A5023528227- Healthcare cost, quality, practices
- Clinical Reasoning and Diagnostic Skills
- Patient Safety and Medication Errors
- Innovations in Medical Education
- Medical Malpractice and Liability Issues
- Emergency and Acute Care Studies
- Health Systems, Economic Evaluations, Quality of Life
- Patient Satisfaction in Healthcare
- Ultrasound in Clinical Applications
- Healthcare Policy and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Patient-Provider Communication in Healthcare
- Radiology practices and education
- Urinary Tract Infections Management
- Cardiac Arrest and Resuscitation
- Clinical practice guidelines implementation
- Palliative Care and End-of-Life Issues
- Hospital Admissions and Outcomes
- Pneumonia and Respiratory Infections
- Sepsis Diagnosis and Treatment
- Pneumocystis jirovecii pneumonia detection and treatment
- Hemodynamic Monitoring and Therapy
- Primary Care and Health Outcomes
- Retinal Diseases and Treatments
- Hemophilia Treatment and Research
VA Ann Arbor Healthcare System
2017-2025
The University of Texas at Austin
2025
University of Michigan
2016-2025
Michigan Medicine
2020-2025
Vanderbilt University
2019-2024
St Xavier’s College
2022
Michigan United
2019-2022
St. Xavier's College (Autonomous)
2022
United States Department of Veterans Affairs
2020
Ann Arbor VA Medical Center
2017
Investigate real-world patients receiving faricimab for the treatment of neovascular age-related macular degeneration (nAMD).
Diagnostic errors contribute to patient harm, though few data exist describe their prevalence or underlying causes among medical inpatients.
Importance Little is known about incidence of, risk factors for, and harms associated with inappropriate diagnosis of community-acquired pneumonia (CAP). Objective To characterize CAP in hospitalized patients. Design, Setting, Participants This prospective cohort study, including medical record review patient telephone calls, took place across 48 Michigan hospitals. Trained abstractors retrospectively assessed patients treated for between July 1, 2017, March 31, 2020. Patients were eligible...
Hospitalized patients with asymptomatic bacteriuria (ASB) often receive unnecessary antibiotic treatment, which increases resistance and adverse events.To determine whether diagnostic stewardship (avoiding urine cultures) or (reducing treatment after an culture) is associated better outcomes in reducing use for ASB.This 3-year, prospective quality improvement study included hospitalized general care medicine a positive culture among 46 hospitals participating collaborative initiative, the...
Abstract Background Inappropriate diagnosis of infections results in antibiotic overuse and may delay underlying conditions. Here we describe the development characteristics 2 safety measures inappropriate urinary tract infection (UTI) community-acquired pneumonia (CAP), most common inpatient on general medicine services. Methods Measures were developed from guidelines literature adapted based data patients hospitalized with UTI CAP 49 Michigan hospitals feedback end-users, a technical...
Abstract Background Diagnosis requires that clinicians communicate and share patient information in an efficient manner. Advances electronic health records (EHRs) technologies have created both challenges opportunities for such communication. Methods We conducted a multi-method, focused ethnographic study of physicians on general medicine inpatient units two teaching hospitals. Physician teams were observed during after morning rounds to understand workflow, data sharing communication...
Background Little is known about the incidence or significance of diagnostic error in inpatient setting. We used a malpractice claims database to examine incidence, predictors and consequences diagnosis-related paid hospitalised patients. Methods The US National Practitioner Database was identify occurring between 1 January 1999 31 December 2011. Patient provider characteristics associated with were analysed using descriptive statistics. Differences other claim types (eg, surgical,...
To determine the association between covid-19 vaccination types and doses with adverse outcomes of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection during periods delta (B.1.617.2) omicron (B.1.1.529) variant predominance. Retrospective cohort. US Veterans Affairs healthcare system. Adults (≥18 years) who are affiliated to a first documented SARS-CoV-2 (1 July-30 November 2021) or January-30 June 2022) The combined cohorts had mean age 59.4 (standard deviation 16.3) 87%...
