2024
“Let Us Take Care of the Medicine”: A Qualitative Analysis of Physician Communication When Caring for Febrile Infants
Gutman C, Fernandez R, McFarlane A, Krajewski J, Lion K, Aronson P, Bylund C, Holmes S, Fisher C. “Let Us Take Care of the Medicine”: A Qualitative Analysis of Physician Communication When Caring for Febrile Infants. Academic Pediatrics 2024, 24: 949-956. PMID: 38458491, PMCID: PMC11705713, DOI: 10.1016/j.acap.2024.03.002.Peer-Reviewed Original ResearchPatient-centered communicationPatient-centerednessPhysicians' assumptionsEmergency departmentThematic analysis of interview transcriptsParent-physician interactionsAnalysis of interview transcriptsAcademic pediatric emergency departmentIdentification of themesPediatric emergency departmentHealth inequalitiesPhysician communicationThematic saturationPhysicians' perceptionsED physiciansHealth careSemistructured interviewsInfant guidelinesThematic analysisInterview transcriptsPhysiciansCareHealthMethods approachManagement of febrile infantsFormative evaluation of an emergency department clinical decision support system for agitation symptoms: a study protocol
Wong A, Nath B, Shah D, Kumar A, Brinker M, Faustino I, Boyce M, Dziura J, Heckmann R, Yonkers K, Bernstein S, Adapa K, Taylor R, Ovchinnikova P, McCall T, Melnick E. Formative evaluation of an emergency department clinical decision support system for agitation symptoms: a study protocol. BMJ Open 2024, 14: e082834. PMID: 38373857, PMCID: PMC10882402, DOI: 10.1136/bmjopen-2023-082834.Peer-Reviewed Original ResearchConceptsComputerised clinical decision supportED treatRestraint useExperiences of restraint useMental health-related visitsEmergency departmentPrevent agitationSystems-related factorsImprove patient experienceClinical decision support systemsRegional health systemClinical decision supportDe-escalation techniquesRandomised controlled trialsFormative evaluationPeer-reviewed journalsBest-practice guidanceAt-risk populationsCDS toolsThematic saturationED cliniciansPatient experienceED sitesHealth systemED physiciansUsing an artificial intelligence software improves emergency medicine physician intracranial haemorrhage detection to radiologist levels
Warman P, Warman A, Warman R, Degnan A, Blickman J, Smith D, McHale P, Coburn Z, McCormick S, Chowdhary V, Dash D, Sangal R, Vadhan J, Bueso T, Windisch T, Neves G. Using an artificial intelligence software improves emergency medicine physician intracranial haemorrhage detection to radiologist levels. Emergency Medicine Journal 2024, 41: 298-303. PMID: 38233106, DOI: 10.1136/emermed-2023-213158.Peer-Reviewed Original ResearchCranial CT scanEmergency physiciansIntracranial haemorrhageBoard-certified emergency physiciansCT scanYears of practice experienceNon-contrast cranial CT scansED physiciansClinical careImaging ReportingEP cohortArtificial intelligenceReader accuracyNon-contrastPatient outcomesRadiologistsRandom orderPhysiciansPatientsCohort
2023
Comparison of Diagnostic and Triage Accuracy of Ada Health and WebMD Symptom Checkers, ChatGPT, and Physicians for Patients in an Emergency Department: Clinical Data Analysis Study
Fraser H, Crossland D, Bacher I, Ranney M, Madsen T, Hilliard R. Comparison of Diagnostic and Triage Accuracy of Ada Health and WebMD Symptom Checkers, ChatGPT, and Physicians for Patients in an Emergency Department: Clinical Data Analysis Study. JMIR MHealth And UHealth 2023, 11: e49995. PMID: 37788063, PMCID: PMC10582809, DOI: 10.2196/49995.Peer-Reviewed Original ResearchConceptsTriage accuracyEmergency departmentAda HealthSymptom checkersED physiciansEffective health careIndependent physiciansHealth care workersSelf-reported clinical dataSelf-reported dataTriage ratingsPhysician reviewTriage recommendationsHealth careCare workersDeidentified dataPatient useResearch assistantsDiagnostic decision support systemED diagnosisTriage resultsTriage of patientsPhysiciansTriageHealthBehavioral Health Decision Support Systems and User Interface Design in the Emergency Department
Jones N, Song S, Thomasian N, Samuels E, Ranney M. Behavioral Health Decision Support Systems and User Interface Design in the Emergency Department. Applied Clinical Informatics 2023, 14: 705-713. PMID: 37673096, PMCID: PMC10482498, DOI: 10.1055/s-0043-1771395.Peer-Reviewed Original ResearchConceptsSingle academic health systemHigh-risk populationAcademic health systemAdult emergency physiciansPhysicians' prior experienceUniversity hospital systemClinical decision support systemAdult EDED physiciansPatient's likelihoodEmergency departmentPhysician familiarityEmergency physiciansMost physiciansED recidivismParticular patientPhysician workflowHealth systemPhysiciansHospital systemAlert contentSemistructured interviewsCareQualitative studyHealth decision support systemCorrelations among common emergency medicine physician performance measures: Mixed messages or balancing forces?
