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Larry A. Nathanson, M.D.

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Department
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Biography
Boston University, Boston, MABA05/1991Computer Medical Science
SUNY Downstate, Brooklyn, NYMD06/1996Medicine
Medical College of Pennsylvania, Philadelphia, PA06/1999Emergency Medicine
Harvard Medical School, Boston, MA06/2001Clinical Informatics
1995
MetPath: "Computers in the Curriculum Project"
1999
Resident Award in Toxicology
2006
"Investing in Information" Award

Overview
Larry A Nathanson, MD, is a board certified emergency physician at Beth Israel Deaconess Medical Center (Boston, Massachusetts) and is the director of Emergency Medical Informatics for the Department of Emergency Medicine. Besides his clinical responsibilities treating patients, he develops computer applications to support emergency care. He received a bachelor's degree in "Computer Medical Science" from Boston University, his medical degree from SUNY Downstate in Brooklyn and trained in Emergency Medicine at the Medical College of Pennsylvania in Philadelphia. He has also completed an NIH sponsored Medical Informatics fellowship at the Center for Clinical Computing, Beth Israel Deaconess Medical Center and Harvard Medical School. He currently holds a faculty appointment as Assistant Professor of Emergency Medicine at Harvard Medical School. Dr. Nathanson is the architect and programmer of the "ED Dashboard", the ED information system that is used at BIDMC. This software integrates data from the ED and many different areas of the hospital to give clinicians the ability to better communicate, monitor the department, improve patient safety and streamline the delivery of emergency care. This technology and the positive effects it has had patient care has been featured on CNN, in Newsweek and other national publications. He is also one of the principal authors of ECG Wave-maven (http://ecg.bidmc.harvard.edu) which includes a collection of 500+ challenging ECG tracings with explanations and teaching. It is one of the top 10 Google hits for "ECG Cases" (out of 30+ million).

Bibliographic
Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
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PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media. (Note that publications are often cited in additional ways that are not shown here.) Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication. Translation tags are based on the publication type and the MeSH terms NLM assigns to the publication. Some publications (especially newer ones and publications not in PubMed) might not yet be assigned Field or Translation tags.) Click a Field or Translation tag to filter the publications.
  1. Robinson KA, Thiels CA, Stokes S, Duncan S, Feranil M, Fleishman A, Cook CH, Nathanson LA, Huang LC, Habermann EB, Brat GA. Comparing Clinician Consensus Recommendations to Patient-reported Opioid Use Across Multiple Hospital Systems. Ann Surg. 2020 Jun 24. PMID: 32590547.
    Citations:    
  2. Mechanic OJ, Kurtzman ND, Chiu DT, Nathanson LA, Berkowitz SJ. Point of Care Image Capture with a Custom Smartphone Application: Experience with an Encounter-Based Workflow. J Digit Imaging. 2020 02; 33(1):83-87. PMID: 31144150.
    Citations:    
  3. Redfield C, Tlimat A, Halpern Y, Schoenfeld DW, Ullman E, Sontag DA, Nathanson LA, Horng S. Derivation and validation of a machine learning record linkage algorithm between emergency medical services and the emergency department. J Am Med Inform Assoc. 2020 01 01; 27(1):147-153. PMID: 31605488.
    Citations:    
  4. Horng S, Joseph JW, Calder S, Stevens JP, O'Donoghue AL, Safran C, Nathanson LA, Leventhal EL. Assessment of Unintentional Duplicate Orders by Emergency Department Clinicians Before and After Implementation of a Visual Aid in the Electronic Health Record Ordering System. JAMA Netw Open. 2019 12 02; 2(12):e1916499. PMID: 31790566.
    Citations:    
  5. Greenbaum NR, Jernite Y, Halpern Y, Calder S, Nathanson LA, Sontag DA, Horng S. Improving documentation of presenting problems in the emergency department using a domain-specific ontology and machine learning-driven user interfaces. Int J Med Inform. 2019 12; 132:103981. PMID: 31605881.
    Citations:    
  6. Horng S, Greenbaum NR, Nathanson LA, McClay JC, Goss FR, Nielson JA. Consensus Development of a Modern Ontology of Emergency Department Presenting Problems-The Hierarchical Presenting Problem Ontology (HaPPy). Appl Clin Inform. 2019 05; 10(3):409-420. PMID: 31189204.
    Citations:    
  7. Leventhal EL, Nathanson LA, Landry AM. Variations in Opioid Prescribing Behavior by Physician Training. West J Emerg Med. 2019 May; 20(3):428-432. PMID: 31123541.
