Dustin Dunsmuir
YOU?
Author Swipe
View article: Smart Discharges improves post-discharge mortality among children with suspected sepsis in Uganda: A prospective before-after study
Smart Discharges improves post-discharge mortality among children with suspected sepsis in Uganda: A prospective before-after study Open
Introduction Post-discharge mortality among children following an acute illness in low-resource settings is high and demands urgent attention. We aimed to assess the impact of Smart Discharges, a mortality prevention risk-differentiated ap…
View article: Exploring two-way text messages for post-discharge follow-up and quality improvement in rural Uganda
Exploring two-way text messages for post-discharge follow-up and quality improvement in rural Uganda Open
Introduction Automated messaging through text (SMS) and instant messaging services (IMS) offers low-cost solutions for patient follow-up in resource-constrained contexts. This study aims to evaluate a quality improvement (QI) initiative to…
View article: Improving pediatric care in Uganda with a digital platform and quality improvement initiative: A retrospective review of Smart Triage + QI
Improving pediatric care in Uganda with a digital platform and quality improvement initiative: A retrospective review of Smart Triage + QI Open
Objective This is a retrospective review of the feasibility study and implementation of the Smart Triage and Quality Improvement (QI) initiative at Holy Innocents Children’s Hospital (HICH), a dedicated pediatric hospital in Mbarara, Ugand…
View article: Exploring two-way text messages for post-discharge follow-up and quality improvement in rural Uganda
Exploring two-way text messages for post-discharge follow-up and quality improvement in rural Uganda Open
Introduction Automated messaging through text (SMS) and instant messaging services (IMS) are low-cost solutions for patient follow-up in resource-constrained contexts. This study aims to evaluate a quality improvement (QI) initiative to im…
View article: Implementation of Smart Triage combined with a quality improvement program for children presenting to facilities in Kenya and Uganda: An interrupted time series analysis
Implementation of Smart Triage combined with a quality improvement program for children presenting to facilities in Kenya and Uganda: An interrupted time series analysis Open
Sepsis occurs predominantly in low-middle-income countries. Sub-optimal triage contributes to poor early case recognition and outcomes from sepsis. Improved recognition and quality of care can lead to improved outcomes. We evaluated the im…
View article: Repeatability of RRate measurements in children during triage in two Ugandan hospitals
Repeatability of RRate measurements in children during triage in two Ugandan hospitals Open
Pneumonia is the leading cause of death in children globally. In low- and middle-income countries (LMICs) pneumonia diagnosis relies on accurate assessment of respiratory rate, which can be unreliable when completed by nurses with less-adv…
View article: Post-Discharge Mortality, Readmission, and Care Seeking Among Postpartum Women and Their Newborns Following Facility-Based Delivery in Uganda: A Prospective Observational Study
Post-Discharge Mortality, Readmission, and Care Seeking Among Postpartum Women and Their Newborns Following Facility-Based Delivery in Uganda: A Prospective Observational Study Open
View article: Comparison between the Smart Triage model and the Emergency Triage Assessment and Treatment guidelines in triaging children presenting to the emergency departments of two public hospitals in Kenya
Comparison between the Smart Triage model and the Emergency Triage Assessment and Treatment guidelines in triaging children presenting to the emergency departments of two public hospitals in Kenya Open
Several triage systems have been developed, but little is known about their performance in low-resource settings. Evaluating and comparing novel triage systems to existing triage scales provides essential information about their added valu…
View article: The PAediatric Risk Assessment (PARA) Mobile App to Reduce Postdischarge Child Mortality: Design, Usability, and Feasibility for Health Care Workers in Uganda
The PAediatric Risk Assessment (PARA) Mobile App to Reduce Postdischarge Child Mortality: Design, Usability, and Feasibility for Health Care Workers in Uganda Open
BACKGROUND: Postdischarge death in children is increasingly being recognized as a major contributor to overall child mortality. The PAediatric Risk Assessment (PARA) app is an mHealth tool developed to aid health care workers in resource-l…
View article: Geographical validation of the Smart Triage Model by age group
Geographical validation of the Smart Triage Model by age group Open
Infectious diseases in neonates account for half of the under-five mortality in low- and middle-income countries. Data-driven algorithms such as clinical prediction models can be used to efficiently detect critically ill children in order …
