Article
Surgery
Sophia K. McKinley, Brandon M. Wojcik, Emily E. Witt, Isra Hamdi, Arian Mansur, Emil Petrusa, John T. Mullen, Roy Phitayakorn
Summary: The objective of this study was to investigate the satisfaction of inpatients with the care provided by surgical residents. The results showed that patients were able to recognize and rate resident care highly, suggesting that they could provide valuable feedback for the development of residents' core competencies.
Article
Multidisciplinary Sciences
Tesgera Begize Aga, Yohannes Mulu Ferede, Enyew Getaneh Mekonen
Summary: The study aimed to assess patient satisfaction and associated factors with healthcare services at Pawie General Hospital in Ethiopia. Factors such as admission ward and privacy were found to significantly impact patient satisfaction. Efforts to improve these factors could potentially enhance overall patient satisfaction levels.
Article
Gastroenterology & Hepatology
Chelsea C. Jacobs, Johnny F. Jaber, Michael Ladna, Sandeep Ponniah, Ishaan Madhok, Nicole Ruiz, Haley Podeschi, Francesca Gesiotto, Walid Khan, Nabeel Moon, April Mathews, Vikas Patel, Brett Styskel, Tony S. Brar, Peter V. Draganov, Dennis Yang
Summary: This study investigated inpatient endoscopy delay and found that factors such as older age, female sex, use of specific medications, and certain types of procedures are associated with delay. Delayed endoscopy prolonged hospital length-of-stay and was identified as an independent predictor of 30-day readmission.
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
(2021)
Article
Pharmacology & Pharmacy
Maitha Abdul-Aziz Al-Tamimi, Syed Wasif Gillani, Mohamed Elhassan Abd Alhakam, Kishore Gnana Sam
Summary: The study identified noncompliance, low hemoglobin, and NYHA Class IV of HF as the main factors associated with readmission in patients with HF. Clinical pharmacists as team members could play a role in improving patient adherence to reduce readmission rates. Other factors like hypertension, coronary artery disease, gender, systolic blood pressure on admission, and age were linked with the disease but not significantly associated with readmission in this study.
FRONTIERS IN PHARMACOLOGY
(2021)
Article
Psychology, Clinical
Seena Fazel, Mark Toynbee, Howard Ryland, Maria Vazquez-Montes, Hasanen Al-Taiar, Achim Wolf, Omar Aziz, Vivek Khosla, Gautam Gulati, Thomas Fanshawe
Summary: In psychiatric inpatients, factors contributing to violence risk include a total dynamic score of > 1, a 10-year increase in age, and female sex. The study found that modifiable factors added little incremental value in predicting violence risk in a psychiatric inpatient setting.
PSYCHOLOGICAL MEDICINE
(2023)
Article
Virology
Lukas Hobohm, Ingo Sagoschen, Stefano Barco, Irene Schmidtmann, Christine Espinola-Klein, Stavros Konstantinides, Thomas Muenzel, Karsten Keller
Summary: This study analyzed data from hospitalized COVID-19 patients in Germany and found that age, pneumonia, and acute respiratory distress syndrome were strong predictors of in-hospital death. The lowest case-fatality rates were observed in hospitals located in urban areas, and the demand for mechanical ventilation was highest in November and December.
Article
Geriatrics & Gerontology
Karl Pillemer, Stephanie Silver, Mildred Ramirez, Jian Kong, Joseph P. Eimicke, Gabriel D. Boratgis, Rhoda Meador, Leslie Schultz, Mark S. Lachs, Julia Nolte, Emily K. Chen, Jeanne A. Teresi
Summary: This study identified individual and environmental factors associated with involvement in resident-to-resident elder mistreatment (RREM) incidents in nursing homes. Residents involved in RREM episodes typically exhibit milder dementia and behavioral symptoms, highlighting the need for targeted interventions. Additionally, residents in special care units (SCUs) for dementia may be at elevated risk for RREM, indicating the importance of preventive measures.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2022)
Article
Surgery
Alexis Colley, Joseph Lin, Logan Pierce, Christopher Johnson, Tasce Bongiovanni, Emily Finlayson, Rebecca Sudore, Elizabeth C. Wick
Summary: Advance care planning is critical for surgical patients who may lose their ability to communicate preferences. A quality improvement project was conducted to increase the completion of inpatient advance care planning notes. The project resulted in increased documentation, but progress was slow and integration into standard work was not achieved. Future efforts should focus on understanding workflow integration and providing inclusive educational programming.