    Citations:    
  8. Kim E, Torous J, Horng S, Grossestreuer AV, Rodriguez J, Lee T, Nathanson LA. Mobile device ownership among emergency department patients. Int J Med Inform. 2019 06; 126:114-117. PMID: 31029252.
    Citations:    
  9. Gavin M, Landon B, Lu J, Ganjehei L, Ho K, Nathanson L, Ullman E, Grossman S, Zimetbaum P. A combined care model using early access to specialists off-hours to reduce cardiac admissions. Intern Emerg Med. 2019 09; 14(6):973-979. PMID: 30919209.
    Citations:    
  10. Joseph JW, Stenson BA, Dubosh NM, Wong ML, Chiu DT, Fisher J, Nathanson LA, Sanchez LD. The Effect of Signed-Out Emergency Department Patients on Resident Productivity. J Emerg Med. 2018 08; 55(2):244-251. PMID: 29954634.
    Citations:    Fields:    Translation:Humans
  11. Joseph JW, Davis S, Wilker EH, Wong ML, Litvak O, Traub SJ, Nathanson LA, Sanchez LD. Modelling attending physician productivity in the emergency department: a multicentre study. Emerg Med J. 2018 May; 35(5):317-322. PMID: 29545355.
    Citations:    Fields:    Translation:Humans
  12. Joseph JW, Chiu DT, Wong ML, Rosen CL, Nathanson LA, Sanchez LD. Experience Within the Emergency Department and Improved Productivity for First-Year Residents in Emergency Medicine and Other Specialties. West J Emerg Med. 2018 Jan; 19(1):128-133. PMID: 29383067.
    Citations:    Fields:    Translation:Humans
  13. Sanchez LD, Chiu DT, Nathanson L, Horng S, Wolfe RE, Zeidel ML, Boyd K, Tibbles C, Calder S, Dufresne J, Yang JJ. A Model for Electronic Handoff Between the Emergency Department and Inpatient Units. J Emerg Med. 2017 Jul; 53(1):142-150. PMID: 28506546.
    Citations: 1     Fields:    Translation:Humans
  14. Joseph JW, Novack V, Wong ML, Nathanson LA, Sanchez LD. Do Slow and Steady Residents Win the Race? Modeling the Effects of Peak and Overall Resident Productivity in the Emergency Department. J Emerg Med. 2017 Aug; 53(2):252-259. PMID: 28412072.
    Citations: 1     Fields:    Translation:Humans
  15. Horng S, Sontag DA, Halpern Y, Jernite Y, Shapiro NI, Nathanson LA. Creating an automated trigger for sepsis clinical decision support at emergency department triage using machine learning. PLoS One. 2017; 12(4):e0174708. PMID: 28384212.
    Citations: 4     Fields:    Translation:Humans
  16. Joseph JW, Henning DJ, Strouse CS, Chiu DT, Nathanson LA, Sanchez LD. Modeling Hourly Resident Productivity in the Emergency Department. Ann Emerg Med. 2017 Aug; 70(2):185-190.e6. PMID: 28110994.
    Citations: 3     Fields:    Translation:Humans
  17. Nelson P, Bell AJ, Nathanson L, Sanchez LD, Fisher J, Anderson PD. Ethnographic analysis on the use of the electronic medical record for clinical handoff. Intern Emerg Med. 2017 Dec; 12(8):1265-1272. PMID: 27832465.
    Citations: 1     Fields:    Translation:Humans
  18. Joseph JW, Chiu DT, Nathanson LA, Horng S. A rules based algorithm to generate problem lists using emergency department medication reconciliation. Int J Med Inform. 2016 10; 94:117-22. PMID: 27573319.
    Citations:    Fields:    Translation:Humans
  19. Chiu DT, Solano JJ, Ullman E, Pope J, Tibbles C, Horng S, Nathanson LA, Fisher J, Rosen CL. The Integration of Electronic Medical Student Evaluations Into an Emergency Department Tracking System is Associated With Increased Quality and Quantity of Evaluations. J Emerg Med. 2016 Oct; 51(4):432-439. PMID: 27372377.
    Citations:    Fields:    Translation:Humans
  20. Horng S, Pezzella L, Tibbles CD, Wolfe RE, Hurst JM, Nathanson LA. Prospective evaluation of daily performance metrics to reduce emergency department length of stay for surgical consults. J Emerg Med. 2013 Feb; 44(2):519-25. PMID: 22633760.
