A5086032880- Palliative Care and End-of-Life Issues
- Patient-Provider Communication in Healthcare
- Family and Patient Care in Intensive Care Units
- Childhood Cancer Survivors' Quality of Life
- Ethics in medical practice
- Innovations in Medical Education
- Patient Dignity and Privacy
- Health Systems, Economic Evaluations, Quality of Life
- Patient Satisfaction in Healthcare
- Machine Learning in Healthcare
- Colorectal Cancer Screening and Detection
- Emergency and Acute Care Studies
- Geriatric Care and Nursing Homes
- Healthcare Decision-Making and Restraints
- Grief, Bereavement, and Mental Health
- Healthcare Systems and Technology
- Ethics and Legal Issues in Pediatric Healthcare
- Hospital Admissions and Outcomes
- Interprofessional Education and Collaboration
- Blood Coagulation and Thrombosis Mechanisms
- COVID-19 and Mental Health
- Frailty in Older Adults
- Chronic Disease Management Strategies
- Empathy and Medical Education
- COVID-19 Clinical Research Studies
Stanford University
2015-2024
Stanford Medicine
2020-2024
California State University, Northridge
2024
University of Pennsylvania
2024
Brown University
2024
University of California, San Francisco
2024
University of Kansas Medical Center
2024
Massachusetts General Hospital
2024
Stanford Health Care
2015-2022
Leicestershire Partnership NHS Trust
2021
Access to palliative care is a key quality metric which most healthcare organizations strive improve. The primary challenges increasing access are combination of physicians over-estimating patient prognoses, and shortage staff in general. This, with treatment inertia can result mismatch between wishes, their actual towards the end life. In this work, we address problem, Institutional Review Board approval, using machine learning Electronic Health Record (EHR) data patients. We train Deep...
Improving the quality of end-of-life care for hospitalized patients is a priority healthcare organizations. Studies have shown that physicians tend to over-estimate prognoses, which in combination with treatment inertia results mismatch between wishes and actual at end life. We describe method address this problem using Deep Learning Electronic Health Record (EHR) data, currently being piloted, Institutional Review Board approval, an academic medical center. The EHR data admitted are...
To analyze the impact of factors in healthcare delivery on net benefit triggering an Advanced Care Planning (ACP) workflow based predictions 12-month mortality.
This quality improvement study examines the national and ongoing impact of COVID-19 pandemic with place death among individuals in US.
Palliative care services in the United States are increasing their prevalence but continue to vary implementation, with different referral policies and timing of patient access services.To better define a late understand association referrals palliative health outcomes, including postreferral length hospital stay in-hospital mortality.We performed retrospective study using multiple linear logistic regressions on 1,225 patients pre-existing oncologic diagnoses who received Stanford Hospital's...
The medical student performance evaluation (MSPE), a letter summarizing academic performance, is included in each student's residency application. extent to which schools follow Association of American Medical Colleges (AAMC) recommendations for comparative and transparent data not known. This study's purpose was describe the content, interpretability, transparency MSPEs.This cross-sectional study examined one randomly selected MSPE from every Liaison Committee on Education-accredited U.S....
Background: Code status orders (e.g., Do Not Resuscitate [DNR], Intubate [DNI]) are used to guide treatment in emergency scenarios when patient preferences cannot reliably be obtained.However, some code partial orders, combined DNR/DNI orders) have been criticized for lack of clarity regarding intubation.Research Question: What physician perspectives on the design and their ability clearly convey intubation clinical emergencies?Study Design Methods: Qualitative study across seven purposively...
BACKGROUND Shared decision‐making (SDM) improves patient engagement and may improve outpatient health outcomes. Little is known about inpatient SDM. OBJECTIVE To assess overall quality, provider behaviors, contextual predictors of SDM during rounds on medicine pediatrics hospitalist services. DESIGN A 12‐week, cross‐sectional, single‐blinded observational study team behaviors rounds, followed by semistructured interviews. SETTING Two large quaternary care academic medical centers....
End-of-life interventions should be predicated on consensus understanding of patient wishes. Written documents are not always understood; adding a video testimonial/message (VM) might improve clarity. Goals this study were to (1) determine baseline rates in assigning code status and resuscitation decisions critically ill scenarios (2) whether VM increases consensus.We randomly assigned 2 web-based survey links 1366 faculty resident physicians at institutions with graduate medical education...
To estimate the effectiveness of a multimodal educational intervention to increase use shared decision-making (SDM) behaviors by inpatient pediatric and internal medicine hospitalists trainees at teaching hospitals Stanford University California, San Francisco.The 8-week Patient Engagement Project Study intervention, delivered four services between November 2014 January 2015, included workshops, campaign messaging, report cards, coaching. For 12-week pre- postintervention periods, clinician...
US hospitals typically provide a set of code status options that includes Full Code and Do Not Resuscitate (DNR) but often additional options. Although differ in the design options, this variation its impacts have not been empirically studied.Multi-institutional qualitative study at 7 selected for variability geographical location, type institution We triangulated across three data sources (policy documents, ordering menus in-depth physician interviews) to characterise available each...
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Most residency programmes do not have a formal high value care curriculum. Our goal was to design and implement multidisciplinary curriculum specifically targeted at interns.Our designed with input from attendings, fellows residents Stanford. Curricular topics were inspired by the American Board of Internal Medicine's Choosing Wisely campaign, Alliance for Academic Medicine, College Physicians Society Hospital Medicine. as follows: introduction value-based care; telemetry utilisation; lab...
• Objective: To assess the impact of continuous pressure imaging technology on strategic turning patients by health professionals. Method: This pilot study a newly-developed (XSENSOR ForeSite Patient Turn System) involved two phases videotaped observation medical inpatients, with each patient serving as his/her own control: control phase in which was not available to health-care providers and an intervention where it was. The primary outcome determine whether access influenced rate...
The growth of hospital medicine has led to new challenges, and recent graduates may feel unprepared meet the expanding clinical duties expected hospitalists. At our institution, we created a resident‐inspired hospitalist curriculum address training needs for next generation Our program provided 3 tiers training: (1) excellence through improved in underemphasized areas medicine, (2) academic development required research, quality improvement, medical student teaching, (3) career mentorship....