An electronic health record metadata-mining approach to identifying patient-level interprofessional clinician teams in the intensive care unit.

Objectives: Advances in health informatics rapidly expanded use of big-data analytics and electronic health records (EHR) by clinical researchers seeking to optimize interprofessional ICU team care. This study developed and validated a program for extracting interprofessional teams assigned to each patient each shift from EHR event logs.

Materials And Methods: A retrospective analysis of EHR event logs for mechanically-ventilated patients 18 and older from 5 ICUs in an academic medical center during 1/1/2018-12/31/2019.

Mental health misconceptions among at-risk populations: The case of hotel workers.

Introduction: Most hotel workers represent disadvantaged populations in the United States. Socioecological stress-related factors increase the risk for poor mental health outcomes, yet accounts of worker perceptions of mental health are scarce.

Methods: We conducted five focus groups among 23 hotel room cleaners and individual interviews with six hotel managers.

Patterns of interactions among ICU interprofessional teams: A prospective patient-shift-level survey approach.

Background: The Awakening, Breathing Coordination, Delirium monitoring and Early mobility bundle (ABCDE) is associated with lower mortality for intensive care unit (ICU) patients. However, efforts to improve ABCDE are variably successful, possibly due to lack of clarity about who are the team members interacting when caring for each patient, each shift. Lack of patient shift-level information regarding who is interacting with whom limits the ability to tailor interventions to the specific ICU team to improve ABCDE.

Shift-Level Team Familiarity Is Associated with Improved Outcomes in Mechanically Ventilated Adults.

Organizing ICU interprofessional teams is a high priority because of workforce needs, but the role of interprofessional familiarity remains unexplored. Determine if mechanically ventilated patients cared for by teams with greater familiarity have improved outcomes, such as lower mortality, shorter duration of mechanical ventilation (MV), and greater spontaneous breathing trial (SBT) implementation. We used electronic health records data of five ICUs in an academic medical center to map interprofessional teams and their ICU networks, measuring team familiarity as network coreness and mean team value.

Extubation of Patients Receiving Vasopressor Infusions: Results of a Survey on Statewide Practices.

Current guidelines recommend extubation only if a patient is not receiving vasopressor therapy or is receiving minimal doses of vasopressors. However, recent data indicate that extubation of patients receiving higher vasopressor doses may be safe. This study was undertaken to examine practices regarding extubation of patients receiving vasopressor therapy reported by clinician respondents to a survey by the Michigan Health and Hospital Association Keystone Center.

Service Workers' Experience and Perceptions of Workplace Protective Measures During the Onset of COVID-19.

Objectives: The Coronavirus-2019 (COVID-19) pandemic presents a unique burden specifically for workers in service industries. However, limited research on service worker's experience during the onset of COVID-19 exists. We aimed to describe the experiences and concerns of service industry workers during the pandemic's onset.

Prevention of radiation-induced bone pathology through combined pharmacologic cytoprotection and angiogenic stimulation.

Pathologic fractures and associated non-unions arising in previously irradiated bone are severely debilitating diseases. Although radiation is known to have deleterious effects on healthy tissue cellularity and vascularity, no clinically accepted pharmacologic interventions currently exist to target these destructive mechanisms within osseous tissues. We utilized amifostine-a cellular radioprotectant-and deferoxamine-an angiogenic stimulant-to simultaneously target the cellular and vascular niches within irradiated bone in a rat model of mandibular fracture repair following irradiation.