Article
Anesthesiology
Shujing Zhou, Ziyu Zhu, Wanbing Dai, Siyi Qi, Weitian Tian, Yizhe Zhang, Xiao Zhang, Lili Huang, Jie Tian, Weifeng Yu, Diansan Su
Summary: The sedation rate for gastrointestinal endoscopy in China is lower compared to the USA and Europe, with propofol being the most commonly used sedative and propofol plus an opioid being a common combination. While most patients have their oxygen saturation monitored, emergency support devices like difficult airway kits and defibrillators are often lacking.
BRITISH JOURNAL OF ANAESTHESIA
(2021)
Article
Radiology, Nuclear Medicine & Medical Imaging
Shireen E. Hayatghaibi, Cecilia G. Cazaban, Sherwin S. Chan, Jonathan R. Dillman, Xianglin I. Du, Yu-Ting Huang, Osama I. Mikhail, John M. Swint
Summary: Time-driven activity-based costing (TDABC) was used to assess the health system costs of outpatient noncontrast brain MRI examinations across three children's hospitals. The study found that the cost of performing a sedated MRI examination was substantially higher than a nonsedated MRI examination. The largest cost category and source of difference in cost between hospitals was labor. This cost information can be used by health systems operating within alternative payment models (APMs) for cost reduction efforts and establishing bundled prices.
AMERICAN JOURNAL OF ROENTGENOLOGY
(2023)
Article
Medicine, General & Internal
Shelley S. Magill, Erin O'Leary, Susan M. Ray, Marion A. Kainer, Christopher Evans, Wendy M. Bamberg, Helen Johnston, Sarah J. Janelle, Tolulope Oyewumi, Ruth Lynfield, Jean Rainbow, Linn Warnke, Joelle Nadle, Deborah L. Thompson, Shamima Sharmin, Rebecca Pierce, Alexia Y. Zhang, Valerie Ocampo, Meghan Maloney, Samantha Greissman, Lucy E. Wilson, Ghinwa Dumyati, Jonathan R. Edwards, Nora Chea, Melinda M. Neuhauser
Summary: This study evaluates the appropriateness of antimicrobial use in US hospitals, finding that 55.9% of patients received antimicrobials deviated from recommended practices.
Article
Anesthesiology
Yafeng Wang, Feng Xu, Shuai Zhao, Linlin Han, Shiqian Huang, Hongyu Zhu, Yuanyuan Ding, Lulin Ma, Wenjing Zhao, Tianhao Zhang, Xiangdong Chen
Summary: This study conducted a nationwide survey to assess the status of procedural analgesic interventions in Chinese hospitals. The findings indicate that while Chinese anesthesiologists have achieved an increased rate of procedural analgesic interventions, there are challenges related to uneven healthcare provision and a shortage of anesthesiologists in hospitals of different levels and regions.
BMC ANESTHESIOLOGY
(2022)
Article
Medicine, General & Internal
Cora Peterson, Mengyao Li, Likang Xu, Christina A. Mikosz, Feijun Luo
Summary: This study estimated the annual attributable medical cost of SUD in US hospitals to be $13.2 billion, with costs varying by substance type. The findings suggest that reductions in high direct medical costs of SUD hospital care could offset the cost of effective prevention and treatment, offering opportunities for treatment during hospitalization for patients with SUD.
Article
Ethics
Ellen Fox, Marion Danis, Anita J. Tarzian, Christopher C. Duke
Summary: Since 2000, the number of ethics consultation case performed annually in US hospitals increased by 94% to 68,000, with the average number of consults per hospital remaining unchanged. The level of education of EC practitioners remained the same, but the percentage of hospitals formally evaluating their EC services decreased. The gap between large, teaching hospitals and small, nonteaching hospitals widened compared to the previous study.
