Suzanne D Fields

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Accurate classification of clinical severity is important for interpreting casemix in clinical studies and for stratifying patients for clinical trials. To evaluate whether clinical judgment might be an effective method of estimating severity, all 604 patients admitted to the medical service in a one month period were rated at the time of admission by the(More)
Although falling may seem like a simple event, in reality it is a complex medical issue leading to serious injuries including fractures, lacerations, soft tissue and traumatic brain injuries, and even death. The Nurses Improving Care for Health System Elders (NICHE) guideline for falls prevention in acute care unit was formulated by incorporating(More)
Physicians use the concept of stability to estimate the likelihood that a patient will deteriorate during a hospitalization. To determine whether physicians can accurately predict a patient's risk of morbidity, 603 patients admitted to the medical service during a one month period were rated prospectively as to how stable they were. Overall, 15% of patients(More)
Physicians have to address the question of the measures to be employed in the event that a patient's condition deteriorates after admission to the hospital. To identify the information that physicians use in making such decisions, all 604 patients admitted to the medical service during a one-month period were studied. The patient's age and residents'(More)
OBJECTIVES To describe the curriculum of a mandatory, fourth-year geriatrics clerkship and assess its impact on medical students' knowledge of geriatric medicine and attitudes toward the elderly. DESIGN One group, before/after trial. SETTING Mount Sinai School of Medicine of the City University of New York. PARTICIPANTS Entire fourth year class of(More)
OBJECTIVE To assess impact of exposure to healthy elderly on medical students' attitudes toward the elderly. DESIGN Prospective, randomized, controlled intervention trial. SETTING Community-based Well Elderly Program. PARTICIPANTS Ninety-three fourth year medical students on a required Geriatric Medicine clerkship who were assigned to either a(More)
Practicing effective evidence-based medicine in the geriatric setting depends on routine review of the current literature and critical analysis of its relevance to the patient and condition in question. Clinical guidelines facilitate this approach and are readily available from an array of print and electronic resources. The recent growth in the number of(More)
OBJECTIVES To examine the psychometric properties and clinical utility of the CPAT, an instrument to assess pain in nursing home residents with dementia. DESIGN Instrument development and testing. SETTING Three regional skilled nursing facilities. PARTICIPANTS One hundred forty-five residents of 3 skilled nursing facilities. MEASUREMENTS The(More)
All patients admitted to three medical services at the New York Hospital during a one-month period were screened with Folstein's Mini-Mental State Examination. The prevalence of cognitive impairment was 19.8% (23 of 116). Cognitively "impaired" patients, ie, those with a Folstein score less than 24, were older, sicker, and less physiologically stable than(More)