Sheri Tejedor, MD, SFHM

Associate Professor of Medicine

Emory University School of Medicine

Associate Professor of Biomedical Informatics

Department of Biomedical Informatics

Biography

Emory Healthcare clinical bio

Research

Informatics focus

My group has designed, tested and validated innovative methods of leveraging the electronic medical record to track invasive device use for public reporting of hospital acquired conditions.  Public reporting mandates, QI and health services research all require informatics innovations to maximize the secondary use of clinical data.  Determining the methods to do this without creating major disruptions to clinical workflow is a priority area of our work.  The CDC/NHSN and other reporting agencies are increasing looking to the electronic record to support surveillance efforts.  Creating validated and clinically credible “e-measures” that are surrogates for subjective clinical measures is much of my focus.  This year we were asked by the CDC/NHSN to develop a research proposal to apply our methods to antimicrobial stewardship activities and a $2 million proposal is under consideration.  Additional work has focused on the use of NLP to augment quality measurement from the medical record.

Quality Improvement

My work in Quality Improvement has paralleled my informatics work and has focused on invasive device (central lines, urinary catheters) utilization and provider awareness of these devices.  We designed and published original work on the “Idle central venous catheter” which has been widely cited.  Provider checklists, daily rounds, multidisciplinary team rounds have all been utilized in my work on hospital acquired conditions.  As the only hospitalist on HICPAC I am in a unique position to bring the perspective of hospital medicine clinical workflows to the national stage as new Catheter Associated Urinary Tract Infection Guidelines are under development by our group this year. 

Publications

Jacob, J, Chernetsky Tejedor, S, Dent Reyes, M, Lu, X, Easley, KA, Aurand, WA, Garrett, G, Graham, K, Holder, C, Robichaux, C, Steinberg, JP.  Comparison of a Silver-Coated Catheter Access Device and a Standard Catheter Access Device for the Prevention of Central Line-associated Bloodstream Infections.  Infection Control and Hospital Epidemiology. 2015, Vol 35(3):294-301

Farooki S, Chatfield M, Sebastian V, Knighton J, Conde JM, Applegate K, Chernetsky Tejedor SG.  Automated Radiology Data and Information Transfer (ARDIT):  A Pilot Study at Emory Healthcare in Conjunction with the American College of Radiology (ACR).  The Journal of the American College of Radiology.  (online April 2014, in press)

Perez E, Williams M, Jacob JT, Dent Reyes M, Chernetsky Tejedor SG, Steinberg JP, Rowe L, Ganakammal SR, Changayil S, Weil MR, Donlan RM.  Microbial biofilms on needleless connectors for central venous catheters: a comparison of standard and silver-coated devices collected from patients in an acute care hospital. The Journal of Clinical Microbiology. 2014, 52(3):823

Tejedor SC, Garrett G,  Jacob JT, Meyer E, Dent Reyes M, Robichaux C, Steinberg JP.  Electronic Documentation of Central Venous Catheter Days: Validation is Essential.  Infection Control and Hospital Epidemiology. Vol. 34, No. 9 (September 2013), pp.900-907.

Steinberg JP, Robichaux C, Tejedor SC, Dent Reyes M, Jacob JT.  Distribution of Pathogens in Central Line-Associated Bloodstream Infections among Patients with and without Neutropenia Following Chemotherapy: Evidence for a Proposed Modification to the Current Surveillance Definition.  Inf Control Hosp Epidem. 34:171-5.

Chernetsky Tejedor SG, Tong D, Stein J, Payne C, Dressler D, Xue W, Steinberg JP.  Temporary Central Venous Catheter Utilization Patterns in a Large Tertiary Care Center: Tracking the “Idle Central Venous Catheter”.  Infection Control and Hospital Epidemiology. 2012 Jan Vol. 33 (1)” pg 50-57.

Shabbir HF, Stein J, Tong D, Tejedor S, O’Malley E.  Improved Use of Best Practices for Dysglycemia. Canadian Journal of Diabetes 32(4), 359.

Talbot T, Tejedor SC, Greevy RA, Burgess H, Williams MV, Deshpande JK, McFadden P, Weinger MB, Englebright J, Dittus RS, Speroff T.  A Survey of Infection Control Programs in a Large, National Healthcare System.  Infection Control and Hospital Epidemiology 2007. Vol 28, pg. 1401-1403.

Chernetsky SG, Mont MA, LaPorte DM, Jones LC, Hungerford DS, McCarthy EF.  Pathologic Features in Steroid and Nonsteroid Associated Osteonecrosis.  Clinical Orthopaedics and Related Research, 1999 Nov. (368): 149-61.