2024
Real-Time Machine Learning Alerts to Prevent Escalation of Care: A Nonrandomized Clustered Pragmatic Clinical Trial*
Levin M, Kia A, Timsina P, Cheng F, Nguyen K, Kohli-Seth R, Lin H, Ouyang Y, Freeman R, Reich D. Real-Time Machine Learning Alerts to Prevent Escalation of Care: A Nonrandomized Clustered Pragmatic Clinical Trial*. Critical Care Medicine 2024, 52: 1007-1020. PMID: 38380992, DOI: 10.1097/ccm.0000000000006243.Peer-Reviewed Original ResearchMeSH KeywordsAgedClinical DeteriorationFemaleHospital MortalityHospital Rapid Response TeamHumansMachine LearningMaleMiddle AgedProspective StudiesConceptsIntervention groupPatient bed-daysBed daysRelative riskAdjusted incidence rate ratiosMedical-surgical unitsAssignment to interventionFront-line providersAdjusted relative risksIncidence rate ratiosIn-HospitalMedication ordersAdjusted RRClinical careRate ratiosStabilized inverse probabilityControl armPropensity score modelSecondary outcomesPrimary outcomePredicting clinical deteriorationActivation criteriaProspective dataLikelihood of deteriorationProvider discretion
2022
Understanding the Economic Impact of an Essential Service: Applying Time-Driven Activity-Based Costing to the Hospital Airway Response Team
Stone A, Dasani S, Grant M, Nascimben L, Bader A. Understanding the Economic Impact of an Essential Service: Applying Time-Driven Activity-Based Costing to the Hospital Airway Response Team. Anesthesia & Analgesia 2022, 134: 445-453. PMID: 35180159, DOI: 10.1213/ane.0000000000005838.Peer-Reviewed Original ResearchConceptsAirway response teamAnesthesia groupART activationTeam activationStudy periodTime-driven activity-based costingAnesthesia departmentCurrent Procedural Terminology codesTertiary care centerValue-based care modelsTransitions of careProcedural Terminology codesMedical care costsHealth care servicesAirway placementEndotracheal intubationAdministrative databasesCare metricsClinical activityResponse teamsCare modelTerminology codesAnesthesia costsCare costsLocal administrative databases
2020
Association between emergency department chief complaint and adverse hospitalization outcomes: A simple early warning system?
Lord K, Rothenberg C, Parwani V, Finn E, Khan A, Sather J, Ulrich A, Chaudhry S, Venkatesh A. Association between emergency department chief complaint and adverse hospitalization outcomes: A simple early warning system? The American Journal Of Emergency Medicine 2020, 45: 548-550. PMID: 32839053, DOI: 10.1016/j.ajem.2020.07.040.Peer-Reviewed Original Research
2017
Rothman Index variability predicts clinical deterioration and rapid response activation
Wengerter BC, Pei KY, Asuzu D, Davis KA. Rothman Index variability predicts clinical deterioration and rapid response activation. The American Journal Of Surgery 2017, 215: 37-41. PMID: 28818297, DOI: 10.1016/j.amjsurg.2017.07.031.Peer-Reviewed Original ResearchConceptsSurgical patientsRothman IndexRRT activationRapid response team activationRapid response activationInpatient acuityHospital mortalityClinical deteriorationPrimary outcomeSecondary outcomesTeam activationPatientsRI variabilityControl casesResponse activationActivationOutcomesAcuityGlobal measuresMortalityRRT
2014
Early Detection of Deteriorating Patients
Bassily-Marcus A. Early Detection of Deteriorating Patients. Critical Care Medicine 2014, 42: 976-978. PMID: 24633094, DOI: 10.1097/ccm.0000000000000093.Peer-Reviewed Original Research
2012
Does Every Code Need a “Reader?” Improvement of Rare Event Management With a Cognitive Aid “Reader” During a Simulated Emergency
Burden AR, Carr ZJ, Staman GW, Littman JJ, Torjman MC. Does Every Code Need a “Reader?” Improvement of Rare Event Management With a Cognitive Aid “Reader” During a Simulated Emergency. Simulation In Healthcare The Journal Of The Society For Simulation In Healthcare 2012, 7: 1-9. PMID: 22113440, DOI: 10.1097/sih.0b013e31822c0f20.Peer-Reviewed Original ResearchMeSH KeywordsAdultCritical CareEmergency Service, HospitalEvidence-Based MedicineFemaleHeart ArrestHospital Rapid Response TeamHumansInternship and ResidencyMaleMalignant HyperthermiaMedical ErrorsObstetricsPatient SimulationPilot ProjectsPregnancyPregnancy ComplicationsQuality of Health CareReadingVideo RecordingConceptsMalignant hyperthermiaPercent of subjectsCritical care nursesDantrolene dosePrompt treatmentPatient survivalCardiac arrestCare nursesObstetric traineesTreatment decisionsPhysiologic variablesCritical treatment stepsResuscitation cartResident physiciansCognitive aidsSubjectsAnesthesiologyCA useMedical studentsCritical actionsPercentPrior lectureAnesthesiologistsSimulated emergencyNurses
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