A5103066975- Congenital Heart Disease Studies
- Cardiac, Anesthesia and Surgical Outcomes
- Mechanical Circulatory Support Devices
- Cardiac Arrest and Resuscitation
- Emergency and Acute Care Studies
- Healthcare Policy and Management
- Cardiac Structural Anomalies and Repair
- Heart Failure Treatment and Management
- Central Venous Catheters and Hemodialysis
- Patient Safety and Medication Errors
- Sepsis Diagnosis and Treatment
- Primary Care and Health Outcomes
- Hemodynamic Monitoring and Therapy
- Family and Patient Care in Intensive Care Units
- Transplantation: Methods and Outcomes
- Chronic Disease Management Strategies
- Coronary Artery Anomalies
- Aortic Disease and Treatment Approaches
- Healthcare Technology and Patient Monitoring
- Clinical Reasoning and Diagnostic Skills
- Acute Ischemic Stroke Management
- Tracheal and airway disorders
- Innovations in Medical Education
- Healthcare Operations and Scheduling Optimization
- Venous Thromboembolism Diagnosis and Management
Lucile Packard Children's Hospital
2015-2025
Stanford University
2016-2025
Mass General Brigham
2024
Harvard University
2005-2024
Stanford Medicine
2014-2023
Palo Alto Institute
2023
Cardiovascular Institute of the South
2023
Duke University
2022
Trinity College
2022
Texas Tech University
2022
Hyponatremia has emerged as an important cause of race-related death and life-threatening illness among marathon runners. We studied a cohort runners to estimate the incidence hyponatremia identify principal risk factors.
We hypothesized that a daily rounding checklist and computerized order entry (CPOE) rule limited the scheduling of complete blood cell counts chemistry coagulation panels to 24-hour interval would reduce laboratory utilization associated costs. performed retrospective analysis these initiatives in pediatric cardiovascular ICU (CVICU) included all patients with congenital or acquired heart disease admitted from September 1, 2008, until April 2011. Our primary outcomes were number orders cost...
Background Among patients who are discharged from the Emergency Department (ED), about 3% return within 30 days. Revisits can be related to nature of disease, medical errors, and/or inadequate diagnoses and treatment during their initial ED visit. Identification high-risk patient population help device new strategies for improved care with reduced utilization. Methods Findings A decision tree based model discriminant Electronic Medical Record (EMR) features was developed validated,...
Tetralogy of Fallot with major aortopulmonary collateral arteries is a complex and heterogeneous condition. Our institutional approach to this lesion emphasizes early complete repair the incorporation all lung segments extensive lobar segmental pulmonary artery reconstruction.We reviewed patients who underwent surgical intervention for tetralogy at Lucile Packard Children's Hospital Stanford (LPCHS) since November 2001. A total 458 surgery, 291 (64%) whom their initial procedure LPCHS....
<h3>Importance</h3> Endorsement of global humanitarian interventions is based on either proven cost-effectiveness or perceived public health benefits. The and long-term benefits pediatric cardiac surgery are unknown, funding for this intervention insufficient. <h3>Objectives</h3> To determine the (multiple 2-week-long program assistance trips to various low- middle-income countries [LMICs]) produce a measure long-lasting effects programs. <h3>Design, Setting, Participants</h3> International,...
Diabetes case finding based on structured medical records does not fully identify diabetic patients whose histories related to diabetes are available in the form of free text. Manual chart reviews have been used but involve high labor costs and long latency.This study developed tested a Web-based algorithm using both unstructured electronic (EMRs).This was health information exchange (HIE) EMR database that covers almost all facilities state Maine, United States. Using narrative clinical...
Healthcare-associated infections (HAIs) represent serious complications for patients within pediatric cardiac intensive care units (CICU). HAIs are associated with increased morbidity, mortality and resource utilization. There few studies describing the epidemiology of across entire spectrum (surgical nonsurgical) receiving in dedicated CICUs.Retrospective analyses 22,839 CICU encounters from October 2013 to September 2016 22 North American CICUs contributing data Pediatric Cardiac Critical...
