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Using nursing notes to improve clinical outcome prediction in intensive care patients: A retrospective cohort study.
Huang K, Gray TF, Romero-Brufau S, Tulsky JA, Lindvall C. Huang K, et al. Among authors: tulsky ja. J Am Med Inform Assoc. 2021 Jul 30;28(8):1660-1666. doi: 10.1093/jamia/ocab051. J Am Med Inform Assoc. 2021. PMID: 33880557 Free PMC article.
However, it is unclear whether physician and nursing notes differ in their ability to predict short-term ICU prognosis. We aimed to investigate and compare the ability of physician and nursing notes, written in the first 48 hours of admission, to predict ICU length of stay …
However, it is unclear whether physician and nursing notes differ in their ability to predict short-term ICU prognosis. We aimed to i …
Effects of enhanced caregiver training program on cancer caregiver's self-efficacy, preparedness, and psychological well-being.
Hendrix CC, Bailey DE Jr, Steinhauser KE, Olsen MK, Stechuchak KM, Lowman SG, Schwartz AJ, Riedel RF, Keefe FJ, Porter LS, Tulsky JA. Hendrix CC, et al. Among authors: tulsky ja. Support Care Cancer. 2016 Jan;24(1):327-336. doi: 10.1007/s00520-015-2797-3. Epub 2015 Jun 12. Support Care Cancer. 2016. PMID: 26062925 Free PMC article. Clinical Trial.
There were no intervention group differences in depression, anxiety, and burden. CONCLUSION: An Enhanced-CT protocol resulted in short-term improvements in self-efficacy for managing patients' cancer symptoms and caregiver stress and preparedness for caregiving but not in …
There were no intervention group differences in depression, anxiety, and burden. CONCLUSION: An Enhanced-CT protocol resulted in short-te …
Development and pilot testing of a decision aid for surrogates of patients with prolonged mechanical ventilation.
Cox CE, Lewis CL, Hanson LC, Hough CL, Kahn JM, White DB, Song MK, Tulsky JA, Carson SS. Cox CE, et al. Among authors: tulsky ja. Crit Care Med. 2012 Aug;40(8):2327-34. doi: 10.1097/CCM.0b013e3182536a63. Crit Care Med. 2012. PMID: 22635048 Free PMC article.
Further evaluation using a randomized controlled trial design is required to evaluate the decision aid's effect on long-term patient and surrogate outcomes....
Further evaluation using a randomized controlled trial design is required to evaluate the decision aid's effect on long-term patient …
Enhancing communication between oncologists and patients with a computer-based training program: a randomized trial.
Tulsky JA, Arnold RM, Alexander SC, Olsen MK, Jeffreys AS, Rodriguez KL, Skinner CS, Farrell D, Abernethy AP, Pollak KI. Tulsky JA, et al. Ann Intern Med. 2011 Nov 1;155(9):593-601. doi: 10.7326/0003-4819-155-9-201111010-00007. Ann Intern Med. 2011. PMID: 22041948 Free PMC article. Clinical Trial.
There was no significant difference in perceptions of communication skills. LIMITATIONS: Long-term effects were not examined. The findings may not be generalizable outside of academic medical centers. ...
There was no significant difference in perceptions of communication skills. LIMITATIONS: Long-term effects were not examined. The fin …
Effect of palliative oxygen versus room air in relief of breathlessness in patients with refractory dyspnoea: a double-blind, randomised controlled trial.
Abernethy AP, McDonald CF, Frith PA, Clark K, Herndon JE 2nd, Marcello J, Young IH, Bull J, Wilcock A, Booth S, Wheeler JL, Tulsky JA, Crockett AJ, Currow DC. Abernethy AP, et al. Among authors: tulsky ja. Lancet. 2010 Sep 4;376(9743):784-93. doi: 10.1016/S0140-6736(10)61115-4. Lancet. 2010. PMID: 20816546 Free PMC article. Clinical Trial.
BACKGROUND: Palliative oxygen therapy is widely used for treatment of dyspnoea in individuals with life-limiting illness who are ineligible for long-term oxygen therapy. We assessed the effectiveness of oxygen compared with room air delivered by nasal cannula for relief of …
BACKGROUND: Palliative oxygen therapy is widely used for treatment of dyspnoea in individuals with life-limiting illness who are ineligible …
Expectations and outcomes of prolonged mechanical ventilation.
