Diane Schwartz - Academia.edu (original) (raw)

Papers by Diane Schwartz

Objective: The study objective was to determine the accuracy of answers to clinical questions by ... more Objective: The study objective was to determine the accuracy of answers to clinical questions by emergency medicine (EM) residents conducting Internet searches using Google®. Emergency physicians commonly turn to outside resources to answer clinical questions that arise in the emergency department (ED). Internet access in the ED has supplanted textbooks as references because it is perceived as being more up to date. While Google® is the most widely used general Internet search engine, it is not medically oriented and merely provides links to other sources. ...

Telemedicine and e-Health

Substance Abuse: Research and Treatment, 2021

Background: Treatment progress is routinely monitored by urine testing in patients with opioid us... more Background: Treatment progress is routinely monitored by urine testing in patients with opioid use disorder (OUD) undergoing buprenorphine medication-assisted treatment (MAT). However, interpretation of urine test results could be challenging. This retrospective study aims to examine the results of quantitative buprenorphine, norbuprenorphine, and creatinine levels in urine testing in relation to sublingual buprenorphine dosage to facilitate an accurate interpretation of urine testing results. Methods: We reviewed the medical charts of 41 consecutive patients, who were residing in halfway houses where their medication intake was closely monitored and who had enrolled in an office-based MAT program at an urban clinic between July 2018 and June 2019. The patients’ urine testing results were reviewed, and demographic variables were recorded. We focused on the patients treated with 8-, 12-, or 16-mg/day of buprenorphine, examining their urine buprenorphine, norbuprenorphine, and creatin...

Many Electronic Health Record (EHRs) data displays are insensitive to their settings, contexts, a... more Many Electronic Health Record (EHRs) data displays are insensitive to their settings, contexts, and to clinicians' needs. Yet, the contexts in which the data are displayed critically affect EHR usability and patient safety. Medication prescribing is a complex task; especially sensitive to contextual variation in EHR displays as vast variations in formats and logic are often unnecessarily confusing, leading to unwanted cognitive burdens and medical errors. With examples of EHR screenshots, we illustrate contextual variations in medication and allergy displays across different EHR systems and implementations-noting often seemingly haphazard differences that can lead to misunderstandings and misinterpretations.

Journal of Infection and Public Health, 2020

Opisthorchis viverrini (O. viverrini) infection is the primary cause of cholangiocarcinoma (CCA) ... more Opisthorchis viverrini (O. viverrini) infection is the primary cause of cholangiocarcinoma (CCA) and a major public health challenge along the Mekong River in Thailand, Vietnam, Laos PDR, Cambodia, China and Myanmar. This systematic review appraised the risk factors for O. viverrini infection. Literature searches were conducted using Medical Subject Headings (MeSH) and keywords, without date or language restriction, in PubMed, EMBASE, Global Health, and Thai Journals Online. References from relevant papers also were reviewed to expand the scope of the search. The inclusion criteria were human subjects. The primary outcome was O. viverrini infection. The exclusion criteria were in vitro, animal, genetic research, and systematic reviews. All included studies were summarized and reported as follows: study design, age, sample size, setting, data collection and fecal examination methods, adjusted odds ratio and 95% confidence interval, significant risk factors, and other findings. The search results show that across all databases 1,098 records were identified. Twenty-four articles were included in the systematic review, consisting of cross-sectional studies (79.2%), cohort studies (12.5%), and case-control studies (8.3%). The majority of study settings were in Thailand (75%). The People's Democratic Republic of Laos (Lao PDR) accounted for the second greatest number of studies (20.8%), and 4.2% of the studies originated in Vietnam. Key findings included demographic, environmental, geographic, health behavior, treatment with praziquantel, and a history of O. viverrini infection that was significantly associated with O. viverrini infection. Health professionals should investigate the potential risk factors for the disease and should seek and develop innovative methods for prevention and control of O. viverrini infection in these countries.

