Robert S. Dittus, M.D., M.P.H.

Executive Vice President, Public Health and Health Care, VUMC

Professor of Medicine

Albert and Bernard Werthan Chair in Medicine

Associate Professor of Nursing


Division

General Internal Medicine and Public Health

Education:

M.D. - Indiana University School of Medicine, 1978

M.P.H. - UNC-Chapel Hill, 1984

B.S. - Purdue University, 1974

Training:

Fellowship

UNC-Chapel Hill, 1984

Robert S. Dittus, M.D., M.P.H.

publications 

Wilson JE, Carlson R, Duggan MC, Pandharipande P, Girard TD, Wang L, Thompson JL, Chandrasekhar R, Francis A, Nicolson SE, Dittus RS, Heckers S, Ely EW, . Delirium and Catatonia in Critically Ill Patients: The Delirium and Catatonia Prospective Cohort InvestigationCrit. Care Med. 2017 Nov; 45(11): 1837-44. PMID: 28841632, DOI: 10.1097/CCM.0000000000002642, ISSN: 1530-0293. 

Boyle J, Speroff T, Worley K, Cao A, Goggins K, Dittus RS, Kripalani S. Low Health Literacy Is Associated with Increased Transitional Care Needs in Hospitalized PatientsJ Hosp Med. 2017 Nov; 12(11): 918-24. PMID: 29091980, DOI: 10.12788/jhm.2841, ISSN: 1553-5606. 

Brummel NE, Boehm LM, Girard TD, Pandharipande PP, Jackson JC, Hughes CG, Patel MB, Han JH, Vasilevskis EE, Thompson JL, Chandrasekhar R, Bernard GR, Dittus RS, Ely EW. Subsyndromal Delirium and Institutionalization Among Patients With Critical IllnessAm. J. Crit. Care. 2017 Nov; 26(6): 447-55. PMID: 29092867, PII: 26/6/447, DOI: 10.4037/ajcc2017263, ISSN: 1937-710X. 

Maiga AW, Deppen SA, Pinkerman R, Callaway-Lane C, Massion PP, Dittus RS, Lambright ES, Nesbitt JC, Baker D, Grogan EL. Timeliness of Care and Lung Cancer Tumor-Stage Progression: How Long Can We Wait?Ann. Thorac. Surg [print-electronic]. 2017 Oct 10/12/2017; PMID: 29033012, PII: S0003-4975(17)30948-7, DOI: 10.1016/j.athoracsur.2017.06.051, ISSN: 1552-6259. 

McGirt MJ, Bydon M, Archer KR, Devin CJ, Chotai S, Parker SL, Nian H, Harrell FE, Speroff T, Dittus RS, Philips SE, Shaffrey CI, Foley KT, Asher AL. An analysis from the Quality Outcomes Database, Part 1. Disability, quality of life, and pain outcomes following lumbar spine surgery: predicting likely individual patient outcomes for shared decision-makingJ Neurosurg Spine [print-electronic]. 2017 Oct; 27(4): 357-69. PMID: 28498074, DOI: 10.3171/2016.11.SPINE16526, ISSN: 1547-5646. 

Asher AL, Devin CJ, Archer KR, Chotai S, Parker SL, Bydon M, Nian H, Harrell FE, Speroff T, Dittus RS, Philips SE, Shaffrey CI, Foley KT, McGirt MJ. An analysis from the Quality Outcomes Database, Part 2. Predictive model for return to work after elective surgery for lumbar degenerative diseaseJ Neurosurg Spine [print-electronic]. 2017 Oct; 27(4): 370-81. PMID: 28498069, DOI: 10.3171/2016.8.SPINE16527, ISSN: 1547-5646. 

Chotai S, Devin CJ, Archer KR, Bydon M, McGirt MJ, Nian H, Harrell FE, Dittus RS, Asher AL, . Effect of patients' functional status on satisfaction with outcomes 12-months after elective spine surgery for lumbar degenerative diseaseSpine J [print-electronic]. 2017 Sep 9/29/2017; PMID: 28970074, PII: S1529-9430(17)30233-4, DOI: 10.1016/j.spinee.2017.05.027, ISSN: 1878-1632. 

Yiadom MYAB, Baugh CW, Jenkins CA, Collins SP, Bhatia MC, Dittus RS, Storrow AB. Change in Care Transition Practice for Patients With Nonspecific Chest Pain After Emergency Department Evaluation 2006 to 2012Acad Emerg Med [print-electronic]. 2017 Aug 8/18/2017; PMID: 28833882, DOI: 10.1111/acem.13279, ISSN: 1553-2712. 

Theobald CN, Resnick MJ, Spain T, Dittus RS, Roumie CL. A multifaceted quality improvement strategy reduces the risk of catheter-associated urinary tract infectionInt J Qual Health Care. 2017 Aug 8/1/2017; 29(4): 564-70. PMID: 28633453, PII: 3869518, DOI: 10.1093/intqhc/mzx073, ISSN: 1464-3677. 

Brummel NE, Bell SP, Girard TD, Pandharipande PP, Jackson JC, Morandi A, Thompson JL, Chandrasekhar R, Bernard GR, Dittus RS, Gill TM, Ely EW. Frailty and Subsequent Disability and Mortality among Patients with Critical IllnessAm. J. Respir. Crit. Care Med. 2017 Jul 7/1/2017; 196(1): 64-72. PMID: 27922747, PMCID: PMC5519959, DOI: 10.1164/rccm.201605-0939OC, ISSN: 1535-4970. 

