A5029532130- Patient Safety and Medication Errors
- Cardiac, Anesthesia and Surgical Outcomes
- Surgical Simulation and Training
- Simulation-Based Education in Healthcare
- Esophageal Cancer Research and Treatment
- Healthcare professionals’ stress and burnout
- Medical Malpractice and Liability Issues
- Surgical site infection prevention
- Clinical practice guidelines implementation
- Esophageal and GI Pathology
- Innovations in Medical Education
- Spine and Intervertebral Disc Pathology
- Sepsis Diagnosis and Treatment
- Orthopedic Infections and Treatments
- Diagnosis and Treatment of Venous Diseases
- Simulation and Modeling Applications
- Clinical Nutrition and Gastroenterology
- Occupational Health and Safety Research
- Emergency and Acute Care Studies
- Nutrition and Health in Aging
- Intensive Care Unit Cognitive Disorders
- Enhanced Recovery After Surgery
- Embedded Systems Design Techniques
- Respiratory Support and Mechanisms
- Anesthesia and Neurotoxicity Research
University of North Carolina at Chapel Hill
2022-2025
University of North Carolina Hospitals
2021
University of Florida
2017-2019
Florida College
2017-2019
University of North Florida
2018
Hospital of the University of Pennsylvania
2008
Background Burnout negatively impacts healthcare professionals’ well-being, leading to an increased risk of human errors and patient harm. There are limited assessments burnout associated stressors among acute care trauma surgery teams. Methods Acute team members at a US academic medical center were administered survey that included 2-item Maslach Inventory 21 workplace based on the National Academy Medicine’s systems model clinician professional well-being. Stressors summarized presented...
BACKGROUND Craniofacial trauma affects approximately 3 million individuals in the United States annually. Historically, low overall data quality and inadequate sample size have limited development of clinical practice guidelines for prophylactic antibiotic use facial fractures. We sought to examine current patterns effects antibiotics non-operative METHODS A prospective analysis adult patients with nonoperative fractures was conducted across 19 centers from January 2022 December 2023....
The burden of postoperative adverse events (AE) weighs immediately on the patient as unanticipated stress and healthcare system unreimbursed cost. Applying Clavien-Dindo (C-D) AE gradation a surrogate cost, we analyzed 4 years' data from single-state National Surgical Quality Improvement Program (NSQIP) collaboration, hypothesizing that trends were consistent over time more frequently performed cases would be associated with less minor AE.The NSQIP defined AEs, consisting 21 listed...
Preventable surgical errors of varying degrees physical, emotional, and financial harm account for a significant number adverse events. These are frequently tied to systemic problems within health care system, including the absence necessary policies/procedures, obstructive cultural hierarchy, communication breakdown between staff. We developed an innovative, theory-based virtual reality (VR) training promote understanding sensemaking toward holistic view culture patient safety high reliability.
Dexmedetomidine is an alpha-2 agonist sedative and analgesic used in anesthesia practice, it has become more prevalent the critically ill patients requiring short-term mechanical ventilation. While dexmedetomidine known to have minimal effects on respiratory drive, been well-documented cause bradycardia hypotension, especially with existing comorbidities. We present a patient without cardiovascular comorbidities who was surgical ICU under sedation. The went into asystole cardiac arrest after...
Approximately 4000 preventable surgical errors occur per year in the US operating rooms, many due to suboptimal teamwork and safety behaviors. Such can result temporary or permanent harm patients, including physical injury, emotional distress, even death, also adversely affect care providers, often referred as "second victim." Given persistence of adverse events objective this study was quantify effect an innovative immersive virtual reality (VR)-based educational intervention on (1)...
<sec> <title>BACKGROUND</title> Approximately 4000 preventable surgical errors occur per year in the US operating rooms (ORs), many due to suboptimal teamwork and safety behaviors. </sec> <title>OBJECTIVE</title> There is a need develop quantify effect of innovative immersive training intervention on behaviors surgeons (ORs). <title>METHODS</title> This pilot study was conducted large academic medical center with 55 ORs. Safety were observed quantified using validated Teamwork Evaluation...
There is a need for improved methodologies on how to longitudinally analyze, interpret and learn from the Surveys Patient Safety Culture™ (SOPS), developed by Agency Healthcare Research Quality (AHRQ). Typically, SOPS quantify results percentage of positive responses, but this approach may miss insights neutral or negative feedback.