Article
Oncology
Jegy M. Tennison, Nahid J. Rianon, Joanna G. Manzano, Mark F. Munsell, Marina C. George, Eduardo Bruera
Summary: This study evaluated the 30-day hospital readmission rate, reasons, and risk factors for cancer patients discharged to home after acute inpatient rehabilitation. The results showed that 21% of patients were readmitted within 30 days, with infection, neoplasm, and neurological issues being the most common reasons. Multivariate logistic regression modeling indicated that lower locomotion score, increased number of medications, and lower hemoglobin levels at discharge were independently associated with 30-day readmission.
Article
Management
Dimitris Bertsimas, Jean Pauphilet
Summary: This study proposes a method for coordinating and optimizing hospital operations to improve quality and services. By combining machine learning techniques, the bed assignment process across the entire hospital is unified and various factors are considered, leading to positive outcomes.
MANAGEMENT SCIENCE
(2023)
Article
Oncology
Jegy M. Tennison, Arash Asher, David Hui, Milind Javle, Roland L. Bassett, Eduardo Bruera
Summary: This study investigated prognostic factors for early mortality in cancer patients undergoing acute inpatient rehabilitation. The results showed that poor functional scores, longer hospital stays, frequent blood transfusions, male gender, and lower baseline mobility scores were associated with increased risk of death within 2 months of discharge.
Article
Psychology, Multidisciplinary
Lauren E. Altenburger
Summary: Self-regulation is a critical skill to develop in early childhood, and children living in economic hardship are at risk for self-regulation difficulties. This study found associations between fathers' parenting and coparenting quality and children's self-regulation.
FRONTIERS IN PSYCHOLOGY
(2022)
Article
Nursing
Chuqian Chen, Lina Du, Guobin Cheng, Yanyan Jin
Summary: The study aimed to explore how families' perceptions of dying patients' prognosis awareness influence families' grief. A cross-sectional design was adopted, and data were collected from a survey of family caregivers of deceased patients in Mainland China. The study found that families' grief was more intense when they were sure that patients were unaware of the terminal prognosis compared to when they believed that patients were aware or not sure about the patient's awareness.
JOURNAL OF ADVANCED NURSING
(2023)
Article
Pediatrics
Jessica E. Rast, Anne M. Roux, Sherira J. Fernandes, Vera D'Silva, Lindsay L. Shea
Summary: Addressing the healthcare needs of autistic youth is complex, as increased inpatient care and a high occurrence of ambulatory care sensitive conditions suggest inadequate primary and outpatient care. Strategies for providing care to these vulnerable populations are of great concern.
Article
Multidisciplinary Sciences
Eung-Joon Lee, Seung Jae Kim, Jeonghoon Bae, Eun Ji Lee, Oh Deog Kwon, Han-Yeong Jeong, Yongsung Kim, Hae-Bong Jeong
Summary: Early arrival at the hospital after acute ischemic stroke is associated with favorable outcomes. Predictors of late arrival include lower NIHSS score, higher pre-stroke mRS score, female sex, unclear onset time, and lower educational level. Efforts to reduce prehospital delay and educate about the importance of early hospital arrival should be emphasized.
Article
Pediatrics
Shadab A. Rahman, Jason P. Sullivan, Laura K. Barger, Melissa A. St Hilaire, Conor S. O'Brien, Katie L. Stone, Andrew J. K. Phillips, Elizabeth B. Klerman, Salim Qadri, Kenneth P. Wright, Ann C. Halbower, Jeffrey L. Segar, John K. McGuire, Michael V. Vitiello, Horacio O. de la Iglesia, Sue E. Poynter, Pearl L. Yu, Amy L. Sanderson, Phyllis C. Zee, Christopher P. Landrigan, Charles A. Czeisler, Steven W. Lockley
Summary: The study revealed that extended-duration work rosters negatively impacted resident-physician performance, while limiting shift duration helped improve performance. Additionally, attentional failures were associated with serious medical errors.
