Microsimulation Model Using Christiana Care Early Warning System (CEWS) to Evaluate Physiological Deterioration

Li B, Zhang S, Hoover S, Arnold R, Capan M IEEE J Biomed Health Inform 2018 Oct; PMID: 30295635 Abstract While physiological warning signs prior to deterioration events during hospitalization have been widely studied, evaluating clinical interventions, such as Rapid Response Team (RRT) activations, based on scoring systems remains an understudied area. Simulation of physiological

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Investigation of age-adjusted D-dimer using an uncommon assay

Parks C, Bounds R, Davis B, Caplan R, Laughery T, Zeserson E Am J Emerg Med 2018 Sep; PMID: 30291035 Abstract BACKGROUND: Use of an age-adjusted D-dimer for the evaluation of acute pulmonary embolus (PE) has been prospectively validated in the literature and has become a practice recommendation from major medical societies. Most research on

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Data-driven approach to Early Warning Score-based alert management

Capan M, Hoover S, Miller KE, Pal C, Glasgow JM, Jackson EV, Arnold RC BMJ Open Qual 2018;7(3):e000088 PMID: 30167470 Abstract Background: Increasing adoption of electronic health records (EHRs) with integrated alerting systems is a key initiative for improving patient safety. Considering the variety of dynamically changing clinical information, it remains a challenge to design

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Factors Associated with Continued Food Insecurity among Households Recovering from Hurricane Katrina

Clay LA, Papas MA, Gill KB, Abramson DM Int J Environ Res Public Health 2018 Aug;15(8) PMID: 30081494 Abstract In 2010, 14.5% of US households experienced food insecurity, which adversely impacts health. Some groups are at increased risk for food insecurity, such as female-headed households, and those same groups are often also at increased risk

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Cost-effectiveness of Daratumumab-based Triplet Therapies in Patients With Relapsed or Refractory Multiple Myeloma

Zhang TT, Wang S, Wan N, Zhang L, Zhang Z, Jiang J Clin Ther 2018 Jul;40(7):1122-1139 PMID: 30006069 Abstract PURPOSE: The prominent efficacy of the addition of daratumumab to lenalidomide and dexamethasone (DRd) or the addition to bortezomib and dexamethasone (DVd) was proven previously for patients with relapsed or refractory multiple myeloma (RRMM). However, the

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Acculturation, diet, and psychological health among Asian students

Chai SC, Jiang H, Papas MA, Fang CS, Setiloane KT J Am Coll Health 2018 Jul;:1-8 PMID: 29979923 Abstract OBJECTIVE: The study examined the association between acculturation level, dietary nutrient intake, and psychological health of Asian students at the University of Delaware. PARTICIPANTS: A total of 172 students completed the study. METHODS: Data were collected,

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HOW NURSES IDENTIFY HOSPITALIZED PATIENTS ON THEIR PERSONAL NOTES: FINDINGS FROM ANALYZING ‘BRAINS’ HEADERS WITH MULTIPLE RATERS

Sarkhel R, Socha JJ, Mount-Campbell A, Moffatt-Bruce S, Fernandez S, Patel K, Nandi A, Patterson ES Proc Int Symp Hum Factors Ergon Healthc 2018 Jun;7(1):205-209 PMID: 30069493 Abstract The overarching objective of this research is to reduce the burden of documentation in electronic health records by registered nurses in hospitals. Registered nurses have consistently reported

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Characteristics and Outcomes of Adult Inpatients With Malnutrition

Vest MT, Papas MA, Shapero M, McGraw P, Capizzi A, Jurkovitz C JPEN J Parenter Enteral Nutr 2018 Aug;42(6):1009-1016 PMID: 29360158 Abstract BACKGROUND: The diagnosis of malnutrition remains controversial. Furthermore, it is unknown if physician diagnosis of malnutrition impacts outcomes. We sought to compare outcomes of patients with physician diagnosed malnutrition to patients recognized as

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Immediate Stress Echocardiography for Low-Risk Chest Pain Patients in the Emergency Department: A Prospective Observational Cohort Study

Jasani G, Papas M, Patel AJ, Jasani N, Levine B, Zhang Y, Marshall ES J Emerg Med 2018 Feb;54(2):156-164 PMID: 29274930 Abstract BACKGROUND: Evaluation and disposition of low-risk chest pain (CP) patients in the emergency department (ED) is time consuming and expensive. Low-risk CP often results in hospital admission to rule out myocardial infarction, which

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We all make choices: A decision analysis framework for disposition decision in the ED

Capan M, Pigeon J, Marco D, Powell J, Groner K Am J Emerg Med 2018 Mar;36(3):450-454 PMID: 29174450 Abstract BACKGROUND: Emergency Department (ED) providers’ disposition decision impacts patient care and safety. The objective of this brief report is to gain a better understanding of ED providers’ disposition decision and risk tolerance of associated outcomes. METHODS:

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