A5060852979- Opioid Use Disorder Treatment
- Substance Abuse Treatment and Outcomes
- Emergency and Acute Care Studies
- Prenatal Substance Exposure Effects
- Pain Management and Opioid Use
- Mental Health and Patient Involvement
- HIV, Drug Use, Sexual Risk
- Primary Care and Health Outcomes
- Appendicitis Diagnosis and Management
- Diversity and Career in Medicine
- Acute Myocardial Infarction Research
- Pharmaceutical Practices and Patient Outcomes
- Hernia repair and management
- Hospital Admissions and Outcomes
- Health Policy Implementation Science
- Intimate Partner and Family Violence
- Ultrasound in Clinical Applications
- Maternal and fetal healthcare
- Healthcare Technology and Patient Monitoring
- Telemedicine and Telehealth Implementation
- Reproductive tract infections research
- Pediatric Pain Management Techniques
- Coronary Artery Anomalies
- Infection Control in Healthcare
- Potassium and Related Disorders
Medical University of South Carolina
2016-2024
West Virginia University
2021
Allegheny General Hospital
2021
Moss Rehabilitation Hospital
1999
AimThe National Institute on Drug Abuse (NIDA) Clinical Trials Network (CTN), an entity aimed at bridging researchers and community-based substance abuse treatment providers to develop new approaches, has taken interest in the dissemination of findings from a randomized clinical trial by D'Onofrio demonstrating that initiating buprenorphine emergency department (ED) enhances linkage [JAMA 2015; 313 (16): 1636–1644]. In Southern Consortium Node CTN, authors have implementation science...
Opioid-related overdose (OD) deaths continue to increase. Take-home naloxone (THN), after treatment for an OD in emergency department (ED), is a recommended but under-utilized practice. To promote THN prescription, we developed noninterruptive decision support intervention that combined detailed documentation template with reminder use the automatically inserted into provider's note by rules. We studied impact of on prescribing longitudinal observational study.ED encounters involving were...
Opioid addiction and misuse constitute a public health crisis in the United States. Recent research supports buprenorphine induction emergency department (ED) setting for patients with opioid use disorder (OUD). However, education regarding medicine (EM) physicians, residents, students is still limited.We created 1-hour introductory workshop identification treatment of withdrawal OUD ED medical going into EM interns. The consisted to two distinct curricular sections: (1) didactic session...
Abstract Introduction Emergency departments (ED) are incorporating Peer Support Specialists (PSSs) to help with patient care for substance use disorders (SUDs). Despite rapid growth in this area, little is published regarding workflow, expectations of the peer role, and core components PSS intervention. This study describes these elements a national sample ED-based support intervention programs. Methods A survey was conducted assess site characteristics as part selection process National...
The increase in opioid-related overdoses has caused a decrease average life expectancy, highlighting the need for effective interventions to reduce overdose risk and prevent subsequent overdoses. Peer support specialists (PSSs) offer an appealing strategy engage survivors risk, but randomized controlled trials are needed formalize peer-led evaluate their effectiveness.
Abstract Opioid Overdose Network is an effort to generalize and adapt existing research data network, the Accrual Clinical Trials (ACT) Network, support design of trials for survivors opioid overdoses presenting emergency departments (ED). Four institutions (Medical University South Carolina [MUSC], Dartmouth Medical School [DMS], Kentucky [UK], California San Diego [UCSD]) worked ACT network. The approach that was taken enhance network focused on 4 activities: cloning extending...
for EM programs
<sec> <title>BACKGROUND</title> The increase in opioid-related overdoses has caused a decrease average life expectancy, highlighting the need for effective interventions to reduce overdose risk and prevent subsequent overdoses. Peer support specialists (PSSs) offer an appealing strategy engage survivors risk, but randomized controlled trials are needed formalize peer-led evaluate their effectiveness. </sec> <title>OBJECTIVE</title> This National Institute on Drug Abuse Clinical Trials...
De Garengeot hernias, defined as a femoral hernia containing the appendix, are rare. It is even uncommon to have an incarcerated de with associated acute appendicitis. We report case of 76-year-old female presenting emergency department for right lower quadrant abdominal mass four days. Physical exam was consistent hernia. A point-of-care ultrasound revealed non-compressible, blind-ended loop bowel within sac, concerning appendicitis mass. Computed tomography abdomen and pelvis confirmed diagnosis
Abstract Background Accurate identification of opioid overdose (OOD) cases in electronic healthcare record (EHR) data is an important element surveillance, empirical research, and clinical intervention. We sought to improve existing OOD phenotypes by incorporating new types beyond diagnostic codes applying several statistical machine learning methods. Materials Methods developed EHR dataset emergency department visits involving or patients considered at risk for ascertained true status...
Introduction: Although emergency medicine (EM) residency program directors (PD) have multiple sources to evaluate each applicant, some programs await the release of medical student performance evaluation (MSPE) extend interview offers. While prior studies demonstrated that MSPE content is variable and selectively positive, no work has evaluated impact on likelihood invite (LTI) applicants for a interview. This study aimed how information in impacted LTI, with hypothesis changes LTI would be...
This study examines the feasibility and utility of integrating coronary computed tomography angiography HEART Pathway into a novel accelerated diagnostic protocol-called HEART-CT-and assesses its impact as an optional interactive decision support tool (smart form) in electronic health record.This was retrospective observational performed 2 adult emergency departments (ED) among patients evaluated for suspected acute syndrome. Primary outcomes included rate discharge from ED following...