- Healthcare Systems and Technology
- Telemedicine and Telehealth Implementation
- Electronic Health Records Systems
- Mobile Health and mHealth Applications
- Health Literacy and Information Accessibility
- Patient-Provider Communication in Healthcare
- Liver Disease and Transplantation
- Patient Satisfaction in Healthcare
- Pharmaceutical Practices and Patient Outcomes
- Genetic and Kidney Cyst Diseases
- Healthcare Technology and Patient Monitoring
- Liver Disease Diagnosis and Treatment
- Opioid Use Disorder Treatment
- Pediatric Urology and Nephrology Studies
- Primary Care and Health Outcomes
- Digital Mental Health Interventions
- Salmonella and Campylobacter epidemiology
- Sepsis Diagnosis and Treatment
- Biomedical Text Mining and Ontologies
- Hospital Admissions and Outcomes
- COVID-19 and healthcare impacts
- Interprofessional Education and Collaboration
- Healthcare Operations and Scheduling Optimization
- Healthcare Policy and Management
- Antimicrobial Resistance in Staphylococcus
University of California Davis Medical Center
2025
Virginia Commonwealth University
2009-2023
University Health System
2018-2019
Virginia Commonwealth University Medical Center
2018
Access to medical encounter notes (OpenNotes) is believed empower patients and improve the quality safety of care. The impact such access not well understood beyond select health care systems from primary providers.This article analyzes patients' perceptions about patient portal experience with specialist's evaluates free-text comments as an improvement opportunity.Patients at academic system who accessed February 2016 May were provided a link complete 15-item online survey. Those had viewed...
Optimising interprofessional practice has been identified as one of the key methods for improving health outcomes across globe (Institute Medicine, 2001). Predominantly, in United States...
Telemedicine use increased during the COVID-19 pandemic, but uptake was uneven and future is uncertain. This study, then, examined ability of personal environmental variables to predict telemedicine adoption pandemic. A total 230 physicians practicing in U.S. completed questions concerning characteristics, as well at three time points: pre-pandemic, anticipated use. Associations between characteristics were determined identify factors important for Physicians reported that accounted 3.72%...
Abstract Objective The Safety Assurance Factors for EHR Resilience (SAFER) guides were released in 2014 to help health systems conduct proactive risk assessment of electronic record (EHR)- safety related policies, processes, procedures, and configurations. extent which SAFER recommendations are followed is unknown. Methods We conducted assessments 8 organizations varying size, complexity, EHR, adoption maturity. Each organization self-assessed adherence all 140 unique contained within 9...
Network analysis may be a powerful tool for studying interprofessional practice. Using electronic health record data and social network analysis, the of healthcare professionals involved in colorectal cancer care at large, urban academic medical center were mapped studied. A total 100 surgical patients receiving treatment 2013 2014 selected random. We used detailed access logs EHR to map all each patient, including inpatient outpatient settings. Approximately 2.45 million records from more...
BACKGROUND Hospitals are complex adaptive systems within which multiple components such as patients, practitioners, facilities, and technology interact. A careful approach to optimization of this system is needed because any change can result in unexpected deleterious effects. One discrete event simulation, what‐if scenarios allow researchers predict the impact a proposed on system. However, studies illustrating application simulation general internal medicine (GIM) team inpatient operations...
Purpose: Charcot-Marie-Tooth disease (CMT) is the most common inherited neuropathy. CMT type 1 (CMT1) results from peripheral demyelination and characterized by distal muscle weakness, foot drop, ataxia hyporeflexia. predominantly a disorder involving striated muscle. Data on gastrointestinal smooth involvement in sparse. Results: We describe case of 27-year-old white female who came with three month history dysphagia to both solids liquids nausea vomiting. This resulted very poor oral...
Purpose: Introduction: The creation of TIPS involves placement a stent between the hepatic vein and intrahepatic portion portal vein, decompressing hypertension. is indicated for cirrhotic ascites refractory to diuretics. Endotipsitis rare complication (1.33%), management which antibiotics. However, removal shunt may be required in presence life-threatening sepsis unresponsive Case Report: A 66-year-old white female with nonalcoholic steatohepatitis (NASH) cirrhosis diabetes mellitus...
Purpose: Megacystis microcolon intestinal hypoperistalsis syndrome (MMIHS) is a very rare congenital malformation characterized by functional obstruction with microcolon, decreased peristalsis and non-obstructed distended urinary bladder. Since 1976 around 182 cases have been reported, two-thirds being females. MMIHS generally presents in neonatal period abdominal distention bilious vomiting. Patients need major surgery, diversion an ileostomy. Most patients lifelong parenteral nutrition....
<sec> <title>UNSTRUCTURED</title> Diabetes is one of the most common chronic diseases and estimated to affect 10.5% US population, with less than half adults have hemoglobin A1c (HbA1c) values below recommended goal 7%. Institute Medicine (IOM) believes that quality-of-care gap in medicine results from a poorly organized delivery system, care coordination, constraints using modern information technology. This first article describe transformative novel digitally-enabled diabetes model at an...