substance Use Disorders
Get full access to this article View all available purchase options and get full access to this article. References 1. Harris KM, Majmundar MK, Becker T, eds. High and Rising Mortality Rates Among Working-Age Adults. National Academies Pr; 2021. doi: 10.17226/25976 2. National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. Centers for Disease Control and Prevention; 2014.
Selecting a Venous Catheter for Medium- to Long-Term Use
Selecting a Venous Catheter for Medium- to Long-Term Use Selection of a venous access device for infusion therapy lasting weeks or months requires consideration of the indication, duration, patient comorbidities, venous anatomy, maintenance needs, and patient preferences (eTable in the Supplement). This article discusses selection of catheters for medium- or long-term use in 4 clinical settings.
Selecting a Venous Catheter for Medium- to Long-Term Use
[Skip to Navigation] PDF Share X Facebook Email LinkedIn Cite Permissions February 12, 2025 JAMA. Published online February 12, 2025. doi:10.1001/jama.2024.27640 multimedia icon Multimedia Selection of a venous access device for infusion therapy lasting weeks or months requires consideration of the indication, duration, patient comorbidities, venous anatomy, maintenance needs, and patient preferences (eTable in the Supplement).
Safety and Efficacy of Midline vs Peripherally Inserted Central Catheters Among Adults Receiving IV Therapy: A Randomized Clinical Trial
Key Points Question Is the use of midline catheters (MCs) a safe and more efficacious alternative to peripherally inserted central catheters (PICCs) for adult patients receiving medium- to long-term intravenous therapy? Findings In this randomized clinical trial of 304 patients, rates of catheter-related bloodstream infection did not differ between the catheter groups.
Biomarkers Associated with Thrombosis in Patients with Peripherally Inserted Central Catheter: A Systematic Review and Meta-Analysis
2. Methods The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) Statement [9] and Meta-analysis of Observational Studies in Epidemiology (MOOSE) [10] were followed as guidelines to perform and report this systematic review and meta-analysis. This systematic review is registered in the International Prospective Register for Systematic Review (PROSPERO) database under the number CRD42018108871.
Upon the Welcoming of the New Interns to the Profession: May the Force Be With You
In 2017, Annals of Internal Medicine published an editorial welcoming new interns to the profession (1). Despite being more than a decade and a half old, the advice offered in that editorial remains not only relevant but also of increased importance for those who are embarking on residency training in the wake of the COVID-19 pandemic.
Hospital peer review: Time to reboot
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Annals for Hospitalists Inpatient Notes - COVID-19, Hospital Medicine, and a Way Forward
Our field—the specialty of hospital medicine—began as a means to solve problems. At the turn of the century, resident duty hour restrictions became stricter. Payment and policy reforms aimed at primary care physicians challenged the status quo of mixed inpatient and outpatient care. In addition, advances in technology, care pathways, and value-based initiatives put pressure on hospital systems to develop structures for safe and efficient care delivery.
Checklists to reduce diagnostic error: a systematic review of the literature using a human factors framework
Methods We developed a review protocol (PROSPERO: CRD42019136830) and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses recommendations for reporting our findings.31 Data sources and searches A medical librarian (WT) performed serial literature searches between 30 April 2019 and 15 February 2022 for articles containing clinical diagnosis checklists. Databases were searched from inception and included PubMed, EMBASE, Scopus and Web of Science.
Understanding consumer preference for vascular access safety and quality measurement: an international survey
FULL TEXT Objectives. The aim of this study was to examine patient perceptions regarding vascular access quality measurement. Methods. A web-based, cross-sectional survey was performed using a convenience sample of healthcare consumers with vascular access experience, recruited from September 2019 to June 2020.
Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals
Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals http://orcid.org/0000-0001-8670-9376Vineet Chopra1,2,3, Megan O'Malley1,3, Jennifer Horowitz1,3, Qisu Zhang1,3, Elizabeth McLaughlin1,3, Sanjay Saint1,2, Steven J Bernstein3, Scott Flanders1,3 1 Division of Hospital Medicine, Department of Internal Medicine, University of Michigan Health System, Ann Arbor, Michigan, USA 2 Medicine...
