Samuel Gluck
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View article: An exploration of after‐hours workloads of trainee medical officers in a South Australian tertiary hospital
An exploration of after‐hours workloads of trainee medical officers in a South Australian tertiary hospital Open
Background In Australia, after‐hours medical care is primarily delivered by a small number of Trainee Medical Officers (TMOs), but little is known about their workloads. With increasing care demands on hospitals, this needs to be understoo…
View article: Intravenous immunoglobulin weaning evaluation with zero‐shot large language model classification
Intravenous immunoglobulin weaning evaluation with zero‐shot large language model classification Open
Objectives The aims of this study were to determine the performance of a large language model (LLM) with a zero‐shot strategy for the classification of several factors relevant to the consideration of intravenous immunoglobulin (IVIg) wean…
View article: Time for a rethink? Discharge summary completion is often delayed and associated with increased readmission
Time for a rethink? Discharge summary completion is often delayed and associated with increased readmission Open
A retrospective review of 7185 South Australian discharge summaries revealed that 37.6% of discharge summaries were released at least a day after discharge, and per day of delay of medical discharge summary release, the chance of hospital …
View article: Artificial Intelligence Deployment of Conversational Support (AI-DOCS): A patient acceptability study
Artificial Intelligence Deployment of Conversational Support (AI-DOCS): A patient acceptability study Open
This study evaluated an artificial intelligence (AI) system based on a large language model (LLM) in conducting complex patient assessments, comparing its acceptability to that of human basic physician trainees (BPTs) during a divisional c…
View article: Large language model discharge summary preparation using real‐world electronic medical record data shows promise
Large language model discharge summary preparation using real‐world electronic medical record data shows promise Open
The efficacy of large language models (LLMs) in discharge summary preparation using real clinical documentation remains novel. Our study aimed to test the efficacy of two LLMs to generate DC summaries which were scored using a validated di…
View article: Copying in medical documentation: developing an evidence‐based approach
Copying in medical documentation: developing an evidence‐based approach Open
Background Electronic medical records (EMRs) provide multiple efficiencies in communication to clinicians. The ability to copy and paste text in an EMR can be useful; however, it also conveys a risk of inaccurate documentation. Studies in …
View article: Medication shortage behaviour change with multidisciplinary clinician-designed digital notification intervention
Medication shortage behaviour change with multidisciplinary clinician-designed digital notification intervention Open
Objectives To evaluate the effect of a clinician-designed digital notification system on the use of intravenous paracetamol during a medication shortage. Methods An in-house digital notification platform was designed through multidisciplin…
View article: Rule‐based clinician‐developed programmes can facilitate haemodialysis clinical workflows
Rule‐based clinician‐developed programmes can facilitate haemodialysis clinical workflows Open
There are routine hospital workflows that are not addressed by certain institutional electronic medical records, including the detection of patients requiring haemodialysis who are admitted under non‐nephrology services. In this study, the…
View article: Emergency Department Patient Journey Prediction with Machine Learning (Preprint)
Emergency Department Patient Journey Prediction with Machine Learning (Preprint) Open
UNSTRUCTURED N/A Would not let me proceed without entering an abstract despite this paper being a Letter to the Editor.
