A5045542106- Emergency and Acute Care Studies
- COVID-19 and healthcare impacts
- Acute Myocardial Infarction Research
- Gun Ownership and Violence Research
- Public Health Policies and Education
- Heart Failure Treatment and Management
- Cardiac Health and Mental Health
- Cardiac Imaging and Diagnostics
- Patient Satisfaction in Healthcare
- Crime Patterns and Interventions
- Suicide and Self-Harm Studies
- Interpreting and Communication in Healthcare
- Global Public Health Policies and Epidemiology
- Healthcare cost, quality, practices
- Healthcare Systems and Practices
- Traumatic Brain Injury and Neurovascular Disturbances
- Neurosurgical Procedures and Complications
- Healthcare Policy and Management
- Patient-Provider Communication in Healthcare
- Health Promotion and Cardiovascular Prevention
- Acute Ischemic Stroke Management
- Disaster Response and Management
- Trauma and Emergency Care Studies
- Intracerebral and Subarachnoid Hemorrhage Research
- Pneumothorax, Barotrauma, Emphysema
New York City Health and Hospitals Corporation
2020-2021
University of California, Los Angeles
2018-2021
Health Affairs
2020
Harvard University
2017-2018
Harvard Affiliated Emergency Medicine Residency
2017-2018
Brigham and Women's Hospital
2016-2018
Massachusetts General Hospital
2016-2017
Henry Ford Hospital
2013
University of Michigan
2012
Universidad Autónoma de Santo Domingo
2011
New York City Health + Hospitals is the largest safety-net health care delivery system in United States. Before coronavirus disease 2019 (COVID-19) pandemic, NYC served more than one million patients annually, including most vulnerable Yorkers, while billing fewer five hundred telehealth visits monthly. Once pandemic struck, we established a strategy to allow us continue serve our existing treating surge of new patients. Starting March 2020, were able transform using virtual platforms...
New York City has emerged as the global epicenter for coronavirus disease 2019 (COVID-19) pandemic. The city's public health system, Health + Hospitals, been key to response because its vulnerable patient population is disproportionately affected by disease. As number of cases rose in city, NYC Hospitals carried out plans greatly expand critical care capacity. Primary intensive unit (ICU) spaces were identified and upgraded needed, new ICU created emergency departments, procedural areas,...
Professional guidelines recommend noninvasive cardiac testing (NIT) within 72 hours of an emergency department (ED) evaluation for suspected acute coronary syndrome. However, there is inexact evidence that this strategy reduces the risk future death or myocardial infarction (MI).To evaluate effectiveness early NIT in reducing MI 30 days.This retrospective, multicenter cohort study Kaiser Permanente Southern California integrated health care delivery system compared vs no patients with chest...
Wide variation exists for hospital admission rates the evaluation of possible acute coronary syndrome, but there are limited data on physician-level variation. Our aim is to describe physicians' suspected syndrome and associated 30-day major adverse events.We conducted a retrospective analysis adult emergency department chest pain encounters from January 2016 December 2017 across 15 community departments within an integrated health system in Southern California. The unit was Emergency...
Abstract Objective To determine if oxygen saturation (out‐of‐hospital SpO2), measured by New York City (NYC) 9‐1‐1 Emergency Medical Services (EMS), was an independent predictor of coronavirus disease 2019 (COVID‐19) in‐hospital mortality and length stay, after controlling for the competing risk death. If so, out‐of‐hospital SpO2 could be useful initial triage. Methods A population‐based longitudinal study adult patients transported EMS to emergency departments (ED) between March 5 April 30,...
Incident reporting is a recognized tool for healthcare quality improvement. These systems, which aim to capture near-misses and harm events, enable organizations gather critical information about failure modes design mitigation strategies. Although many hospitals have employed these little known safety themes in emergency medicine incident reporting. Our objective was systematically analyze thematically code 1 year of reports.A mixed-methods analysis performed on data from large, urban...
