A5019237256- Antibiotic Use and Resistance
- Opioid Use Disorder Treatment
- Clinical Reasoning and Diagnostic Skills
- Infective Endocarditis Diagnosis and Management
- Pain Management and Opioid Use
- Dental Anxiety and Anesthesia Techniques
- Cancer Risks and Factors
- Breast Cancer Treatment Studies
- Global Cancer Incidence and Screening
- Multiple and Secondary Primary Cancers
- Innovations in Medical Education
- Cardiac Imaging and Diagnostics
- Frailty in Older Adults
- Sepsis Diagnosis and Treatment
- Atrial Fibrillation Management and Outcomes
- Otolaryngology and Infectious Diseases
- Medical Malpractice and Liability Issues
- Food Security and Health in Diverse Populations
- Migration, Health and Trauma
- Interpreting and Communication in Healthcare
- Cardiac Valve Diseases and Treatments
- Patient Safety and Medication Errors
- Hemodynamic Monitoring and Therapy
- Sleep and related disorders
- Nutritional Studies and Diet
University of California, San Francisco
2022-2024
San Francisco General Hospital
2022-2024
University of Illinois Chicago
2020-2022
New York Proton Center
2022
Communities In Schools of Orange County
2022
Ann Arbor Center for Independent Living
2022
University of Richmond
2022
Oregon Medical Research Center
2022
Lindsay Unified School District
2022
University of Pittsburgh
2022
Diagnostic errors contribute to patient harm, though few data exist describe their prevalence or underlying causes among medical inpatients.
This cohort study assesses the association between stigmatizing language, demographic characteristics, and errors in diagnostic process among hospitalized adults.
Our objective was to compare patterns of dental antibiotic prescribing in Australia, England, and North America (United States British Columbia, Canada).
To determine prophylaxis appropriateness by Veterans' Affairs (VA) dentists.A cross-sectional study of dental visits, 2015-2019.Antibiotics within 7 days before a visit in the absence an oral infection were included. Appropriate antibiotic was defined as visits with gingival manipulation and further delineated into narrow broad definitions based on comorbidities. The primary analysis applied definition appropriate prophylaxis: cardiac conditions at highest risk adverse outcome from...
Abstract Objectives: Dentists prescribe 10% of all outpatient antibiotics in the United States and are top specialty prescriber. Data on current antibiotic prescribing trends scarce. Therefore, we evaluated rates by dentists, further assessed whether these differed agent, specialty, patient characteristics. Design: Retrospective study dental included data from IQVIA Longitudinal Prescription set January 1, 2012 to December 31, 2019. Methods: The change dentist rate mean days’ supply were...
AimNurses assess patients' pain using several validated tools. It is not known what disparities exist in assessment for medicine inpatients. Our purpose was to measure differences across patient characteristics, including race, ethnicity, and language status.MethodsRetrospective cohort study of adult general inpatients from 2013 2021. The primary exposures were race/ethnicity limited English proficiency (LEP) status. outcomes 1) the type odds which tool nursing used 2) relationship between...
Abstract Background Patients hospitalized with COVID-19 can clinically deteriorate after a period of initial stability, making optimal timing discharge clinical and operational challenge. Objective To determine risks for post-discharge readmission death among patients COVID-19. Design Multicenter retrospective observational cohort study, 2020–2021, 30-day follow-up. Participants Adults admitted care respiratory disease between March 2, 2020, February 11, 2021, to one 180 US hospitals...
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...
Introduction: Negative outcome studies of vasopressors in kidney transplant have not focused on patient populations that are predominantly Black or Hispanic. Project Aims: The evaluation sought to investigate the independent impact perioperative postoperative renal allograft function a sample drawn from primarily and Hispanic population. Design: Retrospective, observational, single-center patients > 18 years old who underwent transplantation comparing outcomes based vasopressor exposure....
Abstract Background Few hospitals have built surveillance for diagnostic errors into usual care or used comparative quantitative and qualitative data to understand their processes implement interventions designed reduce these errors. Objectives To build care, benchmark performance across sites, pilot test interventions, evaluate the program's impact on error rates. Methods Analysis Achieving excellence through prevention teamwork (ADEPT) is a multicenter, real‐world quality safety program...
Background: Antibiotics prescribed as infection prophylaxis prior to dental procedures have the potential for serious adverse drug events (ADEs). However, extent which guideline concordance and different settings are associated with ADEs from antibiotic is unknown. Aim: The purpose was assess antibiotic-associated whether it differs by VA non-VA settings. Methods: Retrospective cohort study of adults cardiac conditions or prosthetic joints 2015 2017. Multivariable logistic regression models...
Abstract Objective Recent clinical guidelines for sepsis management emphasize immediate antibiotic initiation suspected septic shock. Though hypotension is a high‐risk marker of severity, prior studies have not considered the precise timing in relation to and how characteristics outcomes may differ. Our objective was evaluate characterize differences presentation patients with Methods Adults presenting emergency department (ED) June 2012–December 2018 diagnosed (Sepsis‐III electronic health...
OBJECTIVES: To evaluate the relationship between early IV fluid volume and hospital outcomes, including death in-hospital or discharge to hospice, in septic patients with without heart failure (HF). DESIGN: A retrospective cohort study using logistic regression restricted cubic splines assess for nonlinear relationships stratified by HF status adjusted propensity receive a given first 6 hours. An ICU subgroup analysis was performed. Secondary outcomes of vasopressor use, mechanical...
Abstract Patients who reside in areas of high neighborhood disadvantage have poorer health outcomes; the mechanisms for this disparity are complex. We sought to determine if there was an association between and diagnostic error among a cohort adult inpatients experienced either ICU transfer or in‐hospital death. Using sample 527 patients from seven geographically diverse academic medical systems, we compared rates patients' levels as measured by Area Deprivation Index, validated composite...
No research has been conducted to assess whether antibiotic prophylaxis prescribing differs by dental setting. Therefore, the goal of this study was compare in Veterans Affairs (VA) and non-Veterans settings.This a retrospective veteran non-veteran patients with cardiac conditions or prosthetic joints between 2015-2017. Multivariable log binomial regression analysis concordant setting sub-analysis for errors dosing based on duration (i.e., days prescribed).A total 61,124 visits that received...
BackgroundMultiple independent risk factors are associated with the prognosis of hormone receptor-positive (HR+), human epidermal growth factor receptor 2-negative (HER2-) breast cancer (BC), most common BC subtype. This study describes U.S. population-based recurrence rates among older, resected women HR+/HER2- early BC.MethodsWe conducted a retrospective cohort older diagnosed incident, invasive stages I-III who underwent surgery to remove primary tumor using Surveillance, Epidemiology,...
Although nonsteroidal anti inflammatory drugs are superior to opioids in dental pain management, still prescribed for the United States. Little is known about serious adverse outcomes of short-acting within context prescribing. The objective this study was evaluate and persistent opioid use (POU) after prescriptions by dentists, based on whether were overprescribed or recommendations. A cross-sectional analysis adults with a visit corresponding prescription (index) from 2011 2018 nationwide...