A5013539244- Emergency and Acute Care Studies
- Palliative Care and End-of-Life Issues
- Food Security and Health in Diverse Populations
- Ectopic Pregnancy Diagnosis and Management
- Health disparities and outcomes
- HIV/AIDS Research and Interventions
- COVID-19 and healthcare impacts
- Disaster Response and Management
- Primary Care and Health Outcomes
- Family and Patient Care in Intensive Care Units
- Cardiac Arrest and Resuscitation
- Ultrasound in Clinical Applications
- Migration, Health and Trauma
- Patient Dignity and Privacy
- Trauma and Emergency Care Studies
- Hospital Admissions and Outcomes
- Health and Medical Research Impacts
- Injury Epidemiology and Prevention
- Diversity and Career in Medicine
- Opioid Use Disorder Treatment
- Prenatal Substance Exposure Effects
- LGBTQ Health, Identity, and Policy
- Homicide, Infanticide, and Child Abuse
- Health, Environment, Cognitive Aging
- Chronic Kidney Disease and Diabetes
Boston University
2021-2025
Health Resources and Services Administration
2025
University of Massachusetts Lowell
2025
AIDS United
2025
Women & Infants Hospital of Rhode Island
2024
Providence College
2024
Brigham and Women's Hospital
2021-2023
Boston Medical Center
2019-2023
University of Oxford
2023
Harvard University
2021
Objectives. To examine the effects of replicating a bundled package evidence-informed interventions on social determinants, HIV health outcomes, and health-related quality life (HRQoL) for 697 Black cisgender transgender women with across 12 US sites from 2021 to 2023. Methods. Women participated in minimum 2 interventions. We collected self-reported HRQoL determinants via interview at baseline, 6 months, months. retention care viral suppression medical chart review. examined by gender...
Patient navigation is an evidence-based intervention for reducing delays in cancer care underserved populations. There are limited economic evaluations of patient the US health system and few have considered costs at various phases along implementation spectrum. Having data, including cost savings, can support sustainability programs. This study presents findings from a activity analysis citywide hospital-based program to engage women timely breast treatment post-diagnosis.
Introduction: Current recommendations for diagnostic imaging moderately to severely ill patients with suspected coronavirus disease 2019 (COVID-19) include chest radiograph (CXR). Our primary objective was determine whether lung ultrasound (LUS) B-lines, when excluding alternative etiologies are more sensitive the associated diagnosis of COVID-19 than CXR.Methods: This a retrospective cohort study all who presented single, academic emergency department in United States between March 20 and...
Importance Despite the benefits of goals-of-care (GOC) communication, many hospitalized individuals never communicate their goals or preferences to clinicians. Objective To assess whether a GOC video intervention delivered by palliative care educators (PCEs) increased rate documentation. Design, Setting, and Participants This pragmatic, stepped-wedge cluster randomized clinical trial included patients aged 65 years older admitted 1 14 units at 2 urban hospitals in New York Boston from July...
Abstract Study objective To determine the prevalence of false negative point‐of‐care (POC) urine pregnancy tests among emergency department (ED) patients and those with abdominal pain or vaginal bleeding. Methods We identified all female patients, ages 14–50 years without prior hysterectomy who had a POC test (beta subunit human chorionic gonadotropin [β‐hCG]) performed by trained clinical staff in ED between September 1, 2017 December 31, 2018, as well subgroup we defined priori “high risk”...
Background Racial inequities in mortality and readmission for heart failure (HF) are well documented. Inequitable access to specialized cardiology care during admissions may contribute inequity, the drivers of this inequity poorly understood. Methodology This prospective observational study explored proposed racial among Black, Latinx, white adults presenting emergency department (ED) with symptoms HF. Surveys ED providers examined perceptions patient self-advocacy, outreach other clinicians...
