- Patient-Provider Communication in Healthcare
- Patient Safety and Medication Errors
- Interprofessional Education and Collaboration
- Vascular anomalies and interventions
- Palliative Care and End-of-Life Issues
- Hospital Admissions and Outcomes
- Central Venous Catheters and Hemodialysis
- Emergency and Acute Care Studies
- Medical Imaging and Pathology Studies
- Clinical Reasoning and Diagnostic Skills
- Cardiac Arrhythmias and Treatments
- Vascular Procedures and Complications
- Patient Satisfaction in Healthcare
- Case Reports on Hematomas
- Frailty in Older Adults
- Computational Drug Discovery Methods
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Tracheal and airway disorders
- Gout, Hyperuricemia, Uric Acid
- Pneumothorax, Barotrauma, Emphysema
- Diagnosis and treatment of tuberculosis
- Spinal Hematomas and Complications
- Bioinformatics and Genomic Networks
- Biomedical Text Mining and Ontologies
- Hip and Femur Fractures
University of Kentucky
2016-2022
University of Kentucky HealthCare
2018-2021
Diagnostic errors contribute to patient harm, though few data exist describe their prevalence or underlying causes among medical inpatients.
Background Despite recommendations and the need to accelerate redesign of delivery models be team-based patient-centred, professional silos cultural structural barriers that inhibit working together communicating effectively still predominate in hospital setting. Aiming improve rounding, we developed, implemented evaluated Interprofessional Teamwork Innovation Model (ITIM). Methods This quality improvement (QI) study was conducted at an academic medical centre. We followed system’s QI...
Spontaneous rectus sheath haematomas and cough secondary to losartan are individually rare conditions. Abdominal wall present with abdominal pain mass. Most patients managed conservatively; Surgery or embolisation is indicated for shock, infection, rupture into the peritoneum intractable pain. This a man aged 65 years presented dry right-sided He started few weeks prior onset of had been on rivaroxaban deep venous thrombosis. The right side his abdomen was distended, bruised tender. His...
Low mobility during hospitalization remains prevalent despite associated negative consequences. The goal of this quality improvement (QI) project was to increase patient and function by adding a physical therapist (PT) an existing interprofessional care team. A technician assisted treatment group patients with based on recommendations. Change in functional status highest level achieved measured from admission discharge. Observed hospital length stay (LOS), LOS index, 30-day all cause...
Background There is a dearth of research on successful interventions to improve nurse-physician communication (NPC). An important step identifying what matters bedside nurses and their perceptions effective NPC communications actions. Methods We conducted three focus groups with total 19 medical unit across two hospitals in one academic center the United States. Using convenience sampling strategy, five eight voluntarily participated each group. The recording was transcribed verbatim...
Peripherally inserted central catheter (PICC) migration into azygos vein (AV) is a rare complication. It recognised only when malfunction occurs or patients develop associated complications. PICC AV has been reported to be with various complications such as malfunction, perforation, haemorrhage, thrombosis, infection and stenosis of AV. Pleural effusion trachea–azygos fistulas have also reported. We present patient recurrent after an initial corrective repositioning during the same hospital...
A 31-year-old female patient with systolic heart failure (ejection fraction of 30%) and automatic implantable cardioverter-defibrillator (AICD) was admitted to the hospital sepsis from Staphylococcus hominis capitis bacteraemia. transesophageal echocardiogram showed AICD lead vegetation. Subsequently, replaced. peripherally inserted central catheter (PICC) placed through left basilic vein due difficult intravenous access. Initially, fluoroscopy (figure 1) chest X-ray 2) confirmed appropriate...
The undergraduate quality improvement project goal was to determine the primary barriers timely discharges through a clinical leadership practicum experience at an advanced tertiary care teaching hospital. Delays in are associated literature with adverse health outcomes and diminished efficiency within organizations. authors retrieved deidentified data real-time from information system interactions patient staff. study’s metrics included 1) discharge orders placed before 10 a.m, 2) patients...