Rebecca A Aslakson
Affiliation: Johns Hopkins University
- An environmental scan of advance care planning decision AIDS for patients undergoing major surgery: a study protocolRebecca A Aslakson
Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins School of Medicine, 600 North Wolfe Street, Meyer 297A, Baltimore, MD, 21287 7295, USA
Patient 7:207-17. 2014..Rather than focus on changing clinician behavior, advance care planning decision aids can be an innovative vehicle to motivate advance care planning among surgical patients and their families...
- Nurse-perceived barriers to effective communication regarding prognosis and optimal end-of-life care for surgical ICU patients: a qualitative explorationRebecca A Aslakson
Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins School of Medicine, 600 North Wolfe Street, Baltimore, MD 21287, USA
J Palliat Med 15:910-5. 2012..SICU nurses, who are key front-line clinicians, can provide insights into barriers for delivery of optimal palliative care in their setting...
- Surgical intensive care unit clinician estimates of the adequacy of communication regarding patient prognosisRebecca A Aslakson
Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins School of Medicine, 600 North Wolfe Street, Baltimore, MD, 21287, USA
Crit Care 14:R218. 2010..Practice guidelines recommend improving communication. However, few data, particularly in surgical ICUs, exist on health care provider opinions regarding whether communication is effective...
- Effect of accounting for multiple concurrent catheters on central line-associated bloodstream infection rates: practical data supporting a theoretical concernRebecca A Aslakson
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland 21287 7294, USA
Infect Control Hosp Epidemiol 32:121-4. 2011..However, the current conventional method by which they are calculated may be misleading and unfairly penalize high-acuity care settings, where patients often have multiple concurrent central venous catheters (CVCs)...
- A systematic review of health care interventions for pain in patients with advanced cancerKathryn A Martinez
1Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
Am J Hosp Palliat Care 31:79-86. 2014..Poorly controlled pain is common in advanced cancer. The objective of this article was to synthesize the evidence on the effectiveness of pain-focused interventions in this population...
- Methods for improving the quality of palliative care delivery: a systematic reviewBrandyn D Lau
1Department of Surgery, Division of Acute Care Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA
Am J Hosp Palliat Care 31:202-10. 2014..The effectiveness for improving the outcomes across palliative care domains remains unclear. We conducted a systematic review of different types of quality improvement interventions relevant to palliative care...
- Assessing the impact of palliative care in the intensive care unit through the lens of patient-centered outcomes researchRebecca A Aslakson
aDepartment of Anesthesiology and Critical Care Medicine, The Johns Hopkins School of Medicine bDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
Curr Opin Crit Care 19:504-10. 2013..This review provides a conceptual framework for these outcomes, discusses current and future challenges for work in this field, and advocates for better use of patient-centered outcomes in future studies...
- Continuity, coordination, and transitions of care for patients with serious and advanced illness: a systematic review of interventionsSydney M Dy
Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA
J Palliat Med 16:436-45. 2013..We conducted a systematic review to evaluate the impact of interventions targeting these areas in this population...
- A systematic review of communication quality improvement interventions for patients with advanced and serious illnessOluwakemi A Fawole
Johns Hopkins University Evidence Based Practice Center, 1830 East Monument Street, Room 8065, Baltimore, MD 21287, USA
J Gen Intern Med 28:570-7. 2013..Suboptimal provider-patient/family communication is common, with negative effects on patient/family-centered outcomes...
- The changing role of palliative care in the ICURebecca A Aslakson
1Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins School of Medicine, Baltimore, MD 2The Palliative Care Program at the Kimmel Cancer Center at Johns Hopkins, The Johns Hopkins School of Medicine, Baltimore, MD 3Division of Pulmonary and Critical Care Medicine, Harborview Medical Center, University of Washington, Seattle, WA 4Division of Pulmonary, Critical Care and Sleep Medicine and Hertzberg Palliative Care Institute, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY
Crit Care Med 42:2418-28. 2014..In this clinically focused article, we review evidence of opportunities to improve palliative care for critically ill adults, summarize strategies for ICU palliative care improvement, and identify resources to support implementation...