View article: External validation of a paediatric Smart triage model for use in resource limited facilities
External validation of a paediatric Smart triage model for use in resource limited facilities Open
Models for digital triage of sick children at emergency departments of hospitals in resource poor settings have been developed. However, prior to their adoption, external validation should be performed to ensure their generalizability. We …
View article: Prediction models for post-discharge mortality among under-five children with suspected sepsis in Uganda: A multicohort analysis
Prediction models for post-discharge mortality among under-five children with suspected sepsis in Uganda: A multicohort analysis Open
In many low-income countries, over five percent of hospitalized children die following hospital discharge. The lack of available tools to identify those at risk of post-discharge mortality has limited the ability to make progress towards i…
View article: Repeatability of RRate measurements in children during triage in two Ugandan hospitals
Repeatability of RRate measurements in children during triage in two Ugandan hospitals Open
Background Pneumonia is the leading cause of death in children globally. In low- and middle-income countries the diagnosis of pneumonia relies heavily on an accurate assessment of respiratory rate, which can be unreliable in nurses and cli…
View article: Machine learning-enabled maternal risk assessment for women with pre-eclampsia (the PIERS-ML model): a modelling study
Machine learning-enabled maternal risk assessment for women with pre-eclampsia (the PIERS-ML model): a modelling study Open
View article: Implementation of Smart Triage combined with a quality improvement program for children presenting to facilities in Kenya and Uganda: An interrupted time series analysis
Implementation of Smart Triage combined with a quality improvement program for children presenting to facilities in Kenya and Uganda: An interrupted time series analysis Open
Sepsis occurs predominantly in low-middle-income countries. Sub-optimal triage contributes to poor early case recognition and outcomes from sepsis. We evaluated the impact of Smart Triage using improved time to intravenous antimicrobial ad…
View article: Comparison between the Smart Triage model and the Emergency Triage Assessment and Treatment (ETAT) guidelines in triaging children presenting to the emergency departments of two public hospitals in Kenya
Comparison between the Smart Triage model and the Emergency Triage Assessment and Treatment (ETAT) guidelines in triaging children presenting to the emergency departments of two public hospitals in Kenya Open
Several triage systems have been developed, but little is known about their performance in low-resource settings. Evaluating and comparing novel triage systems to existing triage scales provides essential information about their added valu…
View article: Replication Data for: Comparison between the Smart Triage model and the Emergency Triage Assessment and Treatment (ETAT) guidelines in triaging children presenting to the emergency departments of two public hospitals in Kenya
Replication Data for: Comparison between the Smart Triage model and the Emergency Triage Assessment and Treatment (ETAT) guidelines in triaging children presenting to the emergency departments of two public hospitals in Kenya Open
This is a replication dataset for the publication titled: "Comparison between the Smart Triage model and the Emergency Triage Assessment and Treatment (ETAT) guidelines in triaging children presenting to the emergency departments of two…
View article: Transitioning from the “Three Delays” to a focus on continuity of care: a qualitative analysis of maternal deaths in rural Pakistan and Mozambique
Transitioning from the “Three Delays” to a focus on continuity of care: a qualitative analysis of maternal deaths in rural Pakistan and Mozambique Open
Background The Three Delays Framework was instrumental in the reduction of maternal mortality leading up to, and during the Millennium Development Goals. However, this paper suggests the original framework might be reconsidered, now that m…
View article: Repeatability of Pulse Oximetry Measurements in Children During Triage in 2 Ugandan Hospitals
Repeatability of Pulse Oximetry Measurements in Children During Triage in 2 Ugandan Hospitals Open
Training guidelines must emphasize the importance of signal quality and duration of measurement, targeting a minimum of 35 seconds of adequate-quality, stable data. In addition, the design of new devices should incorporate user prompts and…
View article: Geographical validation of the Smart Triage Model by age group
Geographical validation of the Smart Triage Model by age group Open
