Explanipedia

Variation in Large Language Model Recommendations in Challenging Inpatient Management Scenarios Open

Susan N. Landon, Thomas Savage, S. Ryan Greysen, Eric Bressman · 2025

Importance Large language models (LLMs) are entering clinical workflows, yet their behavior in routine bedside decisions that lack a single “correct” recommendation remains unclear. Objective To describe variation within and across commerc…

Gamification With a Support Partner and Postoperative Mobility in Older Adults Undergoing Radical Cystectomy Open

Daniel Jin Keat Lee, Charles A. L. Rareshide, Angira Mondal, Mitesh S. Patel, S. Ryan Greysen · 2025

This randomized clinical trial examines the effects of a gamified program for older adults to meet daily and weekly step goals following radical cystectomy procedures.

Effect of gamification with a support partner to increase physical activity in older adults at risk for Alzheimer's disease: The STEP 4Life randomized clinical trial Open

S. Ryan Greysen, Ai Leen Oon, Kristin Harkins, Charles A. L. Rareshide, Angira Mondal , et al. · 2024

INTRODUCTION Physical activity is associated with reduced risk of cognitive and functional decline but scalable, sustainable interventions for populations at risk for Alzheimer's disease (AD) and AD and related dementias (ADRD) are lacking…

Diagnostic Errors in Hospitalized Adults Who Died or Were Transferred to Intensive Care Open

Andrew D. Auerbach, Tiffany Lee, Colin C. Hubbard, Sumant R Ranji, Katie E. Raffel , et al. · 2024

Importance Diagnostic errors contribute to patient harm, though few data exist to describe their prevalence or underlying causes among medical inpatients. Objective To determine the prevalence, underlying cause, and harms of diagnostic err…

Trends in Before Medically Advised Discharges for Patients With Opioid Use Disorder, 2016-2020 Open

Ashish P. Thakrar, Margaret Lowenstein, S. Ryan Greysen, M. Kit Delgado · 2023

This study examines discharge trends for opioid-related admissions from 2016-2020 with a focus on admissions with opioid use disorder and an injection-related infection.

Reducing Physical Therapy Consults for Patients With High Functional Mobility in the Acute Medical Inpatient Setting: A Difference-in-Difference Analysis Open

Maylyn Martinez, Matthew Cerasale, Mahnoor Baig, Joshua K. Johnson, Claire Dugan , et al. · 2023

A Data-Driven Analysis of Ward Capacity Strain Metrics That Predict Clinical Outcomes Among Survivors of Acute Respiratory Failure Open

Rachel Kohn, Michael O. Harhay, Gary E. Weissman, Ryan J. Urbanowicz, Wei Wang , et al. · 2023

Geographic cohorting by clinical care team: a narrative review Open

Eric Bressman, Rachel Kohn, Hummy Song, S. Ryan Greysen · 2023

Geographic cohorting of inpatients according to clinical care team offers some promise for improved workplace culture. More rigorously designed studies are needed, however, to understand its impact on patient outcomes, and there should be …

Prevalence and Causes of Diagnostic Errors in Hospitalized Patients Under Investigation for COVID-19 Open

Andrew D. Auerbach, Gopi J. Astik, Kevin J. O’Leary, Peter Barish, Molly A. Kantor , et al. · 2023

Participants’ Perspectives on Payment for Research Participation: A Qualitative Study Open

Emily A. Largent, Whitney Eriksen, Frances K. Barg, S. Ryan Greysen, Scott D. Halpern · 2022

Investigators commonly offer payments to research participants to promote recruitment and retention. Yet the ethics of offering monetary incentives to research participants continues to be debated. Prior conceptual work has addressed some …

Lulled into a false sense of security: Mortality for vulnerable populations may remain elevated even during the lull between COVID‐19 waves Open

Suchita Shah Sata, S. Ryan Greysen · 2022

The authors declare no conflict of interest.

Exploring Wearables to Focus on the “Sweet Spot” of Physical Activity and Sleep After Hospitalization: Secondary Analysis Open

S. Ryan Greysen, Kimberly J. Waddell, Mitesh S. Patel · 2022

Background Inadequate sleep and physical activity are common during and after hospitalization, but their impact on patient-reported functional outcomes after discharge is poorly understood. Wearable devices that measure sleep and activity …

Effect of Gamification With Social Incentives on Daily Steps After Stroke Open

Kimberly J. Waddell, Mitesh S. Patel, Kayla Clark, Tory O. Harrington, S. Ryan Greysen · 2022

This randomized clinical trial assesses whether gamification with social incentives increases daily steps among adults with stroke.

Effectiveness and Ethics of Incentives for Research Participation Open

Scott D. Halpern, Marzana Chowdhury, Brian Bayes, Elizabeth Cooney, Brian Hitsman , et al. · 2021

ClinicalTrials.gov Identifier: NCT02697799.

