A5055661680- Electronic Health Records Systems
- Nursing Diagnosis and Documentation
- Healthcare Technology and Patient Monitoring
- Balance, Gait, and Falls Prevention
- Patient Safety and Medication Errors
- Healthcare Systems and Technology
- Clinical practice guidelines implementation
- Pharmaceutical Practices and Patient Outcomes
- Biomedical Text Mining and Ontologies
- Mobile Health and mHealth Applications
- Machine Learning in Healthcare
- Injury Epidemiology and Prevention
- Chronic Disease Management Strategies
- Stroke Rehabilitation and Recovery
- Cerebral Palsy and Movement Disorders
- Interprofessional Education and Collaboration
- Context-Aware Activity Recognition Systems
- Telemedicine and Telehealth Implementation
- Sepsis Diagnosis and Treatment
- Cardiac, Anesthesia and Surgical Outcomes
- Musculoskeletal pain and rehabilitation
- Primary Care and Health Outcomes
- Health Policy Implementation Science
- Pressure Ulcer Prevention and Management
- Medical Malpractice and Liability Issues
Brigham and Women's Hospital
2016-2025
Harvard University
2016-2025
National Patient Safety Foundation
2014-2024
Dykema (United States)
2010-2024
Lemuel Shattuck Hospital
2024
American Academy of Nursing
2014-2023
American Medical Informatics Association
2023
American College
2023
University of Virginia
2023
Mass General Brigham
2006-2022
<h3>Context</h3>Falls cause injury and death for persons of all ages, but risk falls increases markedly with age. Hospitalization further risk, yet no evidence exists to support short-stay hospital-based fall prevention strategies reduce patient falls.<h3>Objective</h3>To investigate whether a tool kit (FPTK) using health information technology (HIT) decreases in hospitals.<h3>Design, Setting, Patients</h3>Cluster randomized study conducted January 1, 2009, through June 30, comparing rates 4...
Injuries from falls are major contributors to complications and death in older adults. Despite evidence efficacy trials that many can be prevented, rates of resulting injury have not declined.
There is insufficient research on the costs of patient falls in health care systems, a leading source nonreimbursable adverse events.
To define the types and numbers of inpatient clinical decision support alerts, measure frequency with which they are overridden, describe providers' reasons for overriding them appropriateness those reasons.We conducted a cross-sectional study medication-related alerts over 3-year period at 793-bed tertiary-care teaching institution. We measured rate alert overrides, overrides by type, cited reasons.Overall, 73.3% patient allergy, drug-drug interaction, duplicate drug were though varied type...
<h3>Importance</h3> Falls represent a leading cause of preventable injury in hospitals and frequently reported serious adverse event. Hospitalization is associated with an increased risk for falls injuries including hip fractures, subdural hematomas, or even death. Multifactorial strategies have been shown to reduce acute care hospitals, but evidence fall-related prevention lacking. <h3>Objective</h3> To assess whether fall-prevention tool kit that engages patients families the process...
Abstract We implemented a web-based, patient-centered toolkit that engages patients/caregivers in the hospital plan of care by facilitating education and patient-provider communication. Of 585 eligible patients approached on medical intensive oncology units, 239 were enrolled (119 patients, 120 caregivers). The most common reason for not approaching patient was our inability to identify health proxy when incapacitated. Significantly more caregivers units compared with (75% vs 32%; P &lt;...
Introduction Intravenous medication errors persist despite the use of smart pumps. This suggests need for a standardised methodology measuring and highlights importance identifying issues around pump administration in order to improve patient safety. Objectives We conducted multisite study investigate types frequency intravenous associated with pumps USA. Methods 10 hospitals various sizes using from range vendors participated. Data were collected prospective point prevalence approach...
Background There are over 2 million newly diagnosed patients with breast cancer worldwide more than 10,000 cases in Taiwan each year. During 2017-2018, the National Yang-Ming University, University of Science and Technology, Breast Cancer Prevention Foundation collaborated to develop a self-management support (BCSMS) mHealth app for Taiwanese women cancer. Objective The aim this study was investigate quality life (QoL) after using BCSMS app. Methods After receiving first diagnosis cancer,...
Clinician trust in machine learning-based clinical decision support systems (CDSSs) for predicting in-hospital deterioration (a type of predictive CDSS) is essential adoption. Evidence shows that clinician CDSSs influenced by perceived understandability and accuracy.
Abstract Objectives The purpose of this study is to understand the relationship between documentation burden and clinician burnout syndrome in nurses working direct patient care. Office National Coordinator considers a high priority problem. However, presence care not well known. Furthermore, has been linked development syndrome. Methods This paper reports that results cross-sectional survey comprised three tools: (1) for mid-wives survey, (2) system usability scale, (3) Maslach's inventory...
Chronic kidney disease (CKD) affects 37 million adults in the United States, and for patients with CKD, hypertension is a key risk factor adverse outcomes, such as failure, cardiovascular events, death.
Obtain the views of nurses and assistants as to why patients in acute care hospitals fall.Despite a large quantitative evidence base for guiding fall risk assessment not needing highly technical, scarce, or expensive equipment prevent falls, falls are serious problems hospitals.Basic content analysis methods were used interpret descriptive data from 4 focus groups with (n = 23) 19). A 2-person consensus approach was analysis.Positive negative components 6 concepts-patient report, information...
BackgroundHealth IT can play a major role in improving patient safety. Computerized physician order entry with decision support alert providers to potential prescribing errors. However, too many alerts result ignoring and overriding clinically important ones. ObjectiveTo evaluate the appropriateness of providers' drug-drug interaction (DDI) overrides, reasons why they chose override these alerts, what actions took as consequence alert. DesignA cross-sectional, observational study DDI...
Introduction Intravenous medication administration has traditionally been regarded as error prone, with high potential for harm. A recent US multisite study revealed few potentially harmful errors despite a overall rate. However, there is limited evidence about infusion practices in England and how they relate to prevalence types of error. Objectives To determine the prevalence, severity discrepancies English hospitals, explore sources variation, including contribution smart pumps. Methods...
As healthcare systems and providers move toward meaningful use of electronic health records, longitudinal care plans (LCPs) may provide a means to improve communication coordination as patients transition across settings. The objective this study was determine the current state LCPs settings levels care.We conducted surveys interviews with professionals from emergency departments, acute hospitals, skilled nursing facilities, home agency in six regions USA. We coded transcripts according...