Brian W. Pickering

ORCID: 0000-0002-8307-8449
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About
Contact & Profiles
Research Areas
  • Healthcare Technology and Patient Monitoring
  • Electronic Health Records Systems
  • Sepsis Diagnosis and Treatment
  • Patient Safety and Medication Errors
  • Machine Learning in Healthcare
  • Emergency and Acute Care Studies
  • Clinical Reasoning and Diagnostic Skills
  • Healthcare Operations and Scheduling Optimization
  • Quality and Safety in Healthcare
  • Respiratory Support and Mechanisms
  • Palliative Care and End-of-Life Issues
  • Intensive Care Unit Cognitive Disorders
  • Healthcare Systems and Technology
  • Cardiac, Anesthesia and Surgical Outcomes
  • Family and Patient Care in Intensive Care Units
  • Hospital Admissions and Outcomes
  • Cardiac Arrest and Resuscitation
  • Artificial Intelligence in Healthcare and Education
  • Non-Invasive Vital Sign Monitoring
  • COVID-19 Clinical Research Studies
  • Health Sciences Research and Education
  • Heart Failure Treatment and Management
  • COVID-19 diagnosis using AI
  • Hemodynamic Monitoring and Therapy
  • Nursing Diagnosis and Documentation

Mayo Clinic in Arizona
2015-2024

Mayo Clinic
2015-2024

WinnMed
2013-2023

RELX Group (United States)
2023

Mayo Clinic in Florida
2010-2021

Sheba Medical Center
2017

Creative Research Enterprises (United States)
2016

Mater Misericordiae Hospital
2013

Maya Educational Foundation
2012

St. Luke's Hospital
2012

The care of critically ill patients generates large quantities data. Increasingly, these data are presented to the provider within an electronic medical record. manner in which organized and can impact on ability users synthesis that into meaningful information. objective this study was test hypothesis novel user interfaces, prioritize display high-value providers system-based packages, reduce task load, result fewer errors cognition compared with established interfaces do not.Randomized...

10.1097/ccm.0b013e31821858a0 article EN Critical Care Medicine 2011-04-10

To identify whether delays in rapid response team activation contributed to worse patient outcomes (mortality and morbidity).Retrospective observational cohort study including all activations 2012.Tertiary academic medical center.All those 18 years old or older who had a call activated. Vital sign data were abstracted from individual electronic records for the 24 hours before took place. Patients considered have delayed if more than 1 hour passed between first appearance record of an...

10.1097/ccm.0000000000001346 article EN Critical Care Medicine 2015-10-10

Understanding temporal dynamics of COVID-19 symptoms could provide fine-grained resolution to guide clinical decision-making. Here, we use deep neural networks over an institution-wide platform for the augmented curation notes from 77,167 patients subjected PCR testing. By contrasting Electronic Health Record (EHR)-derived COVID-19-positive (COVID pos ; n = 2,317) versus COVID-19-negative neg 74,850) week preceding testing date, identify anosmia/dysgeusia (27.1-fold), fever/chills...

10.7554/elife.58227 article EN cc-by eLife 2020-07-07

Background: To improve the safety of ventilator care and decrease risk ventilator-induced lung injury, we designed tested an electronic algorithm that incorporates patient characteristics settings, allowing near-real-time notification bedside providers about potentially injurious settings. Methods: Electronic medical records consecutive patients who received invasive ventilation were screened in three Mayo Clinic Rochester intensive units. The computer system alerted via text paging Alert...

10.1097/ccm.0b013e3181fa4184 article EN Critical Care Medicine 2010-10-15

Information overload in electronic medical records can impede providers' ability to identify important clinical data and may contribute error. An understanding of the information requirements ICU providers will facilitate development systems that prioritize presentation high-value reduce overload. Our objective was determine needs physicians, compared available within an record.Prospective observational study retrospective chart review.Three ICUs (surgical, medical, mixed) at academic...

10.1097/ccm.0b013e318287f0c0 article EN Critical Care Medicine 2013-03-23

Objectives: To develop and verify a digital twin model of critically ill patient using the causal artificial intelligence approach to predict response specific treatment during first 24 hours sepsis. Design: Directed acyclic graphs were used define explicitly relationship among organ systems treatments used. A hybrid agent-based modeling, discrete-event simulation, Bayesian network was simulate effect across multiple stages interactions major (cardiovascular, neurologic, renal, respiratory,...

10.1097/cce.0000000000000249 article EN cc-by-nc-nd Critical Care Explorations 2020-11-01

Abstract Objectives Inpatients with language barriers and complex medical needs suffer disparities in quality of care, safety, health outcomes. Although in-person interpreters are particularly beneficial for these patients, they underused. We plan to use machine learning predictive analytics reliably identify patients prioritize them interpreters. Materials methods This qualitative study used stakeholder engagement through semi-structured interviews understand the perceived risks benefits...

10.1093/jamia/ocad224 article EN cc-by Journal of the American Medical Informatics Association 2023-12-14

The introduction of electronic medical records (EMR) and computerized physician order entry (CPOE) into the intensive care unit (ICU) is transforming way health providers currently work. challenge facing developers EMR's to create products which add value systems delivery. As become more prevalent, potential impact they have on quality safety, both negative positive, will be amplified. In this paper we outline key barriers effective use EMR describe methodology, using a worked example...

10.4338/aci-2009-12-cr-0027 article EN Applied Clinical Informatics 2010-01-01

To use a handover assessment tool for identifying patient information corruption and objectively evaluating interventions designed to reduce errors improve medical decision making. The continuous monitoring, intervention, evaluation of the in modern intensive care unit practice generates large quantities information, platform on which decisions are made. Information corruption, defined as distortion/omission compared with record, may result judgment errors. Identifying these lead quality...

10.1097/ccm.0b013e3181a96267 article EN Critical Care Medicine 2009-10-20

Purpose: The strategy used to improve effective checklist use in intensive care unit (ICU) setting is essential for success. This study aimed test the hypothesis that an electronic could reduce ICU provider workload, errors, and time completion, as compared a paper checklist. Methods: was simulation-based conducted at academic tertiary hospital. All participants completed checklists 6 patients: 3 using identical In both scenarios, had full access existing medical record system. outcomes...

10.1177/0885066614558015 article EN Journal of Intensive Care Medicine 2014-11-12

Abstract Objective Access to palliative care (PC) is important for many patients with uncontrolled symptom burden from serious or complex illness. However, who could benefit PC do not receive it early enough at all. We sought address this problem by building a predictive model into comprehensive clinical framework the aims (i) identify in-hospital likely consult, and (ii) intervene on such contacting their team. Materials Methods Electronic health record data 68 349 inpatient encounters in...

10.1093/jamia/ocaa211 article EN Journal of the American Medical Informatics Association 2021-02-16
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