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Christian Coletti, M.D., MHCDS, FACEP, FACP
Clinical Effectiveness Officer of Ambulatory Care
Expertise & Research Interests
- Internal Medicine
- Cardiac Telemetry
- Sepsis
Education
- MHCDS, Masters in Health Care Delivery Science, Dartmouth College
- M.D., Thomas Jefferson University
- B.A., Biology, Haverford College
Christian Coletti, M.D., MHCDS, FACEP, FACP
Clinical Effectiveness Officer of Ambulatory Care
Dr. Christian Coletti is the ambulatory clinical effectiveness officer at ChristianaCare. In this role, he leads approaches to elevate systems of care and clinical process improvement and develops quality and safety initiatives to grow the culture of safety in ChristianaCare’s ambulatory settings.
Experience
Downloadable Images and Links
Media Appearances
Fundraiser held for Jack Weeks
2021-11-11 , Cape Gazette
Dr. Christian Coletti, an emergency medicine physician at ChristianaCare, just happened to be on the beach with his family when the accident occurred. When Jack was pulled out of the water, he had no pulse, and Coletti and other bystanders with EMS experience helped revive him. He was taken to Beebe Healthcare before being flown to Christiana.
“As difficult as it is to talk about the accident and go through the feelings, we are the luckiest family that I know,” said Kip Weeks, Jack’s dad, at a Nov. 7 fundraiser at Lewes Yacht Club. “My son is alive. My son is with us. He is treating me like any other 17-year-old treats his father.”
“As difficult as it is to talk about the accident and go through the feelings, we are the luckiest family that I know,” said Kip Weeks, Jack’s dad, at a Nov. 7 fundraiser at Lewes Yacht Club. “My son is alive. My son is with us. He is treating me like any other 17-year-old treats his father.”
'Humanity is there,' says woman rescued from fiery I-95 crash ...
2019-02-22 , Delaware Online
On Thursday, she met two of the people who ran to her rescue: Christian Coletti and Feroz Abubacker – both doctors at Christiana Care.
Selected Papers and Publications
Pacemaker Evaluation in the Emergency Department
2022
There are approximately 500,000 implanted cardiac pacemakers in the United States, and another 100,000 are implanted each year. In the emergency department, a physician may be faced with a pacemaker that is not functioning appropriately. To understand the ways in which a pacemaker can malfunction or lead to medical complications, first it is important to understand how pacemakers work when they do so appropriately.
There are approximately 500,000 implanted cardiac pacemakers in the United States, and another 100,000 are implanted each year. In the emergency department, a physician may be faced with a pacemaker that is not functioning appropriately. To understand the ways in which a pacemaker can malfunction or lead to medical complications, first it is important to understand how pacemakers work when they do so appropriately.
Implementing Antibiotic Stewardship in Urgent Care Centers
2018
Antibiotic stewardship (AS) has historically focused on inpatient facilities and primary care clinics; many antibiotics (ABx) are prescribed in urgent care clinics (UCCs). However, few centers have described implementing AS in such settings. We sought to reduce total ABx use in our UCCs as well as specifically decrease azithromycin use.
Antibiotic stewardship (AS) has historically focused on inpatient facilities and primary care clinics; many antibiotics (ABx) are prescribed in urgent care clinics (UCCs). However, few centers have described implementing AS in such settings. We sought to reduce total ABx use in our UCCs as well as specifically decrease azithromycin use.
Transcutaneous Pacing
2022
Hemodynamically unstable (i.e., hypotension, pulmonary edema, chest pain, shortness of breath, or evidence of decreased cerebral perfusion) bradyarrhythmias refractory to medical therapies.
Hemodynamically unstable (i.e., hypotension, pulmonary edema, chest pain, shortness of breath, or evidence of decreased cerebral perfusion) bradyarrhythmias refractory to medical therapies.
An Interdepartmental Care Model to Expedite Admission from the Emergency Department to the Medical ICU
2015
Early evidence suggests that multidisciplinary programs designed to expedite transfer from the emergency department (ED) may decrease boarding times. However, few models exist that provide effective ways to improve the ED-to-ICU transition process. In 2012 Christiana Care Health System (Newark, Delaware) created and implemented an interdepartmental program designed to expedite the transition of care from the ED to the medical ICU (MICU).
Early evidence suggests that multidisciplinary programs designed to expedite transfer from the emergency department (ED) may decrease boarding times. However, few models exist that provide effective ways to improve the ED-to-ICU transition process. In 2012 Christiana Care Health System (Newark, Delaware) created and implemented an interdepartmental program designed to expedite the transition of care from the ED to the medical ICU (MICU).
Patient Satisfaction Surveys and Quality of Care: An Information Paper
2014
With passage of the Patient Protection and Affordable Care Act of 2010, payment incentives were created to improve the “value” of health care delivery. Because physicians and physician practices aim to deliver care that is both clinically effective and patient centered, it is important to understand the association between the patient experience and quality health outcomes. Surveys have become a tool with which to quantify the consumer experience. In addition, results of these surveys are playing an increasingly important role in determining hospital payment. Given that the patient experience is being used as a surrogate marker for quality and value of health care delivery, we will review the patient experience–related pay-for-performance programs and effect on emergency medicine, discuss the literature describing the association between quality and the patient-reported experience, and discuss future opportunities for emergency medicine.
