Researchers aim to understand the needs and experiences of LGBT older adults with Alzheimer's disease and their surrogate decision makers. They will explore emotional, spiritual, and religious aspects of surrogacy and its impact on medical decisions.
Researchers found that geographic cohorting of hospitalists can increase the number of bedside visits and time spent with patients, but also leads to more frequent interruptions. Hospitalists assigned to one or two units may not be working optimally due to frequent presence and interruptions.
A massive collaborative research incubator will develop trials for Alzheimer's disease interventions, funded by the National Institute on Aging. Regenstrief researchers will lead a two-year junior career development program to train researchers in embedded pragmatic clinical trials.
A study led by Regenstrief researcher found that the surrogate's belief in miracles was the main dimension linked to preferences for care of their loved one. Belief in miracles was associated with a preference for aggressive treatment and less acceptance of comfort-focused care plans.
A new $1.96 million NIH grant funds a study to curb state of confusion linked to dementia in older adults with mechanical ventilation in ICUs. Researchers will evaluate the effectiveness of slow-tempo classical music in reducing delirium, a form of acute brain failure, in mechanically-ventilated ICU patients age 65 and older.
A novel methodology was developed to extract data on symptoms from EHRs and investigate associations between symptom clusters and disease. The study identified distinct symptom clusters for breast cancer and colorectal cancer patients, providing critical information for patient care teams and researchers.
Theresa Cullen, a global health informatics researcher at Regenstrief Institute, has received the Leading for Impact award for driving transformation in health IT. She will present a fireside chat on leadership at the conference.
Regenstrief Institute's Eneida Mendonca and Umberto Tachinardi will share their expertise on artificial intelligence and data infrastructure at a Brazilian workshop. They discuss AI in natural language processing and building data infrastructure for precision medicine.
Breast cancer survivors who received Acceptance and Commitment Therapy (ACT) showed significant improvements in reducing fear of recurrence compared to other treatment approaches. ACT helps patients focus on living a meaningful life, rather than being driven by fear.
Patient identity management is crucial for accurate health record matching and data quality. Regenstrief research demonstrates that standardizing demographic data can improve health record linkage by up to 8 percent.
A Regenstrief Institute research scientist is testing a novel mobile app designed to improve care for people with Alzheimer's disease. The study aims to determine if the Brain CareNotes app can manage behavioral and psychological symptoms of dementia, leading to improved quality of life for patients and caregivers.
A new study aims to assess the impact of guided POLST form completion on patient care preferences being respected. Trained nurses will provide advanced care planning assistance to patients enrolled in the randomized controlled trial.
A Regenstrief Institute researcher suggests redesigning EHR platforms to clearly access relevant data, reducing distractions and information overload. His 13 principles aim to combat inefficiencies and improve EHR functionality for better clinician-patient care.
Researchers created decision models to predict which patients need more treatment for depression than their primary care provider can offer. The algorithms provide actionable information to clinicians, helping them identify high-risk patients and refer them to mental health specialists.
Regenstrief Institute researchers are presenting their work on artificial intelligence, public health informatics, disease surveillance, and electronic care planning for chronic diseases. They will also discuss opportunities for advancing the use of electronic health record data.
A team of researchers and national leaders emphasize the importance of including artificial nutrition preferences on POLST forms. They argue that these orders facilitate discussions about life-sustaining treatments, ensuring patients' wishes are respected at the end of life.
A $21 million national study will test three evidence-based treatments for chronic low back pain in a 20-site trial. The Sequential and Comparative Evaluation of Pain Treatment Effectiveness Response (SCEPTER) trial aims to find the best approach to manage chronic low back pain, with implications for the general population.
Researchers developed a predictive risk model to identify patients with diabetes at high risk of low blood sugar. The model combines known risk factors, including recent infections, insulin use, and dementia, to help healthcare providers intervene and prevent serious adverse events.
A new study published in the Journal of General Internal Medicine found that online symptom self-management works to decrease pain, anxiety, and depression symptoms. The study also showed that combining online self-management with clinician telecare leads to greater symptom improvement for some individuals.
Researchers call for long-term randomized deprescribing trials to explore whether reducing or eliminating anticholinergic medication use can improve cholinergic neurotransmission and reduce dementia risk. If successful, this approach could be a more feasible intervention than increasing physical activity or controlling diabetes.
A study by Regenstrief Institute researchers found that only 30% of patients reported having some form of advance directive, but only 16% had one on file in their electronic medical record. This lack of documentation can lead to complex situations for care providers and loved ones.
Researchers developed a tool to predict postoperative delirium severity, enabling better care for patients recovering from surgery. The study used data from 100 adults undergoing non-cardiac, non-neurological surgery, combining two previous tools to assess delirium intensity.
Researchers aim to determine if stopping anticholinergic medications improves cognition and potentially delays or prevents dementia. The 'Reducing Risk of Dementia through Deprescribing' study will enroll 344 older adults and monitor the impact on cognitive function over 2 years.
A new tool, SymTrak, tracks symptoms such as pain, fatigue, and anxiety in older adults, enabling clinicians to provide better care for potentially related diseases. The tool was developed by researchers at the Regenstrief Institute and Indiana University to identify early onset of complex issues.
A review panel led by Regenstrief Institute Research Scientist Kurt Kroenke found that clinicians, policymakers, and payers are misapplying CDC opioid guidelines, negatively affecting patients. The panel identified challenges with implementing the guidelines, including overly restrictive prescribing policies and burdens on clinicians.
