2024
Effects of opening a vertical care area on emergency medicine resident clinical experience
Tsyrulnik A, Rothenberg C, Sun W, Venkatesh A, Coughlin R, Goldflam K, Sangal R. Effects of opening a vertical care area on emergency medicine resident clinical experience. AEM Education And Training 2024, 8: e11040. PMID: 39574943, PMCID: PMC11576914, DOI: 10.1002/aet2.11040.Peer-Reviewed Original ResearchEmergency Severity IndexBehavioral health patientsEmergency departmentHealth patientsPostgraduate year (PGY)-1 residentsAcuity level of patientsCare unitPractice registered nursesResident educational outcomesESI 4PGY-3 residentsFast-track unitPGY-1 residentsResident clinical experiencePatient acuityCritical care patientsCare patientsCare areasClinical educationTriage physiciansAcuity levelsCritical careLevels of patientsPGY-2PGY-1
2023
Caregiver Satisfaction with Emergency Department Care for Pediatric Patients with Neurodevelopmental Disorders
Heyming T, Knudsen-Robbins C, Davis K, Moreno T, Martin S, Shelton S, Ehwerhemuepha L, Kain Z. Caregiver Satisfaction with Emergency Department Care for Pediatric Patients with Neurodevelopmental Disorders. Journal Of Developmental And Behavioral Pediatrics 2023, 44: e388-e393. PMID: 37205728, DOI: 10.1097/dbp.0000000000001193.Peer-Reviewed Original ResearchConceptsCaregivers of patientsED satisfactionNeurodevelopmental disordersMultivariable logistic regression modelElectronic medical record dataTenth Revision codesEmergency department careMedical record dataCohort sample sizeEmergency Severity IndexAttention-deficit/hyperactivity disorderEmergency department experienceLogistic regression modelsHealth care systemED lengthPediatric patientsRevision codesCaregiver satisfactionProvider assessmentInternational ClassificationLower oddsPatientsNDD cohortPatient careSpecific developmental disorders
2021
Delays in antibiotic redosing: Association with inpatient mortality and risk factors for delay
Kemmler CB, Sangal RB, Rothenberg C, Li SX, Shofer FS, Abella BS, Venkatesh AK, Foster SD. Delays in antibiotic redosing: Association with inpatient mortality and risk factors for delay. The American Journal Of Emergency Medicine 2021, 46: 63-69. PMID: 33735698, DOI: 10.1016/j.ajem.2021.02.058.Peer-Reviewed Original ResearchConceptsSecond dose administrationEmergency departmentDose administrationRisk factorsEmergency Severity IndexHospital mortalityFirst doseSecond doseED boardingAntibiotic dosesEnd-stage renal diseaseExtremes of weightHigh acuity presentationsRetrospective cohort studyStage renal diseaseWorse clinical outcomesSerious bacterial infectionsOdds of delayEarly hospital courseSingle healthcare systemAntibiotic redosingDosing intervalHospital courseCohort studyInpatient mortalityGeriatric emergency department revisits after discharge with Potentially Inappropriate Medications: A retrospective cohort study
Hammouda N, Vargas-Torres C, Doucette J, Hwang U. Geriatric emergency department revisits after discharge with Potentially Inappropriate Medications: A retrospective cohort study. The American Journal Of Emergency Medicine 2021, 44: 148-156. PMID: 33621716, DOI: 10.1016/j.ajem.2021.02.004.Peer-Reviewed Original ResearchConceptsCharlson Comorbidity Index scoreComorbidity Index scoreED revisitsEmergency Severity Index scoreEmergency departmentAcademic emergency departmentInappropriate medicationsHospital admissionChief complaintIndex scoreBeers criteriaMedicaid statusRisk factorsMedicare beneficiaries 65 yearsDay ED visitsUpdated Beers CriteriaRetrospective cohort studyEmergency department revisitsRetrospective chart reviewSeverity Index scoreBeneficiaries 65 yearsCovariate risk factorsMedicare beneficiaries 65Multiple logistic regressionEmergency Severity Index
2019
Geriatric Emergency Department Innovations: The Impact of Transitional Care Nurses on 30‐day Readmissions for Older Adults
Dresden SM, Hwang U, Garrido MM, Sze J, Kang R, Vargas‐Torres C, Courtney DM, Loo G, Rosenberg M, Richardson L. Geriatric Emergency Department Innovations: The Impact of Transitional Care Nurses on 30‐day Readmissions for Older Adults. Academic Emergency Medicine 2019, 27: 43-53. PMID: 31663245, DOI: 10.1111/acem.13880.Peer-Reviewed Original ResearchConceptsIndex ED visitMount Sinai Medical CenterSt. Joseph's Regional Medical CenterNorthwestern Memorial HospitalPrior hospital dischargeEmergency departmentED visitsRegional Medical CenterOlder adultsHospital dischargeGeriatric patientsNurse careMedical CenterTransitional care nursesRisk of admissionEmergency Severity IndexSinai Medical CenterDecreased hospitalizationsDecreased readmissionsPrior hospitalizationProspective cohortED patientsCare nursesMemorial HospitalInpatient discharges
2016
The effect of surgical consult in the treatment of abdominal pain in older adults in the ED
Roberts ES, Belland L, Rivera-Reyes L, Hwang U. The effect of surgical consult in the treatment of abdominal pain in older adults in the ED. The American Journal Of Emergency Medicine 2016, 34: 1524-1527. PMID: 27241564, PMCID: PMC5027841, DOI: 10.1016/j.ajem.2016.05.010.Peer-Reviewed Original ResearchConceptsPain score reductionScore reductionAbdominal painSurgical consultAnalgesic administrationAnalgesic medicationConsult patientsEmergency departmentOlder adultsAdministration of analgesicsProspective cohort studyEmergency Severity IndexRace/ethnicityDecreased administrationCohort studyOlder patientsSecondary data analysisPatientsPainAdministrationConsultsSeverity IndexAnalgesicsOpioidsMedications
2003
Development and Validation of a New Index to Measure Emergency Department Crowding
Bernstein SL, Verghese V, Leung W, Lunney AT, Perez I. Development and Validation of a New Index to Measure Emergency Department Crowding. Academic Emergency Medicine 2003, 10: 938-942. DOI: 10.1197/s1069-6563(03)00311-7.Peer-Reviewed Original ResearchConceptsEmergency Severity IndexEmergency department (ED) crowdingEDWIN scoreTriage categoryUrban teaching EDSecondary end pointsInterquartile rangeNumber of patientsGood interrater agreementPhysician assessmentAcute patientsCare measuresNurses' ratingsED crowdingPatientsEnd pointTriage systemConsecutive daysPhysiciansESI scoreTime pointsSeverity IndexConvenience sampleNursesDifferent EDsDevelopment and validation of a new index to measure emergency department crowding.
Bernstein S, Verghese V, Leung W, Lunney A, Perez I. Development and validation of a new index to measure emergency department crowding. Academic Emergency Medicine 2003, 10: 938-42. PMID: 12957975, DOI: 10.1111/j.1553-2712.2003.tb00647.x.Peer-Reviewed Original ResearchConceptsEmergency Severity IndexEmergency departmentTriage categoryProcess-of-care measuresAttending physiciansEmergency Severity Index scoreMeasures of emergency departmentEmergency department crowdingInterquartile rangeUrban teaching EDNurses' ratingsED crowdingConvenience sampleStaff assessmentTriage systemEight-hour shiftNursesPhysician assessmentTeaching EDAdmitted PatientsPhysiciansInterrater agreementLikert scaleSPSS 10.0Acute patients
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