What Mentors Wish Their Mentees Knew
The mentor-mentee relationship is a tango between a junior person and a more senior one; just as in dance, coordination and orchestration between parties is necessary for grace and success. While much has been written about what makes the ideal mentor, comparatively less has attention has been given to the other partner. This gap is unfortunate because, like mentorship, menteeship requires specific behaviors, without which the mentee’s success may be threatened.
International recommendations for a vascular access minimum dataset: a Delphi consensus-building study
International recommendations for a vascular access minimum dataset: a Delphi consensus-building study http://orcid.org/0000-0002-5406-9519Jessica Schults1,2,3, http://orcid.org/0000-0001-8369-3970Tricia Kleidon2,3, Vineet Chopra4, Marie Cooke1,3, Rebecca Paterson3, http://orcid.org/0000-0001-8860-5319Amanda J Ullman1,3, Nicole Marsh3,5, Gillian Ray-Barruel1,3,6, Jocelyn Hill7, İlker Devrim8, Fredrik Hammarskjold9, Mavilde L Pedreira10, Sergio Bertoglio11, Gail Egan12, Olivier Mimoz13, Ton...
Appropriate vascular access for patients with cancer
Questions as to how best to meet vascular access needs and safety requirements when caring for patients with cancer occur daily in clinical practice, yet evidence for which methods are optimal is poor. In cancer, use of vascular devices such as peripherally inserted central catheters (PICCs), Hickman-type tunnelled catheters (eg, Hickman), or totally implanted ports (PORTs) is common. Collectively, these are referred to as central venous access devices (CVADs).
Variation in COVID-19 characteristics, treatment and outcomes in Michigan: an observational study in 32 hospitals
Variation in COVID-19 characteristics, treatment and outcomes in Michigan: an observational study in 32 hospitals http://orcid.org/0000-0001-8670-9376Vineet Chopra1, Scott A Flanders1, Valerie Vaughn1, Lindsay Petty2, Tejal Gandhi2, Jakob Israel McSparron3, Anurag Malani4, Megan O'Malley1, Tae Kim5, Elizabeth McLaughlin1, Hallie Prescott3 1Division of Hospital Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA 2Division of Infectious Diseases,...
Thread by @vineet_chopra on Thread Reader App
As an editor, I often read discussions that are long winded, meandering and fail to make an impact. They feel like an after-thought rather than a key part of the paper. Here are some tips to make your discussion better. Full credit to @sanjaysaint who taught me this years ago! First, what are the goals of the discussion?
Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals
Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals http://orcid.org/0000-0001-8670-9376Vineet Chopra1,2,3, Megan O'Malley1,3, Jennifer Horowitz1,3, Qisu Zhang1,3, Elizabeth McLaughlin1,3, Sanjay Saint1,2, Steven J Bernstein3, Scott Flanders1,3 1Division of Hospital Medicine, Department of Internal Medicine, University of Michigan Health System, Ann Arbor, Michigan, USA 2Medicine...
Annals for Hospitalists - February 2021
Inpatient Notes Identifying High-Risk Patients With Syncope—What Hospitalists Need to Know —Venkatesh Thiruganasambandamoorthy, MBBS, MSc, and Marco L.A. Sivilotti, MD, MSc How can clinicians distinguish whether a syncopal episode represents a benign fainting spell or a symptom of a life-threatening disease? In this week's commentary, the authors explain how to stratify risk among patients with syncope and why it matters.
Annals for Hospitalists Inpatient Notes - Corticosteroids and COVID-19-Calming the Storm?
Mounting evidence implicates cytokine storm in the high mortality rate associated with severe respiratory viral infections. Cytokine storm is a loosely defined term referring to the hyperactive production of proinflammatory cytokines, which contributes to the development of acute respiratory distress syndrome (ARDS) and multisystem organ dysfunction in affected patients. Corticosteroids are hypothesized to blunt the host immune inflammatory response and attenuate lung injury.
Sixty-Day Outcomes Among Patients Hospitalized With COVID-19
Background: Although characteristics and in-hospital outcomes for persons with coronavirus disease 2019 (COVID-19) have been well described, less is known about the longer-term outcomes of hospitalized patients. Objective: To describe 60-day postdischarge clinical, financial, and mental health outcomes of patients with COVID-19.
Mentoring During a Crisis
Mentors are important during a crisis, especially for those on the front lines. During the current Covid crisis, doctors, nurses, grocery store workers, postal carriers, and many others have been navigating physical danger, complexity, and uncertainty, with no end in sight. Now more than ever they need emotional support. But they can’t always turn to their managers, who may be consumed with solving problems and overwhelmed with keeping their organizations running.