Han JH, Vasilevskis EE, Chandrasekhar R, Liu X, Schnelle JF, Dittus RS, Ely EW. Delirium in the Emergency Department and Its Extension into Hospitalization (DELINEATE) Study: Effect on 6-month Function and CognitionJ Am Geriatr Soc [print-electronic]. 2017 Jun; 65(6): 1333-8. PMID: 28263444, PMCID: PMC5478452, DOI: 10.1111/jgs.14824, ISSN: 1532-5415. 

Hughes CG, Patel MB, Jackson JC, Girard TD, Geevarghese SK, Norman BC, Thompson JL, Chandrasekhar R, Brummel NE, May AK, Elstad MR, Wasserstein ML, Goodman RB, Moons KG, Dittus RS, Ely EW, Pandharipande PP, . Surgery and Anesthesia Exposure Is Not a Risk Factor for Cognitive Impairment After Major Noncardiac Surgery and Critical IllnessAnn. Surg. 2017 Jun; 265(6): 1126-33. PMID: 27433893, DOI: 10.1097/SLA.0000000000001885, ISSN: 1528-1140. 

Han JH, Brummel NE, Chandrasekhar R, Wilson JE, Liu X, Vasilevskis EE, Girard TD, Carlo ME, Dittus RS, Schnelle JF, Ely EW. Exploring Delirium's Heterogeneity: Association Between Arousal Subtypes at Initial Presentation and 6-Month Mortality in Older Emergency Department PatientsAm J Geriatr Psychiatry [print-electronic]. 2017 Mar; 25(3): 233-42. PMID: 27623552, PMCID: PMC5321606, PII: S1064-7481(16)30138-5, DOI: 10.1016/j.jagp.2016.05.016, ISSN: 1545-7214. 

Yiadom MY, Baugh CW, McWade CM, Liu X, Song KJ, Patterson BW, Jenkins CA, Tanski M, Mills AM, Salazar G, Wang TJ, Dittus RS, Liu D, Storrow AB. Performance of Emergency Department Screening Criteria for an Early ECG to Identify ST-Segment Elevation Myocardial InfarctionJ Am Heart Assoc. 2017 Feb 2/23/2017; 6(3): PMID: 28232323, PMCID: PMC5523988, PII: JAHA.116.003528, DOI: 10.1161/JAHA.116.003528, ISSN: 2047-9980. 

Duggan MC, Wang L, Wilson JE, Dittus RS, Ely EW, Jackson JC. The relationship between executive dysfunction, depression, and mental health-related quality of life in survivors of critical illness: Results from the BRAIN-ICU investigationJ Crit Care [print-electronic]. 2017 Feb; 37: 72-9. PMID: 27652496, PMCID: PMC5240988, PII: S0883-9441(16)30431-2, DOI: 10.1016/j.jcrc.2016.08.023, ISSN: 1557-8615. 

Kummerow Broman K, Roumie CL, Stewart MK, Castellanos JA, Tarpley JL, Dittus RS, Pierce RA. Implementation of a Telephone Postoperative Clinic in an Integrated Health SystemJ. Am. Coll. Surg [print-electronic]. 2016 Oct; 223(4): 644-51. PMID: 27545100, PII: S1072-7515(16)30690-1, DOI: 10.1016/j.jamcollsurg.2016.07.010, ISSN: 1879-1190. 

Ward MJ, Kripalani S, Zhu Y, Storrow AB, Wang TJ, Speroff T, Munoz D, Dittus RS, Harrell FE, Self WH. Role of Health Insurance Status in Interfacility Transfers of Patients With ST-Elevation Myocardial InfarctionAm. J. Cardiol [print-electronic]. 2016 Aug 8/1/2016; 118(3): 332-7. PMID: 27282834, PMCID: PMC4949088, PII: S0002-9149(16)30861-X, DOI: 10.1016/j.amjcard.2016.05.007, ISSN: 1879-1913. 

Kummerow Broman K, Vella MA, Tarpley JL, Dittus RS, Roumie CL. Identification of postoperative care amenable to telehealthSurgery [print-electronic]. 2016 Aug; 160(2): 264-71. PMID: 27059636, PII: S0039-6060(16)00089-1, DOI: 10.1016/j.surg.2016.02.015, ISSN: 1532-7361. 

Asher AL, Chotai S, Devin CJ, Speroff T, Harrell FE, Nian H, Dittus RS, Mummaneni PV, Knightly JJ, Glassman SD, Bydon M, Archer KR, Foley KT, McGirt MJ. Inadequacy of 3-month Oswestry Disability Index outcome for assessing individual longer-term patient experience after lumbar spine surgeryJ Neurosurg Spine [print-electronic]. 2016 Aug; 25(2): 170-80. PMID: 26989974, DOI: 10.3171/2015.11.SPINE15872, ISSN: 1547-5646. 

Patel MB, Jackson JC, Morandi A, Girard TD, Hughes CG, Thompson JL, Kiehl AL, Elstad MR, Wasserstein ML, Goodman RB, Beckham JC, Chandrasekhar R, Dittus RS, Ely EW, Pandharipande PP. Incidence and Risk Factors for Intensive Care Unit-related Post-traumatic Stress Disorder in Veterans and CiviliansAm. J. Respir. Crit. Care Med. 2016 Jun 6/15/2016; 193(12): 1373-81. PMID: 26735627, PMCID: PMC4910886, DOI: 10.1164/rccm.201506-1158OC, ISSN: 1535-4970. 

Girard TD, Dittus RS, Ely EW. Critical Illness Brain InjuryAnnu. Rev. Med. 2016; 67: 497-513. PMID: 26768245, DOI: 10.1146/annurev-med-050913-015722, ISSN: 1545-326X. 