    Citations: 1     Fields:    Translation:Humans
  21. Callaway DW, Peabody CR, Hoffman A, Cote E, Moulton S, Baez AA, Nathanson L. Disaster mobile health technology: lessons from Haiti. Prehosp Disaster Med. 2012 Apr; 27(2):148-52. PMID: 22588429.
    Citations: 3     Fields:    Translation:Humans
  22. Horng S, Goss FR, Chen RS, Nathanson LA. Prospective pilot study of a tablet computer in an Emergency Department. Int J Med Inform. 2012 May; 81(5):314-9. PMID: 22226927.
    Citations: 12     Fields:    Translation:Humans
  23. Handel DA, Wears RL, Nathanson LA, Pines JM. Using information technology to improve the quality and safety of emergency care. Acad Emerg Med. 2011 Jun; 18(6):e45-51. PMID: 21676049.
    Citations: 11     Fields:    Translation:Humans
  24. Kaji AH, Lewis RJ, Beavers-May T, Berg R, Bulger E, Cairns C, Callaway C, Camargo CA, Carcillo J, DeBiasi R, Diaz T, Ducharme F, Glickman S, Heilpern K, Hickey R, Hoek TV, Hollander J, Janson S, Jurkovich G, Kellermann A, Kingsmore S, Kline J, Kuppermann N, Lowe R, McLario D, Nathanson L, Nichol G, Peitzman A, Richardson L, Sanders A, Shah M, Shapiro N, Silverman R, Than M, Wilber S, Yealy DM. Summary of NIH Medical-Surgical Emergency Research Roundtable held on April 30 to May 1, 2009. Ann Emerg Med. 2010 Nov; 56(5):522-37. PMID: 21036293.
    Citations: 8     Fields:    Translation:HumansPHPublic Health
  25. Leffler DA, Kheraj R, Garud S, Neeman N, Nathanson LA, Kelly CP, Sawhney M, Landon B, Doyle R, Rosenberg S, Aronson M. The incidence and cost of unexpected hospital use after scheduled outpatient endoscopy. Arch Intern Med. 2010 Oct 25; 170(19):1752-7. PMID: 20975024.
    Citations: 17     Fields:    Translation:Humans
  26. Ganz A, Yu X, Schafer J, D'Hauwe S, Nathanson LA, Burstein J, Ciottone GR, Lord G. DIORAMA: dynamic information collection and resource tracking architecture. Annu Int Conf IEEE Eng Med Biol Soc. 2010; 2010:386-9. PMID: 21097191.
    Citations:    Fields:    Translation:Humans
  27. Gangavati AS, Kiely DK, Kulchycki LK, Wolfe RE, Mottley JL, Kelly SP, Nathanson LA, Abrams AP, Lipsitz LA. Prevalence and characteristics of traumatic intracranial hemorrhage in elderly fallers presenting to the emergency department without focal findings. J Am Geriatr Soc. 2009 Aug; 57(8):1470-4. PMID: 19558474.
    Citations: 5     Fields:    Translation:Humans
  28. Yli-Hietanen J, Niiranen S, Aswell M, Nathanson L. Domain-specific analytical language modeling--the chief complaint as a case study. Int J Med Inform. 2009 Dec; 78(12):e27-30. PMID: 19307149.
    Citations: 1     Fields:    Translation:Humans
  29. Niiranen ST, Yli-Hietanen JM, Nathanson LA. Toward reflective management of emergency department chief complaint information. IEEE Trans Inf Technol Biomed. 2008 Nov; 12(6):763-7. PMID: 19000956.
    Citations: 1     Fields:    Translation:Humans
  30. Berkman M, Ufberg J, Nathanson LA, Shapiro NI. Anion gap as a screening tool for elevated lactate in patients with an increased risk of developing sepsis in the Emergency Department. J Emerg Med. 2009 May; 36(4):391-4. PMID: 18815002.
    Citations: 4     Fields:    Translation:HumansPHPublic Health
  31. Aswell MS, Niiranen ST, Nathanson LA. Enhanced normalization of emergency department chief complaints. AMIA Annu Symp Proc. 2007 Oct 11; 864. PMID: 18693966.
    Citations:    Fields:    Translation:Humans
  32. McGillicuddy DC, Shah KH, Friedberg RP, Nathanson LA, Edlow JA. How sensitive is the synovial fluid white blood cell count in diagnosing septic arthritis? Am J Emerg Med. 2007 Sep; 25(7):749-52. PMID: 17870475.
    Citations: 12     Fields:    Translation:Humans
  33. Shah K, Spear J, Nathanson LA, McCauley J, Edlow JA. Does the presence of crystal arthritis rule out septic arthritis? J Emerg Med. 2007 Jan; 32(1):23-6. PMID: 17239729.
