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  1. Article ; Online: Introduction to the ATS Core Curriculum Series, 2017.

    Poston, Jason T

    Annals of the American Thoracic Society

    2017  Volume 14, Issue Suppl_2, Page(s) S149

    MeSH term(s) Curriculum ; Education, Medical, Graduate/methods ; Humans ; Pulmonary Medicine/education ; Societies, Medical ; United States
    Language English
    Publishing date 2017-10-20
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2717461-X
    ISSN 2325-6621 ; 1943-5665 ; 2325-6621
    ISSN (online) 2325-6621 ; 1943-5665
    ISSN 2325-6621
    DOI 10.1513/AnnalsATS.201708-660ED
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Sepsis associated acute kidney injury.

    Poston, Jason T / Koyner, Jay L

    BMJ (Clinical research ed.)

    2019  Volume 364, Page(s) k4891

    Abstract: Sepsis is defined as organ dysfunction resulting from the host's deleterious response to infection. One of the most common organs affected is the kidneys, resulting in sepsis associated acute kidney injury (SA-AKI) that contributes to the morbidity and ... ...

    Abstract Sepsis is defined as organ dysfunction resulting from the host's deleterious response to infection. One of the most common organs affected is the kidneys, resulting in sepsis associated acute kidney injury (SA-AKI) that contributes to the morbidity and mortality of sepsis. A growing body of knowledge has illuminated the clinical risk factors, pathobiology, response to treatment, and elements of renal recovery that have advanced our ability to prevent, detect, and treat SA-AKI. Despite these advances, SA-AKI remains an important concern and clinical burden, and further study is needed to reduce the acute and chronic consequences. This review summarizes the relevant evidence, with a focus on the risk factors, early recognition and diagnosis, treatment, and long term consequences of SA-AKI. In addition to literature pertaining to SA-AKI specifically, pertinent sepsis and acute kidney injury literature relevant to SA-AKI was included.
    MeSH term(s) Acute Kidney Injury/classification ; Acute Kidney Injury/diagnosis ; Acute Kidney Injury/drug therapy ; Acute Kidney Injury/epidemiology ; Biomarkers/blood ; Critical Care/standards ; Early Diagnosis ; Humans ; Kidney/injuries ; Kidney/microbiology ; Kidney/pathology ; Male ; Middle Aged ; Outcome Assessment, Health Care ; Practice Guidelines as Topic/standards ; Risk Factors ; Sepsis/complications ; Sepsis/epidemiology ; Sepsis/mortality ; Sepsis/prevention & control
    Chemical Substances Biomarkers
    Language English
    Publishing date 2019-01-09
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.k4891
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Management of Critically Ill Adults With COVID-19.

    Poston, Jason T / Patel, Bhakti K / Davis, Andrew M

    JAMA

    2020  Volume 323, Issue 18, Page(s) 1839–1841

    Keywords covid19
    Language English
    Publishing date 2020-03-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2958-0
    ISSN 1538-3598 ; 0254-9077 ; 0002-9955 ; 0098-7484
    ISSN (online) 1538-3598
    ISSN 0254-9077 ; 0002-9955 ; 0098-7484
    DOI 10.1001/jama.2020.4914
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Management of Critically Ill Adults With COVID-19

    Poston, Jason T. / Patel, Bhakti K. / Davis, Andrew M.

    JAMA ; ISSN 0098-7484

    2020  

    Keywords General Medicine ; covid19
    Language English
    Publisher American Medical Association (AMA)
    Publishing country us
    Document type Article ; Online
    DOI 10.1001/jama.2020.4914
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Hemoglobin-unchained and causing harm in sepsis?

    Greenberg, Jared A / Poston, Jason T

    Critical care medicine

    2013  Volume 41, Issue 3, Page(s) 919–920

    MeSH term(s) Acetaminophen/pharmacology ; Analgesics, Non-Narcotic/pharmacology ; Female ; Hemoglobins/metabolism ; Hospital Mortality ; Humans ; Male ; Oxidative Stress/drug effects ; Sepsis/mortality
    Chemical Substances Analgesics, Non-Narcotic ; Hemoglobins ; Acetaminophen (362O9ITL9D)
    Language English
    Publishing date 2013-03
    Publishing country United States
    Document type Comment ; Editorial
    ZDB-ID 197890-1
    ISSN 1530-0293 ; 0090-3493
    ISSN (online) 1530-0293
    ISSN 0090-3493
    DOI 10.1097/CCM.0b013e3182770570
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Rapidly reversible, sedation-related delirium versus persistent delirium in the intensive care unit.

