A5072677845- Chronic Kidney Disease and Diabetes
- Pharmaceutical Practices and Patient Outcomes
- Dialysis and Renal Disease Management
- Patient-Provider Communication in Healthcare
- Social Media in Health Education
- Renal and Vascular Pathologies
- Blood Pressure and Hypertension Studies
- Renal Diseases and Glomerulopathies
- Health Literacy and Information Accessibility
- Central Venous Catheters and Hemodialysis
- Empathy and Medical Education
- Healthcare Systems and Technology
- Atrial Fibrillation Management and Outcomes
- Cancer survivorship and care
- Palliative Care and End-of-Life Issues
- Health Policy Implementation Science
- Patient Satisfaction in Healthcare
- Opioid Use Disorder Treatment
- Healthcare Policy and Management
- Medication Adherence and Compliance
- Healthcare Decision-Making and Restraints
- Educational Research and Analysis
- Electronic Health Records Systems
- Medical Device Sterilization and Disinfection
- Acne and Rosacea Treatments and Effects
Mackay Base Hospital
2013-2024
San Francisco General Hospital
2018-2020
University of California, San Francisco
2018-2020
University of California, Irvine
2019-2020
Queensland Health
2019
Background: Prescription opioid misuse has doubled over the past 10 years and is now a public health epidemic. Analysis of social media data may provide additional insights into to supplement traditional approaches collection (eg, self-report on surveys). Objective: The aim this study was characterize representations codeine through analysis posts Instagram understand text phrases related misuse. Methods: We identified hashtags searchable associated with by analyzing 1156 sequential course 2...
Background Studies estimate that the number of cancer survivors will double by 2050 due to improvements in diagnostic accuracy and treatment efficacy. Despite growing population survivors, there is a paucity research regarding how these individuals experience transition from active long-term surveillance. While has explored this more organized venues, such as support groups for paper explores discourses surrounding survivorship on social media, paying particular attention who identify...
Background Though incidental pulmonary nodules are common, rates of guideline-recommended surveillance and associations between mortality unclear. In this study, we describe adherence (categorized as complete, partial, late none) to among patients with 5-8 mm assess mortality. Methods This was a retrospective cohort study 551 (≥35 years) conducted from September 1, 2008 December 31, 2016, in an integrated safety-net health network. Results Of the patients, 156 (28%) had 87 (16%) 93 (17%) 215...
The social media site Twitter has 145 million daily active users worldwide and become a popular forum for to communicate their health care concerns experiences as patients. In the fall of 2018, hashtag titled #DoctorsAreDickheads emerged, with almost 40,000 posts calling attention experiences.This study aims identify common conditions conceptual themes represented within phenomenon this viral hashtag.We analyzed random sample 5.67% (500/8818) available tweets qualitative analysis between...
An initiative to implement patient-centered medication labeling at 4 pharmacies within a publicly funded safety-net healthcare system is described.Medication nonadherence negatively affects patient outcomes and safety. Nonadherence has been attributed poor understanding of instructions on labels. Research demonstrated that (PCL) can improve adherence produce safer medication-taking practices. As part mixed-methods study by health system, audits nearly 9,000 prescription labels generated...
To describe adults with (non-dialysis) chronic kidney disease (CKD) in nine public renal practice sites the Australian state of Queensland.7,060 persons were recruited to a CKD Registry May 2011 and until start replacement therapy (KRT), death without KRT or June 2018, for median period 3.4 years.The cohort comprised 7,060 persons, 52% males, age 68 yr; 85% had stages 3A 5, 45.4% diabetic, 24.6% diabetic nephropathy, 51.7% obese. Younger mostly glomerulonephritis genetic disease, while older...
The aim of the study was to analyze diverse patients' experiences throughout medication use process inform development overarching interventions that support safe in community settings.Using a qualitative observational approach, we conducted approximately 18 hours direct observation across multiple settings for sample vulnerable, high-risk patients. Observers recorded detailed field notes during observations. To enrich findings, also six semistructured interviews with safety experts...
Acute kidney injury (AKI) contributes to and complicates chronic disease (CKD). We describe AKI documented in hospital encounters patients with CKD from the Queensland registry.A retrospective cohort study during 2011 2016.Participants had been admitted a Queensland.AKI was identified International Statistical Classification of Diseases Related Health Problems, Tenth Revision, Australian Modification codes.All-cause mortality or without replacement therapy (KRT), start-up KRT maintenance...
Patient safety in ambulatory care has not been routinely measured. California implemented a pay-for-performance program safety-net hospitals that incentivized measurement and improvement key areas of safety: referral completion, medication safety, test follow-up. We present two years data (collected during July 2015–June 2017) show both suboptimal performance aspects questionable reliability reporting. Performance was better required limited coordination or patient engagement—for example,...
Safety-net health care systems, serving vulnerable populations, see longer delays to timely colonoscopy after a positive fecal occult blood test (FOBT), which may contribute existing disparities. We sought identify root causes of delay FOBT result in the primary safety net.
Warfarin is one of the most commonly prescribed medications in United States, and it causes a significant proportion adverse drug events. Patients taking warfarin fall outside recommended therapeutic range 30% time, largely because inadequate laboratory monitoring dose adjustment. This leads to an increased risk blood clots or bleeding We propose comparative effectiveness study examine whether technology-enabled anticoagulation management program can improve long-term clinical outcomes...
A functioning vascular access (VA) is crucial to providing adequate hemodialysis (HD) and considered a critically important outcome by patients healthcare professionals. VALID (Vascular Access measure for function: vaLidation study In hemoDialysis) aimed validate core VA function established via consensus among 918 health professionals 237 caregivers from 58 different countries.
Safety-net systems serve patients with limited health literacy and English proficiency (LEP) who face communication barriers. However, little is known about how diverse safety-net feel increasing clinician electronic record (EHR) use.
Abstract Background Renal biopsy is often required to obtain information for diagnosis, management and prognosis of kidney disease that can be broadly classified into acute injury (AKI) chronic (CKD). The most common conditions identified on renal are glomerulonephritis tubulo-interstitial disorders. There a paucity strategies therapeutic outcomes in AKI CKD patients. A registry will provide biopsy-proven disorders improve understanding tracking, healthcare planning, patient care outcomes....
Abstract Background A functioning vascular access (VA) is crucial to providing adequate hemodialysis (HD) and considered a critically important outcome by patients healthcare professionals. validated, patient-important measure for VA function that can be easily measured in research practice harvest reliable relevant evidence informing patient-centered HD care lacking. Vascular Access function: vaLidation study In hemoDialysis (VALID) aims assess the accuracy feasibility of measuring core...
Nonadherence to medication regimens is common, with approximately 50% of patients not taking their medications as prescribed. The Universal Medication Schedule (UMS) a set standardized, evidence-based, and patient-centered instructions for pill-form that has demonstrated improvements in adherence by promoting patient comprehension. An urban, publicly funded, integrated health care system attempted adopt UMS labeling but had limited success at its largest pilot site, which was safety-net...
Author(s): Cherian, Roy; Sarkar, Urmimala; Khoong, Elaine C; Ackerman, Sara; Gourley, Gato; Schillinger, Dean
Patients with established chronic kidney disease (CKD) can exit the preterminal CKD state by starting RRT, or dying without receiving RRT. The latter might die from untreated end stage failure (ESKF), other causes. Characteristics of those RRT are well defined through incidence data in various registries, such as ANZDATA Australia, but features who less defined. An AIHW study shows that number Australians start is equalled exceeded numbers ESKF was not designed to define nonESKF causes death...