Parkview Health Research Repository
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Applying Human-Centered Data Science to Healthcare: Hyperlocal Modeling of COVID-19 Hospitalizations
No full textGROUP \u2723: Companion Proceedings of the 2023 ACM International Conference on Supporting Group Work
Algorithms as a component of decision-making in healthcare are becoming increasingly prevalent and AI in healthcare has become a topic of mass consideration. However, pursuing these methods without a human-centered framework can lead to bias, thus incorporating discrimination on behalf of the algorithm upon implementation. By examining each step of the design process from a human-centered perspective and incorporating stakeholder motivations, algorithmic implementation can become vastly useful, and more accurately tailored to stakeholder needs. We examine previous work in healthcare executed with a human-centered design, to analyze the multiple frameworks which effectively create human-centered application, as extended to healthcare.
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Pulmonary & Critical Care Insider: Issue 1
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Compiled by Bharat Bajantri, MD, and librarian Sarah Ellsworth, MLS for the clinicians of the Pulmonary and Critical Care team of Parkview.
The goal of this newsletter is to give a brief summary of the most pertinent articles to everyday practice and an attempt to keep up with literature as best as possible. Newsletters go out every 1-2 months.
Summaries/Topics in this issue: Comparison of two commonly prescribed regimens of empiric antibiotics. Vancomycin and piperacillin-tazobactam (VPT) The efficacy and safety of Dupilumab in patients with COPD The BOREAS trial Simple aspiration versus chest tube drainage as first-line treatment
Pulmonary & Critical Care Insider: Special Issue 5: 2023 in Review
Get PDFPulmonary & Critical Care Insider Issue 5: Special Issue
Compiled by Bharat Bajantri, MD, and librarian Sarah Ellsworth, MLS for the clinicians of the Pulmonary and Critical Care team of Parkview.
The goal of this newsletter is to give a brief summary of the most pertinent articles to everyday practice and an attempt to keep up with literature as best as possible. Newsletters go out every 1-2 months
Bridging the gap: Palliative care integration into survivorship care.
No full textAs the number of cancer survivors grows, there is an increasing need for comprehensive care to address the unique physical, psychological, and social needs of this population. Palliative care (PC) integration within survivorship care offers a promising model of care, however, there is no comprehensive review of literature to guide clinical practice. This manuscript presents a scoping review of the research literature on models of care that integrate PC with survivorship care, as well as a detailed description of an exemplar clinical model. We identified 20 articles that described various models of survivorship care with integrated PC, highlighting the diversity of approaches and the multidisciplinary nature of interventions. Few studies reported outcomes but those that did demonstrated improvements in pain, self-efficacy, depression, function, and documentation of advance care planning. The evidence base remains limited, indicating the need for further research in this area with a focus on exploring outcomes using prospective experimental designs. Future clinical practice and research should explore sustainable payment models and the implementation of integrated survivorship care in value-based payment systems
School-Issued Devices for Home Use in Kindergarten through 5th Grade and Parent Perceptions of Child Learning, Behavior, and Conflict
Get PDFWith many U.S. schools adopting 1-to-1 school device programs, research on the potential impacts of this device usage at home is critical. In this study, we examined elementary school parents’ perceptions of their child’s use of their school-issued device for academic skill-building and entertainment at home. We then examined the associations between these different types of use and children’s learning, behavior, and parent-child conflict over the device use. Overall, we found that children’s use of school devices at home for building academic skills was predictive of positive impacts on learning and child behaviors and less frequent parent-child conflict over use. In contrast, children’s use of school devices for entertainment purposes was associated with negative impacts on learning and child behaviors and more frequent parent-child conflict over use. Additionally, although most parents received some training or resources, many parents felt that device training from schools was insufficient, and parent perceptions of insufficient training were related to less use of the device for academic purposes and greater parent-child conflict. Considering this duality, we offer suggestions for training by schools, which training emphasizes effective child use of school-issued devices within the home
