A5015801936- Pharmaceutical Practices and Patient Outcomes
- Electronic Health Records Systems
- Medication Adherence and Compliance
- Chronic Disease Management Strategies
- Urban Transport and Accessibility
- Older Adults Driving Studies
- Patient Safety and Medication Errors
- Functional Brain Connectivity Studies
- Neurological disorders and treatments
- Diabetes Management and Education
- Clinical Reasoning and Diagnostic Skills
- Sepsis Diagnosis and Treatment
- Vaccine Coverage and Hesitancy
- Primary Care and Health Outcomes
- Healthcare Systems and Technology
- Asthma and respiratory diseases
- Medical Malpractice and Liability Issues
- School Health and Nursing Education
- Psychosomatic Disorders and Their Treatments
- Healthcare Technology and Patient Monitoring
- Health Systems, Economic Evaluations, Quality of Life
- Virology and Viral Diseases
- Streptococcal Infections and Treatments
- Diabetes Management and Research
- Respiratory viral infections research
Johns Hopkins Medicine
2015-2025
Johns Hopkins University
2015-2025
National Patient Safety Foundation
2017-2025
Icahn School of Medicine at Mount Sinai
2023-2024
Circuit Therapeutics (United States)
2023-2024
National Committee for Quality Assurance
2020
New York University
2020
New Jersey Department of Health
2014-2015
Council of State and Territorial Epidemiologists
2014-2015
New York Proton Center
2015
As an important indicator of mobility, driving confers a host social and health benefits to older adults. Despite the importance safe mobility as population ages, longitudinal data are lacking about natural history determinants safety in The Longitudinal Research on Aging Drivers (LongROAD) project is multisite prospective cohort study designed generate empirical for understanding role medical, behavioral, environmental technological factors during process aging. A total 2990 active drivers...
Abstract Background Patient and family engagement (PFE) has been defined as a partnership between patients, families, health care providers to achieve positive outcomes. There is evidence that PFE critical improving We sought systematically identify map the on strategies for adults with chronic conditions areas needing more research. Methods searched PubMed, CINAHL, EMBASE, Cochrane, January 2015 September 2021 systematic reviews engaging patients their caregivers. From each review, we...
Rates of invasive group B Streptococcus (GBS) disease, obesity, and diabetes have increased in US adults. We hypothesized that obesity would be independently associated with an risk GBS disease.We identified adults disease within Active Bacterial Core surveillance during 2010-2012 used population estimates from the Behavioral Risk Factor Surveillance System to calculate incidence rates. estimated relative risks (RRs) using Poisson analysis offset denominators, categorized as class I/II (body...
Objectives: We aimed to assess possible changes in medication safety over a mandatory pre-/post- COVID-19 clinic slowdown high-risk population of patients with diabetes seen at net clinic. Methods: Retrospective chart review all patient encounters 1 year before and after the slowdown. The study cohort were poorly controlled established pre-COVID-19 who prescribed 4+ chronic medications. Each note was abstracted for reports any medication-related problems. primary outcomes measures health...
Abstract Background The potential for impaired driving due to medication use can occur at any age, though older adults are more likely take multiple prescribed medications and experience side effects that may affect ability. purpose of this study was characterize the relationship between safety behaviors. Methods Data came from five-site Longitudinal Research on Aging Drivers (LongROAD) project. Participants were active drivers, age 65–79 years enrollment, patients one 5 participating sites....
Diagnostic error is a serious public health problem. Measuring diagnostic performance remains elusive. We sought to measure misdiagnosis-related harms following missed acute myocardial infarctions (AMI) in the emergency department (ED) using symptom-disease pair analysis of (SPADE) method.Retrospective administrative data (2009-2017) from single, integrated system International Classification Diseases (ICD) coded discharge diagnoses. looked back 30 days AMI hospitalizations for antecedent ED...
Background CancelRx allows prescribers to send electronic cancellation messages pharmacies when medications are discontinued. Little is known about its functionality and impact on clinical workflows. Objectives To understand functionality, potential workflows medication safety risks, develop mitigating strategies for risks introduced by implementation. Methods We conducted direct observations semi-structured interviews use cases assessed in an end-to-end test environment, proactive risk...
When older adults reduce their driving, there can be subsequent decreases in life satisfaction. In this cross-sectional study, we used baseline data from the multi-site Longitudinal Research on Aging Drivers (LongROAD) study to examine whether social support moderates negative association between reduced driving and The outcome variable was satisfaction, main predictor past-year (yes/no). Emotional, instrumental, informational were measured using PROMIS v2.0 (Patient-Reported Outcomes...
<h3>Introduction:</h3> Patient safety in primary care is an emerging priority, and experts have highlighted medications, diagnoses, transitions, referrals, testing as key domains. This study aimed to (1) describe how frontline clinicians, administrators, staff conceptualize patient care; (2) compare contrast these conceptual meanings from the patient9s perspective. <h3>Methods:</h3> We conducted interviews with 101 administrators staff, focus groups 65 adult patients at 10 patient-centered...
Medication list discrepancies between outpatient clinics and pharmacies can lead to medication errors. Within the last decade, a new health information technology (IT), CancelRx, emerged send cancellation message from clinic's electronic record (EHR) pharmacy's software. The objective of this study was measure impact CancelRx on reducing EHR pharmacy dispensing software.CancelRx implemented in October 2017 at an academic system. For 12 months prior, after implementation, data were collected...
Delays in sepsis diagnosis can increase morbidity and mortality. Previously, we performed a Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) "look-back" analysis to identify symptoms at risk for delayed diagnosis. We found treat-and-release emergency department (ED) encounters fluid electrolyte disorders (FED) altered mental status (AMS) were associated with downstream hospitalizations. In this "look-forward" analysis, measure the potential misdiagnosis-related harm rate among...
The aim of this study was to identify delays in early pre-sepsis diagnosis emergency departments (ED) using the Symptom-Disease Pair Analysis Diagnostic Error (SPADE) approach. SPADE methodology employed electronic health record and claims data from Kaiser Permanente Mid-Atlantic States (KPMAS). Study cohort included KPMAS members ≥18 years with ≥1 sepsis hospitalization 1/1/2013-12/31/2018. A look-back analysis identified treat-and-release ED visits month prior hospitalizations. Top 20...
We report a case of congenital rubella syndrome in child born to vaccinated New Jersey woman who had not traveled internationally. Although and have been eliminated from the United States, clinicians should remain vigilant immediately notify public health authorities when either is suspected.