Publications by authors named "Shreya Sanghani"
Objective: Our objective was to determine the feasibility and preliminary efficacy of a behavioral nudge on adoption of a clinical decision support (CDS) tool.
Materials And Methods: We conducted a pilot cluster nonrandomized controlled trial in 2 Emergency Departments (EDs) at a large academic healthcare system in the New York metropolitan area. We tested 2 versions of a CDS tool for pulmonary embolism (PE) risk assessment developed on a web-based electronic health record-agnostic platform.
Importance: Despite the benefits of goals-of-care (GOC) communication, many hospitalized individuals never communicate their goals or preferences to clinicians.
Objective: To assess whether a GOC video intervention delivered by palliative care educators (PCEs) increased the rate of GOC documentation.
Design, Setting, And Participants: This pragmatic, stepped-wedge cluster randomized clinical trial included patients aged 65 years or older admitted to 1 of 14 units at 2 urban hospitals in New York and Boston from July 1, 2021, to October 31, 2022.
Article Synopsis
- COVID-19 is linked to high rates of artery and vein-related complications (ATE and VTE) and overall mortality (ACM) in hospitalized patients, especially those with existing cardiovascular conditions.
- A study tracked 608 hospitalized COVID-19 patients with cardiovascular disease, finding significant post-discharge rates of ATE (27.3%), VTE (6.9%), and a combined risk of ATE, VTE, or ACM (35.2%).
- Key risk factors for these complications included being over 75 years old, having peripheral artery disease (PAD) or carotid artery stenosis (CAS), a history of congestive heart failure (CHF) or previous VTE, and having been admitted to an ICU.
Introduction: Despite the known benefit to patients and families, discussions about goals, values and preferences for medical care in advancing serious illness often do not occur. Many system and clinician factors, such as patient and clinician reticence and shortage of specialty palliative care teams, contribute to this lack of communication. To address this gap, we designed an intervention to promote goals-of-care conversations and palliative care referrals in the hospital setting by using trained palliative care educators and video decision aids.
View Article and Find Full Text PDF