Graves JA, Mishra P, Dittus RS, Parikh R, Perloff J, Buerhaus PI. Role of Geography and Nurse Practitioner Scope-of-Practice in Efforts to Expand Primary Care System Capacity: Health Reform and the Primary Care WorkforceMed Care. 2016 Jan; 54(1): 81-9. PMID: 26565526, DOI: 10.1097/MLR.0000000000000454, ISSN: 1537-1948. 

Wooldridge K, Schnipper JL, Goggins K, Dittus RS, Kripalani S. Refractory primary medication nonadherence: Prevalence and predictors after pharmacist counseling at hospital dischargeJ Hosp Med [print-electronic]. 2016 Jan; 11(1): 48-51. PMID: 26293710, PMCID: PMC4703466, DOI: 10.1002/jhm.2446, ISSN: 1553-5606. 

Vella MA, Kummerow Broman K, Tarpley JL, Dittus RS, Roumie CL. Postoperative Telehealth Visits: Assessment of Quality and Preferences of Veterans [letter]JAMA Surg. 2015 Dec; 150(12): 1197-9. PMID: 26398664, PII: 2442534, DOI: 10.1001/jamasurg.2015.2660, ISSN: 2168-6262. 

Joosten YA, Israel TL, Williams NA, Boone LR, Schlundt DG, Mouton CP, Dittus RS, Bernard GR, Wilkins CH. Community Engagement Studios: A Structured Approach to Obtaining Meaningful Input From Stakeholders to Inform ResearchAcad Med. 2015 Dec; 90(12): 1646-50. PMID: 26107879, PMCID: PMC4654264, DOI: 10.1097/ACM.0000000000000794, ISSN: 1938-808X. 

Han JH, Vasilevskis EE, Schnelle JF, Shintani A, Dittus RS, Wilson A, Ely EW. The Diagnostic Performance of the Richmond Agitation Sedation Scale for Detecting Delirium in Older Emergency Department PatientsAcad Emerg Med [print-electronic]. 2015 Jul; 22(7): 878-82. PMID: 26113020, PMCID: PMC4516221, DOI: 10.1111/acem.12706, ISSN: 1553-2712. 

DesRoches CM, Buerhaus P, Dittus RS, Donelan K. Primary care workforce shortages and career recommendations from practicing cliniciansAcad Med. 2015 May; 90(5): 671-7. PMID: 25539519, DOI: 10.1097/ACM.0000000000000591, ISSN: 1938-808X. 

Ward MJ, Kripalani S, Storrow AB, Liu D, Speroff T, Matheny M, Thomassee EJ, Vogus TJ, Munoz D, Scott C, Fredi JL, Dittus RSTimeliness of interfacility transfer for ED patients with ST-elevation myocardial infarctionAm J Emerg Med [print-electronic]. 2015 Mar; 33(3): 423-9. PMID: 25618768, PMCID: PMC4385487, PII: S0735-6757(14)00988-7, DOI: 10.1016/j.ajem.2014.12.067, ISSN: 1532-8171. 

Ward MJ, Ferrand YB, Laker LF, Froehle CM, Vogus TJ, Dittus RS, Kripalani S, Pines JM. The nature and necessity of operational flexibility in the emergency departmentAnn Emerg Med [print-electronic]. 2015 Feb; 65(2): 156-61. PMID: 25233811, PMCID: PMC4302065, PII: S0196-0644(14)01158-5, DOI: 10.1016/j.annemergmed.2014.08.014, ISSN: 1097-6760. 

Ward MJ, Kripalani S, Zhu Y, Storrow AB, Dittus RS, Harrell FE, Self WH. Incidence of emergency department visits for ST-elevation myocardial infarction in a recent six-year period in the United StatesAm. J. Cardiol [print-electronic]. 2015 Jan 1/15/2015; 115(2): 167-70. PMID: 25465931, PMCID: PMC4276502, PII: S0002-9149(14)02008-6, DOI: 10.1016/j.amjcard.2014.10.020, ISSN: 1879-1913. 

Han JH, Vasilevskis EE, Shintani A, Graves AJ, Schnelle JF, Dittus RS, Powers JS, Wilson A, Storrow AB, Ely EW. Impaired arousal at initial presentation predicts 6-month mortality: an analysis of 1084 acutely ill older patientsJ Hosp Med [print-electronic]. 2014 Dec; 9(12): 772-8. PMID: 25352356, PMCID: PMC4326096, DOI: 10.1002/jhm.2276, ISSN: 1553-5606. 

Asher AL, Speroff T, Dittus RS, Parker SL, Davies JM, Selden N, Nian H, Glassman S, Mummaneni P, Shaffrey C, Watridge C, Cheng JS, McGirt MJ. The National Neurosurgery Quality and Outcomes Database (N2QOD): a collaborative North American outcomes registry to advance value-based spine careSpine. 2014 Oct 10/15/2014; 39(22 Suppl 1): S106-16. PMID: 25299254, PII: 00007632-201410151-00013, DOI: 10.1097/BRS.0000000000000579, ISSN: 1528-1159. 

Jackson JC, Pandharipande PP, Girard TD, Brummel NE, Thompson JL, Hughes CG, Pun BT, Vasilevskis EE, Morandi A, Shintani AK, Hopkins RO, Bernard GR, Dittus RS, Ely EW, . Depression, post-traumatic stress disorder, and functional disability in survivors of critical illness in the BRAIN-ICU study: a longitudinal cohort studyLancet Respir Med [print-electronic]. 2014 May; 2(5): 369-79. PMID: 24815803, PMCID: PMC4107313, PII: S2213-2600(14)70051-7, DOI: 10.1016/S2213-2600(14)70051-7, ISSN: 2213-2619. 

