A5074460055- Cardiac, Anesthesia and Surgical Outcomes
- Hemodynamic Monitoring and Therapy
- Patient Safety and Medication Errors
- Hospital Admissions and Outcomes
- Opioid Use Disorder Treatment
- Infective Endocarditis Diagnosis and Management
- Delphi Technique in Research
- Frailty in Older Adults
- Pain Management and Opioid Use
- Airway Management and Intubation Techniques
- Healthcare Technology and Patient Monitoring
- Health disparities and outcomes
- Anesthesia and Pain Management
- Cardiac Arrhythmias and Treatments
- Trauma Management and Diagnosis
- Emergency and Acute Care Studies
- Central Venous Catheters and Hemodialysis
- Hip and Femur Fractures
- Ultrasound in Clinical Applications
- Cardiac Arrest and Resuscitation
- Pericarditis and Cardiac Tamponade
- Spinal Fractures and Fixation Techniques
- Enhanced Recovery After Surgery
- Patient Satisfaction in Healthcare
- Tumors and Oncological Cases
Duke University Health System
2006-2024
Veterans Health Administration
2024
Durham VA Health Care System
2019-2023
Duke University
2013-2023
Duke University Hospital
2011-2021
Duke Medical Center
2008-2021
Geriatric Research Education and Clinical Center
2021
Durham VA Medical Center
2012-2020
The University of Texas Southwestern Medical Center
2019
University of Pennsylvania
2019
In this study, we examined the association between American Society of Anesthesiologists Physical Status (ASA PS) designation and 48-h mortality for both elective emergent procedures in a large contemporary dataset (patient encounters 2009 2014) compared with data from landmark study published by Vacanti et al. 1970. Patient history, hospital characteristics, anesthetic approach, surgical procedure, efficiency quality indicators, patient outcomes were prospectively collected 732,704...
Sudden cardiac arrest is the leading cause of death in United States. Despite new therapies, progress this area has been slow, and outcomes remain poor even hospital setting, where providers, drugs, devices are readily available. This partly attributed to quality resuscitation, which an important determinant survival for patients who experience arrest. Systems problems, such as deficiencies physical space or equipment design, hospital-level policies, work culture, leadership teamwork, now...
Health care–related transitions of care (ie, handoffs or handovers) are often associated with patient harm.1 Care have been identified as a high-priority safety concern by providers in several climate surveys2 and an area focus health regulatory agencies.1,3 Poor communication at the time handoff has implicated adverse outcomes including diagnostic testing errors,4 delays diagnosis treatment,5,6 increase harm,7–10 higher hospital readmission rates costs,11,12 malpractice claims.13,14 One...
In Brief this study, we sought to determine whether there is a significant discrepancy among group of practitioners when rating pregnant patients using the ASA Physical Status Classification and could be resolved with addition modifier for pregnancy. Our results indicate that occurs it reduced use modifier, especially referring healthy parturient. IMPLICATIONS: The current does not consistently address physiological changes G (for gravid), reduces inconsistency in assigning Classification.
Bonifacio, Alberto S. BSN, MHA; Segall, Noa PhD; Barbeito, Atilio MD, MPH; Taekman, Jeffrey MD; Schroeder, Rebecca MMCi; Mark, Jonathan B. MD Author Information
Basic point-of-care ultrasound of the heart—also known as Focused Cardiac Ultrasound (FoCUS)—has emerged a powerful bedside tool to narrow differential diagnosis causes hypotension. The list hypotension that FoCUS provider is expected be able recognize includes compressive pericardial effusion due hemopericardium (blood in sac). But can difficult distinguish from more common condition not immediately life-threatening: epicardial fat. This paper reviews illustrative images both fat and...
Evaluations are conducted days or weeks before a scheduled surgical invasive procedure involving anesthesia to assess patients' preprocedure condition and risk, optimize status, prepare them for their procedure. The traditional pre-anesthesia evaluation is in person, although telehealth modalities have been used several years accelerated since the advent of COVID-19 pandemic.We surveyed 109 anesthesiology services understand barriers facilitators adoption telephone- video-based visits within...
The Society of Cardiovascular Anesthesiologists (SCA) introduced the FOCUS initiative (Flawless Operative Unified Systems) in 2005 response to need for a rigorous scientific approach improve quality and safety cardiovascular operating room (CVOR). goal project, which is supported by SCA Foundation, identify hazards develop evidence-based protocols cardiac surgery safety. A hazard anything that has potential cause preventable adverse event. Specifically, strategic plan includes 3 goals: (1)...
Deciding whether to pursue elective surgery is a complex process for older adults. Comprehensive geriatric assessment (CGA) can help refine estimates of benefits and risks, at times leading delay optimize surgical readiness. We describe cohort patients who were evaluated in anticipation abdominal whose procedures delayed any reason. Themes behind the reasons are described, holistic framework guide preoperative discussion suggested.
We describe the creation and evaluation of a personal audit feedback (A&F) tool for anesthesiologists.A survey aimed at capturing barriers improvement efforts preferences was administered to attending anesthesiologists. The results informed design implementation 4 dashboards that display information on individual practice characteristics as well comparative performance several quality metrics. dashboards' usability then tested using human-centered framework.Anesthesiologists listed lack...
The aim of this study was to analyze the spatial distribution mortality Ischemic Heart Disease (IHD) in 497 municipalities state Rio Grande do Sul, Brazil, year 2010. Geoda™ and QGIS 1.8 were used perform Exploratory Spatial Data Analysis 7,821 deaths. results showed a positive autocorrelation regarding IHD (I = 0.16236, p 0.001) with formation three clusters type High-High. Also occurred significant association for socioeconomic demographic indicators rate: School Index 0.0901944, P 0.001),...