A5046451024- Cardiac, Anesthesia and Surgical Outcomes
- Food Allergy and Anaphylaxis Research
- Anesthesia and Pain Management
- Contact Dermatitis and Allergies
- Patient Safety and Medication Errors
- Drug-Induced Adverse Reactions
- Asthma and respiratory diseases
- Airway Management and Intubation Techniques
- Anesthesia and Sedative Agents
- Palliative Care and End-of-Life Issues
- Surgical Simulation and Training
- Hemodynamic Monitoring and Therapy
- Cardiac Arrest and Resuscitation
- Diversity and Career in Medicine
- Healthcare Operations and Scheduling Optimization
- Medical History and Innovations
- Nausea and vomiting management
- Allergic Rhinitis and Sensitization
- Aortic aneurysm repair treatments
- Intensive Care Unit Cognitive Disorders
- Patient Satisfaction in Healthcare
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare cost, quality, practices
- Disaster Response and Management
- Blood transfusion and management
Brigham and Women's Hospital
2016-2025
Harvard University
2016-2025
Ariadne Diagnostics (United States)
2016-2020
University of Pennsylvania Health System
2016-2017
Massachusetts General Hospital
2004-2016
Rutgers, The State University of New Jersey
2016
Tufts Medical Center
2016
Roswell Park Comprehensive Cancer Center
2016
Tufts University
2016
Centre Hospitalier Régional et Universitaire de Nancy
2014
Operating-room crises (e.g., cardiac arrest and massive hemorrhage) are common events in large hospitals but can be rare for individual clinicians. Successful management is difficult complex. We sought to evaluate a tool improve adherence evidence-based best practices during such events.Operating-room teams from three institutions (one academic medical center two community hospitals) participated series of surgical-crisis scenarios simulated operating room. Each team was randomly assigned...
Preoperative clinics have been shown to decrease operating room delays and cancellations. One mechanism for this positive economic impact is that medical issues are appropriately identified necessary information obtained, so knowledge of the patients' status complete before day surgery. In study, authors describe identification management in preoperative clinic.All patients coming Clinic during a 3-month period from November 1, 2003, through January 31, 2004, at Brigham Women's Hospital,...
In Brief Preoperative Assessment Testing Clinics (PATCs) coordinate preoperative surgical, anesthesia, nursing, and laboratory care. Although such clinics have been noted to lead efficiencies in perioperative care, patient experience satisfaction with PATCs has not evaluated. We distributed a one-page questionnaire consisting of clinical nonclinical providers patients presenting our PATC over three different time periods. Eighteen questions had five Likert scale options that ranged from...
Background Laboratory tests, electrocardiogram ( ECG ) and chest X ‐rays still serve as part of the routine assessment before elective surgery in many institutions, even though there is little evidence their predictive value relating to perioperative complications. This study investigates correlation abnormal findings pre‐operative tests pathologic medical history with Methods Patients scheduled for a secondary care hospital were included this prospective cohort study. Abnormal significant...
This review discusses recent evidence addressing risks in patients taking glucagon-like peptide-1 receptor agonist medications and proposes a framework for perioperative management.
Alternative medicine use has increased dramatically over the last decade. Recently a 22% incidence of herbal in presurgical patients was reported. Of concern is potential for these medications to cause adverse drug-herb interactions or other effects such as bleeding complications. We sought determine prevalence and pattern remedies parturients. A one-page questionnaire examining all prescription nonprescription medications, including remedies, sent parturients expected deliver within 20 wk...
Background Clinical and organizational aspects of the preoperative visit can have a significant impact on patient satisfaction. The authors' previous work demonstrated that communication information from clinician to was found be most positively rated component, whereas issues, particularly waiting time, were negative. This study compares two yearly cycles satisfaction surveys assess process implementation changes. Methods authors distributed one-page questionnaire, consisting elements...
Background Age is often the sole criterion for determining need preoperative electrocardiograms. However, screening electrocardiograms have not been shown to add value above clinical information. This study was designed determine whether it possible target ordering patients most likely an abnormality that would affect management and if age alone predictive of significant abnormalities. Methods A list developed abnormalities considered enough impact management, as well a patient factors...
Operating room (OR) crises are high-acuity events requiring rapid, coordinated management. Medical judgment and decision-making can be compromised in stressful situations, clinicians may not experience a crisis for many years. A cognitive aid (e.g., checklist) the most common types of OR improve management during unexpected rare events. While implementation strategies innovations such as aids routine use becoming better understood, that rarely used yet well understood. We examined...