Publications by authors named "Daniel Qian"
Background: Virtual reality (VR) technologies have demonstrated therapeutic usefulness across a variety of health care settings. However, graduate medical education (GME) trainee perspectives on VR acceptability and usability are limited. The behavioral intentions of GME trainees with regard to VR as an anxiolytic tool have not been characterized through a theoretical framework of technology adoption.
View Article and Find Full Text PDF: The use of neuraxial anesthesia versus general anesthesia for hip fracture surgery remains an active area of research, with recent studies demonstrating mixed findings supporting neuraxial over general anesthesia. The benefits of neuraxial anesthesia have been documented in associated surgeries, including total joint arthroplasty. However, racial disparities in the administration of neuraxial anesthesia have been identified in numerous procedures.
View Article and Find Full Text PDFBackground: Most United States medical schools have affiliated student-run free clinics, but the quality of services provided in such contexts compared to national metrics is unknown. This study determines whether a student-run, attending-supervised free clinic servicing a low-income and minority race patient population in New York City can meet national metrics of care.
Methods: Through chart review from January 1, 2020 to December 31, 2020, patient outcomes and service utilization in the Healthcare Effectiveness Data and Information Set were examined and compared to national rates of patients using Medicaid HMO or Medicare.
Article Synopsis
- HRAD± is a tool designed to quickly see how kids feel and act before surgery, using simple feelings like happy or anxious and a yes/no for cooperation.
- The study checked how useful HRAD± was for kids getting anesthesia with a mask and looked into how reliable the scores were when different people used it.
- Researchers worked with 197 kids at a children's hospital and found HRAD± scores matched well with other anxiety and behavior scales, helping predict how kids would feel after waking up from surgery.
The US healthcare sector is undergoing significant payment reforms, leading to the emergence of Alternative Payment Models (APMs) aimed at improving clinical outcomes and patient experiences while reducing costs. This scoping review provides an overview of the involvement of anesthesiologists in APMs as found in published literature. It specifically aims to categorize and understand the breadth and depth of their participation, revolving around 3 main axes or "Aims": (1) shaping APMs through design and implementation, (2) gauging the value and quality of care provided by anesthesiologists within these models, and (3) enhancing nonclinical abilities of anesthesiologists for promoting more value in care.
View Article and Find Full Text PDFArticle Synopsis
- Pediatric patients and their caregivers often face anxiety during surgery, and reducing caregiver anxiety can enhance patient cooperation and overall experience.
- A study tested the effectiveness of virtual reality (VR) mindfulness meditation to lower caregiver anxiety compared to standard care, measuring anxiety levels with Visual Analogue Scale for Anxiety (VAS-A) and other tools.
- Results showed that caregivers using VR reported significantly lower anxiety levels and higher satisfaction than those in the standard care group, suggesting VR mindfulness is a safe and effective intervention in pediatric healthcare.
Article Synopsis
- Rapid response teams (RRTs) help reduce heart problems in hospitals, but their use during surgeries was low.
- A project aimed to get more staff to use a similar help system called "staff assists" (SAs) instead of waiting for emergencies (code blues).
- After training and simulations, the use of SAs increased significantly, showing that the project was successful in improving patient care.
Article Synopsis
- The study aimed to evaluate a new technology acceptance model (TAM) for virtual reality (VR) in healthcare, focusing on pediatric health providers' intentions to use VR as a tool for reducing anxiety in hospitalized kids.
- Healthcare providers experienced VR as an anxiolytic during minor procedures and filled out surveys on their attitudes and behaviors toward adopting the technology.
- Results showed that factors like perceived usefulness and enjoyment of VR strongly predicted providers' intention to use VR, while age, past experiences, and cost did not significantly affect their usage intentions, indicating potential widespread adoption in pediatric care.
: Student-run free clinics (SRFCs) serve an integral role in most United States (US) medical schools and contribute substantially to literature on the quality of care to uninsured persons. There has been substantial growth over the past decade of scholarly work produced by SRFCs as they have increased in size and number. Research on patient care outcomes informs better care structures for patients, however there is no current synthesis of patient care outcomes research among SRFCs.
View Article and Find Full Text PDFSurgical experience is associated with superior outcomes in complex urologic cases, such as prostatectomy, nephrectomy, and cystectomy. The question remains whether experience is predictive of outcomes for less complex procedures, such as ureteroscopy (URS). Our study examined how case volume and endourology-fellowship training impacts URS outcomes.
View Article and Find Full Text PDFWater vapor thermal therapy (WVTT, i.e., Rezum) and prostatic urethral lift (PUL, i.
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