A new study finds that a third of people taking statin medications in Indiana do not reach a safe level of LDL-C, putting them at increased risk for cardiovascular disease events. Reducing their bad cholesterol levels could save $1,455 per person and avoid 1,173 cardiovascular disease events.
Regenstrief researchers present research on patient engagement and advocacy to advance health equity, including a workshop on doctors' use of electronic communication with patients. The institute's latest research aims to improve patient-physician communications and create models of care that inform practice.
Regenstrief researchers present findings on deprescribing medications in older adults, preventing hospitalizations through OPTIMISTIC project lessons learned. Advance care planning initiatives aim to improve nursing home care for dementia patients.
A new model developed by the Regenstrief Institute provides chaplains with a framework to deliver better care to families of patients in intensive care settings. The Spiritual Care Assessment and Intervention (SCAI) framework helps chaplains provide proactive, semi-structured spiritual care to meet family members' needs.
Researchers found that standardizing addresses had the greatest impact on data matching, increasing accuracy by nearly half. This improvement can lead to better patient safety, improved care quality, and reduced costs.
The article highlights the importance of trusted relationships among physicians for patient care safety and quality. The authors propose three initial principles to bolster physician-to-physician relationships: recognizing consequential relationships, valuing differences in perspective, and noticing quality in each moment.
A new study finds that successful CPAP therapy requires personalized patterns of behavior and adaptations to physical, psychological, and cognitive factors. External assistance and advice can improve use, particularly in the home setting.
Researchers highlight the challenges and complexities of end-of-shift handoffs, which can lead to delays in diagnosis and treatment, duplication of tests or treatment, and medication errors. To improve handoff education, the team recommends strategies such as collaborative learning meetings, point-of-care education programs, and scenar...
Recent clinical trials conducted by the Regenstrief Institute found that traditional drug-focused approaches are ineffective in managing delirium in ICU patients. Implementing deprescribing strategies and exploring alternative methods, such as waking and mobilization, may be more effective in reducing delirium severity and duration.
A new study by Indiana University School of Medicine and the Regenstrief Institute found that an annual noninvasive stool test is effective for colon cancer screening in average-risk adults. The test, known as FIT, identified hidden blood in stool and had high detection rates for colorectal cancer.
Using a health exchange network can facilitate electronic disease reporting, improving compliance with public health laws and increasing completeness of reports. A novel decision support tool has been designed to automate the process of primary care clinics reporting case information to public health offices.
A population health study from IUPUI and Regenstrief Institute identified socioeconomic and racial disparities in health behaviors and screening for cancer in 34 Indiana counties. Black residents have lower cancer incidence but higher mortality rates, while those with low income and education face poor access to healthcare.
A study found that patient-centered education strategies delivered at the doctor's office increased HPV vaccination rates among adolescents. Parents who watched an educational video about the HPV vaccine had three times greater odds of choosing to receive the vaccine.
Regenstrief Institute researcher Malaz Boustani advocates for Medicare payment for team-based care, which improves patient outcomes and reduces costs. Collaborative care models, including the Aging Brain Care model, have shown effective results in managing dementia and related dementias.
Researchers found that haloperidol did not benefit elective thoracic surgery ICU patients when given prophylactically, except in those who had undergone esophagectomy. The study suggests a need for a personalized approach to delirium prevention and treatment, focusing on high-risk patients.
Patients value routine symptom reporting and expect their doctor's review, but perceive barriers in the current healthcare system. The study emphasizes the need for efficient clinical strategies and reimbursement to address symptoms like pain, depression, and anxiety.
A new template for referral communication has been developed to improve communication among clinicians, increasing satisfaction, workload, and efficiency. The template addresses issues such as incomplete medical histories, delayed appointments, and phone tag between professionals.
A new study found that Agile Implementation reduced central-line associated blood stream infections by 30 percent, improving patient safety and reducing costs. The methodology enabled fast and effective implementation of evidence-based solutions, involving all stakeholders in the change management process.
Researchers from Regenstrief Institute and Indiana University Center for Aging Research develop IN-PEACE to improve dementia care and reduce caregiver stress through state-of-the-art symptom management. The initiative provides support by nurses and social workers to both patients and their family caregivers.
A systematic review and meta-analysis found that racial differences in colorectal cancer incidence are not due to biological factors. The study suggests that screening should begin at age 50 regardless of race, with consideration for individual risk factors and preferences. Improved access to screening is crucial to reducing disparitie...
A new study found that providing nursing homes with increased Medicare payments can reduce avoidable hospitalizations by up to 33%. The OPTIMISTIC program aims to keep frail older adults in their familiar surroundings, staffed by providers who know them, and provide comprehensive care on-site.
The IU School of Medicine and Regenstrief Institute will receive $3.4 million over five years from AHRQ and PCORI to train researchers in patient-centered outcomes research within learning health systems. The goal is to improve quality of care and patient outcomes by integrating research into daily care.
A new $3 million NIA-funded study is examining the impact of early dementia screening on caregivers of older adults. Researchers aim to determine whether screening prepares family members for a caregiving role or depresses them, and if providing state-of-the-science diagnostic care and management can reduce caregiver burden.
A large study found that commencing treatment for sleep apnea after a stroke significantly improves speech impairment, neurological symptoms, and physical functioning. The diagnosis and treatment of sleep apnea with CPAP therapy provides benefits greater than the FDA-approved drug treatment for stroke.
A recent study from Regenstrief Institute found that a patient's diagnosis is not the primary factor in determining whether a nursing home resident needs to be hospitalized. Instead, coordinated care systems and quality improvement opportunities are crucial in preventing unnecessary hospitalizations. The study highlighted gaps in commu...