Making MAGIC: how to improve the use of peripherally inserted central catheters
Making MAGIC: how to improve the use of peripherally inserted central catheters Free http://orcid.org/0000-0001-8670-9376Vineet Chopra Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA Correspondence to Dr Vineet Chopra, Internal Medicine, University of Michigan, Ann Arbor, MI 48109, USA; vineetc{at}umich.edu Statistics from Altmetric.com patient safety general practice patient-centred care At this very moment, somewhere in the world, an intravenous catheter is being placed...
International recommendations for a vascular access minimum dataset: a Delphi consensus-building study
International recommendations for a vascular access minimum dataset: a Delphi consensus-building study http://orcid.org/0000-0002-5406-9519Jessica Schults1,2,3, http://orcid.org/0000-0001-8369-3970Tricia Kleidon2,3, Vineet Chopra4, Marie Cooke1,3, Rebecca Paterson3, http://orcid.org/0000-0001-8860-5319Amanda J Ullman1,3, Nicole Marsh3,5, Gillian Ray-Barruel1,3,6, Jocelyn Hill7, İlker Devrim8, Fredrik Hammarskjold9, Mavilde L Pedreira10, Sergio Bertoglio11, Gail Egan12, Olivier Mimoz13, Ton...
International recommendations for a vascular access minimum dataset: a Delphi consensus-building study
International recommendations for a vascular access minimum dataset: a Delphi consensus-building study http://orcid.org/0000-0002-5406-9519Jessica Schults1,2,3, http://orcid.org/0000-0001-8369-3970Tricia Kleidon2,3, Vineet Chopra4, Marie Cooke1,3, Rebecca Paterson3, http://orcid.org/0000-0001-8860-5319Amanda J Ullman1,3, Nicole Marsh3,5, Gillian Ray-Barruel1,3,6, Jocelyn Hill7, İlker Devrim8, Fredrik Hammarskjold9, Mavilde L Pedreira10, Sergio Bertoglio11, Gail Egan12, Olivier Mimoz13, Ton...
Developing Pediatric Appropriateness Criteria for Intravenous Catheters
Abbreviations: IV — intravenousMAGIC — Michigan Appropriateness Guide for Intravenous CathetersminiMAGIC — mini Michigan Appropriateness Guide for Intravenous Catheters Consider this scenario: an 8-month-old infant with osteomyelitis needs intravenous (IV) access for 3 weeks of antibiotics; what device will best ensure successful therapy and low risk of complications? Or consider this: a teenager with cystic fibrosis is hospitalized for the third time this year with an acute exacerbation.
Selection and Insertion of Vascular Access Devices in Pediatrics: A Systematic Review
SUPPLEMENT ARTICLE Rebecca S. Paterson, Vineet Chopra, Erin Brown, Tricia M. Kleidon, Marie Cooke, Claire M. Rickard, Steven J. Bernstein and Amanda J. Ullman Pediatrics June 2020, 145 (Supplement 3) S243-S268; DOI: https://doi.org/10.1542/peds.2019-3474H This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.
Developing Appropriateness Criteria for Pediatric Vascular Access
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Leadership & Professional Development: Make a Friend Before You Need One
“Takers believe in a zero-sum world, and they end up creating one where bosses, colleagues and clients don’t trust them. Givers build deeper and broader relationships—people are rooting for them instead of gunning for them.” —Adam Grant To succeed in a hospital, leaders need a generous supply of social and political capital.
Annals for Hospitalists - 21 April 2020
Inpatient Notes Annals for Hospitalists Inpatient Notes - Inpatient Hypertension—To Treat or Tolerate? —Timothy S. Anderson, MD, MAS, and Charlie M. Wray, DO, MS Hospitalists often treat severe hypertension in inpatients by offering extra antihypertensive medication doses or augmenting the home antihypertension regimen. However, the authors of this month's commentary suggest that this practice may be unnecessary and harmful.
The Saint-Chopra Guide to Inpatient Medicine
Edited by Sanjay Saint and Vineet Chopra Abstract The fourth edition focuses on the most commonly encountered problems in hospital medicine, presented in a handy user-friendly outline. It provides an easily accessible framework to help students, residents, and inpatient clinicians diagnose and develop treatment and management approaches for a broad range of medical conditions.
