A5055818430- Palliative Care and End-of-Life Issues
- Childhood Cancer Survivors' Quality of Life
- Geriatric Care and Nursing Homes
- Cancer survivorship and care
- Family and Patient Care in Intensive Care Units
- Patient-Provider Communication in Healthcare
- Patient Dignity and Privacy
- Family Support in Illness
- HIV/AIDS Research and Interventions
- Pharmacological Effects and Toxicity Studies
- Evaluation and Performance Assessment
- Cancer Treatment and Pharmacology
- Ethics in medical practice
- Clinical Reasoning and Diagnostic Skills
- Intensive Care Unit Cognitive Disorders
- Healthcare Policy and Management
- Ion channel regulation and function
- Global Health Workforce Issues
- Innovations in Medical Education
- Physiological and biochemical adaptations
- Plant Parasitism and Resistance
- Congenital Heart Disease Studies
- Ethics and Legal Issues in Pediatric Healthcare
- Central Venous Catheters and Hemodialysis
- Venous Thromboembolism Diagnosis and Management
University of Washington
2016-2025
Fred Hutch Cancer Center
2023
University of California, San Francisco
2022
Montefiore Health System
2019
Albert Einstein College of Medicine
2011-2017
Yeshiva University
2015
Montefiore Medical Center
2011-2015
Grinnell College
2001-2013
University of Guelph
1993
The reproductive assurance hypothesis posits that selection favors self-pollination in flowering plants where mates and/or pollinators are scarce. A corollary is self-pollinating populations expected to be superior colonizers of mate- and pollinator-scarce environments. California annual Clarkia xantiana includes outcrossing (ssp. xantiana) autogamously parviflora). Outcrossing ancestral, the subspecies have parapatric distributions with a narrow contact zone. We tested aspects by examining...
Although racial/ethnic minorities receive more intense, nonbeneficial healthcare at the end of life, role race/ethnicity independent other social determinants health is not well understood.Examine association between race/ethnicity, key health, and intensity in last 30 days life for those with chronic, life-limiting illness.We identified 22,068 decedents chronic illness cared a single system Washington State who died 2010 2015 linked electronic records to death certificate data.Binomial...
Background: As our population ages and the burden of chronic illness rises, there is increasing need to implement quality metrics that measure benchmark care seriously ill, including delivery both primary specialty palliative care. Such can be used drive improvement, value-based payment, accountability for population-based outcomes. Methods: In this article, we examine use electronic health record (EHR) as a tool assess serious through narrative review description program in large healthcare...
Limited data exist on factors associated with early quality of life (QOL) response to palliative care (PC) in patients undergoing hematopoietic cell transplantation (HCT). We conducted a secondary analysis from two randomized clinical trials PC versus usual adults hematologic malignancies HCT. measured patient-reported QOL, physical and psychological symptoms, coping (categorized as approach-oriented avoidant) at time HCT admission, 2-weeks, 3- 6- months post-HCT. clinicians completed weekly...
Rationale: Although expert communication between intensive care unit clinicians with patients or surrogates improves patient- and family-centered outcomes, fellows in critical medicine do not feel adequately trained to conduct family meetings.Objectives: We aimed develop, implement, evaluate a skills program that could be easily integrated into U.S. fellowship.Methods: developed four simulation cases provided challenges commonly face. For each case, we list of directly observable tasks used...
Abstract Objectives Music therapy has been shown to be effective for reducing anxiety and pain in people with a serious illness. Few studies have investigated the feasibility of integrating music into general inpatient care seriously ill, including diverse, multiethnic patients. This leaves deficit knowledge intervention planning. study effectiveness introducing patients on 4 units large urban medical center. Capacitated incapacitated palliative care, transplantation, intensive medicine...
Objective Overall health care resource utilization by adults with congenital heart disease has increased dramatically in the past two decades, yet little is known about patterns at end of life. The objective this study to better understand and influences on end-of-life intensity for disease. Methods We identified a sample (n = 65), cancer 10 784), or failure 3809) who died between January 2010 December 2015, cared one multi-hospital system. used multivariate analysis evaluate markers...
Background: Palliative care consultation improves quality of through symptom management, communication, coordination, and earlier hospice referral, it may decrease burdensome hospital readmissions at the end life. Objectives: To compare 30-day readmission rates for patients admitted with exacerbation congestive heart failure (CHF) receiving palliative services compared controls. Design: Retrospective cohort study using propensity score matching. A secondary, subgroup analysis consults an...
Objective: To evaluate the association between number of chronic conditions and hospital utilization at end life. Background: An understanding multimorbidity with health care life may inform interventions to improve quality for these patients. Methods: A mortality follow-back analysis using Washington State death records electronic records. Subject included patients in UW Medicine system who had least one condition died 2010 2015. Utilization was measured by inpatient admissions, emergency...
The Institute of Medicine and the American Academy Pediatrics has called for improvement in education training pediatricians pediatric palliative care (PPC). Given shortage PPC physicians immediate need medical education, this study reports outcomes a problem-based learning (PBL) module facilitated by academic general subspecialty faculty (non-PPC specialists) to third year students. Objectives/Setting: To test effectiveness PPC-PBL on students' faculty's declarative knowledge, attitudes...
Background: Most people prefer to die at home, yet most do not. Understanding factors associated with terminal hospitalization may inform interventions improve care. Objective: Among patients chronic illness receiving care in a multihospital healthcare system, we identified the following: (1) predictors of death any hospital; (2) hospital outside system; and (3) trends from 2010 2015. Design: Retrospective cohort using certificates electronic health records. Settings/Subjects: Decedents one...
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