Interventions to Reduce Hospital Length of Stay in High-risk Populations Open

Shazia Mehmood Siddique, Kelley Tipton, Brian F Leas, S. Ryan Greysen, Nikhil K. Mull , et al. · 2021

This systematic review found inconsistent results across all high-risk populations on the effectiveness associated with interventions, such as discharge planning, that are often widely used by health systems. This systematic review highlig…

Interventions To Decrease Hospital Length of Stay Open

Kelley Tipton, Brian F Leas, Nikhil K. Mull, Shazia Mehmood Siddique, S. Ryan Greysen , et al. · 2021

Background. Timely discharge of hospitalized patients can prevent patient harm, improve patient satisfaction and quality of life, and reduce costs. Numerous strategies have been tested to improve the efficiency and safety of patient recove…

Exploring Wearables to Focus on the “Sweet Spot” of Physical Activity and Sleep After Hospitalization: Secondary Analysis (Preprint) Open

S. Ryan Greysen, Kimberly J. Waddell, Mitesh S. Patel · 2021

BACKGROUND Inadequate sleep and physical activity are common during and after hospitalization, but their impact on patient-reported functional outcomes after discharge is poorly understood. Wearable devices that measure sleep and activity…

Low hospital mobility—resurgence of an old epidemic within a new pandemic and future solutions Open

Daniel E. Pereira, Sarah A. Welch, Chandler Montgomery, Jeremy B. Hatcher, Mariu C Duggan , et al. · 2021

Low mobility during hospitalisation poses risks of functional decline and other poor outcomes for older adults. Given the pervasiveness of this problem, low mobility during hospitalisation was first described as ‘dangerous’ in 1947 and lat…

Short-Stay Hospitalizations for Patients with COVID-19: A Retrospective Cohort Study Open

Austin S. Kilaru, Kathleen Lee, Lindsay G. Grossman, Zachary Mankoff, Christopher K. Snider , et al. · 2021

Objective: Patients requiring hospital care for COVID-19 may be stable for discharge soon after admission. This study sought to describe patient characteristics associated with short-stay hospitalization for COVID-19. Methods: We performed…

Discharge Practices for COVID-19 Patients: Rapid Review of Published Guidance and Synthesis of Documents and Practices at 22 US Academic Medical Centers Open

S. Ryan Greysen, Andrew Auerbach, Matthew D. Mitchell, Jennifer N. Goldstein, Rachel Weiss , et al. · 2021

A Rising Tide: No Hospital Is an Island Unto Itself in the Era of COVID‐19 Open

Andrew D. Auerbach, S. Ryan Greysen · 2021

Journal of Hospital MedicineVolume 16, Issue 4 p. 254-254 Editorial A Rising Tide: No Hospital Is an Island Unto Itself in the Era of COVID-19 Andrew D Auerbach MD, MPH, Corresponding Author Andrew D Auerbach MD, MPH [email protected] Divi…

Effect of Behaviorally Designed Gamification With a Social Support Partner to Increase Mobility After Hospital Discharge Open

S. Ryan Greysen, Sujatha Changolkar, Dylan S. Small, Catherine Reale, Charles A. L. Rareshide , et al. · 2021

ClinicalTrials.gov Identifier: NCT03321279.

Dearth of Hospitalist Investigators in Academic Medicine: A Call to Action Open

Evan Michael Shannon, Vineet Chopra, S. Ryan Greysen, Shoshana J. Herzig, Sunil Kripalani , et al. · 2021

Supplementary Material Supplementary Material Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed…

Social Incentives to Improve Mobility Among Elderly Patients After Radical Cystectomy Open

Daniel Lee, Kenneth E. Covinsky, S. Ryan Greysen · 2020

Radical cystectomy is a complex surgery that disproportionately affects elderly patients and is associated with high morbidity and mortality rates. We proposed a randomized control trial to improve mobility using gamification and social in…

COVID-19 coagulopathy and thrombosis: Analysis of hospital protocols in response to the rapidly evolving pandemic Open

Anna L. Parks, Andrew D. Auerbach, Jeffrey L. Schnipper, James Anstey, David G. Sterken , et al. · 2020

Hospital Ward Adaptation During the COVID-19 Pandemic: A National Survey of Academic Medical Centers Open

Andrew Auerbach, Kevin J. O’Leary, S. Ryan Greysen, James D. Harrison, Sunil Kripalani , et al. · 2020

IMPORTANCE: Although intensive care unit (ICU) adaptations to the coronavirus disease of 2019 (COVID-19) pandemic have received substantial attention , most patients hospitalized with COVID-19 have been in general medical units. OBJECTIVE:…

Establishing an Orthopedic Excess Hospital Days in Acute Care Program Open

Michele Fang, Frances Mao, Eric L. Hume, S. Ryan Greysen · 2020

BACKGROUND Excess days in acute care (EDAC) after total joint arthroplasty (TJA) represent a large economic burden. We developed an Orthopedic EDAC program that triages TJA patients to the appropriate service line (orthopedic vs medicine) …

Influence of bedspacing on outcomes of hospitalised medicine service patients: a retrospective cohort study Open

Rachel Kohn, Michael O. Harhay, Brian Bayes, Hummy Song, Scott D. Halpern , et al. · 2020

Background Specialty wards cohort hospitalised patients to improve outcomes and lower costs. When demand exceeds capacity, patients overflow and are “bedspaced” to alternate wards. Some studies have demonstrated that bedspacing among medic…

The Effectiveness and Ethics of Incentives for Research Participation: Two Embedded Randomized Recruitment Trials Open

Scott D. Halpern, Marzana Chowdhury, Brian Bayes, Elizabeth Cooney, Brian Hitsman , et al. · 2020

The Association of Geographic Dispersion with Outcomes among Hospitalized Pulmonary Service Patients Open

Rachel Kohn, Michael O. Harhay, Gary E. Weissman, George L. Anesi, Brian Bayes , et al. · 2019

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