2025
Exploring the complexity of homelessness in emergency medicine: Dissecting myths, evidence, and solutions
Shaw C, Janeway H, Preston‐Suni K, Ryus C. Exploring the complexity of homelessness in emergency medicine: Dissecting myths, evidence, and solutions. AEM Education And Training 2025, 9: s108-s115. PMID: 40308874, PMCID: PMC12038730, DOI: 10.1002/aet2.70016.Peer-Reviewed Original ResearchStructural competency frameworkEmergency medicineDidactic sessionsDelivering effective health careEconomic determinants of healthStructural competencyDeterminants of healthImprove health outcomesHealth care accessEffective health careCompetency frameworkImplement practical interventionsHealth disparitiesMoral distressCare accessEMS providersSuboptimal careEmergency careHealth outcomesHealth carePractice interventionsEmergency departmentMultidisciplinary teamContinuing educationCareDetection and differentiation of undiagnosed dementia in the emergency department: A pilot referral pathway
Gettel C, Galske J, Araujo K, Dresden S, Dussetschleger J, Iannone L, Lai J, Martin P, Mignosa B, Muschong K, Safdar B, Weintraub S, Hwang U. Detection and differentiation of undiagnosed dementia in the emergency department: A pilot referral pathway. Alzheimer's & Dementia 2025, 21: e70189. PMID: 40257011, PMCID: PMC12010273, DOI: 10.1002/alz.70189.Peer-Reviewed Original ResearchConceptsEmergency departmentClinician referralED cliniciansOutpatient referralsCognitive impairmentOutpatient evaluationCognitive evaluationOlder adult patientsUndiagnosed dementiaReferral pathwaysReporting such issuesEmergency careFollow-upReferral ratesCI screeningCognitive screeningOutpatient follow-upTelephone interviewsED patientsReferral statusReferralFollow-up challengesDementiaChart reviewOlder patientsDisparities in use of physical restraint and chemical sedation in the emergency department by patient housing status
Robinson L, Ryus C, Nath B, Kumar A, Desai R, Shah D, Faustino I, Wong A. Disparities in use of physical restraint and chemical sedation in the emergency department by patient housing status. PLOS ONE 2025, 20: e0319286. PMID: 40080507, PMCID: PMC11906057, DOI: 10.1371/journal.pone.0319286.Peer-Reviewed Original ResearchConceptsPatient's housing statusEmergency departmentHousing statusPhysical restraintSedative usePsychiatric emergency careAdverse health outcomesCross-sectional studyLogistic regression modelsRestraint ordersEmergency careHealth outcomesED visitsPatient raceYears of ageDescriptive statisticsHealthcare networkRegional healthcare networkChemical sedationHoused patientsDemographic factorsMarginalized populationsRegression modelsCareChief complaintTreating Transgender and Gender-Diverse Veterans in the Veterans Health Administration: 23 Years of Findings
Copeland L, Wolfe H, Jackson S, Buljubasic N, Kauth M, Hashemi L. Treating Transgender and Gender-Diverse Veterans in the Veterans Health Administration: 23 Years of Findings. LGBT Health 2025, 12: 363-371. PMID: 39964769, DOI: 10.1089/lgbt.2024.0314.Peer-Reviewed Original ResearchVeterans Health AdministrationHealth AdministrationVHA Corporate Data WarehouseDiagnosis codesHealth care typesHealth care accessBehavioral health careLevel of disabilityGender-affirming servicesMilitary service veteransCorporate Data WarehouseVHA careCare accessEmergency careTransgender veteransHealth careService veteransCare typeMarried statusInsufficient trainingCareSignificant barriersVeteransLogistic regressionOlder ageUse of Hallway Beds, Radiology Studies, and Patients in Pain on Arrival to the Emergency Department Are Associated With Patient Experience
Kuhn D, Pang P, Mazurenko O, Glober N, Lardaro T, Li X, Harle C, Musey P. Use of Hallway Beds, Radiology Studies, and Patients in Pain on Arrival to the Emergency Department Are Associated With Patient Experience. Annals Of Emergency Medicine 2025 PMID: 39831869, DOI: 10.1016/j.annemergmed.2024.11.020.Peer-Reviewed Original ResearchPatient experience scoresExperience scoresEmergency departmentPatient experiencePatient visitsAssociated with patient experiencePatient-centered emergency careCoordination of careRisk adjustmentRegional health systemUnique patient visitsCenters for MedicareDischarged ED patientsSurvey response rateExperience ratingCross-sectional studyMultivariable mixed-effects regressionPatient-centerednessMixed-effects regressionAfrican American patientsEmergency careHealth systemHallway bedsBed placementMedicaid insurance
2024
Why do we need quality measures in emergency medicine?
