Nicholas Genes

ORCID: 0000-0002-9836-2477
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About
Contact & Profiles
Research Areas
  • Electronic Health Records Systems
  • Emergency and Acute Care Studies
  • Healthcare Systems and Technology
  • Healthcare Policy and Management
  • Trauma and Emergency Care Studies
  • Health Sciences Research and Education
  • Radiology practices and education
  • Palliative Care and End-of-Life Issues
  • Social Media in Health Education
  • Health Literacy and Information Accessibility
  • Data-Driven Disease Surveillance
  • Mobile Health and mHealth Applications
  • Topic Modeling
  • Ethics in Clinical Research
  • Medical Coding and Health Information
  • Artificial Intelligence in Healthcare and Education
  • Primary Care and Health Outcomes
  • Nursing Diagnosis and Documentation
  • COVID-19 Clinical Research Studies
  • Disaster Response and Management
  • Clinical practice guidelines implementation
  • Intestinal and Peritoneal Adhesions
  • Microscopic Colitis
  • Hernia repair and management
  • COVID-19 and healthcare impacts

New York University
2022-2025

NYU Langone Health
2024-2025

Columbia University
2010-2022

NewYork–Presbyterian Hospital
2010-2022

Mount Sinai Hospital
2010-2022

New York Hospital Queens
2010-2022

Denver Health Medical Center
2022

Health and Hospital Corporation
2022

University of Colorado Denver
2010-2022

Mount Sinai Hospital
2014-2022

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...

10.1001/jamainternmed.2020.3288 article EN cc-by JAMA Internal Medicine 2020-08-03

Over one million patients per year undergo some type of procedure involving cartilage reconstruction. Polymer hydrogels, such as alginate, have been shown to be effective carriers for chondrocytes in subcutaneous formation. The goal our current study was develop a method create complex structures (nose bridge, chin, etc.) with good dimensional tolerance form specific shapes. Molds facial implants were prepared using Silastic ERTV. Suspensions 2% alginate gelled by mixing CaSO4 (0.2 g/mL) and...

10.1002/1097-4636(20010615)55:4<503::aid-jbm1043>3.0.co;2-s article EN Journal of Biomedical Materials Research 2001-01-01

The opioid epidemic in the United States is averaging over 100 deaths per day due to overdose. effectiveness of opioids as pain treatments, and drug-seeking behavior addicts, leads physicians issue 200 million prescriptions every year. To better understand biomedical profile opioid-dependent patients, we analyzed information from electronic health records (EHR) including lab tests, vital signs, medical procedures, prescriptions, other data millions patients predict substance dependence. We...

10.1186/s13040-019-0193-0 article EN cc-by BioData Mining 2019-01-29

10.1016/j.jemermed.2012.11.042 article EN Journal of Emergency Medicine 2013-03-07

Patient-generated health data (PGHD), collected from mobile apps and devices, represents an opportunity for remote patient monitoring timely interventions to prevent acute exacerbations of chronic illness-if are seen shared by care teams. This case report describes the technical aspects integrating a popular smartphone platform commonly used EHR vendor explores challenges potential this approach disease management. Consented subjects using Asthma Health app (built on Apple's ResearchKit...

10.1038/s41746-018-0030-8 article EN cc-by npj Digital Medicine 2018-05-14

<h3>Importance</h3> There has been a significant increase in the implementation and dissemination of geriatric emergency department (GED) programs. Understanding costs associated with patient care would yield insight into direct financial value for patients, hospitals, health systems, payers. <h3>Objective</h3> To evaluate association GED programs Medicare per beneficiary. <h3>Design, Setting, Participants</h3> This cross-sectional study included data on fee-for-service beneficiaries at 2...

10.1001/jamanetworkopen.2020.37334 article EN cc-by-nc-nd JAMA Network Open 2021-03-01

Abstract Objectives To evaluate the proficiency of a HIPAA-compliant version GPT-4 in identifying actionable, incidental findings from unstructured radiology reports Emergency Department patients. assess appropriateness artificial intelligence (AI)-generated, patient-facing summaries these findings. Materials and Methods Radiology extracted electronic health record large academic medical center were manually reviewed to identify non-emergent, with high likelihood requiring follow-up, further...

10.1093/jamia/ocae117 article EN public-domain Journal of the American Medical Informatics Association 2024-05-23

Clinical documentation in the United States has grown longer and more difficult to read, a phenomenon described as "note bloat." This issue is especially pronounced emergency medicine, where high diagnostic uncertainty brief evaluations demand focused, efficient chart review inform decision-making. Note bloat arises from multiple factors: efforts enhance billing, mitigate malpractice risk, leverage electronic health record tools that improve speed completeness. We discuss best practices...

10.1016/j.acepjo.2024.100031 article EN cc-by-nc-nd Journal of the American College of Emergency Physicians Open 2025-01-13

Increased alcohol consumption has been proposed as a potential consequence of the coronavirus disease 2019 (COVID-19) pandemic. There little scrutiny use behaviors resulting in hospital visits, which is essential to guide pandemic public policy. We aimed determine whether COVID-19 peak restrictions were associated with increased visits for or withdrawal. Secondary objectives describe differences based on age, sex and race, examine alcohol-related complication incidence.Multi-center,...

10.1111/add.15589 article EN Addiction 2021-06-01

Abstract Importance Large language models (LLMs) are crucial for medical tasks. Ensuring their reliability is vital to avoid false results. Our study assesses two state-of-the-art LLMs (ChatGPT and LlaMA-2) extracting clinical information, focusing on cognitive tests like MMSE CDR. Objective Evaluate ChatGPT LlaMA-2 performance in CDR scores, including associated dates. Methods data consisted of 135,307 notes (Jan 12th, 2010 May 24th, 2023) mentioning MMSE, CDR, or MoCA. After applying...

10.1101/2023.07.10.23292373 preprint EN cc-by medRxiv (Cold Spring Harbor Laboratory) 2023-07-12

This cross-sectional study examines secure messaging patterns among health care professionals in the internal medicine inpatient setting.

10.1001/jamanetworkopen.2023.49136 article EN cc-by-nc-nd JAMA Network Open 2023-12-26

Abstract Background In 2011, the American Board of Medical Specialties established clinical informatics (CI) as a subspecialty in medicine, jointly administered by Pathology and Preventive Medicine. Subsequently, many institutions created CI fellowship training programs to meet growing need for informaticists. Although share similar features, there is considerable variation program funding administrative structures. Objectives The aim our study was characterize including governance...

10.1055/a-2237-8309 article EN Applied Clinical Informatics 2024-01-01

In the emergency department (ED), certain anatomical and physiological airway characteristics may predispose patients to tracheal intubation complications poor outcomes. We hypothesized that both anatomically difficult airways (ADAs) physiologically (PDAs) would have lower first-attempt success than with neither in a cohort of ED intubations.

10.1213/ane.0000000000006828 article EN Anesthesia & Analgesia 2024-02-09

Ensuring reliability of Large Language Models (LLMs) in clinical tasks is crucial. Our study assesses two state-of-the-art LLMs (ChatGPT and LlaMA-2) for extracting information, focusing on cognitive tests like MMSE CDR. data consisted 135,307 notes (Jan 12th, 2010 to May 24th, 2023) mentioning MMSE, CDR, or MoCA. After applying inclusion criteria 34,465 remained, which 765 underwent ChatGPT (GPT-4) LlaMA-2, 22 experts reviewed the responses. successfully extracted CDR instances with dates...

10.1371/journal.pdig.0000685 article EN cc-by PLOS Digital Health 2024-12-11
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