Publications by authors named "Kathryn A Kvam"
Article Synopsis
- The study investigates how the establishment of a neurohospitalist (NH) service impacts neurology resident evaluations of faculty teaching before and after its implementation.
- Researchers conducted a retrospective analysis, comparing faculty evaluations from two distinct periods: before the NH model (2010-2014) and after its implementation (2016-2018), while also examining related student evaluations and performance metrics.
- Results showed that resident evaluations of faculty teaching significantly improved in 19 out of 27 areas post-NH service, particularly in competencies like patient care and practice-based learning, while medical student evaluations remained unchanged.
Acute infectious encephalitis is a widely studied clinical syndrome. Although identified almost 100 years ago, its immediate and delayed consequences are still neglected despite their high frequency and possible severity. We reviewed the available data on sequelae and persisting symptoms following infectious encephalitis with the aim of characterizing the clinical picture of these patients at months to years after hospitalization.
View Article and Find Full Text PDFAutoimmune etiologies are a common cause for encephalitis. The clinical syndromes consistent with autoimmune encephalitis are both distinct and increasingly recognized, but less is known about persisting sequelae or outcomes. We searched PubMed for reports on outcomes after autoimmune encephalitis.
View Article and Find Full Text PDFBackground And Purpose: The purpose is to determine the impact of an academic neurohospitalist service on clinical outcomes.
Methods: We performed a retrospective, quasi-experimental study of patients discharged from the general neurology service before (August 2010-July 2014) and after implementation of a full-time neurohospitalist service (August 2016-July 2018) compared to a control group of stroke patients. Primary outcomes were length of stay and 30-day readmission.
Measurement of clinical performance is largely driven by the requirements of the Centers for Medicare and Medicaid Services and accrediting bodies like The Joint Commission. Performance measures include length of stay, readmission rate, mortality rate, hospital-acquired complications, and stroke core measures. Hospital rankings also depend heavily on quality and patient safety indicators.
View Article and Find Full Text PDFWe determined how often patients with epilepsy presented to the emergency department (ED) for seizure and the frequency and predictors for undergoing emergent neuroimaging during those visits. We conducted a retrospective population-based cohort study using administrative claims' data from 2007 to 2015. Adults with epilepsy were identified based on a diagnosis of epilepsy and an outpatient prescription for an antiepileptic medication.
View Article and Find Full Text PDFObjective: To describe and assess the effectiveness of a neurology resident quality improvement curriculum focused on development of practical skills and project experience.
Methods: We designed and implemented a quality improvement curriculum composed of (1) a workshop series and (2) monthly resident-led Morbidity, Mortality, & Improvement conferences focused on case analysis and project development. Surveys were administered precurriculum and 18 months postcurriculum to assess the effect on self-assessed confidence with quality improvement skills, attitudes, and project participation.
Background: Studies of emergent neuroimaging in the management of patients presenting with a breakthrough seizure are lacking. We sought to determine how often emergent computed tomography (CT) scans are obtained in patients with known epilepsy presenting with a seizure and how often acute abnormalities are found.
Methods: This multicenter retrospective cohort study was performed in the emergency department at 2 academic medical centers.
Background: Various strategies to mitigate children's distress during voiding cystourethrography (VCUG) have been described. Sedation with nitrous oxide is comparable to that with oral midazolam for VCUG, but a side-by-side comparison of nitrous oxide sedation and routine care is lacking.
Objective: The effects of sedation/analgesia using 70% nitrous oxide and routine care for VCUG and radionuclide cystography (RNC) were compared.