Das S, Miller G, Libby C, Gettel C, Rabin E, Lin M. Why do we need quality measures in emergency medicine? Journal Of The American College Of Emergency Physicians Open 2024, 5: e13329. PMID: 39697807, PMCID: PMC11652395, DOI: 10.1002/emp2.13329.Peer-Reviewed Original ResearchMerit-based incentive payment systemEmergency physiciansEmergency careQuality measuresPatient safety committeeImprove care deliveryAlternative payment modelsPracticing emergency physiciansReimbursement of careCenters for MedicareIncentive Payment SystemMeasure development processPhysician qualityCare deliveryEmergency medicineHealthcare servicesPayment modelsImpact reimbursementEmergency departmentAmerican CollegeCarePhysiciansReimbursementSafety CommitteePayment systemDaily care hours among older emergency department patients with dementia and undiagnosed cognitive impairment: a cross‐sectional study
Galske J, Chera T, Hwang U, Monin J, Venkatesh A, Lam K, Leggett A, Gettel C. Daily care hours among older emergency department patients with dementia and undiagnosed cognitive impairment: a cross‐sectional study. Alzheimer's & Dementia 2024, 20: e084065. PMCID: PMC11713880, DOI: 10.1002/alz.084065.Peer-Reviewed Original ResearchUndiagnosed cognitive impairmentDaily care hoursOlder ED patientsHours of careDiagnosing dementiaOlder adultsCare hoursInformal caregiversED patientsIntact cognitionEmergency careCaregivers of community-dwelling older adultsCognitive impairmentCaregivers of older adultsOlder emergency department patientsEmergency departmentCommunity-dwelling older adultsElectronic health recordsDiagnosis of dementiaIncreased emergency departmentCross-sectional studyCross-sectional analysisEmergency department patientsDegree of cognitive impairmentSupport caregiversCognitive screening in the emergency department: Agreement between the patient‐ and caregiver‐completed AD8
Galske J, Sather A, Chera T, Hwang U, Carpenter C, Gettel C. Cognitive screening in the emergency department: Agreement between the patient‐ and caregiver‐completed AD8. Alzheimer's & Dementia 2024, 20: e087105. PMCID: PMC11710470, DOI: 10.1002/alz.087105.Peer-Reviewed Original ResearchAscertain Dementia 8Intraclass correlation coefficientEmergency departmentOlder adultsCognitive impairmentCommunity-dwelling older adultsSelf-administered screening toolElectronic health recordsTrained research assistantsDiagnosis of dementiaChanges associated with dementiaOlder adult patientsAbsence of cognitive impairmentDementia diagnosisEmergency careED settingHealth recordsCognitive screeningCaregiversAnalytic sampleResearch assistantsScreening toolDementiaModerate agreementImpaired cognitionGEAR 2.0 ‐ Detection of Dementia and Cognitive Impairment
Hwang U. GEAR 2.0 ‐ Detection of Dementia and Cognitive Impairment. Alzheimer's & Dementia 2024, 20: e091835. PMCID: PMC11711980, DOI: 10.1002/alz.091835.Peer-Reviewed Original ResearchDetection of dementiaEmergency departmentOlder adultsED-based careImprove care coordinationUnder-recognitionAcute medical careIncreased health care costsRate of cognitive declineLower patient satisfactionCognitive declineHealth care costsAccelerated cognitive declineCare coordinationCare partnersEmergency carePatient safetyAvoidable visitsImplement interventionsInpatient servicesStaff's abilityCare costsMedical carePatient satisfactionCareScreening for Cognitive Impairment in the Emergency Department: Agreement between Older Adult Patient- and Informant-Completed Ascertain Dementia 8 Tool
Galske J, Sather A, Chera T, Hwang U, Carpenter C, Babcock M, Gettel C. Screening for Cognitive Impairment in the Emergency Department: Agreement between Older Adult Patient- and Informant-Completed Ascertain Dementia 8 Tool. Dementia And Geriatric Cognitive Disorders 2024, 54: 160-166. PMID: 39616991, PMCID: PMC12119964, DOI: 10.1159/000542895.Peer-Reviewed Original ResearchAscertain Dementia 8Intraclass correlation coefficientEmergency departmentCognitive impairmentTrained research assistantsDiagnosis of dementiaClinicians providing careModerate agreementSuspected CIEmergency careOlder adultsAnalytic sampleResearch assistantsED patientsCareScreening protocolSelf-identifyEarly interventionDementiaScoresCorrelation coefficientDepartmentDyadsPatientsImpairmentMoving beyond tokenism: Sustaining engagement of persons living with dementia in identifying emergency research priorities
