A5090853517- Emergency and Acute Care Studies
- Cervical Cancer and HPV Research
- Hospital Admissions and Outcomes
- Innovations in Medical Education
- Patient Safety and Medication Errors
- Healthcare Policy and Management
- Healthcare Systems and Technology
- Blood Pressure and Hypertension Studies
- Hemodynamic Monitoring and Therapy
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Geriatric Care and Nursing Homes
- Primary Care and Health Outcomes
- Peripheral Artery Disease Management
- Alcoholism and Thiamine Deficiency
- Telemedicine and Telehealth Implementation
- Patient Satisfaction in Healthcare
- Cardiovascular Syncope and Autonomic Disorders
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac pacing and defibrillation studies
- Healthcare Technology and Patient Monitoring
- Healthcare professionals’ stress and burnout
- Health Policy Implementation Science
- Global Cancer Incidence and Screening
- Opioid Use Disorder Treatment
- Vaccine Coverage and Hesitancy
Duke University
2014-2025
Durham VA Health Care System
2020-2025
Duke University Hospital
2012-2025
GGG (France)
2024
Durham VA Medical Center
2014-2024
Duke University Health System
2014-2019
Duke Medical Center
2012-2017
University of North Carolina at Chapel Hill
2015
General Department of Preventive Medicine
2015
Duke University Health System (DUHS) generates annual antibiograms combining adult and pediatric data. We hypothesized significant susceptibility differences exist for isolates that distributing these results would alter antibiotic choices.Susceptibility rates Escherichia coli from patients aged ≤12 years between July 2009 September 2010 were compared with the DUHS antibiogram. Pediatric attending resident physicians answered case-based vignettes about children 3 months 12 urinary tract...
Background. Lyme disease is diagnosed by 2-tiered serologic testing in patients with a compatible clinical illness, but the significance of positive test results low-prevalence regions has not been investigated. Methods. We reviewed medical records who tested for standardized between 2005 and 2010 at single hospital system region little endemic disease. Based on findings, we calculated predictive value serology. Next, outcome select syndromes disseminated (arthritis, cranial neuropathy, or...
In Brief Background Human papillomavirus (HPV) testing as primary cervical cancer screening has not been studied in Caribbean women. We tested vaginal self-collection versus physician sampling a population of Haitian Methods Participants were screened for high-risk HPV with self-performed and clinician-collected samples using Hybrid Capture 2 assays (Qiagen, Gaithersburg, MD). Women positive by either method then underwent colposcopy biopsy all visible lesions. Sensitivity predictive value...
Few studies describe contemporary alcohol withdrawal management in hospitalized settings or review current practices considering the guidelines by American Society of Addiction Medicine (ASAM).
Distress behaviors are common in residential care settings and contribute to staff burnout poor quality of life for older adults. While nonpharmacologic interventions reduce distress behaviors, implementation routine remains challenging. Our study applies a narrative reanalysis identified systematic review describe the setting, focus, core components, complexity identified. Most occurred post-acute settings, followed by transitions between inpatient mental health settings. Identified were...
Combined pulmonary fibrosis and emphysema (CPFE) is a unique phenotype with important prognosis management implications in patients idiopathic (CPFE-IPF) other forms of fibrotic interstitial lung disease (CPFE-fILD). However, the epidemiology CPFE not well characterized, creating barrier to clinical research needed advance our understanding management. To investigate incidence, prevalence, long-term outcomes among regional cohort Veterans. We retrospectively reviewed records for Veterans...
Abstract Background Alcohol withdrawal is a common reason for admission to acute care hospitals. Prescription of medications alcohol‐use disorder (AUD) and close outpatient follow‐up are commonly recommended, but few studies report their effects on postdischarge outcomes. Objectives The objective this study evaluate the AUD appointments readmission abstinence. Methods This retrospective cohort evaluated veterans admitted alcohol medical services at 19 Veteran Health Administration hospitals...
This study sought to determine burnout prevalence and factors associated with in internal medicine residents after introduction of the 2011 ACGME duty hour rules. Burnout was evaluated using an anonymized, abbreviated version Maslach Inventory. Surveys were collected biweekly for 48 weeks during 2013-2014 academic year. severity compared across subgroups time. A score 3 or higher signified burnout. Overall, 944 3936 (24%) surveys completed. The mean all 2.8. Categorical had than...
Cervical cancer is the leading cause of deaths among women in Haiti. Given this high disease burden, we sought to better understand women's knowledge its causes and sociodemographic health correlates cervical screening.Participants were 410 adult presenting at clinics Léogâne Port-au-Prince, We used bivariate multivariate logic regression identify Pap smear receipt.Only 29% respondents had heard human papillomavirus (HPV), whereas 98% aware cancer. Of those cancer, 12% believed that sexually...
Background. The optimum approach for infectious complication surveillance cardiac implantable electronic device (CIED) procedures is unclear. We created an automated tool complications after CIED procedures. Methods. Adults having between January 1, 2005 and December 31, 2011 at Duke University Hospital were identified retrospectively using International Classification of Diseases, 9th revision (ICD-9) procedure codes. Potential infections with combinations ICD-9 diagnosis codes microbiology...
Hypertension control is an important and modifiable risk factor for cardiovascular disease. The overall rate of hypertension among patients followed in cardiology clinics, as well clinician variability rates, unknown.We conducted a retrospective cohort study with (n=5979) routinely clinic (n=47 physicians). Overall, 30.3% had suboptimal (blood pressure [BP] ≥ 140/90 mm Hg) at the end 13-month follow-up period. Patient-level factors associated were younger age, male sex, white ethnicity,...
Failure to follow up and communicate test results patients in outpatient settings may lead diagnostic therapeutic delays. Residents are less likely than attending physicians report patients, face additional barriers reporting, given competing clinical responsibilities.This study aimed improve the rates of communicating resident ambulatory clinics.We performed an internal medicine, residency-wide, pre- postintervention, quality improvement project using audit feedback. audits requiring...
Systematically engaging residents in large programs quality improvement (QI) is challenging.To coordinate a shared QI project residency program using an online tool.A web-based tool guided through 2-phase evaluation of performance foot examinations patients with diabetes. In phase 1, completed reviews health records data entry. Residents were then presented personal relative to peers and prompted develop plans. 2, again reviewed performance. Rates compared at the clinic levels for each...