A5036622843- Electronic Health Records Systems
- Cardiac, Anesthesia and Surgical Outcomes
- Genomics and Rare Diseases
- Ethics in Clinical Research
- Healthcare Technology and Patient Monitoring
- BRCA gene mutations in cancer
- Acute Myocardial Infarction Research
- Health Literacy and Information Accessibility
- Healthcare Policy and Management
- Mobile Health and mHealth Applications
- Health Systems, Economic Evaluations, Quality of Life
- Health Policy Implementation Science
- Aortic Disease and Treatment Approaches
- Patient Safety and Medication Errors
- Hemodynamic Monitoring and Therapy
- Cardiovascular Function and Risk Factors
- Clinical practice guidelines implementation
- Aortic aneurysm repair treatments
- Surgical site infection prevention
- Cardiac Valve Diseases and Treatments
- Emergency and Acute Care Studies
- Sepsis Diagnosis and Treatment
- Cardiac Imaging and Diagnostics
- Healthcare Systems and Technology
- Cancer Genomics and Diagnostics
Children's Hospital of Philadelphia
2016-2025
National Human Genome Research Institute
2013
National Institutes of Health
2013
Pediatrics and Genetics
2013
Temple University Hospital
2008
University of Michigan–Ann Arbor
1997-2003
Ann Arbor Center for Independent Living
2000-2002
IBM (United States)
2002
St Vincent's Hospital Sydney
1999
ContextAcute aortic dissection is a life-threatening medical emergency associated with high rates of morbidity and mortality. Data are limited regarding the effect recent imaging therapeutic advances on patient care outcomes in this setting.ObjectiveTo assess presentation, management, acute dissection.DesignCase series patients enrolled between January 1996 December 1998. were collected at presentation by physician review hospital records.SettingThe International Registry Acute Aortic...
To improve human papillomavirus (HPV) vaccination rates, we studied the effectiveness of targeting automated decision support to families, clinicians, or both.Twenty-two primary care practices were cluster-randomized receive a 3-part clinician-focused intervention (education, electronic health record-based alerts, and audit feedback) none. Overall, 22, 486 girls aged 11 17 years due for HPV vaccine dose 1, 2, 3 randomly assigned within each practice family-focused with educational telephone...
Electronic health record (EHR)-linked patient portals are a promising approach to facilitate shared decision-making between families of children with chronic conditions and pediatricians. This study evaluated the feasibility, acceptability, impact MyAsthma, an EHR-linked portal supporting for pediatric asthma.We conducted 6-month randomized controlled trial MyAsthma at 3 primary care practices. Families were which tracks families' asthma treatment concerns goals, children's symptoms,...
Pediatric populations are uniquely vulnerable to the usability and safety challenges of electronic health records (EHRs), particularly those related medication, yet little is known about specific issues contributing hazards. To understand medication errors in care children, we analyzed 9,000 patient reports, made period 2012-17, from three different institutions that were likely EHR use. Of 3,243 (36 percent) had a issue contributed event, 609 (18.8 might have resulted harm. The general...
To assess the effects of electronic health record-based clinical decision support (CDS) and physician performance feedback on adherence to guidelines for acute otitis media (AOM) with effusion (OME).We conducted a factorial-design cluster randomized trial primary care practices (n = 24) as unit randomization visits analysis. Between December 2007 September 2010, data were collected from 139,305 made by 55,779 children aged 2 months 12 years. When activated, CDS system provided...
The technical challenges in the development of a quality-controlled registry percutaneous coronary interventions (PCIs) are currently unknown. This article describes authors' experience regional, PCI registry. In 1996, 16 centers Michigan were invited to participate multicenter Nine agreed pilot data collection and, as July 2001, eight still actively collecting data. An Oracle database was developed by coordinating center. A common form and standard set definitions on during several...
Patient portals may improve communication between families of children with asthma and their primary care providers outcomes. However, the feasibility using to collect patient-reported outcomes from barriers facilitators portal implementation across diverse pediatric settings have not been established.We evaluated a patient for in care, its impact on management, success.We conducted mixed-methods study 20 practices (11 states). Using portal, parents aged 6-12 years completed monthly surveys...
Objective Experiences sharing complex workflow-integrated clinical decision support (CDS) across health systems are sparse and not well reported. This case study presents the of a hybrid electronic record (EHR)-native SMART-compatible CDS tool for automating provision smoking cessation treatment caregivers during pediatric visits. Materials & Methods We conducted comprehensive needs assessment using socio-technical frameworks to identify workflow gaps technical requirements. A...
Abstract Background Primary care pediatricians play an important role in genetic testing, including referrals, test ordering, responding to results, assessing risk, treatment, and managing care. As testing rapidly evolves include new tests identifying patients at risk for certain conditions, alert-based clinical decision support is insufficient assisting pediatric primary providers working with patients, parents, genetics, other specialties. Supporting the return of these results requires...
Abstract Objective Sepsis recognition among infants in the Neonatal Intensive Care Unit (NICU) is challenging and delays can result devastating consequences. Although predictive models may improve sepsis outcomes, clinical adoption has been limited. Our focus was to align model behavior with clinician information needs by developing a machine learning (ML) pipeline two components: (1) predict baseline risk (2) detect evolving (dynamic) due physiologic changes. We then compared performance of...
We describe the user-centered development of an electronic medical record–based portal, "MyAsthma," designed to facilitate shared decision making in pediatric asthma. Interviews and focus groups with 7 parents children asthma 51 clinical team members elicited 2 overarching requirements: that portal should support sustained communication ensure patient safety. Parents clinicians prioritized features including collecting parent child concerns goals; symptom, side effect, medication adherence...
Develop and evaluate an interactive information visualization embedded within the electronic health record (EHR) by following human-centered design (HCD) processes leveraging modern exchange standards.We applied HCD process to develop a Fast Healthcare Interoperability Resources (FHIR) application that displays patient's asthma history clinicians in pediatric emergency department. We performed preimplementation comparative system evaluation measure time on task, number of screens, retrieval...
Abstract Background Medical errors in blood product orders and administration are common, especially for pediatric patients. A failure modes effects analysis our health care system indicated high risk from the electronic ordering process. Objectives There two objectives of this study as follows: (1) To describe differences design original order sets (original design), new designed by expert committee (DEC), a third-version developed through user-centered (UCD). (2) compare number type...
To assess the current landscape of clinical decision support (CDS) tools in PICUs order to identify priority areas focus this field.International, quantitative, cross-sectional survey.Role-specific, web-based survey administered November and December 2020.Medical directors, bedside nurses, attending physicians, residents/advanced practice providers at Pediatric Acute Lung Injury Sepsis Network-affiliated PICUs.None.The was completed by 109 respondents from 45 institutions, primarily...
Helping parents quit smoking is a public health priority. However, are rarely, if ever, offered tobacco use treatment through pediatric settings. Clinical decision support (CDS) systems developed for the workflows of primary care may consistent screening, treatment, and referral.This study aimed to develop CDS system by using human-centered design (HCD) that identifies who smoke, provides motivational messages (informed behavioral science), supports delivery evidence-based treatment.Our...