AMERICAN JOURNAL OF BIOETHICS
(2022)
Article
Public, Environmental & Occupational Health
Jongwha Chang, Mar Medina, Sun Jung Kim
Summary: The study aimed to explore the association between patients' rurality and in-hospital sepsis mortality, along with other patient and hospital-related factors, in order to identify potential health disparities among US hospitals. The findings showed that different rurality levels, patient populations, and hospital factors had varying in-hospital death rates for sepsis patients. Factors such as living in rural areas, belonging to minority races, being female, older age, low-income, and uninsured were associated with higher odds of in-hospital mortality.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Medicine, General & Internal
Abra M. Jeffers, Stanton Glantz, Amy Byers, Salomeh Keyhani
Summary: This study found that high-frequency cannabis use is more common among young and racial minority populations, as well as individuals with low socioeconomic status. Given the known and emerging negative health effects of cannabis use, more attention may need to be paid to high-frequency use among underserved populations in the form of screening, risk stratification, and treatment.
Article
Health Care Sciences & Services
Elizabeth Sutton, Julian Bion, Russell Mannion, Janet Willars, Elizabeth Shaw, Carolyn Tarrant
Summary: Most NHS hospital trusts in England responded to the introduction of national standards for 7-day services by focusing on hitting targets and achieving compliance with the standards. Compliance-based responses were associated with a hierarchical organisational culture and focus on external performance. Trusts that took a commitment-based approach tended to have a developmental organisational culture and a history of higher performance across the board.
BMC HEALTH SERVICES RESEARCH
(2021)
Article
Immunology
Jeffrey R. Strich, Emily Ricotta, Sarah Warner, Yi Ling Lai, Cumhur Y. Demirkale, Samuel F. Hohmann, Chanu Rhee, Michael Klompas, Tara Palmore, John H. Powers, John P. Dekker, Jennifer Adjemian, Roland Matsouaka, Christopher W. Woods, Robert L. Danner, Sameer S. Kadri
Summary: The study showed an increasing use of ceftazidime-avibactam for carbapenem-resistant gram-negative infections, while the use of colistin declined during the same period. Patients with chronic kidney disease were more likely to receive targeted ceftazidime-avibactam therapy, while those on dialysis were less likely to receive it compared to colistin.
CLINICAL INFECTIOUS DISEASES
(2021)
Article
Pediatrics
Kuan-Chi Lai, Scott A. Lorch
Summary: This study aimed to evaluate the healthcare costs associated with major morbidities in premature infants. The findings showed that lower gestational age, more severe morbidities, and higher number of comorbidities were associated with higher costs. Severe bronchopulmonary dysplasia, surgical necrotizing enterocolitis, and severe retinopathy of prematurity were the costliest morbidities.
JOURNAL OF PEDIATRICS
(2023)
Letter
Medicine, General & Internal
Sahil Sandhu, Michael Liu, Laura M. Gottlieb, Matthew S. Pantell
Summary: This study examines the relationship between hospital characteristics, such as payment and delivery reform, and activities related to health-related social needs.
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2023)
Article
Health Care Sciences & Services
Xiao Zhu, Youyou Tao, Ruilin Zhu, Dezhi Wu, Wai-Kit Ming
Summary: This study compares critical factors associated with the adoption of tracking technologies for clinical and supply chain uses, and examines how governance structure types affect the adoption of tracking technologies in hospitals.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2022)
Article
Medicine, General & Internal
Teresa W. Wang, Andrea S. Gentzke, Linda J. Neff, Emily V. Glidden, Ahmed Jamal, Eunice Park-Lee, Chunfeng Ren, Karen A. Cullen, Brian A. King, Karen A. Hacker
Summary: The study on e-cigarette use behaviors among US youth in 2020 revealed that although the overall prevalence of e-cigarette use decreased, the rates of frequent use and flavored e-cigarette use remained high. Most common brand reported was JUUL, with friends being the main source of obtaining e-cigarettes, and fruit flavors being the most commonly used among current users.
Article
Medicine, General & Internal
Austin D. Vo, Jennifer La, Julie T-Y Wu, Judith M. Strymish, Matthew Ronan, Mary Brophy, Nhan Do, Westyn Branch-Elliman, Nathanael R. Fillmore, Paul A. Monach
Summary: This study aims to identify risk factors for severe COVID-19 disease in a vaccinated population. The findings suggest that age, immunocompromised status, and certain chronic conditions are associated with an increased risk of severe disease. Additionally, receiving an additional dose of vaccine is associated with a reduced odds of severe disease.