Scofi J, Underriner E, Sangal R, Rothenberg C, Patel A, Pickens A, Sather J, Parwani V, Ulrich A, Venkatesh A. Correlations among common emergency medicine physician performance measures: Mixed messages or balancing forces? The American Journal Of Emergency Medicine 2023, 72: 58-63. PMID: 37481955, DOI: 10.1016/j.ajem.2023.07.021.Peer-Reviewed Original Research
2022
Disparities and implicit bias in the management of low-risk febrile infants: a mixed methods study protocol
Gutman C, Lion K, Aronson P, Fisher C, Bylund C, McFarlane A, Lou X, Patterson M, Lababidi A, Fernandez R. Disparities and implicit bias in the management of low-risk febrile infants: a mixed methods study protocol. BMJ Open 2022, 12: e063611. PMID: 36127098, PMCID: PMC9490627, DOI: 10.1136/bmjopen-2022-063611.Peer-Reviewed Original ResearchConceptsLow-risk febrile infantsFebrile infantsEmergency departmentClinical carePediatric Emergency Medicine Collaborative Research CommitteeFlorida Institutional Review BoardLocal institutional review board approvalPediatric ED physiciansInstitutional review board approvalMultivariable logistic regressionCross-sectional studyPhysician-patient communicationReview board approvalClinical guideline implementationMethods study protocolInstitutional review boardMulticenter analysisPrimary outcomeED physiciansPhysician assessmentRecommended careGuideline implementationLumbar punctureStudy protocolEmergency settingUtilization of an Internal Medicine Triaging Resident in the Emergency Department Reduces Preventable Admissions and Improves Trainee Experiences
Saffo S, Rodwin B, Dalton R, Tarabar A, Merchant N. Utilization of an Internal Medicine Triaging Resident in the Emergency Department Reduces Preventable Admissions and Improves Trainee Experiences. Southern Medical Journal 2022, 115: 707-711. PMID: 36055659, DOI: 10.14423/smj.0000000000001434.Peer-Reviewed Original ResearchConceptsTransitions of careEmergency departmentHospital utilizationPreventable admissionsSingle-center pilot studyPatient safetyInitial patient managementIM traineesPatient care requirementsVeterans Affairs hospitalInternal medicine serviceGraduate Medical EducationIntegrated health systemInitial managementMedical admissionsED physiciansMedical patientsInpatient providersInpatient settingPatient managementTrainee experienceMedicine serviceCare requirementsED performance metricsSuboptimal communicationTraining Emergency Department Residents in the Management of Postpartum Hemorrhage: Comparison of Two Approaches [A183]
Casper S, Ray J, Galerneau F, Evans L, Slade M, Pal L. Training Emergency Department Residents in the Management of Postpartum Hemorrhage: Comparison of Two Approaches [A183]. Obstetrics And Gynecology 2022, 139: 53s-53s. DOI: 10.1097/01.aog.0000826008.96835.61.Peer-Reviewed Original ResearchManagement of PPHPostpartum hemorrhageObstetric careEmergency departmentED residentsYale-New Haven HospitalEmergency department residentsNew Haven HospitalRandomized control trialClinical skillsPre-intervention surveyClinical skills evaluationResidents' clinical skillsMaternal deathsObstetric providersED physiciansMaternal mortalityFurther interventionControl trialRapid interventionStudy designHemorrhageT-testBaseline knowledgeHospital
2021
Using community‐based participatory research methods to inform care for patients experiencing homelessness: An opportunity for resident education on health care disparities
Ryus CR, Yang D, Tsai J, Meldrum J, Ngaruiya C. Using community‐based participatory research methods to inform care for patients experiencing homelessness: An opportunity for resident education on health care disparities. AEM Education And Training 2021, 5: s121-s125. PMID: 34616985, PMCID: PMC8480493, DOI: 10.1002/aet2.10681.Peer-Reviewed Original ResearchCommunity-based participatory researchHealth disparitiesVulnerable patient groupCommunity-based participatory research methodsHealth care disparitiesSignificant medical concernLocal health disparitiesED careED physiciansPatient groupMedicine useChronic illnessHigh burdenCare disparitiesHealth outcomesPEH experiencesPremature deathDisproportionate burdenComplex social needsMedical concernsCareGraduate Medical EducationMeasure outcomesEM residentsCOVID-19 pandemicImproving Emergency Department Throughput Using Audit-and-Feedback With Peer Comparison Among Emergency Department Physicians
