Kevin W. Sexton
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View article: Sociotechnical Needs of Registered Nurses in the Heart Failure Hospitalizations of African American Patients: Cross-Sectional Study
Sociotechnical Needs of Registered Nurses in the Heart Failure Hospitalizations of African American Patients: Cross-Sectional Study Open
Background The African American population is disproportionately impacted by congestive heart failure (CHF). The impact includes a hospitalization rate that is 2.5 times higher and a hospital stay that is, on average, a quarter of a day lo…
View article: Registered nurse effect on long length of stay in the heart failure hospitalizations of African Americans
Registered nurse effect on long length of stay in the heart failure hospitalizations of African Americans Open
African Americans experience approximately 2.5 times more heart failure hospitalizations than Caucasians and the complexity of heart failure requires registered nurses to work in collaboration with other types of healthcare professionals. …
View article: Exploring Racial Disparities in Chronic Pain Management
Exploring Racial Disparities in Chronic Pain Management Open
This study highlights significant racial disparities in chronic pain management, with NHB and Hispanic patients receiving fewer referrals to specialist care and lower opioid prescription rates compared to NHW patients. Strategies to addres…
View article: 118 Developing dynamic dialogue: Enhancing provider–patient communication for HPV vaccination in clinics serving rural communities
118 Developing dynamic dialogue: Enhancing provider–patient communication for HPV vaccination in clinics serving rural communities Open
Objectives/Goals: This poster discusses key methodological and theoretical issues in translation and implementation for improving HPV vaccine recommendations in clinics serving rural communities. Methods/Study Population: Leveraging implem…
View article: Pulse Rate Variability Analysis During Hemorrhage in an Experimental Porcine Model
Pulse Rate Variability Analysis During Hemorrhage in an Experimental Porcine Model Open
Background: The initial response to hemorrhage is mediated by the autonomic nervous system. A method for detecting autonomic nervous system activity may provide the ability to detect acute changes in blood volume. Previous work has indicat…
View article: The Importance of a Continuously Changing Heart Rate in Venous and Arterial Pressure Analysis
The Importance of a Continuously Changing Heart Rate in Venous and Arterial Pressure Analysis Open
Purpose: Previous studies have suggested that minimally invasive peripheral venous and arterial pressure waveforms provide a greater ability to detect acute changes in blood volume than traditional vital signs. Many of these studies are us…
View article: The Representational Challenge of Integration and Interoperability in Transformed Health Ecosystems
The Representational Challenge of Integration and Interoperability in Transformed Health Ecosystems Open
Background/Objectives: Health and social care systems around the globe are currently undergoing a transformation towards personalized, preventive, predictive, participative precision medicine (5PM), considering the individual health status…
View article: The association of workforce configurations with length of stay and charges in hospitalized patients with congestive heart failure
The association of workforce configurations with length of stay and charges in hospitalized patients with congestive heart failure Open
Introduction Clinicians are the conduits of high-quality care delivery. Clinicians have driven advancements in pharmacotherapeutics, devices, and related interventions and improved morbidity and mortality in patients with congestive heart …
View article: Racial Disparities in Hospital Utilization Among Patients with Multimorbidity
Racial Disparities in Hospital Utilization Among Patients with Multimorbidity Open
Background. It is reported that racial differences exist among patients with multimorbidity. However, there are no studies that have investigated racial disparities within multimorbidity-related hospitalization encounters among patients wi…
View article: Expanding the Ontology of Organizational Structures of Trauma Centers and Trauma Systems.
Expanding the Ontology of Organizational Structures of Trauma Centers and Trauma Systems. Open
A knowledge gap exists regarding the impact of organizational parameters of trauma centers and patient outcomes. This is partially due to such organizational parameters being understudied. The Ontology of Organizational Structures of Traum…
View article: Resident level is associated with operative time in laparoscopic cholecystectomy
Resident level is associated with operative time in laparoscopic cholecystectomy Open
The increased average case time associated with PGY-2 residents is likely due to a new level of increased autonomy in the operating room (OR) during this year of training. The linear regression results indicated PGY1-4 residents were more …
View article: A closed surgical intensive care unit organization improves cardiac surgical patient outcomes
A closed surgical intensive care unit organization improves cardiac surgical patient outcomes Open
Our study identified a decreased ICU LOS and hospital readmission in cardiac and ascending aortic patients in a closed general SICU despite increased procedure complexity. Further study is needed to clarify the effects on surgical complica…
View article: Partnership in Cancer Research (PCAR) Program Increases Medical Student Knowledge and Confidence to Perform Cancer Research
Partnership in Cancer Research (PCAR) Program Increases Medical Student Knowledge and Confidence to Perform Cancer Research Open
Arkansas has a high cancer burden, and a pressing need exists for more medical students to pursue oncology as a career. The Partnership in Cancer Research (PCAR) program provides a summer research experience at the University of Arkansas f…
View article: The Association of Implemented Care Team Configuration Models with Length of Stay and Charges in Hospitalized Patients with Congestive Heart Failure: A Retrospective Analysis of EHR Data