Article
Geriatrics & Gerontology
Sarah L. Krein, Molly Turnwald, Barry Anderson, Donovan T. Maust
Summary: This study aims to gain a deeper understanding and comparison of the experiences and perceptions of resident family members and nursing home staff regarding the turnover of licensed and unlicensed direct care staff. The findings indicate that both family members and nursing home staff express concerns about turnover and highlight the importance of providing consistent, personalized care and ensuring that staff feel appreciated and supported in order to reduce turnover rates and minimize disruptions in care.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Article
Medicine, General & Internal
Morgan J. Katz, Pranita D. Tamma, Sara E. Cosgrove, Melissa A. Miller, Prashila Dullabh, Therese A. Rowe, Roy Ahn, Kathleen Speck, Yue Gao, Savyasachi Shah, Robin L. P. Jump
Summary: The study evaluates the effectiveness of the AHRQ Safety Program in establishing ASPs in LTC facilities. The results indicate that antibiotic use decreased in LTC facilities participating in the AHRQ Safety Program, particularly in facilities with higher program engagement.
Editorial Material
Health Care Sciences & Services
Milisa Manojlovich, Sarah L. Krein
BMJ QUALITY & SAFETY
(2022)
Article
Medicine, General & Internal
Valeria S. M. Valbuena, Sarah Seelye, Michael W. Sjoding, Thomas S. Valley, Robert P. Dickson, Steven E. Gay, Dru Claar, Hallie C. Prescott, Theodore J. Iwashyna
Summary: This study aimed to evaluate measurement discrepancies between pulse oximetry and arterial oxygen saturation among inpatients in general care settings. The results showed that black patients were more likely to have occult hypoxemia noted on arterial blood gas but not detected by pulse oximetry compared to white patients.
BMJ-BRITISH MEDICAL JOURNAL
(2022)
Article
Nursing
Sheria G. Robinson-Lane, Amanda N. Leggett, Florence U. Johnson, Natalie Leonard, Alicia G. Carmichael, Grace Oxford, Tanbirul Miah, Johnny J. Wright, Amanda C. Blok, Theodore J. Iwashyna, Richard Gonzalez
Summary: This study aims to identify how family caregivers adapt to the caregiving role following a relative's COVID-19-related ICU hospitalization. Six themes were found, including engaging the support of family and friends, increased responsibilities, managing emotions, managing infection control, addressing patient independence, and engaging support services.
JOURNAL OF CLINICAL NURSING
(2022)
Article
Public, Environmental & Occupational Health
Sanjay Saint, M. Todd Greene, Sarah L. L. Krein, Karen E. E. Fowler, Kathleen A. A. Linder, David Ratz, Jennifer Meddings
Summary: This study aimed to investigate the changes in device-associated infection prevention practices during the COVID-19 pandemic. Data collected mid-pandemic were used to assess the use of several infection prevention practices and compare them with historical data. The results showed that the use of preventive practices for CLABSI and VAE continued to increase or plateau, while the use of preventive practices for CAUTI decreased.
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY
(2023)
Article
Public, Environmental & Occupational Health
Jonathan D. Baghdadi, Lyndsay M. O'Hara, J. Kristie Johnson, Sarah L. Krein, Anthony D. Harris, Daniel J. Morgan
Summary: This study described best practices in the implementation of multiplex PCR respiratory panels based on expert perspectives, and identified tools for diagnostic stewardship to enhance the usefulness of testing. The survey results showed that multiplex PCR respiratory panels were perceived as supporting accurate diagnoses, more efficient patient care, and improving patient outcomes. Diagnostic stewardship interventions, including structured order sets, restrictions on test ordering, and structured communication of results, were reported as effective measures to enhance the usefulness of testing.
