Explanipedia

Análise Epidemiológica Do Aneurisma Dissecante Da Aorta Open

Ralph Gonzales · 2025

O Manejo Da Hipertensão Arterial Open

Ralph Gonzales · 2025

Fungi under fire: diagnostic capacities and antifungal availability in Peruvian healthcare facilities Open

Julio Maquera-Afaray, Luis E. Cuéllar, Oliver A. Cornely, Jon Salmanton‐García, Alvaro Reátegui , et al. · 2025

Invasive fungal infections (IFI) are a significant global health issue, affecting an estimated 7 million people annually, with around 3 million deaths. In Peru, IFIs are estimated to affect about 2% of the population. Underdiagnosis due to…

Barriers, Facilitators, and Time Costs of Implementing a Pediatric Clinical Pathway Intervention Open

S Aziz, Kathleen Bonsmith, Ralph Gonzales, Andrew Auerbach, Angela Douglas , et al. · 2025

OBJECTIVES Clinical pathways can improve care and outcomes for children with respiratory illnesses. The Simultaneously Implementing Pathways for Improving Asthma, Pneumonia, and Bronchiolitis Care for Hospitalized Children (SIP) trial is a…

Assessing the Utilization of Electronic Consultations in Genetics: Seven-Year Retrospective Study Open

Sawona Biswas, Joyce So, Robert Wallerstein, Ralph Gonzales, Delphine S. Tuot , et al. · 2025

Background Patient and health care provider access to genetic subspecialists is challenging owing to limited number of genetics experts across the United States. The University of California San Francisco (UCSF) Genetics electronic consult…

Readiness of General Hospitals That Participate in Pediatric Quality Improvement Initiatives Open

Jordan H. Vaughan, Yeelen Edwards, Jonathan Rodean, Charles E. McCulloch, Ralph Gonzales , et al. · 2025

BACKGROUND AND OBJECTIVE General hospitals care for more than 70% of hospitalized children nationally but face challenges in pediatric quality improvement (QI). Feasibility and organizational readiness to change assessments can help inform…

Simultaneously implementing pathways for improving asthma, pneumonia, and bronchiolitis care for hospitalized children: Protocol for a hybrid effectiveness‐implementation, cluster‐randomized trial Open

Yeelen Edwards, Nancy Yang, Andrew D. Auerbach, Ralph Gonzales, Charles E. McCulloch , et al. · 2024

Background Asthma, pneumonia, and bronchiolitis are the top causes of childhood hospitalization in the United States, leading to over 350,000 hospitalizations and ≈$2 billion in costs annually. The majority of these hospitalizations occur …

A Seven-Year Retrospective Assessment Evaluating the Effectiveness of Electronic Consultation (e-Consult) Service in Genetics (Preprint) Open

Sawona Biswas, Joyce So, Robert Wallerstein, Ralph Gonzales, Delphine Tout , et al. · 2024

UNSTRUCTURED Electronic consultation (e-Consult) programs serve as a conduit between healthcare providers and specialized genetic experts. This retrospective chart review and summary report presents the experience of implementing a Geneti…

A Seven-Year Retrospective Assessment Evaluating the Effectiveness of Electronic Consultation (e-Consult) Service in Genetics Open

Sawona Biswas, Joyce So, Robert Wallerstein, Ralph Gonzales, Delphine Tout , et al. · 2024

Electronic consultation (e-Consult) programs serve as a conduit between healthcare providers and specialized genetic experts. This retrospective chart review and summary report presents the experience of implementing a Genetics e-Consult S…

24EMF Emergency Physician Perspectives on Workplace Well-Being and Digital Mental Health Open

Anish K. Agarwal, Ralph Gonzales, R. Merchant · 2023

Barriers and Facilitators of High-Efficiency Clinical Pathway Implementation in Community Hospitals Open

Simon Outram, Sahar N. Rooholamini, Mansi Desai, Yeelen Edwards, Clairissa Ja , et al. · 2023

