scholarly journals Impact of COVID-19 Pandemic on Use of Telemedicine Services in an Academic Medical Center

2021 ◽  
Author(s):  
Wanting Cui ◽  
Joseph Finkelstein
Keyword(s):  
Medical Center ◽  
Academic Medical Center ◽  
Telemedicine Service ◽  
Medical Specialties ◽  
Demographic Groups ◽  
Academic Medical ◽  
Before And After ◽  
Usage Patterns ◽  
Male Patients ◽  
Demographic Shifts

The COVID-19 pandemic changed the landscape of telehealth services. The goal of this paper was to identify demographic groups of patients who have used telemedicine services before and after the start of the pandemic, and to analyze how different demographic groups’ telehealth usage patterns change throughout the course of the pandemic. A de-identified study dataset was generated by querying electronic health records at the Mount Sinai Health System to identify all patients. 129,625 patients were analyzed. Demographic shifts in patients seeking telemedicine service were identified. There was significant increase in the middle age and older population using telehealth services. During the pandemic use of telemedicine services was increased among male patients and racial minority patients. Furthermore, telehealth services had expanded to a broader spectrum of medical specialties.

The Impact of Discontinuing Contact Precautions for VRE and MRSA on Device-Associated Infections

2015 ◽  
Vol 36 (8) ◽  
pp. 978-980 ◽  
Author(s):  
Michael B. Edmond ◽  
Nadia Masroor ◽  
Michael P. Stevens ◽  
Janis Ober ◽  
Gonzalo Bearman
Keyword(s):  
Medical Center ◽  
Academic Medical Center ◽  
Infection Rates ◽  
Hospital Acquired Infection ◽  
Contact Precautions ◽  
Academic Medical ◽  
Before And After ◽  
Hospital Acquired ◽  
The Impact ◽  
Before And After Study

The impact of discontinuing contact precautions for patients with MRSA and VRE colonization/infection on device-associated hospital-acquired infection rates at an academic medical center was investigated in this before-and-after study. In the setting of a strong horizontal infection prevention platform, discontinuation of contact precautions had no impact on device-associated hospital-acquired infection rates.Infect. Control Hosp. Epidemiol. 2015;36(8):978–980

Using Sonography to Examine Adult Patients at an Academic Medical Center: Have Usage Patterns Changed with the Expansion of Managed Care?

2002 ◽  
Vol 179 (6) ◽  
pp. 1395-1399 ◽  
Author(s):  
Marc E. Liebeskind ◽  
Peter H. Arger ◽  
Amy Liebeskind ◽  
Keith Maston ◽  
Curtis Langlotz
Keyword(s):  
Managed Care ◽  
Medical Center ◽  
Academic Medical Center ◽  
Adult Patients ◽  
Academic Medical ◽  
Usage Patterns

scholarly journals Optimizing Inpatient Urine Culture Ordering Practices Using the Electronic Medical Record: A Pilot Study

2016 ◽  
Vol 38 (4) ◽  
pp. 486-488 ◽  
Author(s):  
Daniel Shirley ◽  
Harry Scholtz ◽  
Kurt Osterby ◽  
Jackson Musuuza ◽  
Barry Fox ◽  
...  
Keyword(s):  
Pilot Study ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Urine Culture ◽  
Medical Center ◽  
Academic Medical Center ◽  
Academic Medical ◽  
Before And After ◽  
Quasi Experimental ◽  
Before And After Study

A prospective quasi-experimental before-and-after study of an electronic medical record–anchored intervention of embedded education on appropriate urine culture indications and indication selection reduced the number of urine cultures ordered for catheterized patients at an academic medical center. This intervention could be a component of CAUTI-reduction bundles.Infect Control Hosp Epidemiol 2017;38:486–488

Implementation and Evaluation of a Smartphone Application for the Perioperative Care of Neurosurgery Patients at an Academic Medical Center: Implications for Patient Satisfaction, Surgery Cancelations, and Readmissions

