Publications by authors named "A Kochar"

Background: Clinician electronic actions within the electronic health record (EHR) are captured seamlessly in real-time during regular work activities in all major EHRs. Analysis of this EHR use metadata, such as audit log data, is increasingly used to understand the impact of work design on critical patient, workforce, and organizational outcomes.

Objective: Understand experiences and perspectives influencing the use and implementation of audit log data into practice.

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  • The study aimed to create a prioritized list of research themes and essential data points related to mental health issues in children and adolescents presenting to emergency departments (ED).
  • A Delphi survey involving various stakeholders, including clinicians and patients, was conducted to gather and prioritize these research themes and data points.
  • The final results highlighted 71 key items, focusing on safety in the ED, the effectiveness of mental health spaces, follow-up care, and important data like risk factors and behavioral disturbances.
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  • The cardiac intensive care unit is experiencing a shift as it adapts to an aging population with more complex health issues, necessitating a focus on multidisciplinary teams (MDTs) for better patient outcomes.
  • These MDTs consist of various healthcare professionals, including physicians from different specialties, working collaboratively to implement guidelines, enhance communication, and develop effective care plans for critically ill patients.
  • The document aims to explore the evolving nature of patient care within cardiac intensive care, covering aspects like team composition, healthcare delivery improvements, training requirements, and future directions for MDTs in this field.
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  • The study investigates the use of cangrelor in patients with myocardial infarction (MI) who also have cardiogenic shock (CS), focusing on the infusion duration and transition to oral medications.
  • A total of 249 patients with CS were analyzed, with significant observations on demographics, infusion times, and the occurrence of major adverse cardiovascular events (MACEs) and bleeding risks.
  • The findings showed that patients with CS had longer cangrelor infusions compared to others, and that the use of mechanical circulatory support (MCS) was linked to longer infusion times and an increased risk of bleeding.
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