    Patel, Shruti B / Poston, Jason T / Pohlman, Anne / Hall, Jesse B / Kress, John P

    American journal of respiratory and critical care medicine

    2014  Volume 189, Issue 6, Page(s) 658–665

    Abstract: Rationale: Intensive care unit (ICU) delirium is associated with ventilator, ICU, and hospital days; discharge functional status; and mortality. Whether rapidly reversible, sedation-related delirium (delirium that abates shortly after sedative ... ...

    Abstract Rationale: Intensive care unit (ICU) delirium is associated with ventilator, ICU, and hospital days; discharge functional status; and mortality. Whether rapidly reversible, sedation-related delirium (delirium that abates shortly after sedative interruption) occurs with the same frequency and portends the same prognosis as persistent delirium (delirium that persists despite a short period of sedative interruption) is unknown.
    Objectives: To compare rapidly reversible, sedation-related delirium and persistent delirium.
    Methods: This was a prospective cohort study of 102 adult, intubated medical ICU subjects in a tertiary care teaching hospital. Confusion Assessment Method for the ICU evaluation was performed before and after daily interruption of continuous sedation (DIS). Investigators were blinded to each other's assessments and as to whether evaluations were before or after DIS. The primary outcome was proportion of days with no delirium versus rapidly reversible, sedation-related delirium versus persistent delirium. Secondary outcomes were ventilator, ICU, and hospital days; discharge disposition; and 1-year mortality.
    Measurements and main results: The median proportion of ICU days with delirium was 0.57 before versus 0.50 after DIS (P < 0.001). The Confusion Assessment Method for the ICU indicated patients are 10.5 times more likely to have delirium before DIS versus after (P < 0.001). Rapidly reversible, sedation-related delirium showed fewer ventilator (P < 0.001), ICU (P = 0.001), and hospital days (P < 0.001) than persistent delirium. Subjects with no delirium and rapidly reversible, sedation-related delirium were more likely to be discharged home (P < 0.001). Patients with persistent delirium had increased 1-year mortality versus those with no delirium and rapidly reversible, sedation-related delirium (P < 0.001).
    Conclusions: Rapidly reversible, sedation-related delirium does not signify the same poor prognosis as persistent delirium. Degree of sedation should be considered in delirium assessments. Coordinating delirium assessments with daily sedative interruption will improve such assessments' ability to prognosticate ICU delirium outcomes. Clinical trial registered with www.clinicaltrials.gov (NCT 00919698).
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Conscious Sedation/adverse effects ; Conscious Sedation/methods ; Critical Care/methods ; Delirium/chemically induced ; Delirium/diagnosis ; Delirium/mortality ; Delirium/therapy ; Female ; Fentanyl/adverse effects ; Follow-Up Studies ; Humans ; Hypnotics and Sedatives/adverse effects ; Intensive Care Units ; Length of Stay/statistics & numerical data ; Logistic Models ; Male ; Middle Aged ; Outcome Assessment (Health Care) ; Prognosis ; Propofol/adverse effects ; Proportional Hazards Models ; Prospective Studies ; Respiration, Artificial/statistics & numerical data ; Single-Blind Method ; Young Adult
    Chemical Substances Hypnotics and Sedatives ; Fentanyl (UF599785JZ) ; Propofol (YI7VU623SF)
    Language English
    Publishing date 2014-03-15
    Publishing country United States
    Document type Comparative Study ; Journal Article ; Observational Study
    ZDB-ID 1180953-x
    ISSN 1535-4970 ; 0003-0805 ; 1073-449X
    ISSN (online) 1535-4970
    ISSN 0003-0805 ; 1073-449X
    DOI 10.1164/rccm.201310-1815OC
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Patient safety room of horrors: a novel method to assess medical students and entering residents' ability to identify hazards of hospitalisation.

    Farnan, Jeanne M / Gaffney, Sean / Poston, Jason T / Slawinski, Kris / Cappaert, Melissa / Kamin, Barry / Arora, Vineet M

    BMJ quality & safety

    2016  Volume 25, Issue 3, Page(s) 153–158

    Abstract: Background: Patient safety curricula in undergraduate medical education (UME) are often didactic format with little focus on skills training. Despite recent focus on safety, practical training in residency education is also lacking. Assessments of ... ...