Sandoval J, Gilmore‐Bykovskyi A, Carpenter C, Shah M, Dussetschleger J, Dresden S, Ellenbogen M, Gil H, Jaspal N, Jobe D, Vann A, Webb T, Hwang U. Moving beyond tokenism: Sustaining engagement of persons living with dementia in identifying emergency research priorities. Journal Of The American Geriatrics Society 2024, 73: 1344-1352. PMID: 39576051, PMCID: PMC12095599, DOI: 10.1111/jgs.19269.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsCare partnersEmergency careResearch prioritiesCommunity-engaged approachCare of personsVirtual consensus conferenceEngagement of personsConsensus conferenceSemi-structured interviewsDementia carePLWDsFacilitation techniquesResearch partnersCareCognitive impairmentIdentification of research gapsDementiaParticipantsBest practicesSustained engagementMultiple opportunitiesConsensus buildingPriorityConsensus participantsEmergencyState and National Estimates of the Cost of Emergency Department Pediatric Readiness and Lives Saved
Newgard C, Lin A, Goldhaber-Fiebert J, Remick K, Gausche-Hill M, Burd R, Malveau S, Cook J, Jenkins P, Ames S, Mann N, Glass N, Hewes H, Fallat M, Salvi A, Carr B, McConnell K, Stephens C, Ford R, Auerbach M, Babcock S, Kuppermann N. State and National Estimates of the Cost of Emergency Department Pediatric Readiness and Lives Saved. JAMA Network Open 2024, 7: e2442154. PMID: 39485354, PMCID: PMC11530936, DOI: 10.1001/jamanetworkopen.2024.42154.Peer-Reviewed Original ResearchConceptsPediatric readinessED readinessEmergency departmentWeighted pediatric readiness scorePediatric livesCohort studyPediatric readiness scoreEmergency servicesUS emergency departmentsHigh emergency departmentAnnual hospital expendituresDistrict of ColumbiaNational annual costEmergency careReadiness scoresMain OutcomesNational estimatesChild deathsEligible childrenAged 0Hospital expendituresNational costUS costsUS statesChild's lifeEmergency Medicine
Bod J, Boatright D. Emergency Medicine. 2024, 33-48. DOI: 10.1007/978-3-031-63050-7_3.Peer-Reviewed Original ResearchSpecialty of emergency medicineEmergency medicineEmergency physiciansEmergency medical conditionsEmergency careMitigate disparitiesPractice environmentDiverse workforceWorkforce trendsMedical conditionsPhysiciansWorkforceMarginalized populationsFrequent contactWorkforce diversityIndividual's abilitySpecialtyMedicineSexual orientationEmergencyCareHealthcareDisparitiesInterventionEthnicityModern Psychiatric Emergency Care
Nordstrom K, Currier G, Allen M, Powsner S. Modern Psychiatric Emergency Care. 2024, 5013-5019. DOI: 10.1007/978-3-030-51366-5_6.Peer-Reviewed Original ResearchPsychiatric emergency serviceElectroconvulsive therapyPsychiatric emergenciesEmergency departmentCrisis stabilization unitEmergency careMentally ill populationPsychiatric emergency departmentTreatment of psychiatric emergenciesChronic mental illnessPsychiatric emergency careMobile crisis servicesModels of careCommunity-based carePsychiatry practiceEmergency psychiatryInpatient treatmentMental illnessCrisis servicesOutpatient providersMedical EDIll populationInside hospitalsPsychiatristsStabilization unit“What Matters” in the Emergency Department
Chera T, Tinetti M, Travers J, Galske J, Venkatesh A, Southerland L, Dresden S, McQuown C, Gettel C. “What Matters” in the Emergency Department. Medical Care 2024, 62: s50-s56. PMID: 39514495, PMCID: PMC11548826, DOI: 10.1097/mlr.0000000000002053.Peer-Reviewed Original ResearchConceptsOlder adultsEmergency departmentEmergency careED visitsAssociated with meetingAssociated with older adultsEnd-of-lifeFollow-upPatient characteristicsMultivariate logistic regression modelCare of oneselfLogistic regression modelsFollow-up interviewsMulticenter prospective observational studyHealthcare settingsED encountersFunctional independenceProspective observational studySecondary analysisSymptom identificationAssess concernsSecondary outcomesPrimary outcomeCareObservational studyTotal and Out-of-Pocket Costs Surrounding Emergency Department Care Among Older Adults Enrolled in Traditional Medicare and Medicare Advantage