Brummel NE, Girard TD, Ely EW, Pandharipande PP, Morandi A, Hughes CG, Graves AJ, Shintani A, Murphy E, Work B, Pun BT, Boehm L, Gill TM, Dittus RS, Jackson JC. Feasibility and safety of early combined cognitive and physical therapy for critically ill medical and surgical patients: the Activity and Cognitive Therapy in ICU (ACT-ICU) trialIntensive Care Med [print-electronic]. 2014 Mar; 40(3): 370-9. PMID: 24257969, PMCID: PMC3943568, DOI: 10.1007/s00134-013-3136-0, ISSN: 1432-1238. 

Han JH, Wilson A, Graves AJ, Shintani A, Schnelle JF, Dittus RS, Powers JS, Vernon J, Storrow AB, Ely EW. Validation of the Confusion Assessment Method for the Intensive Care Unit in older emergency department patientsAcad Emerg Med. 2014 Feb; 21(2): 180-7. PMID: 24673674, PMCID: PMC4034173, DOI: 10.1111/acem.12309, ISSN: 1553-2712. 

Brummel NE, Jackson JC, Pandharipande PP, Thompson JL, Shintani AK, Dittus RS, Gill TM, Bernard GR, Ely EW, Girard TD. Delirium in the ICU and subsequent long-term disability among survivors of mechanical ventilationCrit. Care Med. 2014 Feb; 42(2): 369-77. PMID: 24158172, PMCID: PMC3947028, DOI: 10.1097/CCM.0b013e3182a645bd, ISSN: 1530-0293. 

Seegmiller AC, Kim AS, Mosse CA, Levy MA, Thompson MA, Kressin MK, Jagasia MH, Strickland SA, Reddy NM, Marx ER, Sinkfield KJ, Pollard HN, Plummer WD, Dupont WD, Shultz EK, Dittus RS, Stead WW, Santoro SA, Zutter MM. Optimizing personalized bone marrow testing using an evidence-based, interdisciplinary team approachAm. J. Clin. Pathol. 2013 Nov; 140(5): 643-50. PMID: 24124142, PMCID: PMC4159763, PII: 140/5/643, DOI: 10.1309/AJCP8CKE9NEINQFL, ISSN: 1943-7722. 

Han JH, Wilson A, Vasilevskis EE, Shintani A, Schnelle JF, Dittus RS, Graves AJ, Storrow AB, Shuster J, Ely EW. Diagnosing delirium in older emergency department patients: validity and reliability of the delirium triage screen and the brief confusion assessment methodAnn Emerg Med [print-electronic]. 2013 Nov; 62(5): 457-65. PMID: 23916018, PMCID: PMC3936572, PII: S0196-0644(13)00436-8, DOI: 10.1016/j.annemergmed.2013.05.003, ISSN: 1097-6760. 

Pandharipande PP, Girard TD, Jackson JC, Morandi A, Thompson JL, Pun BT, Brummel NE, Hughes CG, Vasilevskis EE, Shintani AK, Moons KG, Geevarghese SK, Canonico A, Hopkins RO, Bernard GR, Dittus RS, Ely EW, . Long-term cognitive impairment after critical illnessN. Engl. J. Med. 2013 Oct 10/3/2013; 369(14): 1306-16. PMID: 24088092, PMCID: PMC3922401, DOI: 10.1056/NEJMoa1301372, ISSN: 1533-4406. 

McGirt MJ, Speroff T, Dittus RS, Harrell FE, Asher AL. The National Neurosurgery Quality and Outcomes Database (N2QOD): general overview and pilot-year project descriptionNeurosurg Focus. 2013 Jan; 34(1): E6. PMID: 23278267, DOI: 10.3171/2012.10.FOCUS12297, ISSN: 1092-0684. 

McNaughton CD, Collins SP, Kripalani S, Rothman R, Self WH, Jenkins C, Miller K, Arbogast P, Naftilan A, Dittus RS, Storrow AB. Low numeracy is associated with increased odds of 30-day emergency department or hospital recidivism for patients with acute heart failureCirc Heart Fail [print-electronic]. 2013 Jan; 6(1): 40-6. PMID: 23230305, PMCID: PMC3663074, PII: CIRCHEARTFAILURE.112.969477, DOI: 10.1161/CIRCHEARTFAILURE.112.969477, ISSN: 1941-3297. 

Girard TD, Ware LB, Bernard GR, Pandharipande PP, Thompson JL, Shintani AK, Jackson JC, Dittus RS, Ely EW. Associations of markers of inflammation and coagulation with delirium during critical illnessIntensive Care Med [print-electronic]. 2012 Dec; 38(12): 1965-73. PMID: 22903241, PMCID: PMC3606929, DOI: 10.1007/s00134-012-2678-x, ISSN: 1432-1238. 

McNaughton C, Self WH, Jones ID, Arbogast PG, Chen N, Dittus RS, Russ S. ED crowding and the use of nontraditional bedsAm J Emerg Med [print-electronic]. 2012 Oct; 30(8): 1474-80. PMID: 22386355, PMCID: PMC3888805, PII: S0735-6757(11)00571-7, DOI: 10.1016/j.ajem.2011.12.007, ISSN: 1532-8171. 

Byrne DW, Biaggioni I, Bernard GR, Helmer TT, Boone LR, Pulley JM, Edwards T, Dittus RSClinical and translational research studios: a multidisciplinary internal support programAcad Med. 2012 Aug; 87(8): 1052-9. PMID: 22722360, PMCID: PMC3406254, DOI: 10.1097/ACM.0b013e31825d29d4, ISSN: 1938-808X. 

Ely EW, Dittus RS, Girard TD. Point: should benzodiazepines be avoided in mechanically ventilated patients? Yes [editorial]Chest. 2012 Aug; 142(2): 281-4. PMID: 22871750, PII: S0012-3692(12)60436-X, DOI: 10.1378/chest.12-1189, ISSN: 1931-3543. 

