Director, Critical Care Service, Duke Raleigh Hospital
Department / Division
Anesthesiology /
Duke Health Raleigh
Address
Duke Raleigh Hospital
3400 Wake Forest Road
Raleigh, NC 27609
DUMC 3094
Durham, NC 27710
Office Telephone
919-954-3969
Fax Telephone
919-954-3967
Clinical Interests
Perioperative management of critically ill patients, trauma, neurologic intensive care, acute and chronic respiratory insufficiency and failure, systemic inflammatory response syndrome and sepsis, process and systems of critical care, telemedicine
Research Interests
The critical care services (CCS) environment is complex clinically and administratively. As is generally known, CCS consume very large proportions of health care expenditures in the US. Regionalization, telemedicine applications, professional staffing models and related system issues have all been explored as avenues for acheiving optimal outcomes in a cost-effective way. While many of these approaches have logical appeal, data demonstrating the effectiveness of such measures is sparse at best. With "Comparative Effectiveness" and "Pay-for-Performance" initiatives underway on many levels, knowledge of which interventions, system elements, and practice models have positive, cost-effective impacts on outcome will be required. Additionally, the importance of care processes across the integrated health system in enhancing patient safety and outcomes is becoming increasingly apparent. Collaboration across many disciplines (health management, human factors engineering, IT systems, and clinical medicine) will be required. I have looked at the application of specific monitoring technologies (cardiac telemetry and continuous pulse oximetry) in general care (non- ICU) areas and their impact on "throughput" and ICU admission/readmission rates, and I continue to be interested in technical, clinical, and administrative process improvement as a means to improve cost/benefit in critical care.
Other interests: Trauma care; Coagulation disturbances in trauma and critical illness; Sepsis/SIRS effects on endothelial function; Severity adjustment systems and outcomes; Pre-Hospital EMS systems
This faculty member has no reported relationships with industry.
Representative Publications
Ochroch EA, Russell MW, Hanson WC 3rd, Devine GA, Cucchiara AJ, Weiner MG, Schwartz SJ. The impact of continuous pulse oximetry monitoring on intensive care unit admissions from a postsurgical care floor. Anesth Analg. 2006 Mar;102(3):868-75.
(2006)
Abstract
Curry JP, Hanson CW 3rd, Russell MW, Hanna C, Devine G, Ochroch EA. The use and effectiveness of electrocardiographic telemetry monitoring in a community hospital general care setting. Anesth Analg. 2003 Nov;97(5):1483-7.
(2003)
Abstract
