- Electronic Health Records Systems
- COVID-19 and Mental Health
- Clinical practice guidelines implementation
- Cardiovascular Function and Risk Factors
- Clinical Reasoning and Diagnostic Skills
- Muscle activation and electromyography studies
- Pharmacovigilance and Adverse Drug Reactions
- Healthcare Technology and Patient Monitoring
- COVID-19 Clinical Research Studies
- COVID-19 Impact on Reproduction
- Health Literacy and Information Accessibility
- Heparin-Induced Thrombocytopenia and Thrombosis
- Cognitive Science and Mapping
- Bacillus and Francisella bacterial research
- Adolescent and Pediatric Healthcare
- Healthcare Systems and Technology
- Medical Coding and Health Information
- Congenital Heart Disease Studies
- Cardiovascular Effects of Exercise
- Health Policy Implementation Science
- Kawasaki Disease and Coronary Complications
- Global Cancer Incidence and Screening
- Mobile Health and mHealth Applications
- Ultrasound in Clinical Applications
- Digital Mental Health Interventions
MedStar Health
2017-2024
Center for Biologics Evaluation and Research
2024
United States Food and Drug Administration
2024
Star Center
2024
Human Factors (Norway)
2017
Nia Association
1971
Weatherford College
1971
Summary Convalescent plasma can provide passive immunity during viral outbreaks, but the benefit is uncertain for treatment of novel coronavirus disease 2019 (COVID‐19). Our goal to assess efficacy COVID‐19 convalescent (CCP). In all, 526 hospitalized patients with laboratory‐confirmed SARS‐CoV‐2 at an academic health system were analyzed. Among them, 263 received CCP and compared matched controls standard treatment. The primary outcome was 28‐day mortality a subanalysis 7 14 days. No...
Abstract The COVID-19 Community Research Partnership (CCRP) is a multisite surveillance platform designed to characterize the epidemiology of Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-COV-2) pandemic. This article describes CCRP study design and methodology. includes two prospective cohorts, one with six health systems in mid-Atlantic southern USA, other North Carolina. With enrollment beginning April 2020, sites invited persons within their healthcare as well community members...
A study was performed in five normal men whom left ventricular volume measured by thermodilution the supine and 60 degrees head-up postures, control state, then during steady-state response to isoproterenol. The mean rate of circumferential shortening ventricle calculated for each postures both inotropic states found remain constant state at 12.5 +/-0.6 cm/sec posture 13.3 +/-0.5 tilted posture. Similarly, remained positive effect isoproterenol 20.9 position 20.7 It is concluded that...
PULMONARY ANGIOGRAPHY IN EMBOLIC DISEASEERNEST J. FERRIS, M.D., ROBERT M. STANZLER, JAMES A. ROURKE, JOSEPH BLUMENTHAL, B.CH. and V. MESSER, M.D.Audio Available | Share
Despite a proliferation of applications (apps) to conveniently collect patient-reported outcomes (PROs) from patients, PRO data are yet be seamlessly integrated with electronic health records (EHRs) in way that improves interoperability and scalability. We applied the newly created standards Office National Coordinator for Health Information Technology facilitate collection integration standardized data. A novel multitiered architecture was enable seamless via Substitutable Medical Apps...
Abstract Prevention behaviors represent important public health tools to limit spread of SARS-CoV-2. Adherence with recommended prevention among 20000 + members a COVID-19 syndromic surveillance cohort from the mid-Atlantic and southeastern United States was assessed via electronic survey following 2020 Thanksgiving winter holiday (WH) seasons. Respondents were predominantly non-Hispanic Whites (90%), female (60%), ≥ 50 years old (59%). Non-household (NHM) present at 47.1% gatherings 69.3%...
Adverse events associated with vaccination have been evaluated by epidemiological studies and more recently gained additional attention the emergency use authorization of several COVID-19 vaccines. As part its responsibility to conduct postmarket surveillance, US Food Drug Administration continues monitor adverse special interest (AESIs) ensure vaccine safety, including for COVID-19.
