A5102745364- Healthcare Policy and Management
- Suicide and Self-Harm Studies
- Medical Malpractice and Liability Issues
- Disaster Response and Management
- Gun Ownership and Violence Research
- Emergency and Acute Care Studies
- Primary Care and Health Outcomes
- Public Health Policies and Education
- Injury Epidemiology and Prevention
- Trauma and Emergency Care Studies
- Health and Conflict Studies
- Healthcare cost, quality, practices
- Disaster Management and Resilience
- Cardiac Arrest and Resuscitation
- Patient Safety and Medication Errors
- Homelessness and Social Issues
- Nursing Roles and Practices
- Crime Patterns and Interventions
- Intimate Partner and Family Violence
- Traffic and Road Safety
- Health Systems, Economic Evaluations, Quality of Life
- Electronic Health Records Systems
- Global Health Care Issues
- Traumatic Ocular and Foreign Body Injuries
- Data Quality and Management
University of Richmond
2023
Virginia Commonwealth University
2021-2023
University Health System
2021
Uniformed Services University of the Health Sciences
2013-2020
National Patient Safety Foundation
2014
Tufts University
2014
Georgetown University
2014
Centers for Disease Control and Prevention
2014
Office of Infectious Diseases
2014
Regional Medical Center
2014
A team of RAND Corporation researchers projected in 2005 that rapid adoption health information technology (IT) could save the United States more than $81 billion annually. Seven years later empirical data on technology's impact care efficiency and safety are mixed, annual expenditures have grown by $800 billion. In our view, disappointing performance IT to date can be largely attributed several factors: sluggish systems, coupled with choice systems neither interoperable nor easy use;...
To determine if failure to achieve return of spontaneous circulation following prehospital advanced cardiac life support (ACLS) warrants termination efforts at the scene.Retrospective case series.Memphis, Tenn, a city 610337 people that is served by fire department-based emergency medical service system. All ambulances provide ACLS.Adult victims out-of-hospital arrest due heart disease.All patients received ACLS according 1986 American Heart Association guidelines. Following ACLS, all were...
Objective Emergency Departments (EDs) offer an opportunity to improve the care of patients with at-risk and dependent drinking by teaching staff screen, perform brief intervention refer treatment (SBIRT). We describe here implementation at 14 Academic EDs a structured SBIRT curriculum determine if this learning experience improves provider beliefs practices. Methods ED faculty, residents, nurses, physician extenders, social workers, Medical Technicians (EMTs) were surveyed prior...
Interview with Dr. Arthur Kellermann on the increasing use of emergency departments and access to primary care. (13:59)Download Many state governments are seeking ways cut Medicaid spending. Washington State has proposed reduce beneficiaries' overuse by refusing pay for "unnecessary" visits. However, care is often unavailable these patients.
Many believe that fear of malpractice lawsuits drives physicians to order otherwise unnecessary care and legal reforms could reduce such wasteful spending. Emergency practice in an information-poor, resource-rich environment may lend itself costly defensive practice. Three states, Texas (in 2003), Georgia 2005), South Carolina enacted legislation changed the standard for emergency gross negligence. We investigated whether these substantial practice.Using a 5% random sample Medicare...
The aim of this study was to examine psychological and interpersonal risk factors for suicidal behavior in low income, African American women; 285 women who reported being a relationship with partner the past year were studied, 148 presented hospital following suicide attempt, 137 general medical care. Cases compared controls respect symptoms, alcohol drug abuse, family violence (intimate childhood trauma), discord, social support. Psychological attempts at univariate level included distress...
A case‐control study was conducted to examine a broad array of potential social risk and protective factors for suicide attempt among 200 African American men women receiving care at large, public, urban hospital. Specifically, we examined the effect following attempt: life hassles, partner abuse, dissatisfaction, racist events; as well factors: effectiveness obtaining resources, embeddedness, support. Using logistic regression, attempter status predicted by two independently significant...
The Boston Marathon bombing and the medical response offer several important lessons, including that remarkably low mortality rate (1%) was attributable in part to factors favoring rescuers disaster preparedness still requires planning.
US government programs and communications regarding citizen preparedness for disasters rest on several untested, therefore unverified, assumptions. We explore the assumptions related to promotion argue that in spite of extensive messaging about importance countless household surveys purporting track activities individuals households, role individual Americans are being asked play is largely based conventional wisdom. Recommendations conceptualizing measuring discussed.
Efforts to close the primary care workforce gap typically employ one of three basic strategies: train more physicians; boost supply nurse practitioners or physician assistants, both; use community health workers extend reach physicians. In this article we briefly review each strategy and barriers its success. We then propose a new approach adapted from widely accepted model emergency medical services. Translating leveraging capabilities modern information technology, it should be possible...
To study the epidemiology of home invasion crimes and determine frequency with which firearms are used to resist these crimes.Prospective case series.Atlanta, Ga (population 402,877).Between June 1 August 31, 1994; Atlanta Police Department reports were screened identify every unwanted entry into an occupied, single-family dwelling. Cases sexual assault incidents that involved cohabitants excluded.A total 198 cases identified during interval. Half (99 cases) forced home. The victim offender...
This Viewpoint from the National Academy of Medicine's 2016 Vital Directions initiative summarizes changes that are needed in US health care, its workforce, and methods care delivery to more effectively meet patient needs 21st century.