A5045217701- Palliative Care and End-of-Life Issues
- Patient-Provider Communication in Healthcare
- Organ Donation and Transplantation
- Organ Transplantation Techniques and Outcomes
- Patient Dignity and Privacy
- Cardiac, Anesthesia and Surgical Outcomes
- Family and Patient Care in Intensive Care Units
- Health Systems, Economic Evaluations, Quality of Life
- Medical Education and Admissions
- Healthcare Policy and Management
- Genetic and Kidney Cyst Diseases
- Emergency and Acute Care Studies
- Infrastructure Maintenance and Monitoring
- Internet Traffic Analysis and Secure E-voting
- Water resources management and optimization
- Hospital Admissions and Outcomes
- Fetal and Pediatric Neurological Disorders
- Clinical Reasoning and Diagnostic Skills
- Childhood Cancer Survivors' Quality of Life
- Enhanced Recovery After Surgery
- Medical Malpractice and Liability Issues
- Frailty in Older Adults
- Radiation Dose and Imaging
- Empathy and Medical Education
- Smart Parking Systems Research
Regions Hospital
2022-2023
HealthPartners
2022-2023
University of Wisconsin–Madison
2017-2022
University of Pittsburgh
2022
MedStar Georgetown University Hospital
2020
Georgetown University
2020
Northwestern University
2020
Oregon Health & Science University
2019
The University of Texas Southwestern Medical Center
2019
University of Maryland, Baltimore
2018
Because major surgery carries significant risks for older adults with comorbid conditions, shared decision-making is recommended to ensure patients receive care consistent their goals. However, it unknown how often used these patients.To describe the use of during discussions about adults.This study a secondary analysis conversations audio recorded randomized clinical trial question prompt list. Data were collected from June 1, 2016, November 31, 2018, 43 surgeons and 446 60 years or at...
Poor preoperative communication can have serious consequences, including unwanted treatment and postoperative conflict.To compare the effectiveness of a question prompt list (QPL) intervention vs usual care on patient engagement well-being among older patients considering major surgery.This randomized clinical trial used stepped-wedge design to randomly assign QPL (n = 223) or based timing their visit with 1 40 surgeons at 5 US study sites. Patients were 60 years least comorbidity an...
Introduction Surgeons are entrusted with providing patients information necessary for deliberation about surgical intervention. Ideally, consultations generate a shared understanding of the treatment experience and determine whether surgery aligns patient’s overall health goals. In-depth assessment communication patterns might reveal opportunities to better achieve these objectives. Methods We performed secondary analysis audio-recorded between surgeons considering high-risk surgery. For 43...
Background: Lack of awareness about the life-limiting nature renal failure is a significant barrier to palliative care for older adults with end-stage disease. Objective: To train nephrologists use best case/worst case (BC/WC) communication tool improve shared decision making dialysis initiation patients limited life expectancy. Design: This pre-/postinterventional pilot study. Setting/Subjects: There were 16 and 30 age 70 years estimated glomerular filtration rate (eGFR) <20 mL/min per 1.73...
Donation before circulatory death for imminently dying patients has been proposed to address organ scarcity and harms of nondonation. To characterize stakeholder attitudes about recovery we conducted semistructured interviews with family members (N = 15) who had experienced a loved one's unsuccessful donation after focus groups professional stakeholders (surgeons, anesthesiologists, critical care specialists, palliative procurement personnel, policymakers, N 46). We then used qualitative...
"Best Case/Worst Case" (BC/WC) is a communication tool to support shared decision making in older adults with surgical illness. We aimed adapt and test BC/WC for use critically ill adult trauma patients.We conducted focus groups 48 clinicians Wisconsin, Texas, Oregon. used qualitative content analysis characterize feedback adapted the fit this setting. Using rapid sequence iterative design, we developed an implementation kit. pilot tested intervention at two centers using pre-post study...
Many strategies regarding timing of native nephrectomies exist for patients with symptomatic polycystic kidney disease (PCKD).This is a single-center, retrospective study 594 adults PCKD who had renal transplants from 1994 to 2014. Three groups were analyzed: transplant-only recipients (tx alone), simultaneous bilateral and transplant (simultaneous), pretransplant (pre). The primary outcome was graft survival. Secondary outcomes included postoperative complications.Five hundred sixty-five...
Solid organ transplantation (SOT) is a life-saving procedure for people with end-stage failure. However, patients experience significant symptom burden, complex decision making, morbidity, and mortality during both pre- post-transplant periods. Palliative care (PC) well suited historically underdelivered the transplant population. This article, written by team of specialists (surgeons, cardiologists, nephrologists, hepatologists, pulmonologists), PC clinicians, an ethics specialist, shares...
Big Picture, Small Bites The City of Fort Wayne's Collection System Model Evolution over Eleven YearsFor eleven years the Wayne, Indiana, has maintained a collection system model to facilitate Long Term Control Planning (LTCP), develop master plans and support as needed planning growth concerns — big picture items most utilities face. While been an important resource for City, it is not effortless maintain. They have regularly incorporated...Author(s)Wendy ReustNathan BaggettLaura...
Introduction: There is growing interest in quality improvement across all domains of healthcare. Some benchmarks for ERCP have been proposed, these include acceptable thresholds biliary cannulation rates, post-ERCP pancreatitis, perforation and overall mortality. However, there has less research to establish fluoroscopy times radiation exposure during ERCP. The aim this study was prospectively evaluate the utility provider feedback report cards decrease time procedures as well variation...