A5081034391- Electronic Health Records Systems
- Healthcare Technology and Patient Monitoring
- Medical Imaging and Pathology Studies
- Patient Safety and Medication Errors
- Case Reports on Hematomas
- Soft tissue tumor case studies
- Complex Systems and Decision Making
- Human-Automation Interaction and Safety
- Emergency and Acute Care Studies
- Quality and Safety in Healthcare
- Hospital Admissions and Outcomes
- Interprofessional Education and Collaboration
- Dermatological and Skeletal Disorders
- Healthcare Policy and Management
- Simulation-Based Education in Healthcare
- Patient-Provider Communication in Healthcare
- Palliative Care and End-of-Life Issues
- Health Sciences Research and Education
- Health Policy Implementation Science
- Hematological disorders and diagnostics
- Bone fractures and treatments
- Primary Care and Health Outcomes
- Trauma and Emergency Care Studies
- Systemic Sclerosis and Related Diseases
- Usability and User Interface Design
The University of Sydney
2024-2025
Cooperative Trials Group for Neuro-Oncology
2024
Royal North Shore Hospital
2010-2021
Vanderbilt University Medical Center
2008-2019
Vanderbilt University
2009-2018
VA Tennessee Valley Healthcare System
2011-2018
Geriatric Research Education and Clinical Center
2011-2018
University of Florida
2018
Cerner (United States)
2018
Human Factors (Norway)
2004-2018
Objective: To determine whether automated identification with physician notification of the systemic inflammatory response syndrome in medical intensive care unit patients expedites early administration new antibiotics or improvement other patient outcomes sepsis. Design: A prospective randomized, controlled, single center study. Setting: Medical an academic, tertiary center. Patients: Four hundred forty-two consecutive admitted over a 4-month period who met modified criteria unit....
Background Rheumatic heart disease (RHD) is considered a major public health problem in developing countries, although scarce data are available to substantiate this. Here we quantify mortality from RHD Fiji during 2008–2012 people aged 5–69 years. Methods and Findings Using 1,773,999 records derived multiple sources of routine clinical administrative data, used probabilistic record-linkage define cohort 2,619 persons diagnosed with RHD, observed for all-cause over 11,538 person-years....
Failures of teamwork and interpersonal communication have been cited as a major patient safety issue. Although healthcare is increasingly being provided in interdisciplinary teams, medical school curricula traditionally not explicitly included the specific knowledge, skills, attitudes, behaviors required to function effectively part such teams. As new "Foundations" core course for beginning students that two-week introduction most important themes modern healthcare, multidisciplinary team,...
Objective: The aim of this study was to explore differences in the verbal content handovers and rounds conducted uni- interdisciplinary social contexts. We expected higher proportions goals be articulated during rounds. Background: Lack explanatory connections between round improvement initiatives outcomes suggest insufficient understanding about health care communications, especially role interaction. Methods: recognition-primed abstract decomposition space (RP-ADS) used analyze information...
Using evidence-based guidelines to standardize the care of patients with complex medical problems is a difficult challenge. In acute settings, such as intensive units, inherent stabilizing and improving vital patient parameters complicated by division responsibilities among different healthcare team members. Computerized support for implementing has tremendous potential. The use model-integrated techniques specifying coordinated asynchronous processes promising new methodology providing...
Objective: This study explores the interactions among phases of team coordination, patient-related information, decision-making levels, and role holders in intensive care units (ICUs). Background: The effects communication improvement initiatives on adverse patient events or improved outcomes have been difficult to establish. Conceptual inconsistencies methodological shortcomings suggest insufficient understanding about clinical coordination. Method: Data were collected by shadowing a charge...
jeskey m., card e., nelson d., mercaldo n.d., sanders n., higgins m.s., shi y., michaels d. & miller A. (2011) Journal of Nursing Management19, 863–875 Nurse adoption continuous patient monitoring on acute post-surgical units: managing technology implementation Aim To report an exploratory action-research process used during the in nursing units. Background Substantial US Federal funding has been committed to implementing new health care technology, but failure manage processes may limit...
ABSTRACT Background and objective Current guidelines for the diagnosis of idiopathic pulmonary fibrosis (IPF) provide specific criteria in setting multidisciplinary discussion (MDD). We evaluate utility reproducibility these diagnostic guidelines, using clinical data from Australian IPF Registry. Methods All patients enrolled registry undergo a review whereby international are applied via MDD. investigated applicability with regard to: (i) adherence to (ii) Natural history categories (iii)...
Using Klein's model of team coordination, we explored the null hypothesis that intensive care unit (ICU) coordination unfolds as a linear sequence. Our intent was to generate hypotheses for further research and provide interim recommendations improving coordination. We also factors contributing (e.g., role responsibilities, support tools).Although body clinical communications is considerable, few studies address broader processes in real-world environments; hence, these are not well...
Abstract Background Evidence-based interventions may reduce mortality in surgical patients. This study documented the prevalence of sepsis, adherence to guidelines its management, and timing source control general patients presenting as an emergency. Methods Patients aged 16 years or more with emergency surgery problems were identified over a 7-day period then screened for sepsis compliance (using Sepsis Six standards, devised severe sepsis) (whether radiological surgical). Exploratory...
BACKGROUND: The blood product administration process has been subject to various quality improvement initiatives aimed at reducing errors, including labels that are missing, inaccessible, unreadable, or mismatched orders and/or patients. This article reports the results of a formal simulation‐based usability test two comparable technologies designed reduce errors. STUDY DESIGN AND METHODS: Nineteen nurses and three anesthesia providers evaluated one products during simulated use in realistic...
Human factors workflow analyses in healthcare settings prior to technology implemented are recommended improve ambulatory care settings. In this paper we describe how insights from a analysis conducted by NIST were software prototype developed for Veteran's Health Administration (VHA) VAi2 innovation project and associated lessons learned.We organize the original recommendations stages steps visualized process maps VA's learned implementing according four stages: 1) before patient visit, 2)...
There are gaps in delivering evidence-based care for patients with chronic liver disease and cirrhosis.Our objective was to use interactive user-centered design methods develop the Cirrhosis Order Set Clinical Decision Support (CirrODS) tool order improve clinical decision-making workflow.Two work groups were convened clinicians, user experience designers, human factors health services researchers, information technologists create interface designs. CirrODS prototypes underwent several...
Worldwide, most neonates who survive prematurity and serious illness reside in low-resource settings where developmental outcome data follow-up care are limited. This study aimed to assess Fiji, a Pacific setting, prevalence risk factors for moderate severe neurodevelopmental impairment (NDI) early childhood among high-risk compared with controls. Retrospective cohort comparing long-term outcomes neonatal intensive unit patients (n=149) matched term, normal birth weight (n=147) discharged...