A5047393047- Electronic Health Records Systems
- Venous Thromboembolism Diagnosis and Management
- COVID-19 Clinical Research Studies
- Healthcare Policy and Management
- COVID-19 and healthcare impacts
- Healthcare cost, quality, practices
- Healthcare Systems and Technology
- Radiation Dose and Imaging
- Patient Satisfaction in Healthcare
- Radiology practices and education
- Antibiotic Use and Resistance
- Clinical Reasoning and Diagnostic Skills
- Pneumonia and Respiratory Infections
- Clinical practice guidelines implementation
- Emergency and Acute Care Studies
- Sepsis Diagnosis and Treatment
- Heart Rate Variability and Autonomic Control
- Posttraumatic Stress Disorder Research
- Long-Term Effects of COVID-19
- Cardiac Health and Mental Health
- Cardiovascular Health and Risk Factors
- Medical Coding and Health Information
- Cardiac Arrest and Resuscitation
- Traumatic Brain Injury and Neurovascular Disturbances
- COVID-19 and Mental Health
New York University
2022-2024
NYU Langone Health
2023-2024
Northwell Health
2020-2022
Feinstein Institute for Medical Research
2020-2022
Health Innovations (United States)
2020-2022
Donald & Barbara Zucker School of Medicine at Hofstra/Northwell
2018-2022
Clinical Research Consortium
2021
Lenox Hill Hospital
2021
Stanford University
2021
Kyoto University
2021
There is limited information describing the presenting characteristics and outcomes of US patients requiring hospitalization for coronavirus disease 2019 (COVID-19).To describe clinical with COVID-19 hospitalized in a health care system.Case series admitted to 12 hospitals New York City, Long Island, Westchester County, York, within Northwell Health system. The study included all sequentially between March 1, 2020, April 4, inclusive these dates.Confirmed severe acute respiratory syndrome 2...
There is minimal information on coronavirus disease 2019 (COVID-19) in immunocompromised individuals. We have studied 10 patients treated at 12 adult care hospitals. Ten kidney transplant recipients tested positive for severe acute respiratory syndrome 2 (SARS-CoV-2) by polymerase chain reaction, and 9 were admitted. The median age was 57 (interquartile range [IQR] 47-67), 60% male, 40% Caucasian, 30% Black/African American. Median time from to COVID-19 testing 2822 days (IQR 1272-4592)....
Abstract Objective Our primary objective was to use initial data available clinicians characterize and predict survival for hospitalized coronavirus disease 2019 (COVID-19) patients. While clinical characteristics mortality risk factors of COVID-19 patients have been reported, a practical calculator based on from diverse group U.S. has not yet introduced. Such tool would provide timely valuable guidance in decision-making during this global pandemic. Design We extracted demographic,...
Early buzz around ChatGPT's [1] proficiency at healthcare tasks [2][3][4] has turned into rapid deployment of large language model (LLM) technology across healthcare.Multiple systems including UC San Diego Health, Stanford Health Care, and University Wisconsin are already piloting the use GPT-4 to draft responses patient messages [5].Others, The Kansas System, similar LLMs support clinical documentation [6].Early conversations about in tended towards extremes, either lauding their...
Successful clinical decision support (CDS) tools can help use evidence-based medicine to effectively improve patient outcomes. However, the impact of these has been limited by low provider adoption due overtriggering, leading alert fatigue. We developed a tracking mechanism for monitoring trigger (percent total visits which tool triggers) and completed tools) rates complex CDS based on Wells criteria pulmonary embolism (PE).We aimed monitor evaluate assess whether ongoing modifications would...
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Background Through our work, we have demonstrated how clinical decision support (CDS) tools integrated into the electronic health record (EHR) assist providers in adopting evidence-based practices. This requires confronting technical challenges that result from relying on EHR as foundation for tool development; example, individual CDS need to be built independently each different EHR. Objective The objective of research was build and implement an EHR-agnostic platform integrating tools,...
The effect of dietary isoflavone intake on systolic blood pressure ( SBP ) has not been studied in a large community‐based cohort inclusive African Americans. authors analyzed data from the year 20 examination Coronary Artery Risk Development Young Adults CARDIA study, including medical history, physical examination, and surveys for 3142 participants. Multivariable linear regression models controlled age, sex, body mass index, smoking, activity, intakes alcohol total energy. Effect...
We employed an agile, user-centered approach to the design of a clinical decision support tool in our prior integrated prediction rule study, which achieved high adoption rates. To understand if applying this process adapt tools is effective improving use rules, we examined utilization rates adapted from original study determine yields enhanced similar study.MATERIALS & METHODS: conducted pre-deployment usability testing and semi-structured group interviews at 6 months post-deployment with...
BACKGROUND The healthcare burden of hospital-acquired Clostridium difficile infection (CDI) demands attention and calls for a solution. Identifying patients’ risk developing primary nosocomial CDI is critical first step in reducing the development new cases CDI. OBJECTIVE To derive clinical prediction rule that can predict patient’s acquiring DESIGN Retrospective cohort study. SETTING Large tertiary center. PATIENTS Total 61,482 subjects aged at least 18 admitted over 1-year period (2013)....
Child maltreatment is a leading cause of pediatric morbidity and mortality. We previously reported on development implementation child abuse clinical decision support system (CA-CDSS) in the Cerner electronic health record (EHR). Our objective was to develop CA-CDSS two different EHRs.Using as template, CA-CDSSs were developed for use four hospitals Northwell Health who Allscripts University Wisconsin Epic. Each had combination triggers, alerts abuse-specific order sets. Usability evaluation...
Background Clinicians often disregard potentially beneficial clinical decision support (CDS). Objective In this study, we sought to explore the psychological and behavioral barriers use of a CDS tool. Methods We conducted qualitative study involving emergency medicine physicians physician assistants. A semistructured interview guide was created based on Capability, Opportunity, Motivation-Behavior model. Interviews focused tool built Wells’ criteria for pulmonary embolism assist clinicians...
Potential of the electronic health records (EHR) and clinical decision support (CDS) systems to improve practice medicine has been tempered by poor design resulting burden they place on providers. CDS is rarely tested in real environment. As a result, many tools are hard use, placing strain providers low adoption rates. The existing usability literature relies primarily expert opinion provider feedback via survey. This first study evaluate provider-computer-patient interaction with complex
BackgroundThe benefits of computed tomography pulmonary angiography (CTPA) for embolism (PE) diagnosis must be weighed against its risks, radiation-induced malignancy, and contrast-induced nephropathy. Appropriate use CTPA can assessed by monitoring yield, the percentage tests positive PE. We identify factors that are associated low which may predict overtesting.MethodsThis was a retrospective cohort study six emergency departments between June 2014 February 2017. The electronic health...
Computed tomography pulmonary angiography (CTPA) is frequently used in the emergency department (ED) for diagnosis of embolism (PE), while posing risk contrast-induced nephropathy and radiation-induced malignancy.We aimed to create an automated process calculate Wells score patients ED, which could potentially reduce unnecessary CTPA testing.We designed using electronic health records data elements, including a combinatorial keyword search method query free-text fields, calculated scores...