Article
Education & Educational Research
Ariel S. Winn, Matthew D. Weaver, Katherine A. O'Donnell, Jason P. Sullivan, Rebecca Robbins, Christopher P. Landrigan, Laura K. Barger
Summary: The COVID-19 pandemic disrupted the social connectedness and educational experiences of a majority of PGY1 residents in a sample of trainees in United States training programs. Those with health concerns and children had particularly challenging experiences. Ongoing attention should be focused on their training needs, competencies, and well-being as they proceed in their training.
BMC MEDICAL EDUCATION
(2021)
Article
Medicine, General & Internal
Amanda C. Schondelmeyer, Amanda P. Bettencourt, Rui Xiao, Rinad S. Beidas, Courtney Benjamin Wolk, Christopher P. Landrigan, Patrick W. Brady, Canita R. Brent, Padmavathy Parthasarathy, Andrew S. Kern-Goldberger, Nathaniel Sergay, Vivian Lee, Christopher J. Russell, Julianne Prasto, Sarah Zaman, Kaitlyn McQuistion, Kate Lucey, Courtney Solomon, Mayra Garcia, Christopher P. Bonafide
Summary: This study evaluated the deimplementation strategies of educational outreach and audit and feedback to reduce guideline-discordant continuous pulse oximetry use in hospitalized children with bronchiolitis who were not receiving supplemental oxygen. The results showed that these strategies were positively associated with clinician perceptions of feasibility, acceptability, appropriateness, and safety. Evaluating the sustainability of deimplementation beyond the intervention period is an essential next step.
Editorial Material
Public, Environmental & Occupational Health
Marissa Hauptman, Steven W. Lockley, Christopher P. Landrigan
Summary: Light exposure affects sleep, and sleep deprivation and circadian misalignment are associated with various diseases. A study on California teachers found that artificial light at night, noise, air pollution, and the lack of green space were all related to sleep disturbances.
AMERICAN JOURNAL OF EPIDEMIOLOGY
(2022)
Review
Public, Environmental & Occupational Health
Claire C. Caruso, Megan W. Arbour, Ann M. Berger, Beverly M. Hittle, Sharon Tucker, Patricia A. Patrician, Alison M. Trinkoff, Ann E. Rogers, Laura K. Barger, J. Cole Edmonson, Christopher P. Landrigan, Nancy S. Redeker, Eileen R. Chasens
Summary: This paper examines the burden of shift work, long hours, and sleep and fatigue problems in the Healthcare and Social Assistance (HCSA) sector, and proposes research priorities to improve these issues. The potential positive impacts of addressing these priorities for workers and the public's health and safety are also discussed.
AMERICAN JOURNAL OF INDUSTRIAL MEDICINE
(2022)
Article
Pediatrics
Alisa Khan, Jennifer Baird, Michelle M. Kelly, Kevin Blaine, Deanna Chieco, Helen Haskell, Kelleen Lopez, Tiffany Ngo, Alexandra Mercer, Bianca Quinones-Perez, Mark A. Schuster, Sara J. Singer, K. Viswanath, Christopher P. Landrigan, David Williams, Donna Luff
Summary: This qualitative study examined the perspectives of parents, staff, and hospital leaders on family safety reporting for children with medical complexity. The study found variations in buy-in among staff and leaders, misalignment of priorities and expectations between parents and staff, and complex decision-making for families regarding reporting. Strategies to address these issues can inform the development of interventions for family safety reporting.
Article
Health Care Sciences & Services
Matthew D. Weaver, Christopher P. Landrigan, Jason P. Sullivan, Conor S. O'Brien, Salim Qadri, Natalie Viyaran, Charles A. Czeisler, Laura K. Barger
Summary: The implementation of the 2011 ACGME work-hour limit was associated with a significant reduction in resident physician-reported medical errors.
BMJ QUALITY & SAFETY
(2023)
Article
Health Care Sciences & Services
Kate E. Humphrey, Melissa Sundberg, Carly E. Milliren, Dionne A. Graham, Christopher P. Landrigan
Summary: Miscommunication is a significant cause of medical malpractice claims and imposes a substantial financial burden on the healthcare system. Interventions to improve transmission of critical patient information have the potential to substantially reduce malpractice expenditures.