Grogan EL, Weinstein JJ, Deppen SA, Putnam JB, Nesbitt JC, Lambright ES, Walker RC, Dittus RS, Massion PP. Thoracic operations for pulmonary nodules are frequently not futile in patients with benign diseaseJ Thorac Oncol. 2011 Oct; 6(10): 1720-5. PMID: 21760552, PMCID: PMC3712870, PII: S1556-0864(15)33211-1, DOI: 10.1097/JTO.0b013e318226b48a, ISSN: 1556-1380. 

Murff HJ, FitzHenry F, Matheny ME, Gentry N, Kotter KL, Crimin K, Dittus RS, Rosen AK, Elkin PL, Brown SH, Speroff T. Automated identification of postoperative complications within an electronic medical record using natural language processingJAMA. 2011 Aug 8/24/2011; 306(8): 848-55. PMID: 21862746, PII: 306/8/848, DOI: 10.1001/jama.2011.1204, ISSN: 1538-3598. 

Roumie CL, Greevy R, Wallston KA, Elasy TA, Kaltenbach L, Kotter K, Dittus RS, Speroff T. Patient centered primary care is associated with patient hypertension medication adherenceJ Behav Med [print-electronic]. 2011 Aug; 34(4): 244-53. PMID: 21161578, DOI: 10.1007/s10865-010-9304-6, ISSN: 1573-3521. 

Han JH, Bryce SN, Ely EW, Kripalani S, Morandi A, Shintani A, Jackson JC, Storrow AB, Dittus RS, Schnelle J. The effect of cognitive impairment on the accuracy of the presenting complaint and discharge instruction comprehension in older emergency department patientsAnn Emerg Med [print-electronic]. 2011 Jun; 57(6): 662-671.e2. PMID: 21272958, PMCID: PMC3603343, PII: S0196-0644(10)01834-2, DOI: 10.1016/j.annemergmed.2010.12.002, ISSN: 1097-6760. 

Han JH, Eden S, Shintani A, Morandi A, Schnelle J, Dittus RS, Storrow AB, Ely EW. Delirium in older emergency department patients is an independent predictor of hospital length of stayAcad Emerg Med [print-electronic]. 2011 May; 18(5): 451-7. PMID: 21521405, PMCID: PMC3768130, DOI: 10.1111/j.1553-2712.2011.01065.x, ISSN: 1553-2712. 

Speroff T, Ely EW, Greevy R, Weinger MB, Talbot TR, Wall RJ, Deshpande JK, France DJ, Nwosu S, Burgess H, Englebright J, Williams MV, Dittus RSQuality improvement projects targeting health care-associated infections: comparing Virtual Collaborative and Toolkit approachesJ Hosp Med [print-electronic]. 2011 May; 6(5): 271-8. PMID: 21312329, DOI: 10.1002/jhm.873, ISSN: 1553-5606. 

Speroff T, Nwosu S, Greevy R, Weinger MB, Talbot TR, Wall RJ, Deshpande JK, France DJ, Ely EW, Burgess H, Englebright J, Williams MV, Dittus RSOrganisational culture: variation across hospitals and connection to patient safety climateQual Saf Health Care. 2010 Dec; 19(6): 592-6. PMID: 21127115, PII: 19/6/592, DOI: 10.1136/qshc.2009.039511, ISSN: 1475-3901. 

Vasilevskis EE, Ely EW, Speroff T, Pun BT, Boehm L, Dittus RSReducing iatrogenic risks: ICU-acquired delirium and weakness--crossing the quality chasmChest. 2010 Nov; 138(5): 1224-33. PMID: 21051398, PMCID: PMC4694109, PII: 10.1378/chest.10-0466, DOI: 10.1378/chest.10-0466, ISSN: 1931-3543. 

Matheny ME, Miller RA, Ikizler TA, Waitman LR, Denny JC, Schildcrout JS, Dittus RS, Peterson JF. Development of inpatient risk stratification models of acute kidney injury for use in electronic health recordsMed Decis Making [print-electronic]. 2010 Nov; 30(6): 639-50. PMID: 20354229, PMCID: PMC4850549, PII: 0272989X10364246, DOI: 10.1177/0272989X10364246, ISSN: 1552-681X. 

Han JH, Shintani A, Eden S, Morandi A, Solberg LM, Schnelle J, Dittus RS, Storrow AB, Ely EW. Delirium in the emergency department: an independent predictor of death within 6 monthsAnn Emerg Med [print-electronic]. 2010 Sep; 56(3): 244-252.e1. PMID: 20363527, PMCID: PMC3768121, PII: S0196-0644(10)00220-9, DOI: 10.1016/j.annemergmed.2010.03.003, ISSN: 1097-6760. 

Jackson JC, Girard TD, Gordon SM, Thompson JL, Shintani AK, Thomason JW, Pun BT, Canonico AE, Dunn JG, Bernard GR, Dittus RS, Ely EW. Long-term cognitive and psychological outcomes in the awakening and breathing controlled trialAm. J. Respir. Crit. Care Med [print-electronic]. 2010 Jul 7/15/2010; 182(2): 183-91. PMID: 20299535, PMCID: PMC2913233, PII: 200903-0442OC, DOI: 10.1164/rccm.200903-0442OC, ISSN: 1535-4970. 

Girard TD, Jackson JC, Pandharipande PP, Pun BT, Thompson JL, Shintani AK, Gordon SM, Canonico AE, Dittus RS, Bernard GR, Ely EW. Delirium as a predictor of long-term cognitive impairment in survivors of critical illnessCrit. Care Med. 2010 Jul; 38(7): 1513-20. PMID: 20473145, PMCID: PMC3638813, DOI: 10.1097/CCM.0b013e3181e47be1, ISSN: 1530-0293. 

