A5006294888- Emergency and Acute Care Studies
- Healthcare Policy and Management
- Respiratory Support and Mechanisms
- Telemedicine and Telehealth Implementation
- Retinal Imaging and Analysis
- Diversity and Career in Medicine
- Retinal and Optic Conditions
- Trauma and Emergency Care Studies
- Healthcare Systems and Technology
- Asthma and respiratory diseases
- Hospital Admissions and Outcomes
- Mobile Health and mHealth Applications
- Glaucoma and retinal disorders
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Child and Adolescent Health
- Healthcare Technology and Patient Monitoring
- Medical Education and Admissions
- Sepsis Diagnosis and Treatment
- Pneumocystis jirovecii pneumonia detection and treatment
- Innovations in Medical Education
- Respiratory viral infections research
- AI in cancer detection
- Chronic Disease Management Strategies
- Digital Radiography and Breast Imaging
- Patient Satisfaction in Healthcare
University of California, Davis
2015-2024
Brown University
2024
Vision Eye Institute
2022
Atrium Health Wake Forest Baptist
2022
University of California Davis Medical Center
2021
Healthcare Technology Innovation Centre
2020
Indiana University School of Medicine
2019
Health Resources and Services Administration
2019
Juniata College
2014
Abstract Healthcare-specific analytic software is needed to process the large volumes of streaming physiologic waveform data increasingly available from life support devices such as mechanical ventilators. Detection clinically relevant events these streams will advance understanding critical illness, enable real-time clinical decision support, and improve both outcomes patient experience. We used ventilation (VWD) a use case address broader issues access analysis including discrimination...
To identify factors associated with telemedicine use for asthma care among children and young adults, to describe the parent patient experience of over telemedicine.Our mixed methods study consisted an electronic health record analysis a qualitative focus group analysis. We analyzed records all patients aged 2-24 seen at UC Davis Health between March 19, 2020 September 30, primary diagnosis asthma. performed multivariable logistic regression quantify relationships characteristics use. also...
BackgroundPneumonia is a leading cause of death worldwide and major health-care challenge in people living with HIV. Despite this, the causes pneumonia this population remain poorly understood. We aimed to assess feasibility metatranscriptomics for epidemiological surveillance patients HIV Uganda.MethodsWe performed retrospective observational study who were admitted Mulago Hospital, Kampala, Uganda between Oct 1, 2009, Dec 31, 2011. Inclusion criteria age 18 years or older, HIV-positivity,...
Importance Pediatric referral centers are increasingly using telemedicine to provide consultations help care for acutely ill children presenting rural and community emergency departments (EDs). These pediatric may improve physician decision-making reduce the frequency of overtriage interfacility transfers. Objective To examine use critical vs telephone associated with risk-adjusted transfer rates from EDs. Design, Setting, Participants A cluster-randomized crossover trial was conducted...
Lack of access to high-frequency, high-volume patient-derived data, such as mechanical ventilator waveform has limited the secondary use these data for research, quality improvement, and decision support. Existing methods collecting are obtrusive, require high levels technical expertise, often cost-prohibitive, limiting their scalability research applications. We describe here development an unobtrusive, open-source, scalable, user-friendly architecture collecting, transmitting, storing that...
Timely diagnosis of diabetic retinopathy is important in preventing vision loss. This study aims to determine if remote retinal imaging enables earlier eye care access among newly-diagnosed patients. Retrospective cohort study. Using the OptumLabs® Data Warehouse - a longitudinal, real-world dataset containing deidentified administrative claims and electronic health record (EHR) data, we included 968 846 adults with newly diagnosed type 2 diabetes at least 1 year continuous enrollment. We...
Importance Critically ill children presenting to emergency departments (EDs) in non–children’s hospitals are at high risk for experiencing medical errors, including medication errors. Video telemedicine consultations with pediatric specialists have the potential reduce of errors beyond current standard care, telephone consultations. Objective To compare rates ED physician-related among critically randomized receive either video or Design, Setting, and Participants This cluster randomized,...
Abstract Purpose Pediatric readiness scores may be a useful measure of hospital's preparedness to care for children. However, there is limited evidence linking these with patient outcomes or other metrics, including the need interfacility transfer. This study aims determine association pediatric odds transfer among cohort noninjured children (< 18 years old) presenting emergency departments (EDs) in small rural hospitals state California. Methods Data from National Readiness Project...
