Houman Amirfarzan - Academia.edu (original) (raw)
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Papers by Houman Amirfarzan
Journal of anesthesia, analgesia and critical care, Feb 6, 2024
Saudi Journal of Anaesthesia, Dec 31, 2022
Cambridge University Press eBooks, Jan 6, 2012
Journal of Anaesthesiology Clinical Pharmacology, 2021
American Journal of Surgery, Nov 1, 2018
The New England Journal of Medicine, Feb 24, 2022
The journal of trauma and acute care surgery, Mar 1, 2013
Journal of Cardiothoracic and Vascular Anesthesia
Journal of Anaesthesiology Clinical Pharmacology
New England Journal of Medicine, 2022
Critical Care Medicine, 2019
Learning Objectives: Burnout syndrome (BOS) is a substantial barrier to the maintenance of well-b... more Learning Objectives: Burnout syndrome (BOS) is a substantial barrier to the maintenance of well-being among critical care clinicians and can impair the provision of high-quality patient care. Limited data exist evaluating: 1) the incidence of BOS within North Carolina, South Carolina, Virginia, and West Virginia, 2) the significance of BOS in critical care clinicians, and 3) supportive infrastructure to prevent and/or help manage BOS. This study aims to assess the incidence, associations, and resources available to support clinicians experiencing BOS. Methods: All chapter members were invited to complete an anonymous, cross-sectional survey. The survey had 3 sections: demographics, the Mini Z burnout survey, and supportive infrastructure. Results: The survey was completed by 100 respondents, representing 35% of the chapter’s members. Physicians (39%), advanced practice providers ((APP) 25%), and pharmacists (21%) accounted for 85% responses, with 57% of respondents practicing in non...
Journal of Cardiothoracic and Vascular Anesthesia, 2019
American journal of surgery, Jan 6, 2018
Our knowledge of the types of intraoperative patient safety events, their harm to patients, and r... more Our knowledge of the types of intraoperative patient safety events, their harm to patients, and relationship to postoperative complications is sparse. This study examined intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) voluntarily reported by providers using two programs at our hospital: surgical debriefing and incident reporting. Among the 3020 surgical procedures assessed, 142 iMEs and 103 iAEs were reported, yielding an overall rate of 8%. Of these events, 135 (55%) were obtained from incident reporting and 110 (45%) from surgical debriefing. The overall association between intraoperative events (iMEs and iAEs) and 30-day postoperative morbidity was significant (adjusted odds ratio = 1.08 with 95% confidence interval (CI) of (1.03, 1.13). This association was stronger when we included only the iAEs (1.47, 95% CI (1.35, 1.58)). Our findings suggest that hospitals should consider using both programs to obtain a more complete picture of intraoperative p...
American journal of surgery, Jan 25, 2017
Surgical quality improvement efforts have focused on tracking and reducing postoperative mortalit... more Surgical quality improvement efforts have focused on tracking and reducing postoperative mortality and morbidity. However, the prevalence of intraoperative adverse events (IAEs) and their association with postoperative surgical outcomes has been poorly studied. In this study, we detected IAEs using both retrospective chart review and prospective provider reporting. We then examined the association of IAEs with postoperative outcomes. The overall IAE detection rate per case was 0.7 and 0.07 (P < 0.0001) based on chart review and provider reporting, respectively. Types of IAEs varied between detection methods. Provider-reported IAEs were more serious, i.e., had a stronger association with 30-day postoperative complications than chart-identified IAEs (risk-adjusted odds ratios were 1.52 vs 1.02, respectively, both p < 0.0001). Our findings suggest that IAEs can be detected using either retrospective chart review or prospective provider reporting. However, provider reporting appea...
Journal of Trauma and Acute Care Surgery, 2013
Journal of anesthesia, analgesia and critical care, Feb 6, 2024
Saudi Journal of Anaesthesia, Dec 31, 2022
Cambridge University Press eBooks, Jan 6, 2012
Journal of Anaesthesiology Clinical Pharmacology, 2021
American Journal of Surgery, Nov 1, 2018
The New England Journal of Medicine, Feb 24, 2022
The journal of trauma and acute care surgery, Mar 1, 2013
Journal of Cardiothoracic and Vascular Anesthesia
Journal of Anaesthesiology Clinical Pharmacology
New England Journal of Medicine, 2022
Critical Care Medicine, 2019
Learning Objectives: Burnout syndrome (BOS) is a substantial barrier to the maintenance of well-b... more Learning Objectives: Burnout syndrome (BOS) is a substantial barrier to the maintenance of well-being among critical care clinicians and can impair the provision of high-quality patient care. Limited data exist evaluating: 1) the incidence of BOS within North Carolina, South Carolina, Virginia, and West Virginia, 2) the significance of BOS in critical care clinicians, and 3) supportive infrastructure to prevent and/or help manage BOS. This study aims to assess the incidence, associations, and resources available to support clinicians experiencing BOS. Methods: All chapter members were invited to complete an anonymous, cross-sectional survey. The survey had 3 sections: demographics, the Mini Z burnout survey, and supportive infrastructure. Results: The survey was completed by 100 respondents, representing 35% of the chapter’s members. Physicians (39%), advanced practice providers ((APP) 25%), and pharmacists (21%) accounted for 85% responses, with 57% of respondents practicing in non...
Journal of Cardiothoracic and Vascular Anesthesia, 2019
American journal of surgery, Jan 6, 2018
Our knowledge of the types of intraoperative patient safety events, their harm to patients, and r... more Our knowledge of the types of intraoperative patient safety events, their harm to patients, and relationship to postoperative complications is sparse. This study examined intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) voluntarily reported by providers using two programs at our hospital: surgical debriefing and incident reporting. Among the 3020 surgical procedures assessed, 142 iMEs and 103 iAEs were reported, yielding an overall rate of 8%. Of these events, 135 (55%) were obtained from incident reporting and 110 (45%) from surgical debriefing. The overall association between intraoperative events (iMEs and iAEs) and 30-day postoperative morbidity was significant (adjusted odds ratio = 1.08 with 95% confidence interval (CI) of (1.03, 1.13). This association was stronger when we included only the iAEs (1.47, 95% CI (1.35, 1.58)). Our findings suggest that hospitals should consider using both programs to obtain a more complete picture of intraoperative p...
American journal of surgery, Jan 25, 2017
Surgical quality improvement efforts have focused on tracking and reducing postoperative mortalit... more Surgical quality improvement efforts have focused on tracking and reducing postoperative mortality and morbidity. However, the prevalence of intraoperative adverse events (IAEs) and their association with postoperative surgical outcomes has been poorly studied. In this study, we detected IAEs using both retrospective chart review and prospective provider reporting. We then examined the association of IAEs with postoperative outcomes. The overall IAE detection rate per case was 0.7 and 0.07 (P < 0.0001) based on chart review and provider reporting, respectively. Types of IAEs varied between detection methods. Provider-reported IAEs were more serious, i.e., had a stronger association with 30-day postoperative complications than chart-identified IAEs (risk-adjusted odds ratios were 1.52 vs 1.02, respectively, both p < 0.0001). Our findings suggest that IAEs can be detected using either retrospective chart review or prospective provider reporting. However, provider reporting appea...
Journal of Trauma and Acute Care Surgery, 2013