A5007675513- Patient Safety and Medication Errors
- Medical Malpractice and Liability Issues
- Clinical Reasoning and Diagnostic Skills
- Emergency and Acute Care Studies
- Healthcare Policy and Management
- Healthcare cost, quality, practices
- Family and Patient Care in Intensive Care Units
- Hospital Admissions and Outcomes
- Sepsis Diagnosis and Treatment
- Cardiac Arrest and Resuscitation
- Healthcare Quality and Management
- Innovations in Medical Education
- Ear Surgery and Otitis Media
- Primary Care and Health Outcomes
- Patient-Provider Communication in Healthcare
- Nasal Surgery and Airway Studies
- Mental Health and Psychiatry
- Clinical practice guidelines implementation
- Respiratory and Cough-Related Research
- Empathy and Medical Education
- Cutaneous Melanoma Detection and Management
- Sinusitis and nasal conditions
- Cardiac, Anesthesia and Surgical Outcomes
- Dialysis and Renal Disease Management
- Health Systems, Economic Evaluations, Quality of Life
University Surgical Associates
2021-2022
Columbia College - South Carolina
2020
National Patient Safety Foundation
2019-2020
University of North Texas
2018
Michael E. DeBakey VA Medical Center
2018
Baylor College of Medicine
2018
Center for Innovation
2018
Amsterdam UMC Location University of Amsterdam
2018
Augusta University Health
2018
University of North Texas Health Science Center
2018
Insertion of tympanostomy tubes is the most common ambulatory surgery performed on children in United States. Tympanostomy are often inserted because persistent middle ear fluid, frequent infections, or infections that persist after antibiotic therapy. Despite frequency tube insertion, there currently no clinical practice guidelines States address specific indications for surgery. This guideline intended any clinician involved managing children, aged 6 months to 12 years, with being...
Abstract Objective To determine whether medical errors, family experience, and communication processes improved after implementation of an intervention to standardize the structure healthcare provider-family on centered rounds. Design Prospective, multicenter before study. Setting Pediatric inpatient units in seven North American hospitals, 17 December 2014 3 January 2017. Participants All patients admitted study (3106 admissions, 13171 patient days); 2148 parents or caregivers, 435 nurses,...
<h3>Importance</h3> Medical errors and adverse events (AEs) are common among hospitalized children. While clinician reports the foundation of operational hospital safety surveillance a key component multifaceted research surveillance, patient family not routinely gathered. We hypothesized that novel family-reporting mechanism would improve incident detection. <h3>Objective</h3> To compare error AE rates (1) gathered systematically with vs without reporting, (2) reported by families...
Diagnostic error research has largely focused on individual clinicians' decision making and system design, while overlooking information from patients. We analyzed a unique new data source of patient- family-reported narratives to explore factors that contribute diagnostic errors. From reports adverse medical events submitted in the period January 2010-February 2016, we identified 184 patient error. Problems related patient-physician interactions emerged as major contributors. Our analysis...
RATIONALE: Clinical deterioration of patients hospitalized outside the ICU is a source potentially reversible morbidity and mortality. To address this, some acute care hospitals have implemented systems aimed at detecting responding to such patients. OBJECTIVES: provide evidence-based recommendations for hospital clinicians administrators optimize recognition response clinical in non-ICU PANEL DESIGN: The 25-member panel included representatives from medicine, nursing, respiratory therapy,...
The American Academy of Otolaryngology—Head and Neck Surgery Foundation (AAO‐HNSF) has published a supplement to this issue featuring the new Clinical Practice Guideline: Tympanostomy Tubes in Children. To assist implementing guideline recommendations, article summarizes rationale, purpose, key action statements. 12 recommendations developed address patient selection, surgical indications for management tympanostomy tubes children. development group broadly discussed tube placement,...
Aims/Background Martha's rule stipulates the right of patients and their families to escalate care as a way improve safety while in hospital. This article analyses possible impact proposed policy through lens behaviour change framework explores new opportunities presented by implementation rule.. Methods A descriptive analysis was undertaken interactions between patients, family, friends clinicians during clinical deterioration The capability–opportunity–motivation applied understand reasons...
<sec> <title>BACKGROUND</title> Individuals with spinal cord injury or disease (SCI/D) experience disproportionately high rates of recurrent urinary tract infections (UTIs), which are often complicated by atypical symptoms and delayed diagnoses. Patient-centered tools, like the Urinary Symptom Questionnaires for Neurogenic Bladder (USQNB), have been developed to support symptom assessment yet remain underutilized. Generative AI such as ChatGPT, may offer a more usable approach improving...
The American Academy of Otolaryngology—Head and Neck Surgery Foundation (AAO‐HNSF) has published a supplement to this issue featuring the updated Clinical Practice Guideline: Acute Otitis Externa, as Otolaryngology–Head . To assist in implementing guideline recommendations, article summarizes rationale, purpose, key action statements. 8 recommendations developed address appropriate diagnosis acute otitis externa (AOE) use oral topical antimicrobials highlight need for adequate pain relief....
BACKGROUND AND OBJECTIVES Patient and Family Centered I-PASS (PFC I-PASS) emphasizes family nurse engagement, health literacy, structured communication on family-centered rounds organized around the framework (Illness severity-Patient summary-Action items-Situational awareness-Synthesis by receiver). We assessed adherence, safety, experience after implementing PFC using a novel “Mentor-Trio” implementation approach with multidisciplinary parent-nurse-physician teams coaching sites. METHODS...
RATIONALE: Clinical deterioration of patients hospitalized outside the ICU is a source potentially reversible morbidity and mortality. To address this, some acute care facilities have implemented systems aimed at detecting responding to such patients. OBJECTIVES: provide evidence-based recommendations for hospital clinicians administrators optimize recognition response clinical in non-ICU PANEL DESIGN: The 25-member panel included representatives from medicine, nursing, respiratory therapy,...
Diagnostic excellence refers to the optimal process attain an accurate and precise explanation about a patient's condition incorporates perspectives of patients their care partners. Patient-reported measures (PRMs), designed capture patient-reported information, have potential contribute achieving diagnostic excellence. We aimed craft set roadmaps illustrating goals guiding development PRMs for ("Roadmaps").
Diagnostic errors - inaccurate or untimely diagnoses failures to communicate are harmful and costly for patients health systems. disparities occur when diagnostic experienced at disproportionate rates by certain patient subgroups based, example, on patients' age, sex/gender, race/ethnicity. We aimed develop test the feasibility of a human centered design workshop series that engages diverse stakeholders solutions mitigating disparities.We employed workshops supplemented semi-structured...
BACKGROUND AND OBJECTIVES Hospitalized children with medical complexity (CMC) are at high risk of errors. Their families an underutilized source hospital safety data. We evaluated concerns from hospitalized CMC and patient/parent characteristics associated family concerns. METHODS conducted a 12-month prospective cohort study English- Spanish-speaking parents/staff on 5 units caring for complex care patients tertiary children’s hospital. Parents completed experience surveys predischarge....