A5075384455- Electronic Health Records Systems
- Respiratory viral infections research
- Sepsis Diagnosis and Treatment
- Health Sciences Research and Education
- Biomedical Text Mining and Ontologies
- Antibiotics Pharmacokinetics and Efficacy
- Acute Ischemic Stroke Management
- Venous Thromboembolism Diagnosis and Management
- Intensive Care Unit Cognitive Disorders
- Gun Ownership and Violence Research
- Emergency and Acute Care Studies
- Machine Learning in Healthcare
- Injury Epidemiology and Prevention
- Stroke Rehabilitation and Recovery
- Innovations in Medical Education
- Patient Safety and Medication Errors
- Nursing Diagnosis and Documentation
- Ophthalmology and Visual Health Research
- Facial Trauma and Fracture Management
- Heart Failure Treatment and Management
- Trauma and Emergency Care Studies
- COVID-19 Clinical Research Studies
- Suicide and Self-Harm Studies
- COVID-19 epidemiological studies
- Traumatic Ocular and Foreign Body Injuries
Vanderbilt University Medical Center
2021-2025
Vanderbilt University
2013-2025
VA Tennessee Valley Healthcare System
2023-2024
Geriatric Research Education and Clinical Center
2024
Loyola University Medical Center
2023
University of Tennessee Health Science Center
2019
Columbia University
2007-2010
Colby College
2005
Abstract The Omicron variant of SARS‐CoV‐2 achieved worldwide dominance in late 2021. Early work suggests that infections caused by the may be less severe than those Delta variant. We sought to compare clinical outcomes these two strains, confirmed whole genome sequencing, over a short period time, from respiratory samples collected positive patients at large medical center. found significantly morbidity, including admission hospital and requirement for oxygen supplementation, mortality
Importance Cefepime and piperacillin-tazobactam are commonly administered to hospitalized adults for empirical treatment of infection. Although has been hypothesized cause acute kidney injury cefepime neurological dysfunction, their comparative safety not evaluated in a randomized clinical trial. Objective To determine whether the choice between affects risks or dysfunction. Design, Setting, Participants The Antibiotic Choice on Renal Outcomes (ACORN) trial compared vs whom clinician...
To develop an electronic health record that facilitates rapid capture of detailed narrative observations from clinicians, with partial structuring information for integration and reuse.We propose a design in which unstructured text coded data are fused into single model called structured narrative. Each major clinical event (e.g., encounter or procedure) is represented as document marked up to identify gross structure (sections, fields, paragraphs, lists) well fine within sentences...
Objective Although electronic notes have advantages compared to handwritten notes, they take longer write and promote information redundancy in health records (EHRs). We sought quantify clinical documentation by studying collections of physician an EHR.
Summary Objective: To refine the Physician Documentation Quality Instrument (PDQI) and test validity reliability of 9-item version (PDQI-9). Methods: Three sets each admission notes, progress notes discharge summaries were evaluated by two groups physicians using PDQI-9 an overall general assessment: one gold standard group consisting program or assistant directors (n = 7), other attending chief residents 24). The main measures criterion-related (correlation coefficients between Total scores...
Epinephrine can be a life-saving treatment for patients with anaphylaxis. Potential cardiovascular side effects of epinephrine may contribute to clinician hesitancy use it. However, the frequency cardiotoxicity resulting from anaphylaxis is not well described. We sought describe following intramuscular (IM) administration in adult emergency department (ED)
The surgical airway is a high acuity, low occurrence procedure. Data on the complications and outcomes of airways are limited. Our primary objective was to describe immediate complications, late clinical patients who underwent procedure in prehospital or emergency department (ED) setting.
Unstable housing and homelessness can exacerbate adverse health outcomes leading to increased risk of chronic disease, injury, disability. However, emergency departments (EDs) have no universal method identify those at or currently experiencing homelessness.
Abstract Introduction Health literacy can be a key factor in patient outcomes and self-management, yet the overall role of health burn is not well known. Understanding effects on patients allow us to better care for them anticipate needs boundaries safe disposition. Our center aims perform routine screening all patients. This study examines survivors seeks determine its effect unplanned emergency room visits within 30 days discharge. Methods Single-center, retrospective review admitted...
Guidelines recommend using high-sensitivity troponin T (hsTnT) and N-terminal pro-B-type natriuretic peptide (NT-proBNP) to risk stratify hemodynamically stable patients with acute pulmonary embolism (PE). However, there are no evidence-based cutoff values defined for this clinical application.
Educators need efficient and effective means to track students' clinical experiences monitor their progress toward competency goals.To validate an electronic scoring system that rates medical notes for relevance priority topics of the school curriculum.The Vanderbilt School Medicine Core Clinical Curriculum enumerates 25 core problems (CCP) graduating students must understand. Medical upload pertinent each CCP a web-based dashboard, but criteria determining note consistent uploading...
Objective: The objective of the study was to assess patients’ attitudes regarding participation in a randomized trial antibiotics versus placebo for acute diverticulitis. Background: Despite evidence that may not be necessary treat uncomplicated diverticulitis, they remain mainstay treatment United States. A States evaluating antibiotic effectiveness could accelerate implementation antibiotic-free treatment, but providers maintain concerns patients unwilling participate. Methods: This...
Background: Tibial shaft fractures are the most common injuries preceding acute compartment syndrome (ACS), so it is important to understand incidence of and risk factors for ACS after pediatric tibial fractures. The purposes this study were determine rate at which occurs if any patient or fracture characteristics significantly associated with developing ACS. Methods: All patients aged 5 17 years treated a level 1 trauma center, adult an outpatient orthopaedic practice between 2008 2016...
Abstract Successfully changing prescribing behavior to reduce inappropriate antibiotic and nonsteroidal anti-inflammatory drug (NSAID) prescriptions often requires combining components into a multicomponent intervention. However, interventions fail because of development implementation complexity. To increase the likelihood successfully behavior, we applied systematic process design implement We used Intervention Mapping create roadmap for intervention in unscheduled outpatient care settings...