- Pharmaceutical Practices and Patient Outcomes
- Sepsis Diagnosis and Treatment
- Emergency and Acute Care Studies
- Atrial Fibrillation Management and Outcomes
- Venous Thromboembolism Diagnosis and Management
- Anesthesia and Sedative Agents
- Intensive Care Unit Cognitive Disorders
- Hemodynamic Monitoring and Therapy
- Cardiac Arrest and Resuscitation
- Acute Ischemic Stroke Management
- Antibiotics Pharmacokinetics and Efficacy
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Patient Safety and Medication Errors
- Poisoning and overdose treatments
- Traumatic Brain Injury and Neurovascular Disturbances
- Cardiac, Anesthesia and Surgical Outcomes
- Vitamin D Research Studies
- Innovations in Medical Education
- Antibiotic Use and Resistance
- Vitamin C and Antioxidants Research
- Health Sciences Research and Education
- Pharmaceutical studies and practices
- Urinary Tract Infections Management
- Pediatric Urology and Nephrology Studies
- Pharmacological Effects and Toxicity Studies
Loyola University Medical Center
2016-2025
Edward Hines, Jr. VA Hospital
2023-2025
Loyola University Chicago
2013-2024
American College of Clinical Pharmacy
2024
Trinity Medical Center
2023
Mitaka Kohki (Japan)
2022
Loyola Medicine
2019-2022
Rush University Medical Center
2017-2021
University of Computer Sciences and Economics in Olsztyn
2018
Advocate Christ Medical Center
2017
Shock index (SI) is defined as the heart rate (HR) divided by systolic blood pressure (SBP). It has been studied in patients either at risk of or experiencing shock from a variety causes: trauma, hemorrhage, myocardial infarction, pulmonary embolism, sepsis, and ruptured ectopic pregnancy. While HR SBP have traditionally used to characterize these patients, they often appear normal compensatory phase can be confounded factors such medications (eg, antihypertensives, beta-agonists). SI >1.0...
Despite the established role of critical care pharmacist on ICU multiprofessional team, workloads are likely not optimized in ICU. Medication regimen complexity (as measured by Regimen Complexity-ICU [MRC-ICU] scoring tool) has been proposed as a potential metric to optimize workload but lacked robust external validation. The purpose this study was test hypothesis that MRC-ICU is related both patient outcomes and interventions diverse population.This multicenter, observational cohort...
Abstract Clinical pharmacists are highly trained professionals who provide comprehensive medication management across a majority of health care settings. These clinicians have numerous responsibilities, which may include teaching, administrative, and scholarly responsibilities in addition to patient activities. Many clinical report high degree burnout stress. In addition, practice models with limited options for buy‐downs or stipends (eg, committees, projects, residency program director...
Background Vitamin D has immunomodulating properties. Objective To determine if vitamin deficiency within 30 days of admission to the intensive care unit in patients with sepsis might be associated increased all-cause 30-day mortality. Methods In a retrospective cohort study at large, tertiary, urban, academic medical center, records who had 25-hydroxyvitamin levels measured for severe or septic shock from June 2006 April 2011 were examined. Patients considered deficient its serum...
A framework for evaluating pharmacists’ impact on cost avoidance in the intensive care unit ( ICU ) and emergency department ED has not been established. This scoping review was registered CRD 42018091217) conducted to identify, aggregate, qualitatively describe highest quality evidence generated by clinical pharmacists interventions performed an or . Searches were PubMed, Scopus, CINAHL , Cochrane Central Register of Controlled Trials, Database Systematic Reviews from inception until April...
To comprehensively classify interventions performed by emergency medicine clinical pharmacists and quantify cost avoidance generated through their accepted interventions.A multicenter, prospective, observational study was between August 2018 January 2019.Community academic hospitals in the United States.Emergency pharmacists.Recommendations classified into one of 38 intervention categories associated with avoidance.Eighty-eight at 49 centers 13,984 during 917 shifts that were on 8,602...
Uropathogen resistance, fluoroquinolone-resistance (FQR), and extended spectrum beta-lactamase (ESBL), has been observed to be emerging worldwide with prevalences above recommended thresholds for routine empirical treatment. The primary aim of our study was determine the prevalence FQR from a geographically diverse sample United States emergency departments (EDs).
Introduction: Clinical pharmacists bring unparalleled medication expertise, but quantifying their impact on a health system’s bottom line remains unestablished. Objective: To classify interventions by with and without board certification quantify the cost avoidance (CA) from accepted interventions. Methods: This multicenter prospective observational study, conducted between August 2018 January 2019, included certified (BPS) non-board (Non-BPS) emergency medicine (EM) intensive care unit...