beth israel deaconess medical center a harvard medical school teaching hospital

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Utility and Safety of Invasive Lung Procedures

The chief investigator of this study has an interest in the safety and utility of invasive medical procedures related to lung disease and critical care. Research includes the evaluation and efficacy of invasive monitoring during routine procedures to optimize diagnostic and therapeutic objectives and optimize patient safety. Active research projects include the use of pleural manometry (measuring pressure within the chest) during diagnostic and therapeutic thoracenteses (removal of fluid from the chest). Researchers seek to establish the "optimal" conditions for performing thoracentesis in patients with problems of repeated abnormal accumulation of fluid within the chest, including conditions such as cancer and liver disease. The purpose of this research is to ensure relief of breathlesness and discomfort in patients.

Another area of active research is to evaluate the development and implementation of an inpatient Medical procedures service coupled with an innovative educational curriculum for Medial Residents in training. Using an electronic evaluation system, researchers will assess the utility of these services in teaching and performing invasive procedures to medical residents. Invasive procedures include central venous catheter placement and thoracentesis. The goal is to minimize the risk to patients and improve the quality of care to hospitalized medical patients. An online evaluation will track medical errors, and assess resident skill, knowledge and confidence. Complication rates will be compared to national published results. This project is supported by funds from the Stoneman Center for Quality Improvement.