A5081630617- Electronic Health Records Systems
- Opioid Use Disorder Treatment
- Healthcare Systems and Technology
- Radiation Dose and Imaging
- Emergency and Acute Care Studies
- Healthcare cost, quality, practices
- Healthcare professionals’ stress and burnout
- Patient Satisfaction in Healthcare
- Trauma and Emergency Care Studies
- Innovations in Medical Education
- Health Systems, Economic Evaluations, Quality of Life
- Substance Abuse Treatment and Outcomes
- Primary Care and Health Outcomes
- Healthcare Policy and Management
- Patient-Provider Communication in Healthcare
- Radiology practices and education
- Clinical practice guidelines implementation
- Health Sciences Research and Education
- COVID-19 and healthcare impacts
- Ultrasound in Clinical Applications
- Diversity and Career in Medicine
- Telemedicine and Telehealth Implementation
- Health Policy Implementation Science
- Pharmaceutical Practices and Patient Outcomes
- Traumatic Brain Injury and Neurovascular Disturbances
Yale University
2016-2025
Yale New Haven Health System
2022-2024
University of New Haven
2020
Yale New Haven Hospital
2015-2019
Newcastle University
2018
North Shore University Hospital
2008-2010
Icahn School of Medicine at Mount Sinai
2007-2010
Northwell Health
2010
Princip (Czechia)
2009
As coronavirus disease 2019 (COVID-19) spread throughout the US in early months of 2020, acute care delivery changed to accommodate an influx patients with a highly contagious infection about which little was known.To examine trends emergency department (ED) visits and that led hospitalizations covering 4-month period leading up during COVID-19 outbreak US.This retrospective, observational, cross-sectional study 24 EDs 5 large health systems Colorado (n = 4), Connecticut 5), Massachusetts...
Predictive analytics in emergency care has mostly been limited to the use of clinical decision rules (CDRs) form simple heuristics and scoring systems. In development CDRs, limitations analytic methods concerns with usability have generally constrained models a preselected small set variables judged be clinically relevant that are easily calculated. Furthermore, CDRs frequently suffer from questions generalizability, take years develop, lack ability updated as new information becomes...
ObjectiveTo describe and benchmark physician-perceived electronic health record (EHR) usability as defined by a standardized metric of technology evaluate the association with professional burnout among physicians.Participants MethodsThis cross-sectional survey US physicians from all specialty disciplines was conducted between October 12, 2017, March 15, 2018, using American Medical Association Physician Masterfile. Among 30,456 invited physicians, 5197 (17.1%) completed surveys. A random...
Study objectivePeople with opioid use disorder are vulnerable to disruptions in access addiction treatment and social support during the COVID-19 pandemic. Our study objective was understand changes emergency department (ED) utilization following a nonfatal overdose compared historical controls 6 healthcare systems across United States.MethodsOpioid overdoses were retrospectively identified among adult visits 25 EDs Alabama, Colorado, Connecticut, North Carolina, Massachusetts, Rhode Island...
This cross-sectional study uses national benchmarking data to evaluate hospital occupancy and emergency department boarding during the COVID-19 pandemic.
Until we have a meaningful alternative, lockdown is the only thing can do to prevent further catastrophic spread of virus, says <b>Edward R Melnick</b>. But <b>John PA Ioannidis</b> argues that any benefits depend on its effectiveness and covid-19 burden—and harms are multifarious
Systemic therapy and radiotherapy can be associated with acute complications that may require emergent care. However, there are limited data characterizing the financial burden of cancer treated in emergency departments (EDs) United States.To estimate incidence treatment-related systemic or radiotherapy, examine factors inpatient admission, investigate overall burden.A retrospective analysis Healthcare Cost Utilization Project Nationwide Emergency Department Sample was performed. Between...
Edward R. Melnick, MD, MHS; Allan Fong, MS; Bidisha Nath, MBBS, MPH; Brian Williams, MD; Raj M. Ratwani, PhD; Richard Goldstein, Ryan T. O'Connell, Christine A. Sinsky, Daniel Marchalik, Mihriye Mete, PhD
To measure nurse-perceived electronic health records (EHR) usability with a standardized metric of technology and evaluate its association professional burnout.A cross-sectional survey random sample US nurses was conducted in November 2017. EHR measured the System Usability Scale (SUS; range 0-100) burnout Maslach Burnout Inventory.Among 86 858 who were invited, 8638 (9.9%) completed survey. The mean nurse-rated SUS score 57.6 (SD 16.3). A is bottom 24% scores across previous studies...
This Viewpoint discusses the need for public funding research that supports health workforce well-being and addresses occupational burnout among care practitioners.
Electronic health record (EHR) usability and physician task load both contribute to professional burnout. The association between perceived EHR workload has not previously been studied at a national level. Better understanding these interactions could give further information as the drivers of extraneous load.
To derive 7 proposed core electronic health record (EHR) use metrics across 2 healthcare systems with different EHR vendor product installations and examine factors associated time.
Abstract Objective To determine the effect of a user centered clinical decision support tool versus usual care on rates initiation buprenorphine in routine emergency individuals with opioid use disorder. Design Pragmatic cluster randomized controlled trial (EMBED). Setting 18 department clusters across five healthcare systems states representing north east, south and western regions US, ranging from community hospitals to tertiary centers, using either Epic or Cerner electronic health record...
The aim of this article is to compare the aims, measures, methods, limitations, and scope studies that employ vendor-derived investigator-derived measures electronic health record (EHR) use, assess measure consistency across studies.
This cross-sectional study investigates rates of patients who left emergency departments without being seen from 2017 to 2021.
Importance Time on the electronic health record (EHR) is associated with burnout among physicians. Newer virtual scribe models, which enable support from either a real-time or asynchronous scribe, have potential to reduce burden of EHR and EHR-related documentation. Objective To characterize association use scribes changes in physicians’ time note order composition identify physician, response factors upon use. Design, Setting, Participants Retrospective, pre-post quality improvement study...
Abstract Background Overuse of computed tomography ( CT ) for minor head injury continues despite developed and rigorously validated clinical decision rules like the Canadian Head Rule CCHR ). Adherence to this sensitive specific rule could decrease number scans performed in by 35%. But practice, has failed reduce testing, its accurate performance. Objectives The objective was identify nonclinical, human factors that promote or inhibit appropriate use patients presenting emergency department...