Making MAGIC: how to improve the use of peripherally inserted central catheters
Making MAGIC: how to improve the use of peripherally inserted central catheters Free Vineet Chopra Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA Correspondence to Dr Vineet Chopra, Internal Medicine, University of Michigan, Ann Arbor, MI 48109, USA; vineetc{at}umich.edu Statistics from Altmetric.com patient safety general practice patient-centred care At this very moment, somewhere in the world, an intravenous catheter is being placed in a hospitalised patient.
A thread written by @vineet_chopra
Note: This thread is related to #Coronavirus #COVID19 Follow the World Health Organization's instructions to reduce your risk of infection: 1/ Frequently clean hands by using alcohol-based hand rub or soap and water. 2/ When coughing and sneezing cover mouth and nose with flexed elbow or tissue - throw issue away immediately and wash hands. 3/ Avoid close contact with anyone that has fever and cough.
Making Mentorship a Team Effort
The traditional mentor/mentee model needs an update; while one-on-one mentoring remains critical, mentees also need mentoring teams that evolve over time. To that end, mentees need three different types of teams which come into play at various career stages: the launch team, cruise team, and boost team. This article examines each. Over the past decade, we have mentored hundreds of doctors in training, and learned lessons that apply to many settings.
Annals for Hospitalists - 17 March 2020
Inpatient Notes Annals for Hospitalists Inpatient Notes - Hospital Wards —Joel D. Howell, MD, PhD In this month's commentary, the author explores the history of hospital wards and explains the social, political, and economic forces that have led us to the private rooms of today. Highlights of Recent Articles from Annals of Internal Medicine Sitter as a Patient Safety Strategy to Reduce Hospital Falls: A Systematic Review Ann Intern Med. 2020;172:317-324. Published 4 February 2020.
How Should U.S. Hospitals Prepare for Coronavirus Disease 2019 (COVID-19)?
Ideas and Opinions |11 March 2020 Vineet Chopra, MD, MSc; Eric Toner, MD; Richard Waldhorn, MD; Laraine Washer, MD Vineet Chopra, MD, MSc University of Michigan, Ann Arbor, Michigan (V.C., L.W.) Eric Toner, MD Center for Health Security, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland (E.T.) Richard Waldhorn, MD Georgetown University, Washington, DC,, and Center for Health Security, Bloomberg School of Public Health, Johns Hopkins University, Baltimore,...
5 Questions Every Mentee Should Have an Answer to
When we started our mentor-mentee relationship in academic medicine a decade ago, it became clear that both structure and expertise was necessary for success. Structure – in the form of expectations that outlined who was responsible for what, how often we should meet, and how best to communicate – made explicit that which is usually implicit.
The four golden rules of effective menteeship
Intended for healthcare professionals Toggle navigation The BMJ logo Toggle top menu Careers The four golden rules...
Annals for Hospitalists - 18 February 2020
Inpatient Notes Annals for Hospitalists Inpatient Notes - Optimizing Inpatient Nutrition—Why Hospitalists Should Get Involved —Philipp Schuetz, MD, MPH, and Jeffrey L. Greenwald, MD In this month's commentary, the authors explain how emerging evidence is changing the way hospitalists think about inpatient nutritional assessment and support.
I’ve had the privilege of reviewing many papers over the years. I’ve also been on the receiving end of reviews. The difference in the qualit…
In a week where we hosted @JustinTrudeau I reflected yesterday that I’ve met 8 Canadian Prime Ministers in my life. Putting aside those I met & simply greeted, here’s some Sunday morning reflections & anecdotes for #cdnpoli on the others. Here goes /1 My father was a rookie opposition MP in Brian Mulroney’s second term. My grandfather, his father, passed away suddenly in 1989, the following year. As we gathered at my Nonno’s house that day, a 13 yr old me answered the kitchen telephone.
The Problem With Peripherally Inserted Central Catheters
Central venous catheters (CVCs) provide reliable venous access for tasks as diverse as delivery of medication, laboratory testing, and hemodynamic monitoring and occupy a fundamental role in the management of seriously ill patients. However, despite their many benefits, CVCs are not innocuous and are associated with important complications.