Introduction Despite the known benefit to patients and families, discussions about goals, values preferences for medical care in advancing serious illness often do not occur. Many system clinician factors, such as patient reticence shortage of specialty palliative teams, contribute this lack communication. To address gap, we designed an intervention promote goals-of-care conversations referrals hospital setting by using trained educators video decision aids. This paper presents rationale,...
The federally funded Region 1 Regional Disaster Health Response System (RDHRS) and the American Burn Association partnered to develop a model regional disaster teleconsultation system within Medical Emergency Operations Center (MEOC) support triage specialty consultation during no-notice mass casualty incident. Our objective was test acceptability feasibility of prototype in simulated disasters as proof concept.
Resident attrition negatively affects residents and programs. The incidence of in emergency medicine (EM) program-specific factors associated with remain unclear.We quantified the percentage EM residencies affected by between 2007 2016 identified attrition.We performed a retrospective analysis data derived from American Medical Association National Graduate Education Census. We defined as any postgraduate who left their residency training program prior to completion. calculated programs that...
The aim of this study was to determine the involvement emergency medicine physicians at academic medical centers across United States as well their background training, roles in hospital, and compensation if applicable for time dedicated preparedness.A structured survey delivered by means email 109 Chairs Emergency Medicine centers. Unique links were provided track response rate entered into REDCap database. Descriptive statistics obtained, including preparedness, compensation.Forty-four...
Despite the burdens that resident attrition places upon programs and fellow trainees, emergency medicine (EM) as a specialty has only begun to explore issue. Our primary objectives were quantify in EM residency elucidate reasons behind it. secondary describe demographic characteristics of residents undergoing attrition, personal factors associated with methods replacement.We conducted national survey study all program directors (PDs) during 2018-2019 academic year. PDs asked identify who had...
Introduction: There is concern about the initiation of opiates in healthcare settings due to risk future misuse. Although opiate medications have historically been at core prehospital pain management, several states are introducing non-opiate alternatives care. Prior studies suggest that analgesics non-inferior for many acute complaints, yet there little literature describing practice patterns management Our goal was describe and attitudes paramedics toward after introduction non-opiates a...
Abstract Background Social needs inhibit receipt of timely medical care. screening is a vital part comprehensive cancer care, and patient navigators are well-positioned to screen for address social needs. This mixed methods project describes implementation in prospective pragmatic navigation intervention trial minoritized women newly diagnosed with breast cancer. Methods Translating Research Into Practice (TRIP) was conducted at five care sites Boston, MA from 2018 2022. The protocol...
Evidence-based and evidence-informed interventions designed to address gaps in the HIV care continuum have potential improve treatment. However, inadequate organizational readiness can derail intervention uptake, prevent integration of interventions, contribute suboptimal treatment outcomes. This study sought understand implement bundled for Black women with inform facilitators barriers implementation. We conducted a mixed methods assessment across 12 sites participating Women First (BWF)...
Abstract Objectives If a patient wishes to refuse treatment in the prehospital setting, providers and consulting emergency physicians must establish that possesses capacity do so. The objective of this study is assess agreement among performing assessments. Methods This involved 139 28 medicine physicians. Study participants listened 30 medical control calls pertaining were asked interpret whether patients scenarios had treatment. Participants also reported their comfort level using modified...
COVID-19 symptoms vary widely. This retrospective study assessed which of three clinical screening tools-a nursing triage screen (NTS), an ED review systems (ROS) performed by physicians and physician assistants a standardised attending (ie, consultant) probability assessment (PA)-best identified patients with on subsequent reverse transcription PCR (RT-PCR) confirmation.All admitted to Boston Medical Center from the between 27 April 2020 17 May were included. Sensitivity, specificity...
Boston Medical Center (BMC), a safety-net hospital, treated substantial portion of the cohort that was sick with COVID-19. Unfortunately, these patients experienced high rates morbidity and mortality given significant health disparities many BMC's face. launched palliative care extender program to help address needs critically ill ED under crisis conditions. In this evaluation our goal assess outcomes between those who received in emergency department (ED) vs as an inpatient or were admitted...