JOURNAL OF PATIENT SAFETY
(2022)
Editorial Material
Medicine, General & Internal
Matthew D. Weaver, Laura K. Barger, Christopher P. Landrigan
JOURNAL OF HOSPITAL MEDICINE
(2022)
Article
Pediatrics
Alexandra N. Mercer, Sangeeta Mauskar, Jennifer Baird, Jay Berry, Deanna Chieco, Katherine Copp, Elizabeth D. Cox, Helen Haskell, Karen Hennessy, Michelle M. Kelly, Nandini Mallick, Amanda McGeachey, Patrice Melvin, Tiffany Ngo, Amy Pinkham, Jayne Rogers, Walter Wickremasinghe, David Williams, Christopher P. Landrigan, Alisa Khan
Summary: Hospitalized children with medical complexity (CMC) are at high risk of medical errors. This study evaluated safety concerns from families of hospitalized CMC and the patient/parent characteristics associated with these concerns.
Article
Pediatrics
Alisa Khan, Victoria Parente, Jennifer D. Baird, Shilpa J. Patel, Sharon Cray, Dionne A. Graham, Monique Halley, Tyler Johnson, Erin Knoebel, Kheyandra D. Lewis, Isabella Liss, Eileen M. Romano, Shrunjal Trivedi, Nancy D. Spector, Christopher P. Landrigan
Summary: This study investigated disparities in reported hospital safety climate by language proficiency in a cohort of hospitalized children and their families. Patients with limited English proficiency were less likely to speak up, question decisions or actions of providers, and be unafraid to ask questions. Efforts to improve communication with patients and families with limited English proficiency are crucial for enhancing hospital safety.
Article
Medicine, General & Internal
Nicholas Kuzma, Alisa Khan, Lisa Rickey, Matt Hall, Matthew Ramotar, Nancy D. D. Spector, Christopher P. P. Landrigan, Rajendu Srivastava, Jay G. G. Berry
Summary: This study compared the impact of Patient and Family Centered (PFC) I-PASS on adverse event (AE) rates in children with and without complex chronic conditions (CCCs). The results showed that in the multivariable analysis, children with CCCs had a significantly lower adjusted incidence rate ratio for AEs with PFC I-PASS exposure (0.5, 95% CI=0.3-0.9, p = .01), while there was no significant change in AEs for children without CCCs (IRR 0.6, 95% CI=0.3-1.2, p = .1).
JOURNAL OF HOSPITAL MEDICINE
(2023)
Article
Medicine, General & Internal
Jennifer A. Faerber, Rui Xiao, Spandana Makeneni, Enrique F. Schisterman, Patrick W. Brady, Amanda C. Schondelmeyer, Christopher P. Landrigan, Kate Lucey, Vivian Lee, Polina F. Gregory, Julianne Prasto, Padmavathy Parthasarathy, Morgan Greenfield, Courtney Solomon, Canita R. Brent, Kimberly Albanowski, Rinad S. Beidas, Christopher P. Bonafide
Summary: Using continuous pulse oximetry (cSpO2) to monitor children with bronchiolitis without supplemental oxygen is excessive medical use. In this study, six hospitals engaged in deimplementation efforts to reduce cSpO2 overuse. Results showed a decrease in cSpO2 overuse during active deimplementation, but a rebound in overuse after strategies were withdrawn.
JOURNAL OF HOSPITAL MEDICINE
(2023)
Article
Medicine, Research & Experimental
Rui Xiao, Christopher P. Bonafide, Nathaniel J. Williams, Zuleyha Cidav, Christopher P. Landrigan, Jennifer Faerber, Spandana Makeneni, Courtney Benjamin Wolk, Amanda C. Schondelmeyer, Patrick W. Brady, Rinad S. Beidas, Enrique F. Schisterman
Summary: The study aims to investigate the effects of deimplementation strategies on the sustainment of SpO(2) monitoring removal in children with bronchiolitis, and will utilize statistical analysis models.
CONTEMPORARY CLINICAL TRIALS COMMUNICATIONS
(2023)
Article
Health Care Sciences & Services
Yanjun Chen, Aimee Teo Broman, Geoffrey Priest, Christopher P. Landrigan, Shadab A. Rahman, Steven W. Lockley
Summary: The study found that the use of blue-enriched light in a university hospital adult ICU did not reduce the overall medical error rate. Future studies need more power to evaluate the effects of lighting in reducing fatigue-related medical errors and errors of differing severity.
JOINT COMMISSION JOURNAL ON QUALITY AND PATIENT SAFETY
(2021)