Objectives Identifying patients at risk of a 30-day readmission can help providers design interventions, and provide targeted care to improve clinical effectiveness. This study developed model predict inpatient hospital for in Maine, across all payers, diseases demographic groups. Methods Our objective was develop determine the within 30 days post discharge. All Maine Health Information Exchange (HIE) system were included. The retrospectively on encounters between January 1, 2012 December...
Recent publications have shown improved outcomes associated with resident-to-resident handoff processes. However, the implementation of similar processes for patients moving between units and teams expansive responsibilities presents unique challenges. We sought to determine impact a multidisciplinary standardized process on efficiency, safety culture, satisfaction.A prospective improvement initiative standardize handoffs during patient transitions from cardiovascular ICU acute care unit was...
EXECUTIVE SUMMARY Organizational leaders are recognizing the urgent need to mitigate clinician burnout. They face difficult choices, knowing that burnout threatens quality and safety of care sustainability their organizations. Creating cultures system improvements support workforce diminish vital leadership skills. The motivation heal draws many health professionals chosen work. Further, research suggests compassion creates a sense personal reward professional satisfaction. Although...
Objectives: To test the hypothesis that limits on repeating laboratory studies within computerized provider order entry decrease utilization. Design: Cohort study with historical controls. Setting: A 20-bed PICU in a freestanding, quaternary care, academic children’s hospital. Patients: This included all patients admitted to pediatric ICU between January 1, 2008, and December 31, 2009. total of 818 discharges were evaluated prior intervention (January through 2008) 1,021 patient...
ABSTRACT COVID-19 threatens to overwhelm hospital facilities throughout the United States. We created an interactive, quantitative model that forecasts demand for related hospitalization based on county-level population characteristics, data from literature COVID-19, and online repositories. Using this information as well user inputs, estimates a time series of intensive care beds acute availability those beds. The is designed be intuitive interactive so local leaders with limited technical...
Care and outcomes for the more than 40,000 patients undergoing pediatric congenital heart surgery in United States annually are known to vary widely. While consensus recommendations have been published across numerous fields as one mechanism promote a high level of care delivery centers, it has two decades since last were States. More recent guidance is lacking, collaborative efforts involving many disciplines engaged caring these children not undertaken date. The present initiative brings...
Estimating patient risk of future emergency department (ED) revisits can guide the allocation resources, e.g. local primary care and/or specialty, to better manage ED high utilization populations and thereby improve life qualities. We set develop validate a method estimate revisit in subsequent 6 months from an discharge date. An ensemble decision-tree-based model with Electronic Medical Record (EMR) encounter data HealthInfoNet (HIN), Maine's Health Information Exchange (HIE), was developed...
To evaluate associations between haemodynamic profiles and symptoms, end-organ function outcome in children listed for heart transplantation.Children <18 years transplant 1993 2013 with cardiac catheterization data [pulmonary capillary wedge pressure (PCWP), right atrial (RAP), index (CI)] the Pediatric Heart Transplant Study database were included. Outcomes New York Association (NYHA)/Ross classification, renal hepatic dysfunction, death or clinical deterioration while on waitlist. Among...
Background: The increasing rate of health care expenditures in the United States has placed a significant burden on nation's economy. Predicting future utilization patients can provide useful information to better understand and manage overall deliveries clinical resource allocation. Objective: This study developed an electronic medical record (EMR)-based online risk model predictive for Maine next 6 months across all payers, diseases, demographic groups. Methods: In HealthInfoNet, Maine's...
OBJECTIVES: Patients undergoing cardiac surgery using cardiopulmonary bypass have variable degrees of blood oxygen tension during surgery. Hyperoxia has been associated with adverse outcomes in critical illness. Data are not available regarding the association hyperoxia and infants bypass. We hypothesize that among surgery, is greater odds morbidity mortality. DESIGN: Retrospective study. SETTING: Single center at an academic tertiary children’s hospital. PATIENTS: All (< 1 yr) between...