Kenneth E. Wood

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INTRODUCTION Data are sparse as to whether obesity influences the risk of death in critically ill patients with septic shock. We sought to examine the possible impact of obesity, as assessed by body mass index (BMI), on hospital mortality in septic shock patients. METHODS We performed a nested cohort study within a retrospective database of patients with(More)
This paper describes the development of a job task analysis tool for observing and recording physician tasks in the ICU. Real-time direct observations were conducted by outside observers using a computerized data collection tool developed to document the tasks performed by ICU physicians. The aim of the analysis was to quantify the tasks of the physicians,(More)
OBJECTIVE To examine the effect of implementing electronic order management on the timely administration of antibiotics to critical-care patients. METHODS We used a prospective pre-post design, collecting data on first-dose IV antibiotic orders before and after the implementation of an integrated electronic medication-management system, which included(More)
BACKGROUND Management trends in early chronic kidney disease (CKD) and their associations with clinical outcomes have not previously been reported. METHODS We evaluated incident (Stage G3A) CKD patients from an integrated health care system in 2004-06, 2007-09 and 2010-12 to determine adjusted trends in screening (urinary protein quantification),(More)
OBJECTIVE To assess the impact of EHR technology on the work and workflow of ICU physicians and compare time spent by ICU resident and attending physicians on various tasks before and after EHR implementation. DESIGN EHR technology with electronic order management (CPOE, medication administration and pharmacy system) and physician documentation was(More)
The ability to accurately measure and assess current and potential health care system capacities is an issue of local and national significance. Recent joint statements by the Institute of Medicine and the Agency for Healthcare Research and Quality have emphasized the need to apply industrial and systems engineering principles to improving health care(More)
Purpose: The purpose of this project was to systematically assess CPOE/EHR in ICUs. Scope: The project focused on the implementation and use of CPOE/EHR in four ICUs of Geisinger Medical Center. Methods: Multiple data collection methods were used to examine the impact of CPOE/EHR on (1) medication safety and quality of care, (2) the job tasks and(More)
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