To determine the association between potentially avoidable transfers (PATs) and emergency department (ED) pediatric readiness scores score's associated components.This cross-sectional study linked 2012 National Pediatric Readiness Project assessment with individual encounter data from California's statewide ED inpatient databases during years 2011-2013. A probabilistic linkage, followed by deterministic heuristics, pretransfer, post-transfer encounters. Applying previously published...
While hospital-hospital transfers of pediatric patients are often necessary, some potentially avoidable. Pediatric avoidable (PATs) represent a process with high costs and safety risks but few, if any, benefits. To better understand this issue, we described interfacility early discharges.We conducted descriptive study using electronic medical record data at single-center over 12-month period to examine characteristics transfer admission source discharge. Among discharges, performed...
To compare nurse preparedness and quality of patient handoff during interfacility transfers from a pretransfer emergency department to PICU when conducted over telemedicine versus telephone.Cross-sectional survey linked with electronic medical record data using multivariable, multilevel analysis.Tertiary within an academic children's hospital.PICU nurses who received between October 2017 July 2018.None.Among 239 eligible transfers, 106 surveys were completed by 55 (44% response rate)....
Representation of women in medicine and ophthalmology has increased recent years. However, substantial inequities still exist between salaries for male female physicians.To evaluate the status disparities compensation among US academic ophthalmologists compare across specialties.This cross-sectional study analyzed data full-time physicians practicing 154 accredited medical schools. Data from Association American Medical Colleges Faculty Salary Report fiscal year 2019-2020 were used to total...
Lower insurance reimbursements have limited the financial sustainability of remote eye screening programs. Greater utilization and coverage for teleophthalmology during coronavirus disease 2019 (COVID-19) pandemic in 2020 may enhance awareness expand retinal imaging services. This retrospective cross-sectional study evaluates United States 2020.
Objective:To compare clinical recommendations given by psychiatrists and the adherence to these primary care physicians (PCP) following consultations conducted asynchronous telepsychiatry (ATP) synchronous (STP). Materials Methods:ATP STP were compared using intermediate data from a randomized trial with adult participant enrollment between April 2014 December 2017. In both study arms, PCPs received written psychiatrist after each encounter. Independent clinicians reviewed PCP documentation...
Breast cancer is the most common and second leading cause of death among women in US. The relative survival rate lower with a more advanced stage at diagnosis. Early detection through screening vital. Mammography widely used only proven method for reliably effectively detecting abnormal breast tissues. In particular, mammographic density one strongest risk factors, after age gender, can be to assess future disease before individuals become symptomatic. A reliable automatic assessment would...
Abstract Algorithmic classifiers are crucial components of clinical decision support (CDS) systems needed to advance healthcare delivery. Robust CDS must be derived and validated via creation multi-reviewer adjudicated gold standard datasets. Manual annotation physiologic data such as mechanical ventilator waveform (VWD) can time-consuming, lacks methodological consistency in dataset development. To address these issues, we have created a system for annotating adjudicating VWD called the...
OBJECTIVES/SPECIFIC AIMS: As pediatric care becomes more concentrated in large urban hospitals, smaller rural hospitals with reduced capacity may opt to transfer patients higher levels of even if the patient has a condition that is manageable general ED. Up 20-40% transfers are considered avoidable, placing burden on patient, their family and health system. The aim this study determine association between readiness (as measured by National Pediatric Readiness Project score) risk...
Abstract Purpose In an era when trabeculectomy surgeries in the United States are on decline, ophthalmology residents may have limited opportunities to practice surgical techniques critical success. However, key steps of surgery can be introduced a wet laboratory using simple model based food items. Methods A fresh lime and chicken parts with skin, purchased from grocery store, were utilized surgery. The white rind was used as surrogate for human sclera incised create flap. flap then...
OBJECTIVES/SPECIFIC AIMS: While hospital-hospital transfers of pediatric patients is often necessary, some are potentially avoidable. Pediatric avoidable (PAT) represent a process with high costs and safety risks but few, if any, benefits. To better understand this issue, we described inter-facility early discharges. METHODS/STUDY POPULATION: We conducted descriptive study using electronic medical record data at single-center over 12-month period to examine characteristics transfer admission...
Dorwart, Elizabeth1; Su, Felice1; Marcin, James2; Wen, Andy3; Lieng, Monica4 Author Information