A5081125275- Emergency and Acute Care Studies
- Opioid Use Disorder Treatment
- Healthcare professionals’ stress and burnout
- Digital Mental Health Interventions
- Patient Satisfaction in Healthcare
- COVID-19 and Mental Health
- Pain Management and Opioid Use
- Advanced Causal Inference Techniques
- Healthcare Policy and Management
- Anesthesia and Pain Management
- Primary Care and Health Outcomes
- Mobile Health and mHealth Applications
- Sepsis Diagnosis and Treatment
- Telemedicine and Telehealth Implementation
- Cardiac Arrest and Resuscitation
- Healthcare Systems and Technology
- Statistical Methods and Inference
- Substance Abuse Treatment and Outcomes
- Innovations in Medical Education
- Migration, Health and Trauma
- Clinical Reasoning and Diagnostic Skills
- Family and Patient Care in Intensive Care Units
- Hospital Admissions and Outcomes
- Patient-Provider Communication in Healthcare
- Misinformation and Its Impacts
University of Pennsylvania
2015-2025
University of Pennsylvania Health System
2018-2025
Penn Center for AIDS Research
2019-2024
Toronto Metropolitan University
2023
University of Engineering & Management
2023
Institute of Engineering
2023
IIT@MIT
2022
Pennsylvania Hospital
2022
Philadelphia University
2021
Penn Presbyterian Medical Center
2019
Importance Numerous Black individuals experience racism persistently throughout their lives, with repercussions extending into health care settings. The perspectives of regarding emergency department (ED) care, racism, and patient-centered approaches for dismantling structural remain less explored. Objective To qualitatively explore the experiences patients related to race, following a recent ED visit. Design, Setting, Participants In this qualitative study, audio from semistructured...
Importance Behavioral flags in the electronic health record (EHR) are designed to alert clinicians of potentially unsafe or aggressive patients. These may introduce bias, and understanding how they used is important ensure equitable care. Objective To investigate incidence behavioral assess whether there were differences between Black White patients associated with emergency department (ED) clinical Design, Setting, Participants This was a retrospective cohort study EHR data adult (aged ≥18...
Background— More than 300 000 out-of-hospital cardiac arrests (OHCA) occur each year in the United States. The relationship between time of day and OHCA outcomes prehospital setting is unknown. Any such association may have important implications for emergency medical services resource allocation. Methods Results— We performed a retrospective review arrest data from large, urban system. Included were occurring adults January 2008 to February 2012. Excluded traumatic cases which resuscitation...
Hematoma associated with epidural catheterization is rare, but the diagnosis might be suspected relatively frequently. We sought to estimate incidence of hematoma after and determine cost excluding or diagnosing an through radiologic imaging.We conducted electronic retrospective chart review 43,200 patient charts using 4 distinct search strategies analysis, all from a single academic institution 2001 2009. The were reviewed for use imaging studies identify patients confirmed hematomas. Costs...
<h3>Importance</h3> Gamification is increasingly being used for health promotion but has not been well tested with financial incentives or among veterans. <h3>Objective</h3> To test the effectiveness of gamification social support, and without a loss-framed incentive, to increase physical activity veterans classified as having overweight obesity. <h3>Design, Setting, Participants</h3> This 3-group randomized clinical trial had 12-week intervention period an 8-week follow-up period....
The health care workforce continues to experience high rates of depression and anxiety. Finding ways effectively support the mental well-being workers is challenging.
Prescription opioids after surgery may pose a risk if left unused. However, prescribers rely on their best judgement in determining how much patients need, often resulting over-prescription of these medications. Opioid disposal is strategy to reduce the persistent use or misuse opioids. At-home kits allow safely dispose leftover In this study, we assess impact opioid rates orthopedic surgery. difference-in-differences study 1,321 eligible patients, were associated with 10.6 percentage point...
Providing feedback to clinicians on their prescribing is a promising approach right-sizing opioid prescriptions. The present research investigated the perceived acceptability, appropriateness, helpfulness, and areas for improvement of monthly report providing surgical postoperative relative guidelines, peer prescribing, patient-reported pills taken, as well ability manage pain. Between January May 2023, surgeons, advanced practice providers, residents who recently received these reports part...
INTRODUCTION: Evidence-based opioid prescribing guidelines have resulted in reductions postoperative prescription size without offsetting increases patient-initiated refills. While there is extensive literature detailing usage and guideline implementation other specialties, data for neurosurgical patients been limited to date. METHODS: We conducted a prospective study of use patient-reported outcomes 1,215 elective spine peripheral nerve cases between December 2018 March 2022, with the...
Abstract Background To combat increasing levels of violence in the emergency department (ED), hospitals have implemented several safety measures, including behavioral flags. These electronic health record (EHR)‐based notifications alert future clinicians past incidents potentially threatening patient behavior, but observed racial disparities their placement may unintentionally introduce bias care. Little is known about how patients perceive these flags and that been found placement....
Objective To evaluate whether there is an association between intervention to reduce medical bed occupancy and performance on the 4-hour target hospital mortality. Methods This before-and-after study was undertaken in a large UK District General Hospital over 32 month period. A range of interventions were within Trust. Performance mortality (hospital standardised ratio (HSMR), summary hospital-level indicator (SHMI) crude mortality) compared before, after, intervention. Daily data percentage...
The quick sequential organ failure assessment (qSOFA) score has been proposed as a means to rapidly identify adult patients with suspected infection, in pre-hospital, Emergency Department (ED), or general hospital ward locations, who are high-risk category increased likelihood of "poor outcomes:" greater than 10% chance dying an spending 3 more days the ICU. This is intended replace use systemic inflammatory response syndrome (SIRS) criteria screening tool; however, its role ED and...
Emergency nurses experience high levels of workplace violence during patient interactions. Little is known about the efficacy behavioral flags, which are notifications embedded within electronic health records (EHRs) as a tool to promote clinician safety.To explore perspectives emergency on EHR safety, and care.In this qualitative study, semistructured interviews were conducted with at an academic, urban department (ED) between February 8 March 25, 2022. Interviews audio recorded,...
<h3>Importance</h3> Surgeons must balance management of acute postoperative pain with opioid stewardship. Patient-centered methods that immediately evaluate and consumption can be used to guide prescribing shared decision-making. <h3>Objective</h3> To assess the difference between number tablets prescribed self-reported taken as well intensity ability manage after orthopedic urologic procedures use an automated text messaging system. <h3>Design, Setting, Participants</h3> This quality...
Background As policy makers continue to shape the national and local responses COVID-19 pandemic, information they choose share how frame their content provide key insights into public health care systems. Objective We examined language used by members of US House Senate during first 10 months pandemic measured sentiment based on tweets that shared. Methods Quorum (Quorum Analytics Inc) access more than 300,000 posted legislators from January 1 October 10, 2020. differential analyses compare...
Protocol-based resuscitation strategies in the Emergency Department (ED) improve survival for out-of-hospital cardiac arrest (OHCA) and severe sepsis but implementation has been inconsistent.To determine feasibility of a real-time provider-to-provider telemedical intervention treatment OHCA sepsis.A three-center pilot study utilizing "hub-spoke model" with an academic medical center acting both as hub teleconsultation well spoke hospital enrolling patients. Eligible patients were adults...