Scofi J, Parwani V, Rothenberg C, Patel A, Ravi S, Sevilla M, D'Onofrio G, Ulrich A, Venkatesh AK. Improving Emergency Department Throughput Using Audit-and-Feedback With Peer Comparison Among Emergency Department Physicians. Journal For Healthcare Quality 2021, 44: 69-77. PMID: 34570029, DOI: 10.1097/jhq.0000000000000329.Peer-Reviewed Original ResearchConceptsAdmission ratesEmergency department throughputEmergency physiciansMean timeUrban academic EDEmergency department physiciansMean admission rateLower admission ratesFirst study periodED physiciansAcademic EDDepartment physiciansPatient visitsPractice variationAdmissionPeer comparisonPhysiciansPhysician performanceStudy periodPatientsAcademic emergency physiciansReportAuditMinutesHoursDocumentation of Shared Decisionmaking in the Emergency Department
Chartash D, Sharifi M, Emerson B, Frank R, Schoenfeld EM, Tanner J, Brandt C, Taylor RA. Documentation of Shared Decisionmaking in the Emergency Department. Annals Of Emergency Medicine 2021, 78: 637-649. PMID: 34340873, DOI: 10.1016/j.annemergmed.2021.04.038.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overChildChild, PreschoolCommunicationDecision Making, SharedElectronic Health RecordsEmergency MedicineFemaleHumansInfantInfant, NewbornMaleMiddle AgedNatural Language ProcessingPhysician-Patient RelationsRetrospective StudiesSurveys and QuestionnairesYoung AdultConceptsPatient discussionsED notesPatient-centered communicationCommercial insurance statusEmergency department settingAdvanced practice providersMixed-effects logistic regressionLarge health systemEffects logistic regressionWhite patientsMale patientsBlack patientsED physiciansEmergency departmentProvider notesInsurance statusDepartment settingRetrospective analysisHigher oddsPractice providersLower oddsClinical practiceMultiple potential factorsLogistic regressionHealth systemHigh-Dose Buprenorphine Induction in the Emergency Department for Treatment of Opioid Use Disorder
Herring AA, Vosooghi AA, Luftig J, Anderson ES, Zhao X, Dziura J, Hawk KF, McCormack RP, Saxon A, D’Onofrio G. High-Dose Buprenorphine Induction in the Emergency Department for Treatment of Opioid Use Disorder. JAMA Network Open 2021, 4: e2117128. PMID: 34264326, PMCID: PMC8283555, DOI: 10.1001/jamanetworkopen.2021.17128.Peer-Reviewed Original ResearchConceptsOpioid use disorderEmergency departmentBuprenorphine inductionRespiratory depressionAdverse eventsUse disordersUntreated opioid use disorderSerious adverse eventsFurther prospective investigationLength of stayUrban emergency departmentSafety-net hospitalAdvanced practice practitionersElectronic health recordsUnique cliniciansSublingual buprenorphineBuprenorphine doseED visitsED encountersCase seriesED patientsED physiciansSupplemental oxygenMedian lengthUnique patientsMoving the needle on fall prevention: A Geriatric Emergency Care Applied Research (GEAR) Network scoping review and consensus statement
Hammouda N, Carpenter CR, Hung WW, Lesser A, Nyamu S, Liu S, Gettel C, Malsch A, Castillo EM, Forrester S, Souffront K, Vargas S, Goldberg EM, Network T. Moving the needle on fall prevention: A Geriatric Emergency Care Applied Research (GEAR) Network scoping review and consensus statement. Academic Emergency Medicine 2021, 28: 1214-1227. PMID: 33977589, PMCID: PMC8581064, DOI: 10.1111/acem.14279.Peer-Reviewed Original ResearchConceptsRecurrent fallsFall risk assessment toolsFall screening toolsEmergency medical services personnelSelf-reported fallsFall-related outcomesFall assessment toolsHigh-priority research focusMedical services personnelPreferred Reporting ItemsHealth services researchersAssessment toolRisk assessment toolHarmonizing definitionFall interventionsMultifactorial interventionED patientsED physiciansExercise programRisk stratificationOutcome ascertainmentEmergency departmentFalls screeningFall preventionConsensus statementUltrasound for Abdomen and FAST: Evaluation and Diagnosis
