Jyothsna Giri
Mayo Clinic
Network
Latest external collaboration on country level. Dive into details by clicking on the dots.
Publication
Featured researches published by Jyothsna Giri.
International Journal of Medical Informatics | 2015
Brian W. Pickering; Yue Dong; Adil Ahmed; Jyothsna Giri; Oguz Kilickaya; Ashish Gupta; Ognjen Gajic; Vitaly Herasevich
OBJECTIVES AWARE (Ambient Warning and Response Evaluation) is a novel electronic medical record (EMR) dashboard designed by clinicians to support bedside clinical information management in the ICU. AWARE sits on top of pre-existing, comprehensive EMR systems. The purpose of the study was to test the acceptance and impact of AWARE on data management in live clinical ICU settings. The primary outcome measure was observed efficiency of data utilization as determined by time spent in data gathering before morning rounds. DESIGN Step wedge cluster randomization trial. SETTING Four ICUs (surgical, medical, and mixed) at an academic referral center. SUBJECTS All members of the critical care team participating in morning ICU rounds. INTERVENTION Pilot implementation of a novel EMR interface with direct observation and survey. MEASUREMENTS AND MAIN RESULTS The study took place between April and July 2012. A total of 80 and 63 direct observations were made in the pre- and post-implementation study periods respectively. The time spent on pre-round data gathering per patient decreased from 12 (10-15) to 9 (7.3-11) min for pre- and post-implementation phases respectively (p=0.03). Compared to the existing EMR, information management (data presentation format, efficiency of data access) was reported to be better after AWARE implementation. AWARE made the task of gathering data for rounds significantly less difficult and mentally demanding. CONCLUSIONS The introduction of a novel, patient-centered EMR viewer for the ICU was associated with improved efficiency and ease of clinical data management compared to the standard EMR.
American Journal of Medical Quality | 2015
Adil Ahmed; Jyothsna Giri; Rahul Kashyap; Balwinder Singh; Yue Dong; Oguz Kilickaya; Patricia J. Erwin; M. Hassan Murad; Brian W. Pickering
Adverse events and medical errors (AEs/MEs) are more likely to occur in the intensive care unit (ICU). Information about the incidence and outcomes of such events is conflicting. A systematic review and meta-analysis were conducted to examine the effects of MEs/AEs on mortality and hospital and ICU lengths of stay among ICU patients. Potentially eligible studies were identified from 4 major databases. Of 902 studies screened, 12 met the inclusion criteria, 10 of which are included in the quantitative analysis. Patients with 1 or more MEs/AEs (vs no MEs/AEs) had a nonsignificant increase in mortality (odds ratio = 1.5; 95% confidence interval [CI] = 0.98-2.14) but significantly longer hospital and ICU stays; the mean difference (95% CI) was 8.9 (3.3-14.7) days for hospital stay and 6.8 (0.2-13.4) days for ICU. The ICU environment is associated with a substantial incidence of MEs/AEs, and patients with MEs/AEs have worse outcomes than those with no MEs/AEs.
Clinical Pharmacology & Therapeutics | 2018
Jyothsna Giri; Timothy B. Curry; Christine M. Formea; Wayne T. Nicholson; Carolyn R. Rohrer Vitek
A number of barriers exist for adoption of pharmacogenomics into practice. Physicians, pharmacists, and nurses report limited knowledge about pharmacogenomics and its use in patient care. Lack of pharmacogenomics education curricula as part of professional schools or postgraduate training programs has been reported as a potential cause. Understanding pharmacogenomics is further complicated by a complex and nonstandard lexicon, limited medication guidelines, rapidly changing evidence, and insufficient awareness of test availability and utility.
world congress on medical and health informatics, medinfo | 2013
Jyothsna Giri; Man Li; Brian W. Pickering; Arun Subramanian; Daryl J. Kor; Vitaly Herasevich
INTRODUCTION The World Health Organization sets a standard to maintain patient core temperature greater than 36°C throughout the perioperative period. Normothermia (defined as >36°C) in the Operating Room (OR) is an important factor to preventing complications in patients (MI, infection, coagulopathy). Randomized studies suggests that maintaining at higher temperatures may further reduce complications in surgery (less complications for group at 36.4°C than the control group at 36.0°C) [1,2]. Perioperative normothermia is an important but often unrecognized element during anesthesia. Early recognition of hypothermia would allow for appropriate interventions and prevent complications. METHODOLOGY Manual validation of the diagnostic performance a clinical tool (alert) that would automatically measure changes in core temperature to identify patients who fail to be in range of normothermia during surgery. RESULTS The clinical tool (alert) was found to be 97 % sensitive.
16th World Congress of Medical and Health Informatics: Precision Healthcare through Informatics, MedInfo 2017 | 2017
Pedro J. Caraballo; Joseph Sutton; Ann M. Moyer; David Blair; Lois C. Hines; Padma S. Rao; Mark F. Adams; Sahana Murthy; Tina Garza; Mary E. Karow; Harmanjit Singh; Jyothsna Giri; Donald B. Gabrielson; Jennifer L. St. Sauver; Suzette J. Bielinski; Mark A. Parkulo
Clinical use of pharmacogenomic (PGx) knowledge at the bedside is new and complex. Our program has implemented multiple PGx-CDS interventions in different clinical settings and in multiple commercial EHRs. Herein, we discuss lessons learned and propose general technical guidelines related to PGx implementation.
Critical Care Medicine | 2012
Alberto Marquez; Man Li; Steven R Holets; Rahul Kashyap; Jyothsna Giri; Ognjen Gajic; Sonal Pannu
The American Journal of Medicine | 2017
Ann M. Moyer; Carolyn R. Rohrer Vitek; Jyothsna Giri; Pedro J. Caraballo
Applied Medical Informatics | 2013
Jyothsna Giri; Adil Ahmed; Yue Dong; Mark T. Keegan; Vitaly Herasevich; Brian W. Pickering; Ognen Gajic
Chest | 2011
Ramez Smairat; John Litell; Jyoti Assudani; Naman Trivedi; Jyothsna Giri; Vitaly Herasevich; Senthilkumar Palaniappan; Felicity T. Enders; Ognjen Gajic; Brian W. Pickering; Yue Dong
AMIA | 2014
Jyothsna Giri; John C. O'Horo; Ronaldo Sevilla Berrios; Maria Resner; Vitali Fedosov; Vitaly Herasevich; Ognjen Gajic; Brian W. Pickering