A5043725665- Electronic Health Records Systems
- Healthcare Technology and Patient Monitoring
- Hemodynamic Monitoring and Therapy
- Sepsis Diagnosis and Treatment
- Cardiac, Anesthesia and Surgical Outcomes
- Patient Safety and Medication Errors
- Quality and Safety in Healthcare
- Trauma and Emergency Care Studies
- Gastrointestinal disorders and treatments
- Emergency and Acute Care Studies
- Machine Learning in Healthcare
- Airway Management and Intubation Techniques
- Clinical practice guidelines implementation
- Abdominal Trauma and Injuries
- Hip and Femur Fractures
- Healthcare Operations and Scheduling Optimization
- Blood Pressure and Hypertension Studies
- Neuroendocrine Tumor Research Advances
- Blood transfusion and management
- Esophageal and GI Pathology
- Traumatic Brain Injury and Neurovascular Disturbances
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Biomedical Text Mining and Ontologies
- Renal function and acid-base balance
- Nursing Diagnosis and Documentation
The University of Texas Medical Branch at Galveston
1980-2024
Memorial Hermann
2007-2019
Cedars-Sinai Medical Center
1999-2010
Indiana University – Purdue University Indianapolis
2001-2009
Regenstrief Institute
2009
The University of Texas Health Science Center at Houston
2008
University of California, Los Angeles
1990-2006
MSD K.K. (Japan)
2004
Rhode Island Hospital
2003
University of Maryland, Baltimore
2003
Objective To quantify the incidence of anemia and red blood cell (RBC) transfusion practice in critically ill patients to examine relationship RBC clinical outcomes. Design Prospective, multiple center, observational cohort study intensive care unit (ICU) United States. Enrollment period was from August 2000 April 2001. Patients were enrolled within 48 hrs ICU admission. Patient follow-up for 30 days, hospital discharge, or death, whichever occurred first. Setting A total 284 ICUs (medical,...
Increasing data suggest that error in medicine is frequent and results substantial harm. The recent Institute of Medicine report (LT Kohn, JM Corrigan, MS Donaldson, eds: To Err Is Human: Building a Safer Health System. Washington, DC: National Academy Press, 1999) described the magnitude problem, public interest this issue, which was already large, has grown.The goal white paper to describe how frequency consequences errors medical care can be reduced (although some instances they are...
The prospective study reported here evaluated the relationship between coagulopathy, catecholamines, and outcome in severe head trauma. Thirty-six trauma patients (10 with penetrating injuries, 26 blunt 50% overall mortality) were evaluated. These had (Glasgow Coma Scale score less than 9). Blood was analyzed for platelet count, prothrombin time (PT), partial thromboplastin (PTT), fibrinogen, D-dimer, antithrombin III, protein C, S levels. A 24-hour urine sample collected vanillylmandelic...
Anemia is a common occurrence in the intensive care unit (ICU). Although resuscitation, including use of blood, mainstay early treatment trauma victims, safety and efficacy red blood cell (RBC) transfusion has come under scrutiny recently. The issue critically injured patients requires evaluation.This was post hoc analysis subset (> or =18 years age) from prospective, multicenter, observational, cohort study United States. Patients were enrolled within 48 hours after ICU admission followed...
SHABOT, M. MICHAEL M.D.; GOLDBERG, IRWIN SCHICK, PETER NIEBERG, ROBERTA PILCH, YOSEF H. M.D. Author Information
Clinical informaticians transform health care by analyzing, designing, implementing, and evaluating information communication systems that enhance individual population outcomes, improve patient care, strengthen the clinician-patient relationship.Clinical use their knowledge of combined with understanding informatics concepts, methods, tools to: assess needs professionals patients; characterize, evaluate, refine clinical processes; develop, implement, decision support systems; lead or...
An index for prediction of outcome use as a measure the severity illness was developed by nonparametric multivariate analysis cardiorespiratory data from 113 critically ill postoperative general surgical patients. This (predictive) based on computerized algorithm that compares given observed value with frequency distributions survivors and nonsurvivors. The difference in mean values this nonsurvivors statistically significant (p less than 0.001) during each stage shock. Sensitivity survival...
Although noncardiogenic pulmonary edema (NCPE) is a recognized complication of blood transfusion, the precise etiology not well understood. NCPE may be secondary to complement‐mediated capillary injury initiated by either donor or recipient anti‐leukocyte antibodies. It caused simple volume overload. Recent banking texts and published case reports continue suggest diuretics as part initial therapy for this complication. We report transfusion‐associated in which empirical diuretic clearly was...
We explore sociotechnical requirements by examining the use of a computerized patient record system in an intensive care unit U.S. hospital and present two requirements, awareness coordination, embedded users' work.The study is based on observation during seven months surgical unit. During that period semi-formal interviews, informal interviews were held.A key step design clinical systems development analysis requirements. However, traditional set assumptions break down highly collaborative,...
This study evaluated the ``oldest old'' Intensive Care Unit (ICU) trauma patients, defined as patients of age 75 and over, to determine relationships between age, injury magnitude, physiologic severity illness, outcome in this group, compared with younger patients. Of 1,039 consecutive Surgical ICU (SICU) complete data, 45 were Oldest 54 Elderly group (ages 65 74), 940 Younger (age < 65). Age, sex, type (penetrating versus blunt) did not predict outcome. The Injury Severity Score (ISS) was...
Although obesity has been proposed as a risk factor for adverse outcomes after trauma, numerous studies report conflicting results. The objective of this study was to compare obese and nonobese patients trauma. population consisted all trauma admitted surgical intensive care unit in Level I center from January 1999 December 2002. Admission data, demographics, injury severity score (ISS), illness, hospital course, complications, were compared between (OB; body mass index [BMI] > or = 30),...
A fully interfaced clinical information system (CIS) contains physiologic, laboratory, blood gas, medication and other data that can be used as the base for a comprehensive alerting system. Coupled with an event driven rules engine, CIS generate alerts which may both prevent medical errors assist caregivers in responding to critical events timely way. The authors have developed delivers reminders clinicians real time via alphanumeric display pagers. This paper will describe system, type...
This study aims to determine whether severity-adjusted outcomes including mortality are adversely impacted by readmission a surgical intensive care unit (SICU) during the same hospital stay.The included all patients admitted 20-bed tertiary SICU in an urban teaching Level I trauma center and multiorgan transplant from January 1, 1996 December 31, 2001. was prospective observational with secondary data analysis. Acute Physiology Chronic Health Evaluation (APACHE II) Simplified (SAPS) severity...
The purpose of this study was to analyze causes early readmission the surgical intensive care unit (SICU), determine whether can be predicted or prevented, and compare outcomes patients readmitted SICU with not requiring readmission. All admitted Cedars-Sinai from January 1, 1996, December 31, 2001, were included. Clinical data prospectively collected in an on-line computer system. charts all retrospectively reviewed. hospital abstracted a computerized warehouse. During period, 10,840...