A5068680817- Emergency and Acute Care Studies
- Palliative Care and End-of-Life Issues
- Patient-Provider Communication in Healthcare
- Family and Patient Care in Intensive Care Units
- Patient Satisfaction in Healthcare
- Childhood Cancer Survivors' Quality of Life
- Pediatric Pain Management Techniques
- Grief, Bereavement, and Mental Health
- Maternal and Perinatal Health Interventions
- Medical Malpractice and Liability Issues
- Ethics in medical practice
- Interpreting and Communication in Healthcare
- Health Literacy and Information Accessibility
- Musculoskeletal pain and rehabilitation
- Family and Disability Support Research
- Liver Disease and Transplantation
- Pharmaceutical Practices and Patient Outcomes
- Patient Safety and Medication Errors
- Chronic Disease Management Strategies
- Clinical Reasoning and Diagnostic Skills
- Maternal Mental Health During Pregnancy and Postpartum
- Spinal Dysraphism and Malformations
- Healthcare professionals’ stress and burnout
- Patient Dignity and Privacy
- Healthcare Systems and Technology
Massachusetts General Hospital
2022-2024
Harvard University
2022-2023
Copenhagen Academy for Medical Education and Simulation
2020-2022
University of Copenhagen
2022
Rigshospitalet
2020
Capital Region of Denmark
2020
Northwestern University
2007-2019
United States Department of the Army
2013
United States Department of the Navy
2013
Northwestern Memorial Hospital
2012
To explore the significant emotional challenges facing resident physicians in setting of medical mishaps, as well their approaches to coping with these difficult experiences.Twenty-six were randomly selected from a single teaching hospital and participated in-depth qualitative interviews. Transcripts analyzed iteratively themes identified.Residents expressed intense responses error events. Poor patient outcomes greater perceived personal responsibility associated more reactions anguish. For...
Background: Limited literacy has repeatedly been linked to problems comprehending health information, although the majority of studies date have focused on reading various print materials. We sought investigate patients’ ability recall spoken medical instructions in context a hypothetical clinical encounter, and whether limited would adversely affect performance task. Methods: A total 755 patients aged 55 74 were recruited from 1 academic internal medicine clinic 3 federally qualified...
ACADEMIC EMERGENCY MEDICINE 2012; 19:1035–1044 © 2012 by the Society for Academic Emergency Medicine Abstract Objectives: Many patients are discharged from emergency department (ED) with an incomplete understanding of information needed to safely care themselves at home. Patients have demonstrated particular difficulty in post‐ED instructions (including medications, home care, and follow‐up). The objective this study was further characterize these deficits identify gaps knowledge that may...
Abstract Objectives The use of opioid analgesics in the United States has significantly increased recent years. However, there is minimal consensus on what discharge counseling should accompany these high‐risk prescriptions and large variations done practice. objective this study was to evaluate effect a dual‐modality (written spoken) literacy‐appropriate educational strategy patients' knowledge safe analgesics. Methods This prospective, randomized controlled trial. Consecutive discharged...
Pain is a leading public health problem in the United States, with an annual economic burden of more than $630 billion, and one most common reasons that individuals seek emergency department (ED) care. There paucity data regarding sex differences assessment treatment acute chronic pain conditions ED. The Academic Emergency Medicine consensus conference convened Dallas, Texas, May 2014 to develop research agenda address this issue among others related Prior conference, experts stakeholders...
Objective: We sought to develop and validate a novel palliative medicine needs assessment tool for patients with cancer in the emergency department. Methods: An expert panel trained reviewed adapted general symptom tool, Needs at End-of-Life Screening Tool. From this adaptation new 13-question instrument was derived, collectively referred as Screen Palliative End-of-life care Emergency Department (SPEED). A database of 86 validated tools available from literature, totaling 3011 questions,...
Abstract Objectives Effective patient–provider communication is a critical aspect of the delivery high‐quality patient care; however, research regarding conversational dynamics an overall emergency department ( ED ) visit remains unexplored. Identifying both patterns and relative frequency utterances within these interactions will help guide future efforts to improve between patients providers setting. The objective this study was analyze complete audio recordings visits characterize...
Our multidisciplinary team developed a new set of discharge instructions for five common emergency department diagnoses using recommended tools creating literacy-appropriate and patient-centered education materials. We found that the document creation were essential in constructing instructions. However, while necessary, they not sufficient. This paper describes insights gained lessons learned this process.
The Medication Communication Index (MCI) was used to compare counseling about opioids nonopioid analgesics in the Emergency Department (ED) setting.Secondary analysis of prospectively collected audio recordings ED patient visits.Urban, academic medical center (>85,000 annual visits).Patient participants aged >18 years with one four low acuity diagnoses: ankle sprain, back pain, head injury, and laceration. clinician included resident attending physicians, nursing staff, technicians.The MCI...
Health-related quality of life (HRQoL), encompassing social, emotional, and physical wellbeing is an important clinical outcome medical care, especially among geriatric patients. It unclear which domains HRQoL are most to patients they hope address when using the Emergency Department (ED). The objective this study was understand aspects valued by in ED what expectations have for addressing or improving during visit. This a qualitative focus group from urban, academic United States with >...
The acquisition of skills in patient-centered communication is a critical aspect medical education which demands both resource-intensive instruction and longitudinal opportunities for learning. Significant variation currently exists the content timing education. aim this study was to establish consensus regarding curriculum undergraduate (UME) within country Denmark.This employed Delphi process widely accepted method establishing among experts can be utilized guide planning decision-making...
With the aging of our population, older adults are living longer with multiple chronic conditions, frailty, and life-limiting illnesses, which creates specific challenges for emergency departments (EDs). Older those serious illnesses have high rates ED use hospitalization, care they receive may be discordant their goals values. In response, new models delivery begun to emerge address both geriatric palliative needs in ED. However, these programs typically siloed from one another despite...