Pilot Study of a Screen-Free Week: Exploration of Changes in Parent and Child Screen Time, Parent Well-Being and Attitudes, and Parent-Child Relationship Quality
Get PDFScreen use is associated with a variety of potential impacts on child development, which has led to recommendations to regulate screen use. The current pilot study was conducted to explore the potential effects of implementing screen-free times (Screen-Free Week) on parent and child screen use, parent feelings and well-being, and parent-child interactions and relationships. Specifically, we evaluated the outcomes utilizing pre and postintervention self-report surveys with 24 parents (of a child age 5 years or younger). Overall, the screen-free week program decreased parent depressive symptoms, increased the parenting of child screen time and establishments of screen time limits, and decreased both parent and child screen time. Though the decrease in overall parent and child screen time was not maintained by 4 weeks after, effects on parent depression, child TV watching, and parent phone use specifically during child time were maintained. These findings support previous research emphasizing screen-free times as a viable method to increase intentionality around screen use. Interestingly, the program appears to have had the strongest effects on parent phone use around their child, suggesting the program may build awareness in parents and may cause them to change or desire to change their screen habits during family time. Although we saw initial shifts in parent-child play, effects were not maintained by week 4. Yet, the small changes parents made across one week were not sufficient to shift the overall parent-child relationship. While effects cannot be viewed as definitive, it is promising that shifts were seen in parent well-being and screen use for a relatively small amount of effort across one week
Endoscopic Ultrasound-guided Transluminal Gallbladder Drainage in Patients With Acute Cholecystitis: A Prospective Multicenter Trial.
Get PDFOBJECTIVE: To evaluate the safety and efficacy of endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) using a lumen-apposing metal stent (LAMS).
BACKGROUND: For patients with acute cholecystitis who are poor surgical candidates, EUS-GBD using a LAMS is an important treatment alternative to percutaneous gallbladder drainage.
METHODS: We conducted a regulatory-compliant, prospective multicenter trial at 7 tertiary referral centers in the United States of America and Belgium. Thirty consecutive patients with mild or moderate acute cholecystitis who were not candidates for cholecystectomy were enrolled between September 2019 and August 2021. Eligible patients had a LAMS placed transmurally with 30 to 60-day indwell if removal was clinically indicated, and 30-day follow-up post-LAMS removal. Endpoints included days until acute cholecystitis resolution, reintervention rate, acute cholecystitis recurrence rate, and procedure-related adverse events (AEs).
RESULTS: Technical success was 93.3% (28/30) for LAMS placement and 100% for LAMS removal in 19 patients for whom removal was attempted. Five (16.7%) patients required reintervention. Mean time to acute cholecystitis resolution was 1.6±1.5 days. Acute cholecystitis symptoms recurred in 10.0% (3/30) after LAMS removal. Five (16.7%) patients died from unrelated causes. Procedure-related AEs were reported to the FDA in 30.0% (9/30) of patients, including one fatal event 21 days after LAMS removal; however, no AEs were causally related to the LAMS.
CONCLUSIONS: For selected patients with acute cholecystitis who are at elevated surgical risk, EUS-GBD with LAMS is an alternative to percutaneous gallbladder drainage. It has high technical and clinical success, with low recurrence and an acceptable AE rate. Clinicaltrials.gov, Number: NCT03767881
Evaluation of Intravenous Immunoglobulin Utilization in pediatric and Neonate Population within a Community Health System.
Get PDFThis project evaluated appropriateness of intravenous immunoglobulin (IVIG) use in pediatric and neonatal patients within a community health system based on current evidence. Presented at 2023 ASHP Midyear Clinical Meetin
Decrease COPD Readmissions with APRN Interventions Using Agile Implementation
Get PDFAbstract presented at the 2023 Nursing Research Symposium.
Objectives/Aim/Purpose
In September 2022 a team was established and tasked with decreasing COPD readmissions
Safe Placement of Feeding Tubes.
No full textComment on Intrapulmonary Feeding Tube Placements While Using an Electromagnetic Placement Device: A Review (2019-2021)