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Grand Rounds September 22, 2023: Integrating Community Health Workers into Team-Based, Early Childhood Preventative Care (Tumaini Rucker Coker, MD, MBA)

Rethinking Clinical Trials

The American Academy of Pediatrics (AAP) Bright Futures guidelines for preventive visits include history, measurements, physical exam, developmental and behavioral screening, anticipatory guidance, and psychosocial and social needs screening and guidance. How might we better structure preventive visits?

Trials 269
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Grand Rounds September 8, 2023: The DEVICE Trial: An Embedded, Pragmatic Trial of Emergency Airway Management (Matthew Prekker, MD, MPH; Jonathan Casey, MD, MSc)

Rethinking Clinical Trials

For patients assigned to the video arm, clinicians used a video laryngoscope on the first attempt and used the screen to view the cords. For the direct arm, operators used direct laryngoscope on first attempt and could not have a camera or screen. The primary outcome was successful intubation on the first attempt.

Trials 141
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Are You Ready for GA4? Enhancements for Measuring Engagement

Intouch Solutions

Engaged Sessions – Engaged Sessions is the number of sessions that last 10 seconds or longer or have 1 or more conversion events* or 2 or more page or screen views.​ Sessions – The metric is calculated in a different way to dedupe users and could result in sessions appearing deflated compared to Universal Analytics.

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Grand Rounds March 1, 2024: Effect of an Intensive Food-As-Medicine Program on Health and Health Care Use: Evidence from a Randomized Clinical Trial (Joseph Doyle, PhD)

Rethinking Clinical Trials

They also screened for complications and close care gaps. Tags #pctGR, @Collaboratory1 The post Grand Rounds March 1, 2024: Effect of an Intensive Food-As-Medicine Program on Health and Health Care Use: Evidence from a Randomized Clinical Trial (Joseph Doyle, PhD) appeared first on Rethinking Clinical Trials.

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Grand Rounds December 8, 2023: A Pragmatic Randomized Trial of the Jumpstart Intervention to Promote Communication about Goals of Care for Hospitalized Patients with Serious Illness (Ruth Engelberg, PhD; Erin Kross, MD; Robert Lee, MD, MS)

Rethinking Clinical Trials

The goals of care discussions were identified by a natural language processing (NLP) called BERT and screened human abstraction. The study team trained and validated the NLP model by adjudicating 2,500 notes, and compared human decisions with NLP decisions to come up with an assessment with how NLP preformed.

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Grand Rounds January 12, 2024: Design and Implementation of a Weighted Lottery to Equitably Allocate Scarce Covid-19 Resources (Erin K. McCreary, PharmD, BCIDP)

Rethinking Clinical Trials

Patients were screened by local teams at each site. Tags #pctGR, @Collaboratory1 The post Grand Rounds January 12, 2024: Design and Implementation of a Weighted Lottery to Equitably Allocate Scarce Covid-19 Resources (Erin K. There was a daily process for the Remdesivir lottery. Every patient with COVID-19 was automatically considered.

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Grand Rounds January 20, 2023: Collaborative Pragmatic Trials in Action: EVOLVE-MI (Mikhail Kosiborod, MD)

Rethinking Clinical Trials

EVOLVE-MI has several innovations in protocol development, including streamlined inclusion/exclusion criteria, minimal procedures and ability to screen/randomize in the same day, a simplified schedule of events, and streamlined safety.

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