Gettel C, Salah W, Rothenberg C, Liang Y, Schwartz H, Scott K, Hwang U, Hastings S, Venkatesh A. Total and Out-of-Pocket Costs Surrounding Emergency Department Care Among Older Adults Enrolled in Traditional Medicare and Medicare Advantage. Annals Of Emergency Medicine 2024, 84: 285-294. PMID: 38864783, PMCID: PMC11343654, DOI: 10.1016/j.annemergmed.2024.04.023.Peer-Reviewed Original ResearchOut-of-pocketED visitsTraditional MedicareOlder adultsEmergency departmentMedicare AdvantageMedicare Advantage plan enrolleesMedicare Current Beneficiary SurveyEmergency department careTreat-and-releaseOut-of-pocket expensesOut-of-pocket health care spendingHealth care spendingCross-sectional analysisProportion of costsMedian totalEmergency careTreat-and-release emergency departmentBeneficiary SurveyMedian total costProportion of expensesCare spendingPlan enrolleesMedicareVisitsSHEA position statement on pandemic preparedness for policymakers: introduction and overview
Hsu V, Haessler S, Banach D, Batshon L, Branch-Elliman W, Dumyati G, Jump R, Malani A, Mathew T, Murthy R, Pergam S, Shenoy E, Weber D. SHEA position statement on pandemic preparedness for policymakers: introduction and overview. Infection Control And Hospital Epidemiology 2024, 45: 801-803. PMID: 38835222, PMCID: PMC11439591, DOI: 10.1017/ice.2024.66.Peer-Reviewed Original ResearchHealthcare systemHealthcare delivery systemPublic health systemUS healthcare systemPublic health surveillanceDistribution of healthcareHealthcare workforceCare sitesNursing homesEmergency careHealth systemImproved life expectancyEssential suppliesHealth surveillanceLessons of COVID-19Pre-existing problemsHealthcarePosition statementPersonal protective equipmentCareWorld Health Organization Global Influenza Surveillance NetworkLife expectancySocioeconomic outcomesAging populationGlobal Influenza Surveillance NetworkDevelopment and Evaluation of a Community Advisory Board for Family Violence.
Tiyyagura G, Leventhal J, Schaeffer P, Frechette A, Crawley D, Sommer E, Lopes C, Serrechia P, Asnes A. Development and Evaluation of a Community Advisory Board for Family Violence. Violence And Victims 2024, 39: 189-203. PMID: 38955471, DOI: 10.1891/vv-2023-0002.Peer-Reviewed Original ResearchConceptsIntimate partner violenceCommunity advisory boardIPV-exposed childrenCommunity advisory board membersChild abuseVictims of intimate partner violenceIntimate partner violence victimizationBenefits of participationIntimate partner violence survivorsChild physical abusePerceived benefits of participationFacilitators of sustainabilityVictim advocacyAbusive injuryPartner violenceFamily violenceFamily-centered interventionsDevelopment of collaborative relationshipsAdvocacy activitiesPhysical abuseCommunity leadersLocal stakeholdersEmergency careVictimsClinical careGeriatric Emergency Departments
Hwang U, Dresden S, Southerland L, Meldon S. Geriatric Emergency Departments. 2024, 231-237. DOI: 10.1007/978-3-031-56204-4_24.Peer-Reviewed Original ResearchIntensive longitudinal assessment following index trauma to predict development of PTSD using machine learning
Horwitz A, McCarthy K, House S, Beaudoin F, An X, Neylan T, Clifford G, Linnstaedt S, Germine L, Rauch S, Haran J, Storrow A, Lewandowski C, Musey P, Hendry P, Sheikh S, Jones C, Punches B, Swor R, Hudak L, Pascual J, Seamon M, Harris E, Pearson C, Peak D, Domeier R, Rathlev N, Sergot P, Sanchez L, Bruce S, Joormann J, Harte S, Koenen K, McLean S, Sen S. Intensive longitudinal assessment following index trauma to predict development of PTSD using machine learning. Journal Of Anxiety Disorders 2024, 104: 102876. PMID: 38723405, PMCID: PMC11215748, DOI: 10.1016/j.janxdis.2024.102876.Peer-Reviewed Original ResearchTraumatic exposureIntensive longitudinal assessmentDevelopment of PTSDTrauma-related symptomsExposure to traumaFollow-up careTrauma exposureIndex traumaEmergency carePTSDAssess symptomsLongitudinal assessmentAssessment protocolCareParticipantsSymptomsFollow-upInterventionMachine learning analysisTraumaRiskIndividualsWeeksLearning analysisNervousness
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