2017
Bouncing Back Elsewhere: Multilevel Analysis of Return Visits to the Same or a Different Hospital After Initial Emergency Department Presentation
Shy BD, Loo GT, Lowry T, Kim EY, Hwang U, Richardson LD, Shapiro JS. Bouncing Back Elsewhere: Multilevel Analysis of Return Visits to the Same or a Different Hospital After Initial Emergency Department Presentation. Annals Of Emergency Medicine 2017, 71: 555-563.e1. PMID: 28967514, DOI: 10.1016/j.annemergmed.2017.08.023.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overChildChild, PreschoolEmergency Service, HospitalFemaleHealth Information ExchangeHumansInfantInfant, NewbornMaleMiddle AgedMultilevel AnalysisOdds RatioPatient ReadmissionQuality Assurance, Health CareQuality ImprovementRetrospective StudiesTime FactorsYoung AdultConceptsED visitsSame hospitalReturn visitsOdds ratioHealth information exchangeInitial emergency department presentationEmergency department return visitsInitial ED visitED return visitsInitial ED presentationEmergency department presentationsConfidence intervalsHospital-level dataEarly revisitsED presentationsInitial visitMale sexSecond HospitalStudy EDPatient visitsAcademic hospitalHospital variablesHealth information exchange networkDifferent hospitalsHospital
2012
Characteristics of Emergency Department Patients Who Receive a Palliative Care Consultation
Grudzen CR, Hwang U, Cohen JA, Fischman M, Morrison RS. Characteristics of Emergency Department Patients Who Receive a Palliative Care Consultation. Journal Of Palliative Medicine 2012, 15: 396-399. PMID: 22468771, PMCID: PMC3391705, DOI: 10.1089/jpm.2011.0376.Peer-Reviewed Original ResearchConceptsPalliative care consultationEmergency departmentCare consultationsEmergency providersHospital stayPrimary palliative care skillsAcademic tertiary care hospitalUrban academic medical centerAdult ED patientsCharacteristics of patientsPalliative care skillsTertiary care hospitalPalliative care servicesPalliative care teamEmergency department patientsEmergency medicinePatient's hospital stayAcademic medical centerCare hospitalDepartment patientsED patientsPalliative careCare teamMedical CenterPalliative medicine
2011
Factors associated with delays to emergency care for bowel obstruction
Hwang U, Aufses AH, Bickell NA. Factors associated with delays to emergency care for bowel obstruction. The American Journal Of Surgery 2011, 202: 1-7. PMID: 21632032, DOI: 10.1016/j.amjsurg.2010.05.003.Peer-Reviewed Original ResearchConceptsSmall bowel obstructionFirst treatmentBowel obstructionSurgical resectionTertiary care medical centerEmergency department patientsPatient-related characteristicsHospital factorsIntestinal obstructionDepartment patientsED patientsRetrospective studyMedical recordsAdministrative databasesHospital careMedical CenterEmergency careGreater oddsPatientsObstructionResectionTreatmentCareEDFactors
2010
Emergency Department Patient Volume and Troponin Laboratory Turnaround Time
Hwang U, Baumlin K, Berman J, Chawla NK, Handel DA, Heard K, Livote E, Pines JM, Valley M, Yadav K. Emergency Department Patient Volume and Troponin Laboratory Turnaround Time. Academic Emergency Medicine 2010, 17: 501-507. PMID: 20536804, PMCID: PMC10570502, DOI: 10.1111/j.1553-2712.2010.00738.x.Peer-Reviewed Original ResearchConceptsED patient volumeLaboratory turnaround timePatient volumeTroponin testTertiary care EDRetrospective cohort reviewEmergency department visitsLength of stayEmergency department (ED) patient volumePrimary predictor variableNumber of boardersAdjusted covariatesAdult patientsCohort reviewDepartment visitsHospital-based laboratoriesPatient characteristicsAppropriate therapyIll patientsVolume measuresTurnaround timeSubstantial burdenTimely treatmentTriage severityED beds
2008
The Effect of Emergency Department Crowding on Clinically Oriented Outcomes
Bernstein SL, Aronsky D, Duseja R, Epstein S, Handel D, Hwang U, McCarthy M, McConnell K, Pines JM, Rathlev N, Schafermeyer R, Zwemer F, Schull M, Asplin BR, Medicine E. The Effect of Emergency Department Crowding on Clinically Oriented Outcomes. Academic Emergency Medicine 2008, 16: 1-10. PMID: 19007346, DOI: 10.1111/j.1553-2712.2008.00295.x.Peer-Reviewed Original ResearchConceptsDomains of qualityEmergency departmentED crowdingEffect of EDST-elevation myocardial infarctionTime-sensitive conditionsObjective clinical endpointsEnglish-language literatureEmergency department (ED) crowdingHospital mortalityAcute painCohort studyCase seriesMyocardial infarctionPatient satisfactionSingle institutionClinical endpointsClinical trialsStudy qualityMedical adviceMedicine reportMedical literaturePatientsCareBody of dataWhat Affects Time to Care in Emergency Room Appendicitis Patients?
Bickell NA, Hwang U, Anderson RM, Rojas M, Barsky CL. What Affects Time to Care in Emergency Room Appendicitis Patients? Medical Care 2008, 46: 417-422. PMID: 18362822, DOI: 10.1097/mlr.0b013e31815c1e66.Peer-Reviewed Original ResearchConceptsEmergency departmentAppendicitis patientsED LOSQuicker careSurgeon's diagnosisPrivate insuranceRetrospective observational studyTreatment of patientsTime-sensitive conditionsNonwhite patientsED lengthPatient factorsSpecialist consultationED staffingObservational studyMinority patientsPatientsED characteristicsIll individualsPatient safetyDiagnosisED qualityAppendicitisGreater numberModest effect
2006
The Effect of Emergency Department Crowding on the Management of Pain in Older Adults with Hip Fracture
Hwang U, Richardson LD, Sonuyi TO, Morrison RS. The Effect of Emergency Department Crowding on the Management of Pain in Older Adults with Hip Fracture. Journal Of The American Geriatrics Society 2006, 54: 270-275. PMID: 16460378, DOI: 10.1111/j.1532-5415.2005.00587.x.Peer-Reviewed Original ResearchConceptsPain assessmentEmergency departmentHip fractureED censusRisk factorsOlder adultsPatient-related risk factorsUnderassessment of painProspective cohort studyTertiary medical centerManagement of painTreatment of painNursing home residencePoor pain managementEmergency department (ED) crowdingAcute PhysiologyAnalgesic administrationComorbidity scoreCohort studyPain managementPain treatmentPhysiological scoreRetrospective reviewMean ageMeperidine use