Do Clinicians Know Which of Their Patients Have Central Venous Catheters?: A Multicenter Observational Study
From Veterans Affairs Ann Arbor Healthcare System and University of Michigan Health System, Ann Arbor, Michigan; Spectrum Health System, Grand Rapids, Michigan; and Harborview Medical Center, Seattle, Washington. Acknowledgment: The authors thank Drs. Anneliese Schleyer, Melissa Teply, Shinie Kuo, Prakash Shrestha and Beth Brenner; Ms. Carol Becker; and Ms. Christina Healy for assisting with data collection.
The Michigan Appropriateness Guide for Intravenous Catheters (MAGIC): Results From a Multispecialty Panel Using the RAND/UCLA Appropriateness Method
Abstract Use of peripherally inserted central catheters (PICCs) has grown substantially in recent years. Increasing use has led to the realization that PICCs are associated with important complications, including thrombosis and infection. Moreover, some PICCs may not be placed for clinically valid reasons. Defining appropriate indications for insertion, maintenance, and care of PICCs is thus important for patient safety.
Annals for Hospitalists - 21 January 2020
Inpatient Notes The Role of Hospitalists in the Creation of Learning Healthcare Systems —Heather M. Gilmartin, PhD, NP; Vincent X. Liu, MD, MSc; and Robert E. Burke, MD, MS Is it possible to create health systems with the inherent ability to learn and improve continuously? This month's commentary discusses the concept of Learning Healthcare Systems, and how hospitalists may be involved in their advancement.
Annals for Hospitalists - 21 January 2020
—Heather M. Gilmartin, PhD, NP; Vincent X. Liu, MD, MSc; and Robert E. Burke, MD, MS Is it possible to create health systems with the inherent ability to learn and improve continuously? This month's commentary discusses the concept of Learning Healthcare Systems, and how hospitalists may be involved in their advancement. Ann Intern Med. 2020;172:96-104. Published 24 December 2019.
Annals for Hospitalists - 17 December 2019
—Isaac Ghinai, MBBS, BSc, MSc, and Jennifer E. Layden, MD In recent months, more than 2000 cases of vaping-induced lung disease have been reported to the Centers for Disease Control and Prevention, including 39 deaths. In this article, investigators provide some clinical pearls about this emerging syndrome. Ann Intern Med. Published 22 October 2019.
Annals for Hospitalists - 17 December 2019
Inpatient Notes Clinical Pearls: E-cigarette, or Vaping, Product Use–Associated Lung Injury —Isaac Ghinai, MBBS, BSc, MSc, and Jennifer E. Layden, MD In recent months, more than 2000 cases of vaping-induced lung disease have been reported to the Centers for Disease Control and Prevention, including 39 deaths. In this article, investigators provide some clinical pearls about this emerging syndrome.
A Process for Assessing Products for Infection Prevention in Health Care Settings: A Framework From the Healthcare Infection Control Practices Advisory Committee of the Centers for Disease Control and Prevention
University of Michigan, Ann Arbor, Michigan (V.C.) California Department of Public Health, San Francisco, California (L.J.) University of Louisville, Louisville, Kentucky (K.B.) Fauerbach & Associates LLC, Gainesville, Florida (L.F.) Vanderbilt University School of Medicine, Nashville, Tennessee (T.R.T.) Washington University School of Medicine, St. Louis, Missouri (H.M.B.) Acknowledgment: The authors thank Erin Stone, MA, Koo-Whang Chung, MPH, Kendra Cox, MA, Jamesa Hogges, MPH, and Michael...
Annals for Hospitalists - 19 November 2019
Inpatient Notes Reaching for Higher Value in Health Care by Bringing Together Clinicians and Researchers: The Michigan Program on Value Enhancement Geoffrey D. Barnes, MD, MSc, and Eve A. Kerr, MD, MPH Hospitalists frequently serve as clinical leaders of quality improvement projects. In this commentary, the authors discuss how partnering with researchers can make these projects more scientifically rigorous and more successful.
Peripherally Inserted Central Catheters in Patients With Advanced Chronic Kidney Disease
IN RESPONSE: Dr. Goodman cites several studies where use of oral antibiotics resulted in similar outcomes to intravenous antibiotics and obviated the need to place an intravenous device. Given the inappropriate use of PICCs in patients with CKD, he contends that earlier initiation of oral antibiotics may obviate the need for PICC placement. We could not agree more.
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