With passage of the Patient Protection and Affordable Care Act of 2010, payment incentives were created to improve the “value” of health care delivery. Because physicians and physician practices aim to deliver care that is both clinically effective and patient centered, it is important to understand the association between the patient experience and quality health outcomes. Surveys have become a tool with which to quantify the consumer experience. In addition, results of these surveys are playing an increasingly important role in determining hospital payment. Given that the patient experience is being used as a surrogate marker for quality and value of health care delivery, we will review the patient experience–related pay-for-performance programs and effect on emergency medicine, discuss the literature describing the association between quality and the patient-reported experience, and discuss future opportunities for emergency medicine.
Altering Overuse of Cardiac Telemetry in Non–Intensive Care Unit Settings by Hardwiring the Use of American Heart Association Guidelines
2014
Arrhythmia detection is reported to affect the clinical management of care in 3.4% to 12.7% of patients. The American Heart Association’s (AHA’s) published recommendations addressing the use of non–intensive care unit (non-ICU) cardiac telemetry stratify patients into 3 categories: cardiac telemetry is indicated, may provide benefit, or is unlikely to provide benefit. Clinical-effectiveness studies of implementing these guidelines have either reported the use of labor-intensive strategies or nonsustained decreases in non-ICU cardiac telemetry use. Various efforts to reduce the perceived overuse of cardiac telemetry at Christiana Care Health System, a 1100-bed tertiary care system, were unsuccessful. In August 2012 we convened a team to increase the appropriate use of non-ICU cardiac telemetry through the integration of AHA guidelines into our electronic ordering system (EOS). This effort was validated in March 2013 when non-ICU use of cardiac telemetry appeared on the Society of Hospital Medicine’s top 5 list for the Choosing Wisely campaign.
Arrhythmia detection is reported to affect the clinical management of care in 3.4% to 12.7% of patients. The American Heart Association’s (AHA’s) published recommendations addressing the use of non–intensive care unit (non-ICU) cardiac telemetry stratify patients into 3 categories: cardiac telemetry is indicated, may provide benefit, or is unlikely to provide benefit. Clinical-effectiveness studies of implementing these guidelines have either reported the use of labor-intensive strategies or nonsustained decreases in non-ICU cardiac telemetry use. Various efforts to reduce the perceived overuse of cardiac telemetry at Christiana Care Health System, a 1100-bed tertiary care system, were unsuccessful. In August 2012 we convened a team to increase the appropriate use of non-ICU cardiac telemetry through the integration of AHA guidelines into our electronic ordering system (EOS). This effort was validated in March 2013 when non-ICU use of cardiac telemetry appeared on the Society of Hospital Medicine’s top 5 list for the Choosing Wisely campaign.
Correlations between first documented cardiac rhythms and preceding telemetry in patients with code blue events
2013
Among in-hospital cardiac arrest (IHCA) patients, the first cardiac rhythm documented on resuscitation records (FDR) is often used as a surrogate for arrest etiology. Although the FDR generally represents the electrical activity at the time of cardiopulmonary resuscitation initiation, it may not be the ideal rhythm to infer the arrest etiology. We hypothesized that a rhythm present earlier—at the time of the code blue call—would frequently differ from the FDR, because the FDR might represent the later stage of a progressive cardiopulmonary process.
Among in-hospital cardiac arrest (IHCA) patients, the first cardiac rhythm documented on resuscitation records (FDR) is often used as a surrogate for arrest etiology. Although the FDR generally represents the electrical activity at the time of cardiopulmonary resuscitation initiation, it may not be the ideal rhythm to infer the arrest etiology. We hypothesized that a rhythm present earlier—at the time of the code blue call—would frequently differ from the FDR, because the FDR might represent the later stage of a progressive cardiopulmonary process.
Antecedent bradycardia and in-hospital cardiopulmonary arrest mortality in telemetry-monitored patients outside the ICU
2012
Background Patients with in-hospital cardiopulmonary arrest (IHCA) precipitated by respiratory insufficiency often exhibit bradycardia before the arrest. We hypothesized that bradycardia frequently occurs in the 10 min preceding IHCA and is associated with poor outcomes when IHCA occurs outside the intensive care unit (ICU).
Background Patients with in-hospital cardiopulmonary arrest (IHCA) precipitated by respiratory insufficiency often exhibit bradycardia before the arrest. We hypothesized that bradycardia frequently occurs in the 10 min preceding IHCA and is associated with poor outcomes when IHCA occurs outside the intensive care unit (ICU).
Selected Honors and Awards
- Top Doctors, Delaware Today, 2022
- Top Doctors, Delaware Today, 2021
- CCHS Rising Star Award, 2013
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Christian Coletti, M.D., MHCDS, FACEP, FACP
Clinical Effectiveness Officer of Ambulatory Care
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