Russ S, Jones I, Aronsky D, Dittus RS, Slovis CM. Placing physician orders at triage: the effect on length of stayAnn Emerg Med [print-electronic]. 2010 Jul; 56(1): 27-33. PMID: 20236731, PII: S0196-0644(10)00119-8, DOI: 10.1016/j.annemergmed.2010.02.006, ISSN: 1097-6760. 

France DJ, Greevy RA, Liu X, Burgess H, Dittus RS, Weinger MB, Speroff T. Measuring and comparing safety climate in intensive care unitsMed Care. 2010 Mar; 48(3): 279-84. PMID: 20125046, DOI: 10.1097/MLR.0b013e3181c162d6, ISSN: 1537-1948. 

Girard TD, Pandharipande PP, Carson SS, Schmidt GA, Wright PE, Canonico AE, Pun BT, Thompson JL, Shintani AK, Meltzer HY, Bernard GR, Dittus RS, Ely EW, . Feasibility, efficacy, and safety of antipsychotics for intensive care unit delirium: the MIND randomized, placebo-controlled trialCrit. Care Med. 2010 Feb; 38(2): 428-37. PMID: 20095068, PMCID: PMC3645269, ISSN: 1530-0293. 

Matheny ME, Fitzhenry F, Speroff T, Hathaway J, Murff HJ, Brown SH, Fielstein EM, Dittus RS, Elkin PL. Detection of blood culture bacterial contamination using natural language processingAMIA Annu Symp Proc. 2009 Nov 11/14/2009; 2009: 411-5. PMID: 20351890, PMCID: PMC2815455, ISSN: 1942-597X. 

Han JH, Morandi A, Ely EW, Callison C, Zhou C, Storrow AB, Dittus RS, Habermann R, Schnelle J. Delirium in the nursing home patients seen in the emergency departmentJ Am Geriatr Soc. 2009 May; 57(5): 889-94. PMID: 19484845, PMCID: PMC4970317, DOI: 10.1111/j.1532-5415.2009.02219.x, ISSN: 1532-5415. 

Patel RP, Gambrell M, Speroff T, Scott TA, Pun BT, Okahashi J, Strength C, Pandharipande P, Girard TD, Burgess H, Dittus RS, Bernard GR, Ely EW. Delirium and sedation in the intensive care unit: survey of behaviors and attitudes of 1384 healthcare professionalsCrit. Care Med. 2009 Mar; 37(3): 825-32. PMID: 19237884, PMCID: PMC3719180, PII: 00003246-200903000-00004, DOI: 10.1097/CCM.0b013e31819b8608, ISSN: 1530-0293. 

Han JH, Zimmerman EE, Cutler N, Schnelle J, Morandi A, Dittus RS, Storrow AB, Ely EW. Delirium in older emergency department patients: recognition, risk factors, and psychomotor subtypesAcad Emerg Med [print-electronic]. 2009 Mar; 16(3): 193-200. PMID: 19154565, PMCID: PMC5015887, PII: ACEM339, DOI: 10.1111/j.1553-2712.2008.00339.x, ISSN: 1553-2712. 

Dossett LA, Dittus RS, Speroff T, May AK, Cotton BA. Cost-effectiveness of routine radiographs after emergent open cavity operationsSurgery [print-electronic]. 2008 Aug; 144(2): 317-21. PMID: 18656641, PII: S0039-6060(08)00177-3, DOI: 10.1016/j.surg.2008.03.012, ISSN: 1532-7361. 

Murff HJ, Peterson NB, Fowke JH, Hargreaves M, Signorello LB, Dittus RS, Zheng W, Blot WJ. Colonoscopy screening in African Americans and Whites with affected first-degree relativesArch. Intern. Med. 2008 Mar 3/24/2008; 168(6): 625-31. PMID: 18362255, PMCID: PMC3557834, PII: 168/6/625, DOI: 10.1001/archinte.168.6.625, ISSN: 0003-9926. 

Huang RL, Donelli A, Byrd J, Mickiewicz MA, Slovis C, Roumie C, Elasy TA, Dittus RS, Speroff T, Disalvo T, Zhao D. Using quality improvement methods to improve door-to-balloon time at an academic medical centerJ Invasive Cardiol. 2008 Feb; 20(2): 46-52. PMID: 18252966, ISSN: 1557-2501. 

Girard TD, Kress JP, Fuchs BD, Thomason JW, Schweickert WD, Pun BT, Taichman DB, Dunn JG, Pohlman AS, Kinniry PA, Jackson JC, Canonico AE, Light RW, Shintani AK, Thompson JL, Gordon SM, Hall JB, Dittus RS, Bernard GR, Ely EW. Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated patients in intensive care (Awakening and Breathing Controlled trial): a randomised controlled trialLancet. 2008 Jan 1/12/2008; 371(9607): 126-34. PMID: 18191684, PII: S0140-6736(08)60105-1, DOI: 10.1016/S0140-6736(08)60105-1, ISSN: 1474-547X. 

Pandharipande PP, Pun BT, Herr DL, Maze M, Girard TD, Miller RR, Shintani AK, Thompson JL, Jackson JC, Deppen SA, Stiles RA, Dittus RS, Bernard GR, Ely EW. Effect of sedation with dexmedetomidine vs lorazepam on acute brain dysfunction in mechanically ventilated patients: the MENDS randomized controlled trialJAMA. 2007 Dec 12/12/2007; 298(22): 2644-53. PMID: 18073360, PII: 298/22/2644, DOI: 10.1001/jama.298.22.2644, ISSN: 1538-3598. 

