Publications by authors named "J D Jaskolka"
This study evaluates the efficacy of a commercial medical Named Entity Recognition (NER) model combined with a post-processing protocol in identifying incidental pulmonary nodules from CT reports. We analyzed 9165 anonymized CT reports and classified them into 3 categories: no nodules, nodules present, and nodules >6 mm. For each report, a generic medical NER model annotated entities and their relations, which were then filtered through inclusion/exclusion criteria selected to identify pulmonary nodules.
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- The study investigates the effect of performance feedback reports on how emergency department (ED) physicians order computed tomography pulmonary angiography (CTPA).
- The research was conducted in Ontario, Canada, using individualized feedback reports for physicians over a three-year period, comparing CTPA ordering rates before and after the intervention.
- Results showed no significant change in diagnostic yield despite an increase in CTPA utilization rates, suggesting that broader institutional factors may influence physician ordering behavior more than personalized feedback.
In this article, we report on a 62-year-old non-cirrhotic male presenting to the emergency department (ED) with chronic abdominal pain, anorexia, and weight loss. Upon initial presentation, physical exam was unremarkable, other than for sarcopenia and splenomegaly. Initial imaging studies revealed a large thrombosis from the iliac vein to the right atrium of the heart.
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- The study analyzed the effect of a new Code Stroke protocol on the number of head and neck CT angiographies (CTAs) ordered in two community hospitals and an urgent care center over six years.
- There was a significant rise in CTA orders, with a nearly tenfold increase per 10,000 ED visits from 2014 to 2019.
- Despite the increased volume of CTAs, only a small percentage of patients (3.5%) were transferred for potential endovascular treatment, highlighting a disparity between CTA utilization and actual interventions.
Background: A variety of evidence-based algorithms and decision rules using D-Dimer testing have been proposed as instruments to allow physicians to safely rule out a pulmonary embolism (PE) in low-risk patients.
Objective: To describe the prevalence of D-Dimer utilization among emergency department (ED) physicians and its impact on positive yields and utilization rates of Computed Tomography Pulmonary Angiography (CTPA).
Methods: Data was collected on all CTPA studies ordered by ED physicians at three sites during a 2-year period.