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Marcia M. Ward
University of Iowa
NursingHealth careTelemedicineFamily medicineMedicine
155Publications
34H-index
3,461Citations
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Publications 153
Newest
#1Xi Zhu (UI: University of Iowa)H-Index: 5
#2Kimberly A S Merchant (UI: University of Iowa)H-Index: 2
Last. Marcia M. Ward (UI: University of Iowa)H-Index: 34
view all 6 authors...
Background: The low volume and the intermittent nature of serious emergencies presenting to rural emergency departments (EDs) make it difficult to plan and deliver pertinent professional training. Telemedicine provides multiple avenues for training rural ED clinicians. This study examines how telemedicine contributes to professional training in rural EDs through both structured and unstructured approaches. Methods: This qualitative study examined training experiences in 18 hospitals located in 6...
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#1Nabil Natafgi (UI: University of Iowa)H-Index: 6
#2Nicholas M. Mohr (Roy J. and Lucille A. Carver College of Medicine)H-Index: 15
Last. Marcia M. Ward (UI: University of Iowa)H-Index: 34
view all 5 authors...
PURPOSE: To study the relationship between the availability and activation of emergency department-based telemedicine (teleED) and patient disposition in Critical Access Hospitals (CAHs). METHODS: A non randomized stepped wedge design examined 133,396 ED visits in 15 CAHs that subscribe to a single teleED provider. Data were available for at least 12 months prior to teleED implementation and at least 12 months of post-implementation. Primary analyses were conducted using multinomial logistic reg...
2 CitationsSource
#1Christina L. Cifra (Roy J. and Lucille A. Carver College of Medicine)H-Index: 4
#2Erik Westlund (UI: University of Iowa)H-Index: 1
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Background Timely diagnosis of pediatric sepsis remains elusive. We estimated the risk of potentially missed pediatric sepsis in US emergency departments (EDs) and determined factors associated with its occurrence. Methods In a retrospective study of linked inpatient and ED records from four states using administrative data (excluding 40% with missing identifiers), we identified children admitted with severe sepsis and/or septic shock who had at least one ED treat-and-release visit in the 7 days...
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#2Marcia M. Ward (UI: University of Iowa)H-Index: 34
Last. Nicholas M. Mohr (Roy J. and Lucille A. Carver College of Medicine)H-Index: 15
view all 6 authors...
Introduction: Acute myocardial infarction (AMI) is a time-sensitive condition. Meeting guideline-recommended time metrics for these patients can be challenging in rural emergency departments (EDs)....
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#1Nicholas M. Mohr (UI: University of Iowa)H-Index: 15
#2Kalyn D Campbell (UI: University of Iowa)
Last. Marcia M. Ward (UI: University of Iowa)H-Index: 34
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IntroductionSepsis is a life-threatening emergency. Together, early recognition and intervention decreases mortality. Protocol-based resuscitation in the emergency department (ED) has improved surv...
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#1Marcia M. WardH-Index: 34
view all 10 authors...
#1Paula Weigel (UI: University of Iowa)H-Index: 10
#2Divya Bhagianadh (UI: University of Iowa)
Last. Marcia M. Ward (UI: University of Iowa)H-Index: 34
view all 8 authors...
IntroductionChallenges accessing behavioural health services in rural and underserved areas are compounded by severe shortages of behavioural health specialists, and difficulties placing patients. ...
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#1Morgan B. Swanson (UI: University of Iowa)H-Index: 2
#2Aspen C Miller (UI: University of Iowa)
Last. Nicholas M. Mohr (UI: University of Iowa)H-Index: 15
view all 6 authors...
IntroductionTelemedicine can improve access to emergency stroke care in rural areas, but the benefit of telemedicine across different types and models of telemedicine networks is unknown. The objec...
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#1Jayamalathi Priyanka Vakkalanka (UI: University of Iowa)
#2Karisa K. Harland (UI: University of Iowa)H-Index: 15
Last. Nicholas M. MohrH-Index: 15
view all 9 authors...
Objective The purpose of this study was to evaluate the impact of telemedicine in clinical management and patient outcomes of patients presenting to rural critical access hospital emergency departments (EDs) with suicidal ideation or attempt. Methods Retrospective propensity-matched cohort study of patients treated for suicidal attempt and ideation in 13 rural critical access hospital EDs participating in a telemedicine network. Patients for whom telemedicine was used were matched 1:1 to those w...
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#1Catherine Chioreso (UI: University of Iowa)H-Index: 3
#2Xiang Gao (UI: University of Iowa)
Last. Mary E. Charlton (UI: University of Iowa)H-Index: 15
view all 9 authors...
OBJECTIVE: To determine factors associated with rectal cancer surgery performed at high-volume hospitals (HVHs) and by high-volume surgeons (HVSs), including the roles of rurality and diagnostic colonoscopy provider characteristics. SUMMARY OF BACKGROUND DATA: Although higher-volume hospitals/surgeons often achieve superior surgical outcomes, many rectal cancer resections are performed by lower-volume hospitals/surgeons, especially among rural populations. METHODS: Patients age 66+ diagnosed fro...
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