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Daniel J Morgan
 

Daniel J Morgan M.D., M.S.

Academic Title: Associate Professor
Primary Appointment: Epidemiology & Public Health
Secondary Appointments: Medicine
dmorgan@epi.umaryland.edu
Location: 685 W. Baltimore St., MSTF 334
Phone: (410) 706-1734
Phone: (410) 706-0098

Personal History:

  • 1996: B.S., Psychology. Reed College, Portland, OR
  • 2001: M.D. distinction in Research, University of Rochester, Rochester, NY
  • 2001-2004: Resident, Firm Chief, University of Rochester Medical Center, Rochester, NY
  • 2005-2006: Research Fellow in International Medicine, Weill Medical College of Cornell University, New York, NY/Universidade Federal da Bahia, Brazil
  • 2007-2008: Clinical Fellow in Infectious Diseases, Weill Medical College of Cornell University, New York, NY
  • 2008-2009: Instructor, University of Maryland, Baltimore
  • 2012: MS Clinical Research, University of Maryland School of Medicine, Department of Epidemiology and Public Health, Baltimore, Maryland.
  • 2014: Associate Professor, University of Maryland Baltimore

Research Interests:

Dr. Morgan’s research explores two general lines or work. He studies pragmatic issues related to the control of infectious diseases in the hospital and patient safety, including the best use of patient isolation, automated methods for hand hygiene compliance, prevention of carbapenem-resistant Enterobacteriaceae (CRE). . Other expertise includes multidrug-resistant bacteria, the importance of the environment on transmission of bacteria, multicenter infection prevention studies and antimicrobial stewardship.

Recently he began studying clinical issues related to the overuse of medical care. He is currently working with the Lown Institute on a Research Agenda for overuse and conducting studies on factors that lead clinicians to overuse medical care toward the goal of reducing the patient harm that occurs from overuse.

Dr. Morgan mentors residents, MD and PhD students, has advised the Department of Veterans Affairs appeals board, the Maryland Attorney General’s office, medicolegal cases and multiple hospitals. He lectures internationally and directs the Research Network for the Society for Healthcare Epidemiology of America (SHEA).

Clinical Speciality:

  • Infectious Diseases
  • Internal Medicine

Clinical Roles:

  • Chief Hospital Epidemiologist and Staff physician, VA Maryland Health Care System
  • Infectious Disease Physician, University of Maryland Medical Center

Grant Support:

Primary investigator on following awards:

  • K08 HS18111 AHRQ  Improving Patient Safety and Disease Management while on contact isolation
  • NIH (NIAID) Loan Repayment Award  Morgan (PI)
  • SHEPheRD Contract (200-2011-42064): Morgan Co-PI with A. Harris.  Centers for Disease Control and Prevention (CDC)  IDIQ Contract to Complete Domain 1 healthcare acquired infection (HAI) prevention research implementation.
  • VA HSR&D CRE 12-307 Morgan  Comparative Safety and Effectiveness of Isolation in VHA Community Living Centers.

Publications:

Selected Journal Articles (from over 55 peer reviewed manuscripts)

Overuse of Medical Care:

Morgan, DJ, Okeke IN, Laxminarayan R, Perencevich EN, Weisenberg SA. The Frequency and Impact of Nonprescription Antimicrobial Use Worldwide: A Systematic Review. Lancet Infect Dis. 2011;11(9):692-701.

Morgan DJ, Wright S, Dhruva S. Update in Medical Overuse. JAMA Intern Med. 2014; Nov 3. Epub ahead of print.

Morgan DJ, Braykov NP, Schweizer ML, Uslan DZ, Kelesidis T, Weisenberg SA, Johannsson B, Young H, Cantey J, Srinivasan A, Perencevich E, Septimus E, Laxminarayan R. Failure to optimize empiric antibiotic therapy in six hospitals: an observational cohort study. Lancet Infect Dis. In press.

Appropriate use of Isolation Precautions:

Morgan DJ, Diekema DJ, Sepkowitz K, Perencevich EN.  Adverse outcomes associated with contact precautions: a review of the literature.  Am J Infect Control. 2009;37(2):85-93.

Day HR, Perencevich EN, Harris AD, Himelhoch SS, Brown CH, Gruber-Baldini AL, Dotter E, Morgan DJ.  Do contact precautions cause depression? A two-year study at a tertiary care medical centre. J Hosp Infect.2011;79(2):103-7.

Day HR, Perencevich EN, Harris AD, Gruber-Baldini AL, Himelhoch SS, Brown CH, Dotter E, Morgan DJ The Association Between Contact Precautions and Delirium at a Tertiary Care Center. Infect Control and Hosp Epidemiol. 2012;33(1):34-9.

Morgan DJ, Kirkland KB. Uncertainty in the application of Contact Precautions. Clin Infect Dis. 2012:55(3):474-5.

Morgan DJ, Pineles LP, Shardell M, Graham MM, Mohammadi S, Forrest G, Reisinger HS, Schweizer ML, Perencevich EN. The Effect of Contact Precautions On Healthcare Worker Activity In Acute Care Hospitals. Infect Control Hosp Epidemiol 2013:34(1):69-73.

Day HR, Perencevich EN, Harris AH, Gruber-Baldini AL, Himelhoch SS, Brown CH, Morgan DJ. Depression, Anxiety and moods of hospitalized patients on Contact Precautions. Infect Control Hosp Epidemiol. 2013:34(3):25808

Mehrotra P, Croft L, Day HR, Perencevich EN, Pineles L, Harris AD, Weingart SN, Morgan DJ. Effects of Contact Precautions on Patient Perception of Care and Satisfaction: A Prospective Cohort Study. Infect Control Hosp Epidemiol, 2013;34(10):1087-93..