The Association of Implemented Care Team Configuration Models with Length of Stay and Charges in Hospitalized Patients with Congestive Heart Failure: A Retrospective Analysis of EHR Data Open
Background: Clinicians are the conduits of high-quality care delivery. Clinicians have driven advancements in pharmacotherapeutics, devices, and related interventions and improved morbidity and mortality in patients with congestive heart f…
View article: Development and validation of the early warning system scores ontology
Development and validation of the early warning system scores ontology Open
Background Clinical early warning scoring systems, have improved patient outcomes in a range of specializations and global contexts. These systems are used to predict patient deterioration. A multitude of patient-level physiological decomp…
View article: Care delivery team composition effect on hospitalization risk in African Americans with congestive heart failure
Care delivery team composition effect on hospitalization risk in African Americans with congestive heart failure Open
The care delivery team (CDT) is critical to providing care access and equity to patients who are disproportionately impacted by congestive heart failure (CHF). However, the specific clinical roles that are associated with care outcomes are…
View article: Quantifying care delivery team influences on the hospitalization outcomes of patients with multimorbidity: Implications for clinical informatics
Quantifying care delivery team influences on the hospitalization outcomes of patients with multimorbidity: Implications for clinical informatics Open
The primary objective was to quantify the influences of care delivery teams on the outcomes of patients with multimorbidity. Electronic medical record data on 68,883 patient care encounters (i.e., 54,664 patients) were extracted from the A…
View article: 212 Proof of Concept: An EHR-fueled Risk Surveillance Tool for Managing Care Delivery Equity in Hospitalized African Americans with Congestive Heart Failure
212 Proof of Concept: An EHR-fueled Risk Surveillance Tool for Managing Care Delivery Equity in Hospitalized African Americans with Congestive Heart Failure Open
OBJECTIVES/GOALS: 1) Characterize racial differences in congestive heart failure care delivery. 2) Examine the extent to which specific clinical roles were associated with improved care outcomes (i.e., hospitalizations, readmissions, days …
View article: Deep vein thrombosis causing abdominal wall varicosities
Deep vein thrombosis causing abdominal wall varicosities Open
Deep venous thrombosis (DVT) is a common medical finding occurring in ~25% of hospitalized patients with roughly half of these patients experiencing post-thrombotic complications [Baldwin, Moore, Rudarakanchana, Gohel, Davies (Post-thrombo…
View article: Cultivating informatics capacity for multimorbidity: A learning health systems use case
Cultivating informatics capacity for multimorbidity: A learning health systems use case Open
Background The aim of this study was to characterize patterns of multimorbidity across patients and identify opportunities to strengthen the informatics capacity of learning health systems that are used to characterize multimorbidity acros…
View article: The Impact of an Organization-Wide Electronic Health Record (EHR) System Upgrade on Physicians' Daily EHR Activity Time: An EHR Log Data Study
The Impact of an Organization-Wide Electronic Health Record (EHR) System Upgrade on Physicians' Daily EHR Activity Time: An EHR Log Data Study Open
Objective This article assesses the impact of a health care organization's electronic health record (EHR) upgrade on providers' daily EHR activity time. Methods Daily EHR activity time (minutes/day) was acquired through EHR log data that a…
View article: Assessing the Need for Semantic Data Integration for Surgical Biobanks—A Knowledge Representation Perspective
Assessing the Need for Semantic Data Integration for Surgical Biobanks—A Knowledge Representation Perspective Open
To improve patient outcomes after trauma, the need to decrypt the post-traumatic immune response has been identified. One prerequisite to drive advancement in understanding that domain is the implementation of surgical biobanks. This paper…
View article: 312 Developing a Digitally Integrated Endotracheal Tube for Neonates to Improve Safety and Respiratory Function
312 Developing a Digitally Integrated Endotracheal Tube for Neonates to Improve Safety and Respiratory Function Open
OBJECTIVES/GOALS: Neonatal endotracheal tubes (ETTs) are usually uncuffed to avoid subglottic stenosis and other complications, but cuffed ETTs allow better ventilation. Our goal was to detect and control pressure in the cuff below the lim…
View article: 370 Developing a Digitally Integrated Endotracheal Tube for Neonates to Improve Safety and Respiratory Function
370 Developing a Digitally Integrated Endotracheal Tube for Neonates to Improve Safety and Respiratory Function Open
OBJECTIVES/GOALS: Neonatal endotracheal tubes (ETTs) are usually uncuffed to avoid subglottic stenosis and other complications, but cuffed ETTs allow better ventilation. Our goal was to detect and control pressure in the cuff below the lim…
View article: 474 Innovative solutions to streamline data collection, exchange, and utilization in translational research
474 Innovative solutions to streamline data collection, exchange, and utilization in translational research Open
OBJECTIVES/GOALS: To determine the utility of any standard, one must first evaluate whether or not the standard meets the needs of the use case it is meant to support. We aim to quantify data availability of the HL7 FHIR standard to suppor…
View article: DeIDNER Model: A Neural Network Named Entity Recognition Model for Use in the De-identification of Clinical Notes
DeIDNER Model: A Neural Network Named Entity Recognition Model for Use in the De-identification of Clinical Notes Open
Clinical named entity recognition (NER) is an essential building block for many downstream natural language processing (NLP) applications such as information extraction and de-identification. Recently, deep learning (DL) methods that utili…