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Larry A. Nathanson, M.D.

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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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  1. 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.
    View in: PubMed
  2. 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.
    View in: PubMed
  3. 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.
    View in: PubMed
  4. 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.
    View in: PubMed
  5. 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.
    View in: PubMed
  6. 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.
    View in: PubMed
  7. 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.
    View in: PubMed
  8. 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.
    View in: PubMed
  9. 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.
    View in: PubMed
  10. 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.
    View in: PubMed
  11. 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.
    View in: PubMed
  12. 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.
    View in: PubMed
  13. 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; PMCID: PMC3320696.
  14. 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.
    View in: PubMed
  15. 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.
    View in: PubMed
  16. 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.
    View in: PubMed
  17. 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. Conf Proc IEEE Eng Med Biol Soc. 2010; 2010:386-9. PMID: 21097191.
    View in: PubMed
  18. 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.
    View in: PubMed
  19. 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.
    View in: PubMed
  20. 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.
    View in: PubMed
  21. 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.
    View in: PubMed
  22. Aswell MS, Niiranen ST, Nathanson LA. Enhanced normalization of emergency department chief complaints. AMIA Annu Symp Proc. 2007 Oct 11; 864. PMID: 18693966.
    View in: PubMed
  23. 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.
    View in: PubMed
  24. 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.
    View in: PubMed
  25. 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.
    View in: PubMed
  26. 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.
    View in: PubMed
  27. 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.
    View in: PubMed
  28. Shah K, Nathanson LA. Liver and Biliary Tree. Emergency Medicine Secrets Ed. Markovchick, Pons. 2003.
  29. 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.
    View in: PubMed
  30. 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; PMCID: PMC2243537.
  31. Schoenberg R, Nathanson L, Safran C, Sands DZ. Weaving the Web into legacy information systems. Proc AMIA Symp. 2000; 769-73. PMID: 11079988; PMCID: PMC2243891.
  32. Nathanson LA, Sands DZ, Rind DM. Sharing ECG Data in Realtime via the Internet. Proc AMIA Symp. 2000; 1100.
  33. Nathanson L. Minister's Masterpiece Missing Mathematical Message?. MD Comput. 1991; 8:348.
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Funded by the NIH/NCATS Clinical and Translational Science Award (CTSA) program, grant number UL1TR001102, and through institutional support from Harvard University, Harvard Medical School, Harvard T.H. Chan School of Public Health, Beth Israel Deaconess Medical Center, Boston Children's Hospital, Brigham and Women's Hospital, Massachusetts General Hospital and the Dana Farber Cancer Institute.