A5002306391- Patient-Provider Communication in Healthcare
- Digital Imaging in Medicine
- Social Media in Health Education
- Childhood Cancer Survivors' Quality of Life
- Clinical Reasoning and Diagnostic Skills
- Neuroblastoma Research and Treatments
- Palliative Care and End-of-Life Issues
- Acute Lymphoblastic Leukemia research
- Blood Coagulation and Thrombosis Mechanisms
- Artificial Intelligence in Healthcare and Education
- Anatomy and Medical Technology
- Electronic Health Records Systems
- Telemedicine and Telehealth Implementation
- Ethics and Legal Issues in Pediatric Healthcare
- Ethics in Clinical Research
- Cutaneous Melanoma Detection and Management
- Central Venous Catheters and Hemodialysis
- Pharmaceutical studies and practices
- Epilepsy research and treatment
- Pancreatic and Hepatic Oncology Research
- AI in cancer detection
- Empathy and Medical Education
- Patient Safety and Medication Errors
- Mobile Health and mHealth Applications
- Complement system in diseases
Fargo VA Health Care System
2023-2024
University of Chicago
2024
Sanford Health
2021-2024
Mayo Clinic in Florida
2013-2021
Mayo Clinic
2010-2020
Mayo Clinic in Arizona
2013-2020
WinnMed
2013-2014
Purpose Osteoporosis Choice, an encounter decision aid, can engage patients and clinicians in shared making about osteoporosis treatment. Its effectiveness compared to the routine provision of patient's estimated risk fracture using FRAX calculator is unknown. Methods Patient-level, randomized, three-arm trial enrolling women over 50 with osteopenia or eligible for treatment bisphosphonates, where use Choice was only usual care determine impact on patient knowledge, decisional conflict,...
The study sought to characterize the evaluation of patients who present following detection an abnormal pulse using Apple Watch.We conducted a retrospective review evaluated for detected Watch over 4-month period.Among 264 included patients, clinical documentation 41 (15.5%) explicitly noted alert. Preexisting atrial fibrillation was in 58 (22.0%). Most commonly performed testing 12-lead echocardiography (n = 158; 59.8%), Holter monitor 77; 29.2%), and chest x-ray 64; 24.2%). A clinically...
Abstract Background Hospital readmissions are a key quality metric, which has been tied to reimbursement. One strategy reduce is direct resources patients at the highest risk of readmission. This necessitates robust predictive model coupled with effective, patient-centered interventions. Objective The aim this study was unplanned hospital through use artificial intelligence-based clinical decision support. Methods A commercially vended intelligence tool implemented regional in La Crosse,...
Blunt head trauma is a common cause of death and disability in children worldwide. Cranial computed tomography (CT), the reference standard for diagnosis traumatic brain injury (TBI), exposes to ionizing radiation which has been linked development tumors, leukemia, other cancers. We describe methods used develop test effectiveness decision aid facilitate shared decision-making with parents regarding whether obtain CT scan or further observe their child at home. This protocol multicenter...
In this article, we will discuss the genesis, evolution, and progress of INternational Soft Tissue SaRcoma ConsorTium (INSTRuCT), which aims to foster international research collaboration focused on pediatric soft tissue sarcoma. We begin by highlighting current state clinical for sarcomas, including rhabdomyosarcoma non-rhabdomyosarcoma then explore challenges priorities, describe development INSTRuCT, how consortium address key priorities.
PURPOSE Matching patients to clinical trials is cumbersome and costly. Attempts have been made automate the matching process; however, most used a trial-centric approach, which focuses on single trial. In this study, we developed patient-centric tool that matches patient-specific demographic information with free-text trial inclusion exclusion criteria extracted using natural language processing return list of relevant ordered by patient's likelihood eligibility. MATERIALS AND METHODS...
Point-of-care clinical photography using mobile devices is coming of age as a new standard care for documentation. High-quality cameras in modern smartphones facilitate faithful reproduction findings photographs; however, photographs captured on are often taken the native camera app device and transmitted relatively insecure methods (eg, SMS text message email) that do not preserve images part electronic medical records. Native apps lack robust security features direct integration with...
Abstract Data commons have proven to be an indispensable avenue for advancing pediatric cancer research by serving as unified information technology platforms that, when coupled with data standards, facilitate sharing. The Pediatric Cancer Commons, the flagship project of Common Good (D4CG), collaborates disease-based consortia development clinical harmonization and pooling from disparate sources, establishment governance structure, sharing data. In interest international collaboration,...
Abstract Background Mayo Clinic developed an internal iOS ‐based, point‐of‐care clinical image capture application for clinicians. We aimed to assess the adoption and utilization of at Clinic. Methods Metadata 22,784 photos 6417 patients taken by 606 users over 8040 encounters between 3/1/2015 10/31/2015 were analyzed. A random sample from 100 was assessed quality using a five‐item rubric. Use traditional medical photography services before after launch compared. Results The largest group...
PhotoExam is a mobile app that incorporates digital photographs into the electronic health record (EHR) using iPhone operating system (iOS, Apple Inc)-based devices.The aim of this study was to describe usage patterns in primary care and assess clinician-level factors influence use for teledermatology (TD) purposes.Retrospective review patients who had one or more photos taken with between February 16, 2015 29, 2016 were reviewed 30-day outcomes rates dermatology consult request, mode...
Abstract Background Every case of breast cancer is unique, and treatment must be personalized to incorporate a woman’s values preferences. We developed an individually-tailored mobile patient education application for women with cancer. Methods Pre-post surveys were completed by 255 who used the tool. Results Patients thought included helpful information ( N = 184, 72%) was easy navigate 156, 61%). Most patients amount in tool “about right” 193, 87%). Decision making confidence increased...
We conducted a preliminary proof-of-concept study evaluating gabapentin for the treatment of tobacco dependence. Subjects (N = 80) were randomized to (600 mg three times per day or 900 day) placebo. After 2-week dose titration, target was maintained 9 weeks and then tapered over 1 week. Follow-up 12 after medication phase. The had high dropout rates with more than one half participants in each arm discontinuing study. Gabapentin-treated exhibited lower abstinence placebo-treated...
Abstract Objective The Pediatric Cancer Data Commons (PCDC)—a project of for the Common Good—houses clinical pediatric oncology data and utilizes open-source Gen3 platform. To meet needs end users, PCDC development team expanded out-of-box functionality developed additional custom features that should be useful to any group developing similar commons. Materials Methods Modifications portal software were implemented facilitate desired functionality. Results Newly includes updates...
Although the International Neuroblastoma Risk Group Data Commons (INRGdc) has enabled seminal large cohort studies, research is limited by lack of real-world, electronic health record (EHR) treatment data. To address this limitation, we evaluated feasibility extracting data directly from EHRs using REDCap Clinical Interoperability Services (CDIS) module for future submission to INRGdc.
Although electronic health records (EHRs) are designed to improve patient safety, they have been associated with serious harm. An agreed-upon and standard taxonomy for classifying information technology (HIT) related safety events does not exist.We aimed develop evaluate a medication-related HIT validate it using set of involving pediatric patients.We performed literature search identify existing classifications HIT-related events, which were assessed real-world extracted from two sources:...