Stiles RA, Deppen SA, Figaro MK, Gregg WM, Jirjis JN, Rothman RL, Johnston PE, Miller RA, Dittus RS, Speroff T. Behind-the-scenes of patient-centered care: content analysis of electronic messaging among primary care clinic providers and staffMed Care. 2007 Dec; 45(12): 1205-9. PMID: 18007171, PII: 00005650-200712000-00012, DOI: 10.1097/MLR.0b013e318148490c, ISSN: 0025-7079. 

Talbot TR, Tejedor SC, Greevy RA, Burgess H, Williams MV, Deshpande JK, McFadden P, Weinger MB, Englebright J, Dittus RS, Speroff T. Survey of infection control programs in a large national healthcare systemInfect Control Hosp Epidemiol [print-electronic]. 2007 Dec; 28(12): 1401-3. PMID: 17994522, PII: S0195941700026424, DOI: 10.1086/523867, ISSN: 0899-823X. 

Roumie CL, Elasy TA, Wallston KA, Pratt S, Greevy RA, Liu X, Alvarez V, Dittus RS, Speroff T. Clinical inertia: a common barrier to changing provider prescribing behaviorJt Comm J Qual Patient Saf. 2007 May; 33(5): 277-85. PMID: 17503683, PII: S1553-7250(07)33032-8, ISSN: 1553-7250. 

Adelani MA, Holt GE, Dittus RS, Passman MA, Schwartz HS. Revascularization after segmental resection of lower extremity soft tissue sarcomasJ Surg Oncol. 2007 May 5/1/2007; 95(6): 455-60. PMID: 17458861, DOI: 10.1002/jso.20679, ISSN: 0022-4790. 

Peterson NB, Murff HJ, Ness RM, Dittus RSColorectal cancer screening among men and women in the United StatesJ Womens Health (Larchmt). 2007 Jan; 16(1): 57-65. PMID: 17324097, DOI: 10.1089/jwh.2006.0131, ISSN: 1540-9996. 

Girard TD, Shintani AK, Jackson JC, Gordon SM, Pun BT, Henderson MS, Dittus RS, Bernard GR, Ely EW. Risk factors for post-traumatic stress disorder symptoms following critical illness requiring mechanical ventilation: a prospective cohort studyCrit Care. 2007; 11(1): R28. PMID: 17316452, PMCID: PMC2151865, PII: cc5708, DOI: 10.1186/cc5708, ISSN: 1466-609X. 

Murff HJ, Dittus RSNear misses and research subjectsQual Saf Health Care. 2006 Aug; 15(4): 228-9. PMID: 16885243, PMCID: PMC2564016, PII: 15/4/228, DOI: 10.1136/qshc.2006.018176, ISSN: 1475-3901. 

Roumie CL, Elasy TA, Greevy R, Griffin MR, Liu X, Stone WJ, Wallston KA, Dittus RS, Alvarez V, Cobb J, Speroff T. Improving blood pressure control through provider education, provider alerts, and patient education: a cluster randomized trialAnn. Intern. Med. 2006 Aug 8/1/2006; 145(3): 165-75. PMID: 16880458, PII: 145/3/165, ISSN: 1539-3704. 

Rothman RL, So SA, Shin J, Malone RM, Bryant B, Dewalt DA, Pignone MP, Dittus RSLabor characteristics and program costs of a successful diabetes disease management programAm J Manag Care. 2006 May; 12(5): 277-83. PMID: 16686585, PII: 3131, ISSN: 1088-0224. 

Peterson JF, Pun BT, Dittus RS, Thomason JW, Jackson JC, Shintani AK, Ely EW. Delirium and its motoric subtypes: a study of 614 critically ill patientsJ Am Geriatr Soc. 2006 Mar; 54(3): 479-84. PMID: 16551316, PII: JGS621, DOI: 10.1111/j.1532-5415.2005.00621.x, ISSN: 0002-8614. 

Pandharipande P, Shintani A, Peterson J, Pun BT, Wilkinson GR, Dittus RS, Bernard GR, Ely EW. Lorazepam is an independent risk factor for transitioning to delirium in intensive care unit patientsAnesthesiology. 2006 Jan; 104(1): 21-6. PMID: 16394685, PII: 00000542-200601000-00005, ISSN: 0003-3022. 

Roumie CL, Halasa NB, Grijalva CG, Edwards KM, Zhu Y, Dittus RS, Griffin MR. Trends in antibiotic prescribing for adults in the United States--1995 to 2002J Gen Intern Med. 2005 Aug; 20(8): 697-702. PMID: 16050877, PMCID: PMC1490171, PII: JGI05620, DOI: 10.1111/j.1525-1497.2005.0148.x, ISSN: 1525-1497. 

Spindler KP, Kuhn JE, Dunn W, Matthews CE, Harrell FE, Dittus RSReading and reviewing the orthopaedic literature: a systematic, evidence-based medicine approachJ Am Acad Orthop Surg. 2005 Jul; 13(4): 220-9. PMID: 16112979, PII: 13/4/220, ISSN: 1067-151X. 

Pun BT, Gordon SM, Peterson JF, Shintani AK, Jackson JC, Foss J, Harding SD, Bernard GR, Dittus RS, Ely EW. Large-scale implementation of sedation and delirium monitoring in the intensive care unit: a report from two medical centersCrit. Care Med. 2005 Jun; 33(6): 1199-205. PMID: 15942331, PII: 00003246-200506000-00002, ISSN: 0090-3493. 

Roumie CL, Halasa NB, Edwards KM, Zhu Y, Dittus RS, Griffin MR. Differences in antibiotic prescribing among physicians, residents, and nonphysician cliniciansAm. J. Med. 2005 Jun; 118(6): 641-8. PMID: 15922696, PII: S0002-9343(05)00099-9, DOI: 10.1016/j.amjmed.2005.02.013, ISSN: 0002-9343. 