Objectives The increase in patient safety reporting systems has led to the challenge of effectively analyzing these data identify and mitigate hazards. Patient analysts, who manage reports, may be ill-equipped make sense report data. We sought understand cognitive needs analysts as they work leverage reports risk improve care. Methods Semistructured interviews were conducted with 21 from 11 hospitals across 3 healthcare systems. Data parsed into utterances coded extract major themes. Results...
In caring for patients with sepsis, the current structure of electronic health record systems allows clinical providers access to raw patient data without imputation its significance. There are a wide range sepsis alerts in care that act as decision support tools assist early recognition sepsis; however, there serious shortcomings existing information technology alerting meaningful way. Little work has been done evaluate and assess using implementation process outcomes associated displays,...
Obesity and diabetes are established risk factors for severe SARS-CoV-2 outcomes, but less is known about their impact on susceptibility to COVID-19 infection general symptom severity. We hypothesized that those with obesity or would be more likely self-report a positive test, among have greater severity duration.
Abstract Background Low-dose computed tomography (lung cancer screening) can reduce lung cancer-specific mortality by 20–24%. Based on this evidence, the United States Preventive Services Task Force recommends annual screening for asymptomatic high-risk individuals. Despite recommendation, utilization is low (3–20%). Lung may be particularly beneficial African American patients because they are more likely to have advanced disease, lower survival, and rates compared White Evidence points...
Abstract Background Health outcomes are strongly impacted by social determinants of health, including risk factors and patient demographics, due to structural inequities discrimination. Primary care is viewed as a potential medical setting assess address individual health-related needs collect detailed demographics advance health equity, but limited literature evaluates such processes. Methods We conducted an analysis cross-sectional survey data collected from n = 507 Maryland Care Program...
<sec> <title>BACKGROUND</title> The 42 days after delivery (“fourth trimester”) are a high-risk period for birthing individuals and newborns, especially those who racially ethnically marginalized due to structural racism. </sec> <title>OBJECTIVE</title> To fill gap in the critical “fourth trimester,” we developed 2 ruled-based chatbots—one one newborn caregivers—that provided trusted information about postbirth warning signs care connected patients with health providers....
Background The 42 days after delivery (“fourth trimester”) are a high-risk period for birthing individuals and newborns, especially those who racially ethnically marginalized due to structural racism. Objective To fill gap in the critical “fourth trimester,” we developed 2 ruled-based chatbots—one one newborn caregivers—that provided trusted information about postbirth warning signs care connected patients with health providers. Methods A total of 4370 received chatbot outreach between...
Abstract Introduction: Black/African Americans (AA) have the highest lung cancer incidence and mortality compared to other racial ethnic groups; however, provider-initiated discussions with eligible patients about screening (LCS) are low overall, AA minority individuals less likely than Whites these discussions. To target lack of discussion screening, we describe development feasibility a provider-level prompt for planned multilevel intervention promote equitable uptake LCS. Methods: We used...
<sec> <title>BACKGROUND</title> Adverse events associated with vaccination have been evaluated by epidemiological studies and more recently gained additional attention the emergency use authorization of several COVID-19 vaccines. As part its responsibility to conduct postmarket surveillance, US Food Drug Administration continues monitor adverse special interest (AESIs) ensure vaccine safety, including for COVID-19. </sec> <title>OBJECTIVE</title> This study is Biologics Effectiveness Safety...
In light of issues arising from the transition manual to electronic patient status boards in emergency department, this study takes a cognitive systems engineering approach designing novel centered information display improve accessibility for nurses and physicians medicine. Following observations focus groups with medicine staff, prototype was created is currently undergoing formative usability testing ensure support nurses.
Acute spinal cord compression (SCC) is rare, difficult to diagnose, and likely result in devastating, irreversible neurological outcomes if not treated a timely manner. This project aimed 1) identify clinician perceptions impressions of SCC diagnostic indicators risk factors; 2) coalesce factors described the literature; 3) compare above elements. The goal this optimize alert within electronic health record system update emergency department’s protocol.
Patient-based scenario-driven usability tests are routinely created for health information technology and clinical decision support evaluations. Due to low clinician awareness of sepsis, a study was undertaken understand performance preference different display types sepsis through multi-centered testing. scenarios were mimic the environment in which providers would interact with support. The data provided drawn from real patient cases two databases, including: demographics,...