Cox CE, Martinu T, Sathy SJ, Clay AS, Chia J, Gray AL, Olsen MK, Govert JA, Carson SS, Tulsky JA. Cox CE, et al. Among authors: tulsky ja. Crit Care Med. 2009 Nov;37(11):2888-94; quiz 2904. doi: 10.1097/CCM.0b013e3181ab86ed. Crit Care Med. 2009. PMID: 19770733 Free PMC article.
OBJECTIVE: To compare prolonged mechanical ventilation decision-makers' expectations for long-term patient outcomes with prospectively observed outcomes and to characterize important elements of the surrogate-physician interaction surrounding prolonged mechanical ventilati …
OBJECTIVE: To compare prolonged mechanical ventilation decision-makers' expectations for long-term patient outcomes with prospectivel …
Fertility patients' views about frozen embryo disposition: results of a multi-institutional U.S. survey.
Lyerly AD, Steinhauser K, Voils C, Namey E, Alexander C, Bankowski B, Cook-Deegan R, Dodson WC, Gates E, Jungheim ES, McGovern PG, Myers ER, Osborn B, Schlaff W, Sugarman J, Tulsky JA, Walmer D, Faden RR, Wallach E. Lyerly AD, et al. Among authors: tulsky ja. Fertil Steril. 2010 Feb;93(2):499-509. doi: 10.1016/j.fertnstert.2008.10.015. Epub 2008 Dec 5. Fertil Steril. 2010. PMID: 19061998 Free PMC article.
Restructuring and standardizing the informed consent process and ensuring availability of all disposition options may benefit patients, facilitate disposition decisions, and address problems of long-term storage....
Restructuring and standardizing the informed consent process and ensuring availability of all disposition options may benefit patients, faci …
Discordance between patient-predicted and model-predicted life expectancy among ambulatory patients with heart failure.
Allen LA, Yager JE, Funk MJ, Levy WC, Tulsky JA, Bowers MT, Dodson GC, O'Connor CM, Felker GM. Allen LA, et al. Among authors: tulsky ja. JAMA. 2008 Jun 4;299(21):2533-42. doi: 10.1001/jama.299.21.2533. JAMA. 2008. PMID: 18523222 Free PMC article.
CONTEXT: Patients with chronic heart failure have impaired long-term survival, but their own expectations regarding prognosis have not been well studied. ...
CONTEXT: Patients with chronic heart failure have impaired long-term survival, but their own expectations regarding prognosis have no …
Measuring the quality of dying in long-term care.
Munn JC, Zimmerman S, Hanson LC, Williams CS, Sloane PD, Clipp EC, Tulsky JA, Steinhauser KE. Munn JC, et al. Among authors: tulsky ja. J Am Geriatr Soc. 2007 Sep;55(9):1371-9. doi: 10.1111/j.1532-5415.2007.01293.x. J Am Geriatr Soc. 2007. PMID: 17915342
OBJECTIVES: To describe two versions of a new measure, The Quality of Dying in Long-Term Care, for postdeath administration to surrogate respondents (staff and family caregivers) of all decedents (QOD-LTC) and of cognitively intact decedents (QOD-LTC-C) who die in nursing …
OBJECTIVES: To describe two versions of a new measure, The Quality of Dying in Long-Term Care, for postdeath administration to surrog …
What length of hospice use maximizes reduction in medical expenditures near death in the US Medicare program?
Taylor DH Jr, Ostermann J, Van Houtven CH, Tulsky JA, Steinhauser K. Taylor DH Jr, et al. Among authors: tulsky ja. Soc Sci Med. 2007 Oct;65(7):1466-78. doi: 10.1016/j.socscimed.2007.05.028. Epub 2007 Jun 27. Soc Sci Med. 2007. PMID: 17600605
We used a retrospective, case/control study of Medicare decedents (1993-2003, National Long Term Care Survey screening sample) to compare 1819 hospice decedents, with 3638 controls matched via their predicted likelihood of dying while using a hospice. ...
We used a retrospective, case/control study of Medicare decedents (1993-2003, National Long Term Care Survey screening sample) to com …
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