Kallianpur AR, Hall LD, Yadav M, Byrne DW, Speroff T, Dittus RS, Haines JL, Christman BW, Summar ML. The hemochromatosis C282Y allele: a risk factor for hepatic veno-occlusive disease after hematopoietic stem cell transplantationBone Marrow Transplant. 2005 Jun; 35(12): 1155-64. PMID: 15834437, PII: 1704943, DOI: 10.1038/sj.bmt.1704943, ISSN: 0268-3369. 

Rothman RL, Malone R, Bryant B, Shintani AK, Crigler B, Dewalt DA, Dittus RS, Weinberger M, Pignone MP. A randomized trial of a primary care-based disease management program to improve cardiovascular risk factors and glycated hemoglobin levels in patients with diabetesAm. J. Med. 2005 Mar; 118(3): 276-84. PMID: 15745726, PII: S0002-9343(04)00717-X, DOI: 10.1016/j.amjmed.2004.09.017, ISSN: 0002-9343. 

Grogan EL, Morris JA, Dittus RS, Moore DE, Poulose BK, Diaz JJ, Speroff T. Cervical spine evaluation in urban trauma centers: lowering institutional costs and complications through helical CT scanJ. Am. Coll. Surg. 2005 Feb; 200(2): 160-5. PMID: 15664088, PII: S1072-7515(04)01357-2, DOI: 10.1016/j.jamcollsurg.2004.10.019, ISSN: 1072-7515. 

Grogan EL, Norris PR, Speroff T, Ozdas A, France DJ, Harris PA, Jenkins JM, Stiles R, Dittus RS, Morris JA. Volatility: a new vital sign identified using a novel bedside monitoring strategyJ Trauma. 2005 Jan; 58(1): 7-12; discussion 12. PMID: 15674143, PII: 00005373-200501000-00002, ISSN: 0022-5282. 

Spindler KP, Kuhn JE, Freedman KB, Matthews CE, Dittus RS, Harrell FE. Anterior cruciate ligament reconstruction autograft choice: bone-tendon-bone versus hamstring: does it really matter? A systematic reviewAm J Sports Med. 2004 Dec; 32(8): 1986-95. PMID: 15572332, ISSN: 0363-5465. 

Grogan EL, Speroff T, Deppen SA, Roumie CL, Elasy TA, Dittus RS, Rosenbloom ST, Holzman MD. Improving documentation of patient acuity level using a progress note templateJ. Am. Coll. Surg. 2004 Sep; 199(3): 468-75. PMID: 15325618, PII: S1072-7515(04)00702-1, DOI: 10.1016/j.jamcollsurg.2004.05.254, ISSN: 1072-7515. 

Roumie CL, Grogan EL, Falbe W, Awad J, Speroff T, Dittus RS, Elasy TA. A three-part intervention to change the use of hormone replacement therapy in response to new evidenceAnn. Intern. Med. 2004 Jul 7/20/2004; 141(2): 118-25. PMID: 15262667, PII: 141/2/118, ISSN: 1539-3704. 

Kallianpur AR, Hall LD, Yadav M, Christman BW, Dittus RS, Haines JL, Parl FF, Summar ML. Increased prevalence of the HFE C282Y hemochromatosis allele in women with breast cancerCancer Epidemiol. Biomarkers Prev. 2004 Feb; 13(2): 205-12. PMID: 14973098, ISSN: 1055-9965. 

Ely EW, Stephens RK, Jackson JC, Thomason JW, Truman B, Gordon S, Dittus RS, Bernard GR. Current opinions regarding the importance, diagnosis, and management of delirium in the intensive care unit: a survey of 912 healthcare professionalsCrit. Care Med. 2004 Jan; 32(1): 106-12. PMID: 14707567, DOI: 10.1097/01.CCM.0000098033.94737.84, ISSN: 0090-3493. 

Hartert TV, Neuzil KM, Shintani AK, Mitchel EF, Snowden MS, Wood LB, Dittus RS, Griffin MR. Maternal morbidity and perinatal outcomes among pregnant women with respiratory hospitalizations during influenza seasonAm. J. Obstet. Gynecol. 2003 Dec; 189(6): 1705-12. PMID: 14710102, PII: S0002937803008573, ISSN: 0002-9378. 

Tarquinio GT, Dittus RS, Byrne DW, Kaiser A, Neilson EG. Effects of performance-based compensation and faculty track on the clinical activity, research portfolio, and teaching mission of a large academic department of medicineAcad Med. 2003 Jul; 78(7): 690-701. PMID: 12857687, ISSN: 1040-2446. 

Ely EW, Truman B, Shintani A, Thomason JW, Wheeler AP, Gordon S, Francis J, Speroff T, Gautam S, Margolin R, Sessler CN, Dittus RS, Bernard GR. Monitoring sedation status over time in ICU patients: reliability and validity of the Richmond Agitation-Sedation Scale (RASS)JAMA. 2003 Jun 6/11/2003; 289(22): 2983-91. PMID: 12799407, PII: 289/22/2983, DOI: 10.1001/jama.289.22.2983, ISSN: 1538-3598. 

Butler J, Khadim G, Belue R, Chomsky D, Dittus RS, Griffin M, Wilson JR. Tolerability to beta-blocker therapy among heart failure patients in clinical practiceJ. Card. Fail. 2003 Jun; 9(3): 203-9. PMID: 12815570, PII: S1071916403000459, DOI: 10.1054/jcaf.2003.34, ISSN: 1071-9164. 

 

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Fellowship 

UNC-Chapel Hill, 1984

residency 

Medicine - Indiana University School of Medicine, 1976