Clinical Tools

Teaching and decision-support tools by Anthony Rosania, MD.

Clinical Tools

Chest Pain Workup HEART score with the ESC 0/1-hour high-sensitivity troponin algorithm, combined into a disposition with each pathway's miss rate. PE Workup Wells score, PERC rule, and D-dimer interval likelihood ratios (Kohn 2017) for a Bayesian post-test probability. GOLD COPD Exacerbation severity (Rome) with ED treatment, NIV and disposition; GOLD grade and A/B/E group; initial and follow-up inhaler therapy.

Educational & Informatics

How FHIR Apps Work How a tool opens from inside the chart and fills itself in, with live launches against a public test EHR. Usability Lab Six hands-on lessons: a hall of broken interfaces, spot-the-flaws, a usability M&M, a timed EHR shift, fix-it-yourself design, and the laws behind it. Herd Immunity Simulator Agent-based SIR outbreak model: adjust R₀, vaccination coverage, and pathogen (measles, COVID-19, flu, Ebola, smallpox). ED Boarding Simulator Monte Carlo of a 50-bed ED coupled to a 120-bed inpatient unit: watch boarders accumulate as noon-clustered IP discharges clear beds; tune admit rate, LOS, and transfer delay. GPT-2 Logit Lens What a language model "believes" at each of its 12 layers as it generates text.

UH Clinical Links and outside resources (OpenEvidence, EM:RAP, LITFL) are on clinicallinks.net.