A5054155855- Patient Safety and Medication Errors
- Airway Management and Intubation Techniques
- Cardiac, Anesthesia and Surgical Outcomes
- Medical Malpractice and Liability Issues
- Simulation-Based Education in Healthcare
- Healthcare Technology and Patient Monitoring
- Hemodynamic Monitoring and Therapy
- Cardiac Arrest and Resuscitation
- Respiratory Support and Mechanisms
- Infection Control and Ventilation
- Climate Change and Health Impacts
- COVID-19 and healthcare impacts
- Anesthesia and Sedative Agents
- Tracheal and airway disorders
- Quality and Safety in Healthcare
- Renal function and acid-base balance
- Cardiovascular and Diving-Related Complications
- Advancements in Photolithography Techniques
- Integrated Circuits and Semiconductor Failure Analysis
- Intensive Care Unit Cognitive Disorders
- Enhanced Recovery After Surgery
- Foreign Body Medical Cases
- Pharmacological Effects and Toxicity Studies
- Family and Patient Care in Intensive Care Units
- Clinical Reasoning and Diagnostic Skills
Boston Medical Center
2009-2024
Boston University
2001-2024
Brigham and Women's Hospital
2024
University Medical Center
2001-2021
University Hospital and Clinics
2018
National Patient Safety Foundation
2017
Personal Protective Equipment and Covid-19 This video demonstrates a procedure for donning doffing one type of PPE recommended by the CDC use in hospitals to minimize risk exposure t...
Introduction: The objective of this study was to compare airway management technique, performance, and peri-intubation complications during the novel coronavirus pandemic (COVID-19) using a single-center cohort patients requiring emergent intubation.Methods: We retrospectively collected data on non-operating room (OR) intubations from February 1–April 23, 2020. All undergoing emergency intubation outside OR were eligible for inclusion. Data entered an procedure note integrated within...
Objective: To evaluate the efficacy and utility of simulation Emergency Airway Response Team (EART) at a tertiary care hospital to improve team dynamics confidence knowledge in managing an emergency airway. Methods: This was descriptive, quantitative performance improvement study. From September 1, 2013, December 177 members EART from anesthesia, otolaryngology, trauma surgery, medicine, ICU nursing, respiratory therapy participated airway simulations. levels were assessed using pre-and...
The coronavirus disease 2019 pandemic resulted in unprecedented numbers of patients with respiratory failure requiring ventilatory support. number who required critical care quickly outpaced the availability intensive unit (ICU) beds. Consequently, health systems had to creatively expand services into alternative hospital locations repurposed staff and equipment. Deploying anesthesia workstations ICU serve as mechanical ventilators requires equipment preparation, multidisciplinary planning,...
Simulation-based education is an important tool in the training of professionals medical field, especially for low-frequency, high-risk events. An interprofessional simulation-based program was developed to enhance Emergency Airway Response Team (EART) knowledge, team dynamics, and personnel confidence. This quality improvement study evaluated EART simulation results nurse participants.Twenty-four classes 4-hour sessions were conducted during a 12-week period. Sixty-three nurses from...
Coin-shaped button battery foreign bodies have a similar initial presentation to coin ingestion, but delayed retrieval of from the esophagus can devastating consequences. Variations in timing for children with ingestion been reported. The study assesses sensitivity and specificity conventional digital radiographs differentiate batteries bodies.3B case control study.Tertiary academic medical center.A radiographic 12 most common commercially available 66 coins varying international origins was...
Patients in an acute care hospital who experience a difficult airway event outside the operating room need specialized emergency response team (EART) immediately. This designated manages catastrophic events using advanced techniques as well surgical intervention. Nurses respond part of this team. There are no identified documentation instruments literature, and lack metrics limits quality review response. study EART criteria incorporated them into nursing instrument to be completed by nurse...
Background/Objectives: Elevated glycemic variability (GV) has been associated with postoperative morbidity. Traditional preoperative fasting guidelines may contribute to high GV by driving the body into catabolism. Enhanced recovery after surgery (ERAS) protocols that include a carbohydrate load (PCL) reduce hospital length of stay and healthcare costs; however, it remains unclear whether PCL improves in surgical patients. The aim this retrospective study was determine effect on diabetic...
During a general anesthetic case, patient was administered 400 µg/mL infusion of phenylephrine as opposed to the 40 solution typically used in most operating rooms. The experienced iatrogenic hypertension, which resolved once cause discovered and discontinued. A root analysis performed, with multiple factors contributing error. Department Pharmacy advocated switching one concentration hospital-wide. After performing literature review regarding safety using peripherally, decision made switch...
Objectives Hospital staff are expected to report adverse events safety leaders and risk managers. At our institution, via an incident reporting software system, known as “RL.” These “RL reports” kept separate from patient medical records. Within the Anesthesiology Department, we noted low numbers of RL reports relative events. Anesthesiology-related were scattered within therefore difficult find. We hypothesized that compiling these in one location would increase rates allow for deeper...
The delivery of drugs from the manufacturer to hospital is a complex process. Despite numerous safeguards, lapses may occur, creating potential for patient harm. Recently, an urban tertiary care medical center received shipment isoflurane bottles labeled veterinary use. This error was not identified until reached operating room automated medication dispensing system. No patients anesthetic. report describes how such occurred, explains differences between and human medications, emphasizes...