View article: The future is bright: artificial intelligence for trainee medical officers in <scp>Australia</scp> and <scp>New Zealand</scp>
The future is bright: artificial intelligence for trainee medical officers in <span>Australia</span> and <span>New Zealand</span> Open
Given their frontline role in Australia and Aotearoa New Zealand (ANZ) healthcare, trainee medical officers (TMOs) will play a crucial role in the development and use of artificial intelligence (AI) for clinical care, ongoing medical educa…
View article: Large language models can effectively extract stroke and reperfusion audit data from medical free-text discharge summaries
Large language models can effectively extract stroke and reperfusion audit data from medical free-text discharge summaries Open
LLM may be able to assist with the efficient collection of stroke audit data. Such approaches may be pursued in other specialties. Future studies should seek to examine the most effective way to deploy such approaches in conjunction with h…
View article: A brief history of ramping
A brief history of ramping Open
‘Ramping’ is a commonly used term in contemporary Australian healthcare. It is also a part of the public and political zeitgeist. However, its precise definition varies among sources. In the published literature, there are distinctions bet…
View article: A Retrospective Analysis of Characteristics Favouring In-Hospital Resuscitation Plan Completion, Their Timing, and Associated Outcomes
A Retrospective Analysis of Characteristics Favouring In-Hospital Resuscitation Plan Completion, Their Timing, and Associated Outcomes Open
Background: Comprehensive resuscitation plans document treatment recommendations, such as ‘Not for cardiopulmonary resuscitation’. When created early in admission as a shared decision-making process, these plans support patient autonomy an…
View article: Vital sign measurements demonstrate terminal digit bias and boundary effects
Vital sign measurements demonstrate terminal digit bias and boundary effects Open
Objective The measurement and recording of vital signs may be impacted by biases, including preferences for even and round numbers. However, other biases, such as variation due to defined numerical boundaries (also known as boundary effect…
View article: Systolic blood pressure levels and mortality in Australian medical inpatients
Systolic blood pressure levels and mortality in Australian medical inpatients Open
The epidemiology of elevations in blood pressure is incompletely characterized, particularly in Australia. Given the lack of evidence regarding the frequency and the optimal management of in‐hospital hypertension, the authors performed a m…
View article: Sociocultural and Demographic Factors Predict Readmissions for General Surgery Patients
Sociocultural and Demographic Factors Predict Readmissions for General Surgery Patients Open
Introduction Readmission is a poor outcome for both patients and healthcare systems. The association of certain sociocultural and demographic characteristics with likelihood of readmission is uncertain in general surgical patients. Method …
View article: Vital signs and medical emergency response (MER) activation predict in‐hospital mortality in general surgery patients: a study of 15 969 admissions
Vital signs and medical emergency response (MER) activation predict in‐hospital mortality in general surgery patients: a study of 15 969 admissions Open
Background The applicability of the vital signs prompting medical emergency response (MER) activation has not previously been examined specifically in a large general surgical cohort. This study aimed to characterize the distribution, and …
View article: Beware of little expenses: Low‐value endocrinological blood tests in geriatric medical inpatients
Beware of little expenses: Low‐value endocrinological blood tests in geriatric medical inpatients Open
Objectives Blood tests for endocrinological derangements are frequently requested in general medical inpatients, in particular those in the older age group. Interrogation of these tests may present opportunities for healthcare savings. Met…
View article: Low-risk cefalexin allergies are associated with inpatient prescribing of second-line non-beta-lactam antibiotics
Low-risk cefalexin allergies are associated with inpatient prescribing of second-line non-beta-lactam antibiotics Open
Background Cefalexin is a commonly prescribed oral antibiotic, with a similar side chain to amoxicillin. The objectives of this study were to (1) describe the frequency and nature of previously recorded cefalexin adverse reaction (AR) labe…
View article: Why do we evaluate 30‐day readmissions in general medicine? A historical perspective and contemporary data
Why do we evaluate 30‐day readmissions in general medicine? A historical perspective and contemporary data Open
Reducing preventable readmissions is important to help manage current strains on healthcare systems. The metric of 30‐day readmissions is commonly cited in discussions regarding this topic. While such thresholds have contemporary funding i…
View article: Effect of Selective Decontamination of the Digestive Tract on Hospital Mortality in Critically Ill Patients Receiving Mechanical Ventilation
Effect of Selective Decontamination of the Digestive Tract on Hospital Mortality in Critically Ill Patients Receiving Mechanical Ventilation Open
Importance Whether selective decontamination of the digestive tract (SDD) reduces mortality in critically ill patients remains uncertain. Objective To determine whether SDD reduces in-hospital mortality in critically ill adults. Design, Se…
View article: <scp>Pre‐hospital</scp> emergency anaesthesia in trauma patients: An observational study from a state‐wide Australian pre‐hospital and retrieval service
<span>Pre‐hospital</span> emergency anaesthesia in trauma patients: An observational study from a state‐wide Australian pre‐hospital and retrieval service Open
Objective To assess the performance of an Australian pre‐hospital and retrieval medicine (PHRM) service against the National Institute for Health and Care Excellence (NICE) standard which recommends that pre‐hospital emergency anaesthesia …