Ahmed Otokiti

Mount Sinai Hospital

Background: With an increase in the number of artificial intelligence (AI) and machine learning (ML) algorithms available for clinical settings, appropriate model updating and implementation of updates are imperative to ensure applicability, reproducibility, and patient safety.

Objective: There is a low rate of online patient portal utilization in the U.S. This study aimed to utilize a machine learning approach to predict access to online medical records through a patient portal. Methods: This is a cross-sectional predictive machine learning algorithm-based study of Health Information National Trends datasets (Cycles 1...

Background Up to 60% of health care providers experience one or more symptoms of burnout. Perceived clinician burden resulting in burnout arises from factors such as electronic health record (EHR) usability or lack thereof, perceived loss of autonomy, and documentation burden leading to less clinical time with patients. Burnout can have detrimental...

The U.S, is considered the most culturally diverse nation in the world while at the same time, it is the only developed nation projected to attain the status of a "majority-minority nation" due to the increased rate of immigration. Like never before, physicians and health care providers are faced with the huge task of providing culturally competent...

The U.S remains the most culturally diverse nation in the world and New York City (NYC) is the largest, most populous, densely populated major city in the U.S. The New York region continues to be the leading metropolitan gateway for legal immigrants admitted into the United States. The multicultural nature of NYC is such that 36% of its population...

The inefficiencies of the healthcare sector continue to be a barrier to achieving the quadruple aim of healthcare quality improvement. The 4th Industrial Revolution has been characterized by rapid transformations due to information technology, data volume, ubiquity, and increased computer processing power. Despite all the promises and hopes of Digi...

BACKGROUND Up to 60% of health care providers experience one or more symptoms of burnout. Perceived clinician burden resulting in burnout arises from factors such as electronic health record (EHR) usability or lack thereof, perceived loss of autonomy, and documentation burden leading to less clinical time with patients. Burnout can have detrimental...

Objective: Our study aimed to determine the effect of the digital divide in the adoption of online patient portals by motivated patients who wish to improve their health outcomes through the use of the Internet and information technology to assess determinants of low adoption rates of online portals and to explore social media use as a correlation...

Purpose: The purpose of this paper is to provide insights into contemporary challenges associated with applying informatics and big data to healthcare quality improvement. Design/methodology/approach: This paper is a narrative literature review. Findings: Informatics serve as a bridge between big data and its applications, which include artifi...

Background: Orientation for new medical residents is challenging due to the diversity of prior experiences and cultural backgrounds and is compounded by a lack of orientation curricula that adequately addresses the needs of the medical residents to allow them to perform their duties in an efficient manner from the start. The beginning of residency...

The early months of residency training (EMCT) from July to September can be overwhelming for interns, or post-graduate year one (PGY1) residents. Traditional orientation may not be sufficient to ensure a smooth transition to residency. Interns are responsible for completing discharge summaries in most training hospitals but receive little or no pri...

The FRED device is a new generation flow diverter that is a “stent within a stent.” The Fred Pivotal study for treatment of wide necked intracranial aneurysms is currently ongoing in the US. As part of the study, our center has enrolled 11 patients who have been implanted with the device. Here we describe the current short and long term follow up....

Background The prognostic value of stress echocardiography (SE) in patients with complete bundle branch blocks (BBB) with normal left ventricular ejection fraction (LVEF) has not been well described. We sought to determine the prognostic value of SE in patients with BBB and normal LVEF.Methods We analyzed 7214 patients (58 ± 14 years; 57% female) w...

Rational: Availability of an on-site endovascular program for large vessel stroke decreases the time to acute treatment. Since expanding our program to a Manhattan hospital in July 2009, we have seen a decreased time to treatment. We hypothesize that the expansion was associated with improved discharge outcomes in patients with anterior circulation...

In patients with hypertension, heart failure, or coronary artery disease (CAD), obese patients have been shown to have a lower cardiac event rate compared with normal weight counterparts. This phenomenon has been termed the "obesity paradox." We sought to determine whether the obesity paradox exists in a cohort of patients referred for stress echoc...

Objectives/HypothesisTo characterize the anatomic distribution of lymphatic malformations of the upper airway.Study DesignCase series with chart review.SettingTertiary care referral center specializing in the diagnosis and treatment of vascular anomalies.MethodsA 7-year (2004-2011) retrospective chart review of patients with lymphatic malformations...