David S. Sanders
Oregon Health & Science University
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JAMA Ophthalmology | 2014
David S. Sanders; Sarah Read-Brown; Daniel C. Tu; William E. Lambert; Dongseok Choi; Bella M. Almario; Thomas R. Yackel; Anna Brown; Michael F. Chiang
IMPORTANCE Although electronic health record (EHR) systems have potential benefits, such as improved safety and quality of care, most ophthalmology practices in the United States have not adopted these systems. Concerns persist regarding potential negative impacts on clinical workflow. In particular, the impact of EHR operating room (OR) management systems on clinical efficiency in the ophthalmic surgery setting is unknown. OBJECTIVE To determine the impact of an EHR OR management system on intraoperative nursing documentation time, surgical volume, and staffing requirements. DESIGN, SETTING, AND PARTICIPANTS For documentation time and circulating nurses per procedure, a prospective cohort design was used between January 10, 2012, and January 10, 2013. For surgical volume and overall staffing requirements, a case series design was used between January 29, 2011, and January 28, 2013. This study involved ophthalmic OR nurses (n = 13) and surgeons (n = 25) at an academic medical center. EXPOSURES Electronic health record OR management system implementation. MAIN OUTCOMES AND MEASURES (1) Documentation time (percentage of operating time documenting [POTD], absolute documentation time in minutes), (2) surgical volume (procedures/time), and (3) staffing requirements (full-time equivalents, circulating nurses/procedure). Outcomes were measured during a baseline period when paper documentation was used and during the early (first 3 months) and late (4-12 months) periods after EHR implementation. RESULTS There was a worsening in total POTD in the early EHR period (83%) vs paper baseline (41%) (P < .001). This improved to baseline levels by the late EHR period (46%, P = .28), although POTD in the cataract group remained worse than at baseline (64%, P < .001). There was a worsening in absolute mean documentation time in the early EHR period (16.7 minutes) vs paper baseline (7.5 minutes) (P < .001). This improved in the late EHR period (9.2 minutes) but remained worse than in the paper baseline (P < .001). While cataract procedures required more circulating nurses in the early EHR (mean, 1.9 nurses/procedure) and late EHR (mean, 1.5 nurses/procedure) periods than in the paper baseline (mean, 1.0 nurses/procedure) (P < .001), overall staffing requirements and surgical volume were not significantly different between the periods. CONCLUSIONS AND RELEVANCE Electronic health record OR management system implementation was associated with worsening of intraoperative nursing documentation time especially in shorter procedures. However, it is possible to implement an EHR OR management system without serious negative impacts on surgical volume and staffing requirements.
British Journal of Ophthalmology | 2016
Benjamin J. Thomas; David S. Sanders; Matthew S. Oliva; Mark S Orrs; Peter Glick; Sanduk Ruit; Wei Chen; Jill Luoto; Alemu Kerie Tasfaw; Geoffrey Tabin
Purpose To examine the relationships between blindness, the intervention of cataract surgery and all-cause mortality in a rural Ethiopian population. Design Population-based, interventional prospective study. Methods Community-based detection methods identified blind Ethiopian persons from two selected kebeles in Amhara region, Ethiopia. Data from 1201 blind patients were collected—628 cataract-blind and 573 blind from other conditions. Free cataract surgery was provided for consenting, cataract-blind patients. Follow-up surveys were conducted after 12 months (±1 month)—the main outcome measure for this report is all-cause mortality at 1 year. Results During the follow-up period, 110 persons died from the selected population (mortality 9.2%), which consisted of those cataract-blind patients who received cataract surgery (N=461), cataract-blind patients who did not receive surgery (N=167) and all non-cataract-blind patients (N=573). Of the 461 patients who received cataract surgery, 44 patients died (9.5%). Of the 740 patients who did not receive surgery, 66 died (8.9%)—28 patients from the cohort of cataract-blind patients who did not receive surgery (16.8%) and 38 patients from the cohort of non-cataract blind (6.6%). Subgroup analysis revealed significantly increased odds of mortality for cataract-blind patients over 75 years of age who did not receive surgery and for unmarried patients of all age groups. Conclusions In this population, mortality risk was significantly elevated for older cataract-blind patients when compared with non-cataract-blind patients—an elevation of risk that was not noted in an age-matched cohort of cataract-blind patients who underwent cataract surgery as early as 1-year follow-up.
PLOS ONE | 2012
Richard Bruno; Allen Andrews; Brian T. Garvey; Kristin M. Huntoon; Rajarshi Mazumder; Jaleh Olson; David S. Sanders; Ilana Weinbaum; Paul N. Gorman
The attitudes of medical students toward the current United States healthcare system are not well described in the literature. A graded survey was developed to assess awareness and motivation toward the care of the uninsured and underinsured as well as the impact of a video intervention on these attitudes. The survey, which showed good internal consistency (Cronbach’s alpha = 0.85), was administered before and after viewing a collection of videotaped patient stories. Although a spectrum of beliefs emerged from the analysis of survey responses, some common attitudes were identified. Eighty-five percent of respondents either agreed or strongly agreed that medical care should be provided to everyone, regardless of their ability to pay. In addition, 66% indicated they would be willing to forgo a portion of their income to provide care to those who do not have access to healthcare services. These values were strongly correlated with increasing respondent age and primary care specialty choice (p<0.01). The video intervention did not heavily influence student responses, perhaps due to a ceiling effect created by the large number of students who were already sympathetic toward the underserved. Overall, this data reflects that United States medical students recognize a need to provide care to the underserved and are willing to make personal sacrifices to meet that need.
Patient Education and Counseling | 2011
Somnath Saha; David S. Sanders; Philip T. Korthuis; Jonathan A. Cohn; Victoria Sharp; Paul Haidet; Richard D. Moore; Mary Catherine Beach
Transactions of the American Ophthalmological Society | 2013
Michael F. Chiang; Sarah Read-Brown; Daniel C. Tu; Dongseok Choi; David S. Sanders; Thomas S. Hwang; Steven T. Bailey; Daniel J. Karr; Elizabeth Cottle; John C. Morrison; David J. Wilson; Thomas R. Yackel
american medical informatics association annual symposium | 2013
Sarah Read-Brown; David S. Sanders; Anna Brown; Thomas R. Yackel; Dongseok Choi; Daniel C. Tu; Michael F. Chiang
Journal of Aapos | 2014
Melissa A. Simon; David S. Sanders; Sarah Read-Brown; Michael F. Chiang
Investigative Ophthalmology & Visual Science | 2013
David S. Sanders; Daniel Lattin; Daniel Tu; Sarah Read-Brown; David J. Wilson; Thomas S. Hwang; John C. Morrison; Thomas R. Yackel; Michael Chiang
Investigative Ophthalmology & Visual Science | 2013
Daniel Tu; David S. Sanders; Sarah Read-Brown; Anna Brown; Dongseok Choi; Thomas R. Yackel; Michael Chiang
Investigative Ophthalmology & Visual Science | 2012
Sarah Read-Brown; Michael F. Chiang; David S. Sanders; Daniel Tu; Thomas R. Yackel; Dongseok Choi; Elizabeth Cottle