Harris AD, Pineles L, Belton B, Johnson JK, Shardell M, Loeb M, Newhouse R, Dembry L, Braun B, Perencevich EN, Hall KK, Morgan DJ and the benefits of universal Glove and Gown (BUGG) Investigators. Universal Glove and Gown use and Acquisition of Antibiotic-Resistant Bacteria in the ICU: A Randomized Trial. JAMA 2013:16:310(15):1571-80.

Morgan DJ, Kaye KS, Diekema DJ. Reconsidering Isolation Precautions for endemic Methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococcus (VRE). JAMA. 2014:312(14):1395-96.

Management of MRSA, CRE and other multidrug-resistant pathogens:

Morgan DJ, Weisenberg SA, Augenbraun M, Calfee DP, Currie BP, Furuya EY, Holzman R, Montecalvo MA, Phillips M, Polsky B, Sepkowitz K.  Multidrug resistant Acinetobacter baumannii in New York City—10 years into the epidemic.  Infect Control Hosp Epidemiol. 2009;30(2):196-7.

Morgan DJ*, Weisenberg SA*, Espinal-Witter R, Larone DH. Clinical outcomes of patients with KPC-producing Klebsiella pneumoniae following treatment with imipenem or meropenem. Diagn Microbiol Infect Dis. 2009; Apr 1 (Epub) (*first two authors contributed equally)

Morgan DJ, Liang SY, Smith CL, Johnson JK, Harris AD, Furuno JP, Thom KA, Snyder GM, Day H, Perencevich EN. Frequent multidrug-resistant Acinetobacter baumannii contamination of gloves, gowns and hands of healthcare workers. Infect Control Hosp Epidemiol. 2010;31(7):716-21.

Morgan DJ, Day HR, Furuno JP, Young A, Johnson JK, Bradham DD, Perencevich EN. Improving efficiency in active surveillance for methicillin-resistant Staphylococcus aureus or vancomycin-resistant Enterococcus at hospital admission. Infect Control Hosp Epidemiol. 2010;12:1230-5.

Arnold RS, Thom KA, Sharma S, Phillips M, Johnson JK, Morgan DJ. Emergence of Klebsiella pneumoniae Carbapenemase (KPC)-Producing Bacteria. South Med J. 2011;104(1):40-5.

Morgan DJ, Rogawski E, Thom KA, Johnson JK, Perencevich EN, Shardell M, Leekha S, Harris AD. Transfer of Multidrug-Resistant bacteria to Healthcare Workers’ Gloves and Gowns After Patient Contact Increases with Environmental Contamination. Crit Care Med. 2012 40(4):1045-51.

Braykov N, Eber MR, Klein EY, Morgan DJ, Laxminarayan R. Trends in resistance to carbapenems and third-generation cephalosporins among clinical isolates of Klebsiella pneumoniae in the United States, 1999-2010. Infect Control Hosp Epidemiol. 2013:34(3):259-68.

Hess AS, Shardell M, Johnson JK, Thom KA, Roghmann MC, Netzer G, Amr S, Morgan DJ, Harris AD. A randomized controlled trial of enhanced cleaning to reduce contamination of healthcare worker gowns and gloves with multidrug-resistant bacteria. Infect Control Hosp Epidemiol. 2013 May;34(5):487-93.

Rock C, Thom K, Masnick M, Johnson JK, Harris A, and Morgan DJ. Frequency of Contamination of Klesbiella pneumonia carbapenemase (KPC) and non-KPC-producing Klebsiella from Patients to Healthcare Workers and the Environment. Infect Control Hosp Epidemol. 2014;35(4):426-9.

Drees M, Pineles L, Harris AD, Morgan DJ. Variation in Definitions and Isolation Procedures for Multidrug-resistant Gram-negative Bacteria: a Survey of the SHEA Research Network. Infect Control Hosp Epidemiol,2014;35(4):362-6.

Morgan DJ. Choosing between methods to prevent methicillin-resistant Staphylococcus aureus (MRSA) in Intensive Care Units. Crit Care Med. In Press.

Patient Safety:

Morgan DJ, Lomotan LL, Agnes K, Roghmann MC. The characteristics of healthcare-associated infections contributing to unexpected hospital death. Infect Control Hosp Epidemiol. 2010;31(8):864-6.

Morgan DJ, Day HR, Harris AD, Furuno JP, Perencevich EN. The Impact of Contact Isolation on the Quality of Inpatient Hospital Care. PLoS ONE. 2011;6(7):e22190.

Morgan DJ, Pineles LL, Shardell M, Young A, Ellingson K, Jernigan JA, Day HR, Thom KA, Harris AD, Perencevich EN. Automated hand hygiene count devices may better measure changes in hand hygiene behavior than standard human observation. Am J Infect Control. 2012: May 25.

Morgan DJ, Meddings J, Saint S, Lautenbach E, Shardell M, Anderson D, Milstone AM, Drees M, Pineles L, Safdar N, Bowling J, Henderson D, Yokoe D, Harris AD and the SHEA Research Network. Does nonpayment for hospital-acquired catheter-associated urinary tract infections lead to over-testing and increased antimicrobial prescribing? Clin Infect Dis. 2012:55(7):923-929.

Morgan DJ & Harris AD. The gap in patient protection for outpatient cosmetic surgery. JAMA Intern Med. 2014;174(7):1142-3.