Abstract Background Inappropriate treatment of asymptomatic bacteriuria (ASB) among hospitalized patients leads to longer length stay (LOS) without improving outcomes. ASB is common in individuals with neurogenic bladder (NB); however, little known about the epidemiology, treatment, and outcomes inpatients NB ASB. Methods Between 1/1/2017-12/31/2023, abstractors collected deidentified data—including signs/symptoms urinary tract infections (UTI) 30-day outcomes—from a positive urine culture...
Abstract Background Patients with structural lung disease (SLD) are more susceptible to community-acquired pneumonia (CAP) and at higher risk for resistant organisms. CAP studies often exclude patients SLD making it difficult determine when treat empirically broad-spectrum antibiotics (BSA). Here, we describe the epidemiology of in inpatients moderate severe SLD. Methods Between 1/2017 12/2023, analyzed data from 68 Michigan hospitals. was defined as documented or chronic obstructive...
Importance Disruptive workplace behaviours (DWBs) between healthcare professionals compromise patient care quality and organisational culture, impacting staff morale, communication teamwork. Residents are particularly vulnerable to it from nurses supervisors. Objective Elucidate factors associated with DWBs experienced by residents. Design Nationwide cross-sectional study using a web-based survey. Setting Japanese postgraduate clinical training hospitals. Participants First- second-year...
Abstract Electroencephalography (EEG) is a cornerstone in both neuroscience research and clinical diagnostics. However, conventional EEG monitoring faces hardware limitations, particularly its adaptability stability. Headsets either require complicated wiring or do not have enough stretchability wearability to comply with the diverse head anthropometry hair conditions of user population. Additionally, there an inherent tradeoff between wet dry electrodes capturing high-fidelity signals from...
Urinary tract infection (UTI) and community-acquired pneumonia (CAP) are the most common infections treated in hospitals. UTI CAP also commonly overdiagnosed, resulting unnecessary antibiotic use diagnostic delays. While much is known individually about overdiagnosis of CAP, it not whether hospitals with higher one have other. Correlation these two conditions may indicate underlying hospital-level contributors, which turn represent targets for intervention. To evaluate association we first...
This cross-sectional study investigates characteristics, including sex, postgraduate experience, and specialty, of medical school deans university hospital directors in Japan.
Abstract Background Traditionally, research has examined systems- and cognitive-based sources of diagnostic error as individual entities. However, half all errors have origins in both domains. Methods We conducted a focused ethnography inpatient physicians at two academic institutions to understand how systems-based problems contribute cognitive diagnosis. Medicine teams were observed on rounds during post-round work after which interviews conducted. Field notes related the process system...
Midline catheters are recommended over peripherally inserted central as short-term vascular access device for compatible infusates. We assessed the effectiveness and safety of midline catheters.Data from catheter placements June 2016 to May 2019 at a tertiary-care Veterans Administration medical center were retrospectively collected. Patients followed until removal or death, whichever occurred first. The primary outcome was completion intended therapy; secondary outcomes catheter-related...
Abstract Background The COVID-19 pandemic required clinicians to care for a disease with evolving characteristics while also adhering changes (e.g., physical distancing practices) that might lead diagnostic errors (DEs). Objective To determine the frequency of DEs and their causes among patients hospitalized under investigation (PUI) COVID-19. Design Retrospective cohort. Setting Eight medical centers affiliated Hospital Medicine ReEngineering Network (HOMERuN). Target population Adults...
This cross-sectional study investigates the gender ratio and postgraduate years of experience Japanese professional medical society boards directors.
This study presents the results of an evaluation root causes COVID-19 vaccine hesitancy to inform strategies boost acceptance among vaccine-hesitant populations in United States. The authors conducted a literature review and acceptance; focus groups with patients, pre-hospital first responders, hospital-based health care providers; social media platform sentiment analysis attitudes regarding vaccine; roundtable discussion experts on hesitancy. Drawing this mixed-methods analysis, recommend...