Scholars@Duke
Nancy Wolters Knudsen

Nancy Wolters Knudsen

Professor of Anesthesiology
Anesthesiology, Critical Care Medicine
nancy.knudsen@dm.duke.edu
Box 3094 Med Ctr, Durham, NC
10 Medicine Circle, 6 West, Durham, NC 27710
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Selected Publications

Prospective Cohort Study on the Impact of Early Versus Late Inpatient Palliative Care on Length of Stay and Cost of Care.

Journal Article Am J Hosp Palliat Care · July 2023 Aim: To evaluate the impact of early vs late palliative care on (1) length of stay (LOS) in the context of expected LOS measures and (2) total cost of care to the hospital for each patient. Methods: A prospective cohort study was performed at a single larg ... Full text Link to item Cite

Creation of an asynchronous faculty development curriculum on well-written narrative assessments that avoid bias.

Journal Article BMC Med Educ · April 14, 2023 BACKGROUND: The COVID-19 pandemic in parallel with concerns about bias in grading resulted in many medical schools adopting pass/fail clinical grading and relying solely on narrative assessments. However, narratives often contain bias and lack specificity. ... Full text Link to item Cite

Physician Assistant Program Policies to Assess and Address Student Reports of Mistreatment During Clinical Training.

Journal Article J Physician Assist Educ · September 1, 2022 INTRODUCTION: Many physician assistant (PA) students experience mistreatment in clinical learning environments, and accredited PA programs are required to define, publish, and make readily available policies and procedures for student reports of mistreatme ... Full text Open Access Link to item Cite

Seeing is Believing: Inclusion of Biomedical Scientist Educators as Observers on Clinical Rounds.

Journal Article Med Sci Educ · June 2022 Increasingly, medical school curricula seek to integrate the biomedical and clinical sciences. Inclusion of the basic sciences into the clinical curricula is less robust than including clinical content early in medical school. We describe inclusion of biom ... Full text Open Access Link to item Cite

Implementation of Changes to Medical Student Documentation at Duke University Health System: Balancing Education With Service.

Journal Article Acad Med · June 1, 2021 PURPOSE: When the Centers for Medicare and Medicaid Services (CMS) changed policies about medical student documentation, students with proper supervision may now document their history, physical exam, and medical decision making in the electronic health re ... Full text Open Access Link to item Cite

Vital Conversations: An Interactive Conflict Resolution Training Session for Fourth-Year Medical Students.

Journal Article MedEdPORTAL · January 25, 2021 INTRODUCTION: The AAMC has recognized the importance of effective teamwork and collaboration. One core Entrustable Professional Activity emphasizes creating a climate of mutual respect and trust and prioritizing team needs over personal needs, which leads ... Full text Open Access Link to item Cite

Use of Mobile Technology to Provide Formative Feedback on Entrustable Professional Activities in Critical Care

Conference AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE · 2020 Cite

How Prepared Are Medical and Nursing Students to Identify Common Hazards in the Intensive Care Unit?

Journal Article Ann Am Thorac Soc · April 2017 RATIONALE: Care in the hospital is hazardous. Harm in the hospital may prolong hospitalization, increase suffering, result in death, and increase costs of care. Although the interprofessional team is critical to eliminating hazards that may result in adver ... Full text Open Access Link to item Cite

CaPOW! Using Problem Sets in a Capstone Course to Improve Fourth-Year Medical Students' Confidence in Self-Directed Learning.

Journal Article Acad Med · March 2017 PROBLEM: Despite the importance of self-directed learning (SDL) in the field of medicine, individuals are rarely taught how to perform SDL or receive feedback on it. Trainee skill in SDL is limited by difficulties with self-assessment and goal setting. APP ... Full text Open Access Link to item Cite

Standardized Instruction And Assessment For Urgent And Emergent Medical Conditions In The 4th Year Of Medical School

Conference AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE · January 1, 2015 Link to item Cite

Current teaching and evaluation methods in critical care medicine: has the Accreditation Council for Graduate Medical Education affected how we practice and teach in the intensive care unit?

Journal Article Crit Care Med · January 2009 OBJECTIVE: To determine the impact of the Accreditation Council for Graduate Medical Education mandates for duty hours and competencies on instruction, evaluation, and patient care in intensive care units in the United States. DESIGN: A Web-based survey wa ... Full text Link to item Cite

PEEP in the morning, PEEP at night.

Journal Article Crit Care Med · March 2007 Full text Link to item Cite

Two Sides to the Bed: Physician-Patient and Physician-Friend

Journal Article Clinical Pediatric Emergency Medicine · December 1, 2006 Errors can happen in the most accomplished of systems, and healthcare providers need a better understanding of what effect these errors have on patients, what we must do to respond to errors, and what we can do to prevent them. The authors describe a medic ... Full text Cite

Predictors of mortality in transferred ICU patients

Conference CRITICAL CARE MEDICINE · February 2003 Link to item Cite

Massive transfusion exceeding 50 units of blood products in trauma patients.

Journal Article J Trauma · August 2002 BACKGROUND: Massive transfusion of blood products in trauma patients can acutely deplete the blood bank. It was hypothesized that, despite a large allocation of resources to trauma patients receiving more than 50 units of blood products in the first 24 hou ... Full text Link to item Cite

Family communication enhanced by 24 hour in house intensivists

Journal Article CRITICAL CARE MEDICINE · December 1, 2000 Link to item Cite

Prospective Cohort Study on the Impact of Early Versus Late Inpatient Palliative Care on Length of Stay and Cost of Care.

