A5046196414- Healthcare Policy and Management
- Primary Care and Health Outcomes
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Inhalation and Respiratory Drug Delivery
- Congenital Diaphragmatic Hernia Studies
- Tracheal and airway disorders
- Asthma and respiratory diseases
- Peptidase Inhibition and Analysis
- Mobile Health and mHealth Applications
- Radiology practices and education
- Global Cancer Incidence and Screening
- SARS-CoV-2 and COVID-19 Research
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Patient Safety and Medication Errors
- Hospital Admissions and Outcomes
- Respiratory and Cough-Related Research
- Clinical Reasoning and Diagnostic Skills
- Smoking Behavior and Cessation
- Medical Imaging and Pathology Studies
- Antifungal resistance and susceptibility
- Pediatric health and respiratory diseases
- Cardiac Arrest and Resuscitation
- Pneumonia and Respiratory Infections
- Chronic Disease Management Strategies
- COVID-19 Clinical Research Studies
Tufts Medical Center
2015-2024
Tufts University
2015-2023
Salzgitter Group (Singapore)
2021
Pulmonary Associates
2021
Freund (Japan)
2021
McLaren Health Care
2021
SleepMed
2019
University of Jordan
2019
New York University
2019
University of Thessaly
2015
Abstract The management of patients with prolonged viral shedding and coronavirus disease 2019 symptoms remains unclear. Combining antivirals, as practiced in other infections, is theoretically advantageous. We present a case persistent, symptomatic severe acute respiratory syndrome 2 infection associated organizing pneumonia that was successfully treated an extended course combination antiviral therapy.
Objective: This study examined whether health insurance stability was associated with improved type 2 diabetes mellitus (DM) control and reduced racial/ethnic disparities.Methods: We utilized electronic medical record data (2005-2013) from two large, urban academic systems a racially/ethnically diverse patient population to examine coverage, three DM outcomes (poor control, A1c ≥8.0%; very poor >9.0%; BP ≥ 130/80 mm Hg) one management outcome (A1c monitoring). used generalized estimating...
While one controlled trial found that a daily awakening and spontaneous breathing (DA-SBT) decreases time on mechanical ventilation (MV), there is paucity of real-world data surrounding the development, implementation, impact DA-SBT protocols. We describe multidisciplinary process improvement effort in 2, 10-bed medical intensive care units (MICUs) at 330-bed academic center focused evaluation new protocol.A protocol, developed using results from nursing survey literature available...
Stable health insurance is often associated with better chronic disease care and outcomes. Racial/ethnic disparities in outcomes are prevalent may be instability, particularly the context of reform.
Failure to complete recommended diagnostic tests may increase the risk of errors. The aim this study is develop and evaluate an electronic monitoring tool that notifies responsible clinician incomplete imaging for their ambulatory patients. A results notification workflow engine was created at academic medical center. It identified future appointments studies notified ordering physician by secure email. To assess impact intervention, project team surveyed participating physicians measured...
<sec> <title>BACKGROUND</title> The increasing use of secure messaging in medical centers has led to concerns about alert fatigue and the impact on clinician burnout. This study is aimed at characterizing patterns between nurses medicine interns inform interventions mitigate these issues. </sec> <title>OBJECTIVE</title> aim analyze an academic center using TigerConnect platform, with goal informing reduce improve well-being. <title>METHODS</title> observational analyzed transactions 25...
Digital communication between nurses and medicine interns plays a crucial role in patient care. However, excessive messaging may contribute to alert fatigue, potentially affecting workflow efficiency clinical decision-making. Although prior research has examined general behaviors among clinicians, few studies have specifically analyzed patterns interns, who serve as primary points of contact inpatient This study aims quantitatively characterize the nurse provider (ie, intern) hospitalized...
Keywords: pulmonary diagnostic testing; obstructive lung disease; congenital advanced transplant
Pertussis is a commonly underdiagnosed infection with incidence that has been steadily rising in adolescents and adults over the last three decades. Some reports suggested cyclical pattern of pertussis occurrence peaks every two to five years. The complications can be infectious or mechanical setting persistent cough. We report an unusual case 67-year-old woman who presented combined lung liver extrusion infection. This article will review systematic approach diagnosis management infections adults.
One of the potential benefits insurance reform is greater stability and reduced coverage disparities by race ethnicity.We examined temporal trends in racial/ethnic group before after Massachusetts Insurance Reform abstracting records across 2 urban safety net hospital systems.We adjusted odds being uninsured incident rate ratios gaining losing over time ethnicity. We used billing to capture payer for each episode care.We included data from January 2005 through December 2013 on patients with...
Objective Measure effect of late-afternoon communication and patient planning (CAPP) rounds to increase early electronic discharge orders (EDO).Methods We enrolled 4485 patients discharged from six subspecialty medical services. implemented CAPP identify who could have morning the subsequent day. After an initial successful implementation intervention, we identified lack sustainability. made changes with sustained intervention. This is a before-after study quality improvement...
The early experience of Wuhan, northern Italy, and Washington State gave Boston hospitals time to prepare for a surge patients in need hospitalization pneumonia acute respiratory distress syndrome related SARS-CoV-2 the spring 2020.1–4 We present our preparing organizing physicians manage this critical care disease, employing resources an entire physician community, considering how deploy another potential later year. Tufts Medical Center Children's Hospital is 415-bed tertiary quaternary...
"Prescription Medications to Help You Stop Smoking." American Journal of Respiratory and Critical Care Medicine, 201(6), pp. P11–P12
Inhaler technique education among non-English speaking patients in the United States is understudied, with communication barriers and language differences serving as important challenges to education. A previous needs assessment at our institution identified an opportunity improve inhaler for Mandarin-speaking population. This pilot study evaluates feasibility of a multimodal intervention identify errors technique.Adult subjects chronic obstructive pulmonary disease or asthma participated...