    Abstract Background: Patient safety curricula in undergraduate medical education (UME) are often didactic format with little focus on skills training. Despite recent focus on safety, practical training in residency education is also lacking. Assessments of safety skills in UME and graduate medical education (GME) are generally knowledge, and not application-focused. We aimed to develop and pilot a safety-focused simulation with medical students and interns to assess knowledge regarding hazards of hospitalisation.
    Methods: A simulation demonstrating common hospital-based safety threats was designed. A case scenario was created including salient patient information and simulated safety threats such as the use of upper-extremity restraints and medication errors. After entering the room and reviewing the mock chart, learners were timed and asked to identify and document as many safety hazards as possible. Learner satisfaction was assessed using constructed-response evaluation. Descriptive statistics, including per cent correct and mean correct hazards, were performed.
    Results: All 86 third-year medical students completed the encounter. Some hazards were identified by a majority of students (fall risk, 83% of students) while others were rarely identified (absence of deep venous thrombosis prophylaxis, 13% of students). Only 5% of students correctly identified pressure ulcer risk. 128 of 131 interns representing 49 medical schools participated in the GME implementation. Incoming interns were able to identify a mean of 5.1 hazards out of the 9 displayed (SD 1.4) with 40% identifying restraints as a hazard, and 20% identifying the inappropriate urinary catheter as a hazard.
    Conclusions: A simulation showcasing safety hazards was a feasible and effective way to introduce trainees to safety-focused content. Both students and interns had difficulty identifying common hazards of hospitalisation. Despite poor performance, learners appreciated the interactive experience and its clinical utility.
    MeSH term(s) Curriculum ; Education, Medical, Graduate/methods ; Education, Medical, Undergraduate/methods ; Female ; Hospitalization ; Humans ; Internship and Residency ; Male ; Manikins ; Patient Safety ; Patients' Rooms ; Risk Assessment ; Students, Medical
    Language English
    Publishing date 2016-03
    Publishing country England
    Document type Comparative Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2592912-4
    ISSN 2044-5423 ; 2044-5415
    ISSN (online) 2044-5423
    ISSN 2044-5415
    DOI 10.1136/bmjqs-2015-004621
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Implementation of a Professional Society Core Curriculum and Integrated Maintenance of Certification Program.

    Carlos, W Graham / Poston, Jason T / Michaud, Gaetane C / Dela Cruz, Charles S / Luks, Andrew M / Boyer, Debra / Moore, Paul E / McSparron, Jakob I / Hayes, Margaret M / Balachandran, Jay S / Wang, Tisha S / Larsson, Eileen / Siegel-Gasiewski, Jennifer / Kantz, Alan / Beck, James M / Thomson, Carey C

    Annals of the American Thoracic Society

    2017  Volume 14, Issue 4, Page(s) 495–499

    Abstract: Medical professional societies exist to foster collaboration, guide career development, and provide continuing medical education opportunities. Maintenance of certification is a process by which physicians complete formal educational activities approved ... ...

    Abstract Medical professional societies exist to foster collaboration, guide career development, and provide continuing medical education opportunities. Maintenance of certification is a process by which physicians complete formal educational activities approved by certifying organizations. The American Thoracic Society (ATS) established an innovative maintenance of certification program in 2012 as a means to formalize and expand continuing medical education offerings. This program is unique as it includes explicit opportunities for collaboration and career development in addition to providing continuing medical education and maintenance of certification credit to society members. In describing the development of this program referred to as the "Core Curriculum," the authors highlight the ATS process for content design, stages of curriculum development, and outcomes data with an eye toward assisting other societies that seek to program similar content. The curriculum development process described is generalizable and positively influences individual practitioners and professional societies in general, and as a result, provides a useful model for other professional societies to follow.
    Language English
    Publishing date 2017-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2717461-X
    ISSN 2325-6621 ; 1943-5665 ; 2325-6621
    ISSN (online) 2325-6621 ; 1943-5665
    ISSN 2325-6621
    DOI 10.1513/AnnalsATS.201612-1001PS
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: ATS Core Curriculum 2014: Part II. Adult critical care medicine.

    Sottile, Peter D / Moss, Marc / Patel, Jayshil J / Truwit, Jonathon D / Sheikh, Maryam / Zimmerman, Janice L / Diwakar, Amit / Schmidt, Gregory A / Means, Gregory T / Katz, Jason N / Desai, Akshay S / MacIntyre, Neil R / Poston, Jason T

    Annals of the American Thoracic Society

    2014  Volume 11, Issue 8, Page(s) 1307–1315

    MeSH term(s) Adult ; Consensus Development Conferences as Topic ; Critical Care/methods ; Curriculum ; Humans ; Pulmonary Medicine/education ; Respiratory Distress Syndrome, Adult/therapy
    Language English
    Publishing date 2014-10
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2717461-X
    ISSN 2325-6621 ; 1943-5665 ; 2325-6621
    ISSN (online) 2325-6621 ; 1943-5665
    ISSN 2325-6621
    DOI 10.1513/AnnalsATS.201407-322CME
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