Background Noninvasive cardiac tests, including exercise treadmill tests (ETTs), are commonly utilized in the evaluation of patients emergency department with suspected acute coronary syndrome. However, there ongoing debates on their clinical utility and cost‐effectiveness. It is important to be able use ETT results for research, but manual review prohibitively time‐consuming large studies. We developed validated an automated method interpret from electronic health records. To demonstrate...
The Caribbean has the highest prevalence rates of HIV/AIDS outside sub-Saharan Africa, and a broad literature suggests an ecological association between tourism areas sexual vulnerability. Tourism employees have been shown to engage in high risk behaviours. Nevertheless, no large-scale or sustained HIV prevention interventions conducted within industry. Policy barriers resources are under-studied.In order identify policy for sector, our research used participatory approach involving...
Patient-centered approaches in the evaluation of patient experience are increasingly important priorities for quality improvement health-care delivery. Our objective was to investigate common themes patient-reported data better understand areas emergency department (ED) experience.A large urban, tertiary-care ED conducted phone interviews with 2607 patients who visited during 2015. Patients were asked identify one area that would have significantly improved their visit. Transcripts analyzed...
Abstract Background New York City (NYC) emergency departments (EDs) experienced a surge of patients because coronavirus disease 2019 (COVID‐19) in March 2020. NYC Health and Hospitals established rapid medical screening exams (MSE) each hospital designated areas to perform their MSE. Five the 11 hospitals created forward treatment area (FTA) external ED disposition before entering who presented with COVID‐like symptoms. Three used paper‐based, 2 an electronic record (EMR)‐based This study...
The movement of firearm across state lines may decrease the effectiveness state-level laws. Yet, how policies affect cross-state have not yet been widely explored. This study aims to characterize interstate firearms and its relationship with policies.We analyzed network using Bureau Alcohol, Tobacco, Firearms, Explosives trace data (2010-2017). We constructed between 50 states. used zero-inflated negative binomial regression estimate number a state's laws states for which it was source 100...
The literature on tourism in the Caribbean and elsewhere suggests that state actors are complicit with multinational interests, acting as handmaidens of capital developing nations. This has been referred to ‘state pimpage’, literal or metaphorical sale local erotic resources for global exploitation. In public health HIV/AIDS, analysts have suggested states neglect HIV prevention services due presumed negative effects explicitly addressing epidemic industry, placing government direct...
Chest pain of possible cardiac etiology is a leading reason for emergency department (ED) visits and hospitalizations nationwide. Evidence suggests outpatient management safe effective low-risk patients; however, ED admission rates chest vary widely. To identify barriers facilitators to after visits, we performed multicenter qualitative study key stakeholders.We identified Massachusetts hospitals with below-average adult from 2010 2011. We case 27 stakeholders across 4 management. Clinicians...
Health SecurityVol. 18, No. 5 CommentaryFree AccessEnvisioning the Post-COVID-19, Pre-Vaccine Emergency DepartmentShaw Natsui, David M. Silvestri, R. James Salway, Laura Iavicoli, Adrienne Birnbaum, Christine Flaherty, Oscar Gonzalez, Michael Bouton, Kim Mendez, Danielle Dibari, Paul Albertson, and Eric K. WeiShaw NatsuiAddress correspondence to: Shaw MD, MPA, Director, Office of Quality Safety, New York City + Hospitals, 125 Worth Street, Suite 427, York, NY 10013 E-mail Address: [email...
BACKGROUNDCoronavirus-19 (COVID-19) has become a leading cause of death in the USA.New York City was heavily impacted by virus, with hospitalizations and deaths disproportionately concentrated among lower income minority communities. 1linical outcomes such populations within safety net care settings remain largely undescribed or methodologically constrained short follow-up periods large proportions patients still hospitalized. 2-5Accordingly, we describe 30-day hospital COVID-19 admitted to...