Publications by authors named "J Rucci"
Article Synopsis
- The opioid crisis is a significant national issue leading to increased attention on opioid-related deaths.
- The study reviews opioid infusion practices in patients with acute respiratory failure on mechanical ventilation across multiple hospitals.
- Findings reveal that a notable percentage of patients received opioid infusions, with substantial variations in usage and doses among different hospitals.
Article Synopsis
- - The Department of Veterans Affairs is changing to a new electronic health record system, and they looked at how the staff and doctors felt about this change to make improvements for the future.
- - They used surveys and interviews to gather information from 68 team members before and after the new system was put in place, and many reported struggles and stress during the transition.
- - Based on what they learned, they found that better training and support, along with fixing known problems, could help make these transitions easier for everyone involved.
Importance: Guidelines recommend an analgesia-first strategy for sedation during mechanical ventilation, but associations between opioids provided during mechanical ventilation and posthospitalization opioid-related outcomes are unclear.
Objective: To evaluate associations between an intravenous opioid dose received during mechanical ventilation and postdischarge opioid-related outcomes in medical (nonsurgical) patients.
Design, Setting, And Participants: This retrospective cohort study evaluated adults receiving mechanical ventilation lasting 24 hours or more for acute respiratory failure and surviving hospitalization.
Background: Providing analgesia and sedation is an essential component of caring for many mechanically ventilated patients. The selection of analgesic and sedative medications during the COVID-19 pandemic, and the impact of these sedation practices on patient outcomes, remain incompletely characterized.
Research Question: What were the hospital patterns of analgesic and sedative use for patients with COVID-19 who received mechanical ventilation (MV), and what differences in clinical patient outcomes were observed across prevailing sedation practices?
Study Design And Methods: We conducted an observational cohort study of hospitalized adults who received MV for COVID-19 from February 2020 through April 2021 within the Society of Critical Care Medicine Discovery Viral Infection and Respiratory Illness Universal Study (VIRUS) COVID-19 Registry.
Background: Electronic health record (EHR) transitions are inherently disruptive to healthcare workers who must rapidly learn a new EHR and adapt to altered clinical workflows. Healthcare workers' perceptions of EHR usability and their EHR use patterns following transitions are poorly understood. The Department of Veterans Affairs (VA) is currently replacing its homegrown EHR with a commercial Cerner EHR, presenting a unique opportunity to examine EHR use trends and usability perceptions.
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