BACKGROUND An intervention that involved simultaneously implementing clinical pathways for multiple conditions was tested at a tertiary children’s hospital and it improved care quality. We are conducting a randomized trial to evaluate this…

Association of protective behaviors with SARS-CoV-2 infection: results from a longitudinal cohort study of adults in the San Francisco Bay Area Open

Timothy J. Judson, Shiqi Zhang, Christina Lindan, Derek Boothroyd, Kevin Grumbach , et al. · 2023

Focusing on protecting people who cannot work from home could help prevent infections during future waves of COVID-19, or future pandemics from respiratory viruses. This focus must be balanced with the known importance of directing resourc…

Association of Protective Behaviors with Sars-Cov-2 Infection: Results from a Longitudinal Cohort Study of Adults in the San Francisco Bay Area Open

Timothy J. Judson, Shiqi Zhang, Christina Lindan, Derek Boothroyd, Kevin Grumbach , et al. · 2023

Training the next generation of learning health system scientists Open

Paula Lozano, Meghan B. Lane‐Fall, Patricia D. Franklin, Russell L. Rothman, Ralph Gonzales , et al. · 2022

Introduction The learning health system (LHS) aligns science, informatics, incentives, stakeholders, and culture for continuous improvement and innovation. The Agency for Healthcare Research and Quality and the Patient‐Centered Outcomes Re…

Utilization patterns and efficiency gains from use of a fully EHR-integrated COVID-19 self-triage and self-scheduling tool: a retrospective analysis Open

Timothy J. Judson, Logan Pierce, Avi Tutman, Michelle Mourad, Aaron Neinstein , et al. · 2022

Objective Symptom checkers can help address high demand for SARS-CoV2 (COVID-19) testing and care by providing patients with self-service access to triage recommendations. However, health systems may be hesitant to invest in these tools, a…

Patient Experience and Feedback After Using an Electronic Health Record–Integrated COVID-19 Symptom Checker: Survey Study Open

Andrew W. Liu, Anobel Y. Odisho, William Brown, Ralph Gonzales, Aaron Neinstein , et al. · 2022

Background Symptom checkers have been widely used during the COVID-19 pandemic to alleviate strain on health systems and offer patients a 24-7 self-service triage option. Although studies suggest that users may positively perceive web-base…

Patient Experience and Feedback after Use of an EHR-integrated COVID-19 Symptom Checker (Preprint) Open

Andrew W. Liu, Anobel Y. Odisho, William Brown rd, Ralph Gonzales, Aaron Neinstein , et al. · 2022

BACKGROUND Symptom checkers have been widely used during the COVID-19 pandemic to alleviate strain on health systems and offer patients a 24/7 self-service triage option. Although studies suggest that users may positively perceive online …

Incidence and Prevalence of Coronavirus Disease 2019 Within a Healthcare Worker Cohort During the First Year of the Severe Acute Respiratory Syndrome Coronavirus 2 Pandemic Open

Sarah B. Doernberg, Marisa Holubar, Vivek Jain, Yingjie Weng, Di Lu , et al. · 2022

Background Preventing severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2_ infections in healthcare workers (HCWs) is critical for healthcare delivery. We aimed to estimate and characterize the prevalence and incidence of coronavir…

Design of a population-based longitudinal cohort study of SARS-CoV-2 incidence and prevalence among adults in the San Francisco Bay Area Open

Christina Lindan, Manisha Desai, Derek Boothroyd, Timothy J. Judson, Jenna Bollyky , et al. · 2021

Our stratified random sampling design will allow us to recruit a robust general population cohort of adults to determine the incidence of SARS-CoV-2 infection. Identifying risk strata was unique to the design and will help ensure precise e…

Secondary Cases of Delta Variant Coronavirus Disease 2019 Among Vaccinated Healthcare Workers With Breakthrough Infections is Rare Open

Sarah Waldman, Tara Buehring, Daniel J. Escobar, Shruti K. Gohil, Ralph Gonzales , et al. · 2021

In a retrospective, cohort study at 4 medical centers with high coronavirus disease 2019 vaccination rates, we evaluated breakthrough severe acute respiratory syndrome coronavirus 2 Delta variant infections in vaccinated healthcare workers…