Age is an important risk factor among critically ill children with neonates being the most vulnerable. Clinical prediction models need to account for age differences and must be externally validated and updated, if necessary, to enhance re…
View article: Prediction models for post-discharge mortality among under-five children with suspected sepsis in Uganda: A multicohort analysis
Prediction models for post-discharge mortality among under-five children with suspected sepsis in Uganda: A multicohort analysis Open
Background In many low-income countries, more than five percent of hospitalized children die following hospital discharge. The identification of those at risk has limited progress to improve outcomes. We aimed to develop algorithms to pred…
View article: External validation of a paediatric SMART triage model for use in resource limited facilities
External validation of a paediatric SMART triage model for use in resource limited facilities Open
Introduction Models for digital triage of sick children at emergency departments of hospitals in resource poor settings have been developed. However, prior to their adoption, external validation should be performed to ensure their generali…
View article: Replication Data for: Triage and management of sepsis in children using the point-of care Pediatric Rapid Sepsis Trigger (PRST) tool
Replication Data for: Triage and management of sepsis in children using the point-of care Pediatric Rapid Sepsis Trigger (PRST) tool Open
This is a replication dataset for the manuscript titled "Triage and management of sepsis in children using the point-of care pediatric Rapid Sepsis Trigger(PRST) tool." The data was collected as part of PRST study phase 1 which was carried…
View article: Mortality after hospital discharge among children younger than 5 years admitted with suspected sepsis in Uganda: a prospective, multisite, observational cohort study
Mortality after hospital discharge among children younger than 5 years admitted with suspected sepsis in Uganda: a prospective, multisite, observational cohort study Open
View article: Choosing blood pressure thresholds to inform pregnancy care in the community: An analysis of cluster trials
Choosing blood pressure thresholds to inform pregnancy care in the community: An analysis of cluster trials Open
Objective To inform digital health design by evaluating diagnostic test properties of antenatal blood pressure (BP) outputs and levels to identify women at risk of adverse outcomes. Design Planned secondary analysis of cluster randomised t…
View article: Using self-supervised feature learning to improve the use of pulse oximeter signals to predict paediatric hospitalization
Using self-supervised feature learning to improve the use of pulse oximeter signals to predict paediatric hospitalization Open
Background: The success of many machine learning applications depends on knowledge about the relationship between the input data and the task of interest (output), hindering the application of machine learning to novel tasks. End-to-end de…
View article: Post-discharge mortality among children under 5 years admitted with suspected sepsis in Uganda: a prospective multi-site study
Post-discharge mortality among children under 5 years admitted with suspected sepsis in Uganda: a prospective multi-site study Open
Background Substantial mortality occurs after hospital discharge in children under 5 years old with suspected sepsis. A better understanding of its epidemiology is needed for effective interventions aimed at reducing child mortality in res…
View article: Repeatability of Pulse Oximetry Measurements in Children During Triage in Two Ugandan Hospitals
Repeatability of Pulse Oximetry Measurements in Children During Triage in Two Ugandan Hospitals Open
Background In low- and middle-income countries, health workers use pulse oximeters for intermittent spot measurements of SpO 2 . However, the accuracy and reliability when used for spot measurements has not been determined. We evaluated th…
View article: Smart triage: Development of a rapid pediatric triage algorithm for use in low-and-middle income countries
Smart triage: Development of a rapid pediatric triage algorithm for use in low-and-middle income countries Open
Introduction Early and accurate recognition of children at risk of progressing to critical illness could contribute to improved patient outcomes and resource allocation. In resource limited settings digital triage tools can support decisio…
View article: Health worker perspectives of Smart Triage, a digital triaging platform for quality improvement at a referral hospital in Uganda: a qualitative analysis
Health worker perspectives of Smart Triage, a digital triaging platform for quality improvement at a referral hospital in Uganda: a qualitative analysis Open
Background Effective triage at hospitals can improve outcomes for children globally by helping identify and prioritize care for those most at-risk of death. Paper-based pediatric triage guidelines have been developed to support frontline h…