Moore C, Avila J, Combs J. Ultrasound for Abdomen and FAST: Evaluation and Diagnosis. 2021, 351-364. DOI: 10.1007/978-3-030-46839-2_32.Peer-Reviewed Original Research
2018
Assessment of Patient-Centered Approaches to Collect Sexual Orientation and Gender Identity Information in the Emergency Department
Haider A, Adler RR, Schneider E, Leitz T, Ranjit A, Ta C, Levine A, Harfouch O, Pelaez D, Kodadek L, Vail L, Snyder C, German D, Peterson S, Schuur JD, Lau BD. Assessment of Patient-Centered Approaches to Collect Sexual Orientation and Gender Identity Information in the Emergency Department. JAMA Network Open 2018, 1: e186506. PMID: 30646332, PMCID: PMC6324335, DOI: 10.1001/jamanetworkopen.2018.6506.Peer-Reviewed Original ResearchMeSH KeywordsAdultAttitude of Health PersonnelCohort StudiesData CollectionEmergency Medical ServicesEmergency Service, HospitalFemaleGender IdentityHealth PersonnelHumansMaleMedical RecordsMiddle AgedPatient SatisfactionPatient-Centered CareProfessional-Patient RelationsSexual and Gender MinoritiesSexual BehaviorUnited StatesYoung AdultConceptsGender minority patientsIllness severityMinority patientsGender identity informationOptimal patient-centered approachAssessment of patientsHigh patient satisfactionEmergency department settingPatient satisfaction measuresPatient-centered approachPatient-centered methodStakeholder advisory boardCohort studyED visitsED physiciansEligible adultsMean ageEmergency departmentPatient preferencesPatient satisfactionDepartment settingIntervention periodMAIN OUTCOMEPatientsSGM patients
2016
Initial Stroke Evaluation
Amin H, Schindler J. Initial Stroke Evaluation. 2016, 5-8. DOI: 10.1007/978-3-319-39605-7_2.ChaptersImpact of point-of-care ultrasonography on ED time to disposition for patients with nontraumatic shock
Hall MK, Taylor RA, Luty S, Allen IE, Moore CL. Impact of point-of-care ultrasonography on ED time to disposition for patients with nontraumatic shock. The American Journal Of Emergency Medicine 2016, 34: 1022-1030. PMID: 26988105, DOI: 10.1016/j.ajem.2016.02.059.Peer-Reviewed Original ResearchConceptsPOC ultrasonographyEmergency departmentNontraumatic shockCare ultrasonographyPropensity scorePropensity score matchElectronic health recordsHospital mortalityShock patientsPrompt diagnosisED arrivalED patientsED physiciansPoint of careRetrospective studyUnique patientsImpact of pointMean reductionPropensity score modelPatientsUltrasonographyED timeDiagnostic ultrasonographyCovariates of timeEvidence of reduction
2004
Diagnostic CT Scans: Assessment of Patient, Physician, and Radiologist Awareness of Radiation Dose and Possible Risks1
Lee CI, Haims AH, Monico EP, Brink JA, Forman HP. Diagnostic CT Scans: Assessment of Patient, Physician, and Radiologist Awareness of Radiation Dose and Possible Risks1. Radiology 2004, 231: 393-8. PMID: 15031431, DOI: 10.1148/radiol.2312030767.Peer-Reviewed Original ResearchConceptsED physiciansCT scanCancer riskRadiation doseChest radiographsMost ED physiciansPercent of patientsAbdominopelvic CT scansAssessment of patientsEmergency department physiciansU.S. academic medical centersAcademic medical centerFlank painAdult patientsRadiologist awarenessDepartment physiciansMedical CenterPatientsCT dosesPhysiciansLifetime cancer riskDoseScansRadiologistsRisk
1998
Screening for alcohol problems in emergency department patients with minor injury: results and recommendations for practice and policy
Degutis L. Screening for alcohol problems in emergency department patients with minor injury: results and recommendations for practice and policy. Contemporary Drug Problems 1998, 25: 463-475. DOI: 10.1177/009145099802500304.Peer-Reviewed Original ResearchMinor injuriesAlcohol problemsOverall screening ratesEmergency department patientsBlood alcohol concentrationPhysician screeningDepartment patientsUrban EDCAGE questionsED physiciansED settingScreening ratesOne-year periodAlcohol use frequencyInjuryAlcohol testPatientsAlcohol concentrationUse frequencyScreening processMultiple strategiesIndividual variationPhysiciansMonths
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