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Amanda L. Missel, Stephen R. Dowker, Drake Dzierwa, Sarah L. Krein, Emilee I. Coulter-Thompson, Michelle Williams, Brad Trumpower, Robert Swor, Nathaniel Hunt, Charles P. Friedman
Summary: Through group interviews with emergency responders, factors that affect the treatment of out-of-hospital cardiac arrest patients were studied, including issues in the areas of structure, process, system, and continuous quality improvement. Rapid implementation interventions or programs include improving prearrival communication between agencies, appointing patient care and logistical leadership on-scene, interstakeholder team training, and providing more standardized feedback to all responder groups to improve outcomes for out-of-hospital cardiac arrest patients.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2023)
Article
Health Care Sciences & Services
Tiffany Christine Veinot, Brenda Gillespie, Marissa Argentina, Jennifer Bragg-Gresham, Dinesh Chatoth, Kelli Collins Damron, Michael Heung, Sarah Krein, Rebecca Wingard, Kai Zheng, Rajiv Saran
Summary: This study aims to evaluate the effectiveness of two interventions on reducing intradialytic hypotension (IDH) in hemodialysis facilities. The interventions include provider education and patient activation. The primary outcome is the proportion of treatments with IDH, and secondary outcomes include patient symptoms, hospitalizations, and mortality.
JMIR RESEARCH PROTOCOLS
(2023)
Article
Public, Environmental & Occupational Health
Kimberly C. Claeys, Lauren E. Weston, Lisa Pineles, Daniel J. Morgan, Sarah L. Krein
Summary: This study aimed to identify the barriers to and facilitators of diagnostic stewardship implementation in urine-culture diagnostic practices for urinary tract infections (UTIs) by conducting interviews and comparing practices and perceptions across three Veterans' Affairs medical centers. The majority of participants recognized the importance of diagnostic stewardship, but perceptions of specific interventions varied widely across sites.
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY
(2023)
Article
Public, Environmental & Occupational Health
Karen M. Jones, Sarah L. Krein, Julia Mantey, Molly Harrod, Lona Mody
Summary: This study assessed the resources and practices of infection prevention and control programs in nursing homes in the United States, specifically related to the prevention of catheter and non-catheter-associated urinary tract infections. The findings showed that nursing homes had some awareness of urinary tract infections and implemented prevention practices, but there were challenges in terms of training and education for infection preventionists, as well as communication between nursing homes and hospitals.
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY
(2023)
Editorial Material
Oncology
Phoebe A. Tsao, Jesse R. Fann, Andrea L. Nevedal, Lindsey E. Bloor, Sarah L. Krein, Megan E. V. Caram
JOURNAL OF CLINICAL ONCOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Molly Harrod, Katrina Hauschildt, Lee A. Kamphuis, Peggy R. Korpela, Marylena Rouse, Brahmajee K. Nallamothu, Theodore J. Iwashyna
Summary: This study examined the experiences and needs of caregivers for veteran survivors of in-hospital cardiac arrest. The findings revealed that caregivers experienced disruptions in various aspects of their lives, including their own well-being, their relationships with the survivors, and their everyday routines. Additional support and resources were identified as necessary to help caregivers cope with these disruptions.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2023)
Article
Health Care Sciences & Services
Milan Patel, Hanna Berlin, Abishek Rajkumar, Sarah L. Krein, Rebecca Miller, Jessie DeVito, Jake Roy, Margaret Punch, Chad Ellimootti, Alex F. Peahl
Summary: Although telemedicine is a promising approach for improving access to care, its use has decreased in many medical specialties. Understanding the barriers and facilitators to web-based visits is critical for ensuring the continuous availability of telemedicine for patients.
JMIR HUMAN FACTORS
(2023)
Article
Nanoscience & Nanotechnology
Shipra Saini, Namita Bindal, Brajesh Kumar Kaushik
Summary: Using first-principle calculations, the authors observe variations in magnetic anisotropy energy and other magnetic properties for transition metal (TM) doped bismuth monolayer. The Mn-doped bismuthene exhibits half-metallicity with higher magnetic moment and magnetic anisotropy energy compared to Fe-doped and Ti-doped systems. The half-metal Mn-Bi can induce half-metallicity in CrI3 through charge transfer, making it the most favorable doped system for spintronic device development in Mn-Bi/CrI3 van der Waals heterostructure.
IEEE OPEN JOURNAL OF NANOTECHNOLOGY
(2023)