College & Research Libraries News, 2019

Submission procedures. Nominations may be made in the form of a letter and should point out the r... more Submission procedures. Nominations may be made in the form of a letter and should point out the reasons the bibliography should be considered for the award. A copy of the bibliography should accompany the nomination. Send nominations to the jury chair, Carolyn Warmann, Reference De partment, Carol Newman Library,

American Journal of Preventive Medicine, 1996

Circulation, Oct 28, 2008

Bulletin of the Medical Library Association, 1992

The Alfred Taubman Medical Library at the University of Michigan has offered instruction in onlin... more The Alfred Taubman Medical Library at the University of Michigan has offered instruction in online literature searching to third-year pharmacy students as a component of the course "Drug Information and Scientific Literature Evaluation" since 1983. In the spring of 1989, a follow-up study was conducted to assess the impact of instruction on four classes of graduates. Of a pool of 151 graduates, 90 (60%) responded to a mailed questionnaire on their use of information and computerized literature searching. The respondents were divided into four subgroups: end-user searchers, users of intermediaries, end users who used intermediaries, and those who did not use computerized literature search systems. Seventy-two percent of the respondents used some type of computerized literature searching, and 42% performed their own searches. The four subgroups differed in general computer use, familiarity with MEDLINE search terminology, information use, reasons for using or not using liter...

Academic Medicine, 1999

Community-based faculty development (CBFD) is becoming increasingly important as medical educatio... more Community-based faculty development (CBFD) is becoming increasingly important as medical education moves into the ambulatory/office-based setting CBFD provides preceptors with essential knowledge, skills, and attitudes directly related to teaching while providing a sense of identity as teachers to a diverse group of practitioners in a variety of settings. This article reviews the structure and function of successful community-based faculty development, using as examples programs from the University of Massachusetts Medical School and the State University of New York at Buffalo that were supported by The Robert Wood Johnson Foundation's Generalist Physician Initiative. After reviewing the literature on successful implementation of programs dedicated to community-based precepting, the authors investigate the educational concepts, instructional designs, and operational characteristics that are the framework for providing successful faculty development to community-based preceptors. They list rationales and examples of the educational methods used and compare structural components of the programs at both institutions. Last, they explore future directions in the rapidly changing medical education environment that need to be addressed in CBFD in the areas of outcome/program evaluation, comprehensive needs assessment, and regionalization.

Online Journal of Public Health Informatics, 2020

Background: Public Health Informatics (PHI) has taken on new importance in recent years as health... more Background: Public Health Informatics (PHI) has taken on new importance in recent years as health and well-being face a number of challenges, including environmental disasters, emerging infectious diseases, such as Zika, Ebola and SARS-CoV-2, the growing impact of the Influenza virus, the opioid epidemic, and social determinants of health. Understanding the relationship between climate change and the health of populations adds further complexity to global health issues. Objectives: To describe four examples of curricula that exist in U.S. based graduate-level public and population health informatics training programs. Methods: Biomedical informatics educators are challenged to provide learners with relevant, interesting, and meaningful educational experiences in working with and learning from the many data sources that comprise the domain of PHI. Programs at four institutions were reviewed to examine common teaching practices that stimulate learners to explore the field of public he...

Proceedings of the ACM international conference on Health informatics - IHI '10, 2010

Abstract Emergency Department (ED) residents perceived Internet resources to be reliable and regu... more Abstract Emergency Department (ED) residents perceived Internet resources to be reliable and regularly searched the Internet to answer clinical questions in the ED. A single blinded prospective study was conducted to determine if Emergency Medicine residents (EMR) working in a teaching hospital could accurately answer clinical questions, such as those that routinely occur in an ED, using only Google. Thirty-three EMR completed the study. A demographic questionnaire was completed by each participant to provide a self- ...

Annals of Emergency Medicine, 2008

Annals of Emergency Medicine, Volume 52, Issue 4, Pages S57, October 2008, Authors:S. Sinha; R. K... more Annals of Emergency Medicine, Volume 52, Issue 4, Pages S57, October 2008, Authors:S. Sinha; R. Krause; R. Moscati; D. Schwartz; J. Abbas.

Bulletin of the Medical Library Association, 1995

This paper describes the roles and responsibilities of the associate director for medical educati... more This paper describes the roles and responsibilities of the associate director for medical education at the Primary Care Resource Center (PCRC), School of Medicine and Biomedical Sciences, State University of New York at Buffalo (UB). The PCRC was established to increase the number of UB medical school graduates who selected graduate medical education in the generalist disciplines. The associate director, who is a health sciences librarian, has established collaborative working relationships with primary care physicians in the clinical departments of family medicine, pediatrics, and internal medicine with the goal of improving the teaching effectiveness of faculty and residents. Another goal is to incorporate the use of computerized information technologies into clinical practice by training physicians and residents, at specially equipped ambulatory training sites, in how to access and manage information for the purpose of providing quality medical care. This has been accomplished in...