    Citations: 17     Fields:    Translation:HumansCells
  34. Shapiro NI, Howell MD, Talmor D, Nathanson LA, Lisbon A, Wolfe RE, Weiss JW. Serum lactate as a predictor of mortality in emergency department patients with infection. Ann Emerg Med. 2005 May; 45(5):524-8. PMID: 15855951.
    Citations: 123     Fields:    Translation:Humans
  35. Davidson SJ, Zwemer FL, Nathanson LA, Sable KN, Khan AN. Where's the beef? The promise and the reality of clinical documentation. Acad Emerg Med. 2004 Nov; 11(11):1127-34. PMID: 15528575.
    Citations: 7     Fields:    Translation:Humans
  36. McClennen S, Nathanson LA, Safran C, Goldberger AL. ECG Wave-Maven: An Internet-based Electrocardiography Self-Assessment Program for Students and Clinicians. Med Educ Online. 2003 Dec; 8(1):4339. PMID: 28253171.
    Citations:    Fields:    
  37. Shah K, Nathanson LA. Liver and Biliary Tree. Emergency Medicine Secrets Ed. Markovchick, Pons. 2003.
  38. Li J, Nathanson LA, Mills TJ, Netland KE, Paula R, Ragland D. Alteplase for stroke. Patients and doctors are being misled by promotional pressures. BMJ. 2002 Jun 29; 324(7353):1581; author reply 1581. PMID: 12092605.
    Citations:    Fields:    Translation:Humans
  39. Nathanson LA, Safran C, McClennen S, Goldberger AL. ECG Wave-Maven: a self-assessment program for students and clinicians. Proc AMIA Symp. 2001; 488-92. PMID: 11825236.
    Citations: 2     Fields:    Translation:Humans
  40. Schoenberg R, Nathanson L, Safran C, Sands DZ. Weaving the Web into legacy information systems. Proc AMIA Symp. 2000; 769-73. PMID: 11079988.
    Citations:    Fields:    
  41. Nathanson LA, Sands DZ, Rind DM. Sharing ECG Data in Realtime via the Internet. Proc AMIA Symp. 2000; 1100.
  42. Martin IJ, Bailey IS, Rhodes M, O'Rourke N, Nathanson L, Fielding G. Towards T-tube free laparoscopic bile duct exploration: a methodologic evolution during 300 consecutive procedures. Ann Surg. 1998 Jul; 228(1):29-34. PMID: 9671063.
    Citations:    
  43. Gotley DC, Smithers BM, Rhodes M, Menzies B, Branicki FJ, Nathanson L. Laparoscopic Nissen fundoplication--200 consecutive cases. Gut. 1996 Apr; 38(4):487-91. PMID: 8707074.
    Citations:    
  44. Rhodes M, Rudd M, O'Rourke N, Nathanson L, Fielding G. Laparoscopic splenectomy and lymph node biopsy for hematologic disorders. Ann Surg. 1995 Jul; 222(1):43-6. PMID: 7618967.
    Citations:    
  45. Nathanson L. Minister's Masterpiece Missing Mathematical Message?. MD Comput. 1991; 8:348.
  46. Nathanson L, Schoenfeld D, Regelson W, Colsky J, Mittelman A. Prospective comparison of intralesional and multipuncture BCG in recurrent intradermal melanoma. Cancer. 1979 May; 43(5):1630-5. PMID: 376098.
    Citations:    
  47. Costanza ME, Nathanson L, Schoenfeld D, Wolter J, Colsky J, Regelson W, Cunningham T, Sedransk N. Results with methyl-CCNU and DTIC in metastatic melanoma. Cancer. 1977 Sep; 40(3):1010-5. PMID: 332319.
    Citations:    
  48. Nathanson L, Fishman WH. New observations on the Regan isoenzyme of alkaline phosphatase in cancer patients. Cancer. 1971 Jun; 27(6):1388-97. PMID: 5088216.
    Citations:    
  49. Nathanson L, Hall TC, Schilling A, Miller S. Concurrent combination chemotherapy of human solid tumors: experience with a three-drug regimen and review of the literature. Cancer Res. 1969 Feb; 29(2):419-25. PMID: 4885390.
    Citations:    
  50. Nathanson L, Hall TC, Farber S. Biological aspects of human malignant melanoma. Cancer. 1967 May; 20(5):650-5. PMID: 6024277.
    Citations:    
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Funded by the NIH National Center for Advancing Translational Sciences through its Clinical and Translational Science Awards Program, grant number UL1TR002541.