Publications by authors named "Fiona Hirschfeld"
Background/purpose: The purpose of this study was to reduce unplanned Emergency Department (ED) visits for minor complaints in children after appendectomy through proactive institution-driven communication and utilization of telehealth resources.
Methods: We developed a text messaging system to initiate communication with parents of postappendectomy patients and connect them with a telehealth visit or a phone call with a surgical provider as needed. Using descriptive statistics, chi square, and statistical process control analytics, we compared rates of postoperative ED visits for the 8 months pre- and post-implementation of the messaging system and summarized the feedback we received from patients.
Decision aids (DAs) are central to shared decision making (SDM) interventions, yet little is known about patients' actual DA use. Adequate utilization of DAs could optimize SDM effectiveness. Electronic DAs enable more objective tracking and analysis of actual DA utilization than do paper DAs.
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- - The article focuses on creating web-based decision aids for youth with type 1 diabetes and their parents, aimed at helping them choose between insulin pumps and continuous glucose monitoring.
- - It involved qualitative interviews with parents, adolescents, and healthcare providers to shape the content and design of these decision aids, supported by experts in children's health media and web development.
- - The next step is to conduct a randomized controlled trial to evaluate the effectiveness of these decision aids compared to standard clinical practices.