Journal Article Am J Hosp Palliat Care · July 2023 Aim: To evaluate the impact of early vs late palliative care on (1) length of stay (LOS) in the context of expected LOS measures and (2) total cost of care to the hospital for each patient. Methods: A prospective cohort study was performed at a single larg ... Full text Link to item Cite

Creation of an asynchronous faculty development curriculum on well-written narrative assessments that avoid bias.

Journal Article BMC Med Educ · April 14, 2023 BACKGROUND: The COVID-19 pandemic in parallel with concerns about bias in grading resulted in many medical schools adopting pass/fail clinical grading and relying solely on narrative assessments. However, narratives often contain bias and lack specificity. ... Full text Link to item Cite

Physician Assistant Program Policies to Assess and Address Student Reports of Mistreatment During Clinical Training.

Journal Article J Physician Assist Educ · September 1, 2022 INTRODUCTION: Many physician assistant (PA) students experience mistreatment in clinical learning environments, and accredited PA programs are required to define, publish, and make readily available policies and procedures for student reports of mistreatme ... Full text Open Access Link to item Cite

Seeing is Believing: Inclusion of Biomedical Scientist Educators as Observers on Clinical Rounds.

Journal Article Med Sci Educ · June 2022 Increasingly, medical school curricula seek to integrate the biomedical and clinical sciences. Inclusion of the basic sciences into the clinical curricula is less robust than including clinical content early in medical school. We describe inclusion of biom ... Full text Open Access Link to item Cite

Implementation of Changes to Medical Student Documentation at Duke University Health System: Balancing Education With Service.

Journal Article Acad Med · June 1, 2021 PURPOSE: When the Centers for Medicare and Medicaid Services (CMS) changed policies about medical student documentation, students with proper supervision may now document their history, physical exam, and medical decision making in the electronic health re ... Full text Open Access Link to item Cite

Vital Conversations: An Interactive Conflict Resolution Training Session for Fourth-Year Medical Students.

Journal Article MedEdPORTAL · January 25, 2021 INTRODUCTION: The AAMC has recognized the importance of effective teamwork and collaboration. One core Entrustable Professional Activity emphasizes creating a climate of mutual respect and trust and prioritizing team needs over personal needs, which leads ... Full text Open Access Link to item Cite

Use of Mobile Technology to Provide Formative Feedback on Entrustable Professional Activities in Critical Care

Conference AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE · 2020 Cite

How Prepared Are Medical and Nursing Students to Identify Common Hazards in the Intensive Care Unit?

Journal Article Ann Am Thorac Soc · April 2017 RATIONALE: Care in the hospital is hazardous. Harm in the hospital may prolong hospitalization, increase suffering, result in death, and increase costs of care. Although the interprofessional team is critical to eliminating hazards that may result in adver ... Full text Open Access Link to item Cite

CaPOW! Using Problem Sets in a Capstone Course to Improve Fourth-Year Medical Students' Confidence in Self-Directed Learning.

Journal Article Acad Med · March 2017 PROBLEM: Despite the importance of self-directed learning (SDL) in the field of medicine, individuals are rarely taught how to perform SDL or receive feedback on it. Trainee skill in SDL is limited by difficulties with self-assessment and goal setting. APP ... Full text Open Access Link to item Cite

Standardized Instruction And Assessment For Urgent And Emergent Medical Conditions In The 4th Year Of Medical School

Conference AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE · January 1, 2015 Link to item Cite

Current teaching and evaluation methods in critical care medicine: has the Accreditation Council for Graduate Medical Education affected how we practice and teach in the intensive care unit?

Journal Article Crit Care Med · January 2009 OBJECTIVE: To determine the impact of the Accreditation Council for Graduate Medical Education mandates for duty hours and competencies on instruction, evaluation, and patient care in intensive care units in the United States. DESIGN: A Web-based survey wa ... Full text Link to item Cite

PEEP in the morning, PEEP at night.

Journal Article Crit Care Med · March 2007 Full text Link to item Cite

Two Sides to the Bed: Physician-Patient and Physician-Friend

Journal Article Clinical Pediatric Emergency Medicine · December 1, 2006 Errors can happen in the most accomplished of systems, and healthcare providers need a better understanding of what effect these errors have on patients, what we must do to respond to errors, and what we can do to prevent them. The authors describe a medic ... Full text Cite

Predictors of mortality in transferred ICU patients

Conference CRITICAL CARE MEDICINE · February 2003 Link to item Cite

Massive transfusion exceeding 50 units of blood products in trauma patients.

Journal Article J Trauma · August 2002 BACKGROUND: Massive transfusion of blood products in trauma patients can acutely deplete the blood bank. It was hypothesized that, despite a large allocation of resources to trauma patients receiving more than 50 units of blood products in the first 24 hou ... Full text Link to item Cite

Family communication enhanced by 24 hour in house intensivists

Journal Article CRITICAL CARE MEDICINE · December 1, 2000 Link to item Cite

Sedation in the intensive care unit.

Journal Article Crit Care Med · March 2000 OBJECTIVE: To describe the goals of sedative use in the intensive care unit and review the pharmacology of commonly used sedative drugs as well as to review pertinent publications in the literature concerning the comparative pharmacology of these drugs, wi ... Full text Link to item Cite

Cost containment in vascular surgery

Journal Article Seminars in Cardiothoracic and Vascular Anesthesia · January 1, 2000 In the last decade, the delivery of health care and the role of the physician have undergone radical change. With the advent of managed care and the tightening of restrictions by Medicare and insurance companies, physicians have been required to review, re ... Full text Cite

Streamlined critical care bed flow in a tertiary care medical center

Conference Critical Care Medicine · January 1, 1999 Introduction: A tertiary care hospital has experienced increasing level of patient acuity, high census levels, and high volume elective Operating Room schedules leading to patient flow difficulties. This culminated in significant elective OR delays in 1997 ... Full text Cite