The western journal of emergency medicine, 2011

The study objective was to determine the accuracy of answers to clinical questions by emergency m... more The study objective was to determine the accuracy of answers to clinical questions by emergency medicine (EM) residents conducting Internet searches by using Google. Emergency physicians commonly turn to outside resources to answer clinical questions that arise in the emergency department (ED). Internet access in the ED has supplanted textbooks for references because it is perceived as being more up to date. Although Google is the most widely used general Internet search engine, it is not medically oriented and merely provides links to other sources. Users must judge the reliability of the information obtained on the links. We frequently observed EM faculty and residents using Google rather than medicine-specific databases to seek answers to clinical questions. Two EM faculties developed a clinically oriented test for residents to take without the use of any outside aid. They were instructed to answer each question only if they were confident enough of their answer to implement it i...

Proceedings of the American Society for Information Science and Technology, 2010

Emergency Department (ED) residents perceive Internet resources as reliable and regularly search ... more Emergency Department (ED) residents perceive Internet resources as reliable and regularly search the Internet to answer clinical questions in the ED. To determine the validity of the Internet and the Google ® Search Engine, as a source for accurate information to answer clinical questions in ED, a single blinded prospective study was conducted. The search strategies used by Emergency Medical (EM) Residents and Internet resources most frequently visited to find answers to clinical questions were reviewed. Residents completed a PreTest consisting of questions that might routinely occur in ED, and were instructed to answer questions without outside resources, and if they were confident the information was suitable for patient care. Questions that EMR were unsure of, or had answered incorrectly on the PreTest, were used to create a Google® Test. On the pretest 32% of the questions that residents answered were correct, while 28% were incorrect. Residents were unsure of 40% of the questions that they responded to. On the Google ® Test 59% of residents' responses were correct, 33% were incorrect and residents were unsure of 8%. Percent of unsure answers dropped significantly when residents searched Google ®. Results indicated EM Residents are naive searchers who use single word or short phrase searches and derive query terms directly from the questions; advanced search features of Google ® were not used; and websites frequently visited were designed for laypersons, sites for publishers, medical journals, and Google® Scholar and Google® Books. Results also indicated that while EM Residents often retrieved inaccurate information using Google ® they believed the information was reliable enough to use in patient care. Findings have major implications for medical informatics, medical practice, and patient safety. Providing Internet access in ED should be carefully reviewed for reliability as a tool for teaching and clinical decision-making. Also, education of EM Residents should include training on Internet and database searching.

Journal of the Medical Library Association, 2004

AMIA ... Annual Symposium proceedings. AMIA Symposium, 2017

Patient portal and personal health record adoption and usage rates have been suboptimal. A system... more Patient portal and personal health record adoption and usage rates have been suboptimal. A systematic review of the literature was performed to capture all published studies that specifically addressed barriers, facilitators, and solutions to optimal patient portal and personal health record enrollment and use. Consistent themes emerged from the review. Patient attitudes were critical as either barrier or facilitator. Institutional buy-in, information technology support, and aggressive tailored marketing were important facilitators. Interface redesign was a popular solution. Quantitative studies identified many barriers to optimal patient portal and personal health record enrollment and use, and qualitative and mixed methods research revealed thoughtful explanations for why they existed. Our study demonstrated the value of qualitative and mixed research methodologies in understanding the adoption of consumer health technologies. Results from the systematic review should be used to g...

Molecules (Basel, Switzerland), Jan 20, 2017

Ebola virus disease (EVD) is a deadly global public health threat, with no currently approved tre... more Ebola virus disease (EVD) is a deadly global public health threat, with no currently approved treatments. Traditional drug discovery and development is too expensive and inefficient to react quickly to the threat. We review published research studies that utilize computational approaches to find or develop drugs that target the Ebola virus and synthesize its results. A variety of hypothesized and/or novel treatments are reported to have potential anti-Ebola activity. Approaches that utilize multi-targeting/polypharmacology have the most promise in treating EVD.