CLER Pursuing Excellence: Faculty Development Innovations in Quality, Safety, Equity, and Value Open

Lei Choi, Christopher Moriates, Asha S. Payne, Kalli Varaklis, Ralph Gonzales , et al. · 2021

In 2016 the Accreditation Council for Graduate Medical Education (ACGME) Clinical Learning Environment Review (CLER) Program launched Pursuing Excellence in Clinical Learning Environments (Pursuing Excellence), an initiative to cultivate l…

Outcomes Following Implementation of a Hospital-Wide, Multicomponent Delirium Care Pathway Open

Sara C. LaHue, Judy Maselli, Stephanie Rogers, Julie Casatta, Jessica Chao , et al. · 2021

BACKGROUND: Delirium is associated with poor clinical outcomes that could be improved with targeted interventions. OBJECTIVE: To determine whether a multicomponent delirium care pathway implemented across seven specialty nonintensive care …

Recommendations for strengthening the role of embedded researchers to accelerate implementation in health systems: Findings from a state-of-the-art (SOTA) conference workgroup Open

Laura J. Damschroder, Andrew J. Knighton, Emily R. Griese, Sarah M. Greene, Paula Lozano , et al. · 2021

Association Between Physician Industry Payments and Cost of Anterior Cervical Discectomy and Fusion in Medicare Beneficiaries Open

Caterina Liu, A. Karim Ahmed, Catherine L. Chen, R. Adams Dudley, Ralph Gonzales , et al. · 2020

Implementation of a digital chatbot to screen health system employees during the COVID-19 pandemic Open

Timothy J. Judson, Anobel Y. Odisho, Jerry Young, Olivia Bigazzi, David Steuer , et al. · 2020

The screening of healthcare workers for COVID-19 (coronavirus disease 2019) symptoms and exposures prior to every clinical shift is important for preventing nosocomial spread of infection but creates a major logistical challenge. To make t…

Rapid design and implementation of an integrated patient self-triage and self-scheduling tool for COVID-19 Open

Timothy J. Judson, Anobel Y. Odisho, Aaron Neinstein, Jessica Chao, Aimee Williams , et al. · 2020

Objective To rapidly deploy a digital patient-facing self-triage and self-scheduling tool in a large academic health system to address the COVID-19 pandemic. Materials and Methods We created a patient portal-based COVID-19 self-triage and …

The University of California San Francisco (UCSF) Training Program in Implementation Science: Program Experiences and Outcomes Open

Priya B. Shete, Ralph Gonzales, Sara Ackerman, Adithya Cattamanchi, Margaret A. Handley · 2020

Purpose: We evaluated outcomes of trainees who have completed the Certificate program in Implementation Science at the University of California San Francisco. Methods: All students who completed the in-person Certificate Prog…

A step towards equitable clinical trial recruitment: a protocol for the development and preliminary testing of an online prostate cancer health information and clinical trial matching tool Open

Hala T. Borno, Brian Bakke, Celia P. Kaplan, Anke Hebig-Prophet, Jessica Chao , et al. · 2019

Near Miss in Intraoperative Magnetic Resonance Imaging: A Case for In Situ Simulation Open

Asheen Rama, Lynda Knight, Marc Berg, Michael Chen, Ralph Gonzales , et al. · 2019

Introduction: Pediatric patients in intraoperative magnetic resonance imaging (iMRI) settings are at high risk for morbidity should an adverse event occur. We describe an experience in the iMRI scanner where no harm occurred, yet revealed …

Operating Room Codes Redefined: A Highly Reliable Model Integrating the Core Hospital Code Team Open

Thomas J. Caruso, Asheen Rama, Lynda Knight, Ralph Gonzales, Farrukh Munshey , et al. · 2019

Introduction: Typically, multidisciplinary teams manage cardiac arrests occurring outside of the operating room (OR). This approach results in reduced morbidity. However, arrests that occur in the OR are usually managed by OR personnel alo…

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