2017 ◽  
Vol 14 (3) ◽  
pp. 303-311 ◽  
Author(s):  
Daniel R Felbaum ◽  
Jeffrey J Stewart ◽  
Amjad N Anaizi ◽  
Faheem A Sandhu ◽  
Mani N Nair ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Medical Center ◽  
Academic Medical Center ◽  
Smartphone Application ◽  
Control Group ◽  
Pain Scores ◽  
Phone Calls ◽  
Academic Medical ◽  
Number Of Patients ◽  
Before And After

Abstract BACKGROUND Smartphone applications (apps) in the health care arena are being increasingly developed with the aim of benefiting both patients and their physicians. The delivery of adequate instructions both before and after a procedure or surgery is of paramount importance in ensuring the best possible outcome for patients. OBJECTIVE To demonstrate that app-based instructions with built-in reminders may improve patient understanding and compliance and contribute to reducing the number of surgery cancellations and postoperative complications and readmissions. METHODS We prospectively accrued 56 patients undergoing routine neurosurgery procedures who subsequently downloaded the app. The median age was 54 (range 27-79). Patients were followed for successful registration and use of the app, compliance with reading instructions before and after surgery, and sending pain scores and/or wound images. The number of surgeries cancelled, postoperative complications, 30-d readmissions, and phone calls for surgery-related questions were examined. RESULTS Fifty-four of the 56 patients successfully registered, downloaded, and used the app and read and complied with instructions both before and after surgery. There were no cancelled surgeries. There was 1 postoperative complication. There were no readmissions. Eight of the 54 patients (14.8%) called the office on a single occasion for a surgery related question. CONCLUSION We demonstrate the utility of a smartphone application in the perioperative neurosurgical care setting with regard to patient compliance and satisfaction as well as surgery cancellations and readmissions. Further study of a larger number of patients with a control group is warranted.

Efficacy of Sex Steroid Therapy Without Progestin or GnRH Agonist for Gonadal Suppression in Adult Transgender Patients

2020 ◽  
Author(s):  
India I Pappas ◽  
Wendy Y Craig ◽  
Lindsey V Spratt ◽  
Daniel I Spratt
Keyword(s):  
Gnrh Agonist ◽  
Medical Center ◽  
Academic Medical Center ◽  
Normal Male ◽  
Gonadal Function ◽  
Academic Medical ◽  
Median Serum ◽  
Male Patients ◽  
Progestin Therapy ◽  
Male To Female

Abstract Context Testosterone (T) or estradiol (E2) are administered to suppress gonadal function in female-to-male (FTM) and male-to-female (MTF) transgender patients. How often sex steroids cause adequate suppression without GnRH agonist (GnRHa) or progestin therapy has not been reported. Objectives (1) To determine how often T and E2 therapy alone can effectively suppress gonadal function in MTF and FTM transgender patients, and (2) to determine the frequency and range of serum E2 levels above the normal male range in FTM patients receiving T therapy. Design Retrospective cohort study. Setting Outpatient reproductive endocrinology clinic at an academic medical center. Patients A total of 65 FTM and 33 MTF patients were included who were > 18 years of age and not receiving progestin or GnRHa therapy. Intervention Female-to-male patients were receiving T through injections or gel. Male-to-female patients were receiving oral or subcutaneous E2. Main Outcome Measurements In FTM patients the indicator of ovary suppression was amenorrhea. In MTF patients, the indicator of testes suppression was T levels <50 ng/dL. Results Median serum total T level for FTM patients was 712 ng/dL (range, 370–1164 ng/dL). On T therapy alone, 90.8% of patients achieved amenorrhea and 49.2% of patients had serum E2 levels above the normal range for women. For MTF patients, the median serum E2 level was 129.2 pg/mL (range, 75–197 pg/mL). On E2 therapy alone, 84.8% of MTF patients had adequate suppression of testicular function. Conclusions Testosterone and E2 therapy are usually effective without progestin or GnRHa therapy to suppress gonadal function in transgender patients. Progestin and/or GnRHa therapy should only be initiated in those patients who do not have adequate gonadal suppression on optimized doses of T or E2 alone.

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