2023
Potential bias and lack of generalizability in electronic health record data: reflections on health equity from the National Institutes of Health Pragmatic Trials Collaboratory.
Boyd A, Gonzalez-Guarda R, Lawrence K, Patil C, Ezenwa M, O'Brien E, Paek H, Braciszewski J, Adeyemi O, Cuthel A, Darby J, Zigler C, Ho P, Faurot K, Staman K, Leigh J, Dailey D, Cheville A, Del Fiol G, Knisely M, Grudzen C, Marsolo K, Richesson R, Schlaeger J. Potential bias and lack of generalizability in electronic health record data: reflections on health equity from the National Institutes of Health Pragmatic Trials Collaboratory. Journal Of The American Medical Informatics Association 2023, 30: 1561-1566. PMID: 37364017, PMCID: PMC10436149, DOI: 10.1093/jamia/ocad115.Peer-Reviewed Original ResearchConceptsElectronic health record dataPragmatic clinical trialsHealth record dataPopulation health problemElectronic health record systemsClinical trialsEHR-derived dataHealth record systemsHealth problemsSocial determinantsHealth equityRecord dataVulnerable populationsEHR dataHealthcare systemNational InstituteRecord systemLack of generalizabilityHealthDifferent subsetsGeneralizable researchEPCTsPopulationPotential biasTrials
2021
Emergency Department Visits for Nonfatal Opioid Overdose During the COVID-19 Pandemic Across Six US Health Care Systems
Soares WE, Melnick ER, Nath B, D'Onofrio G, Paek H, Skains RM, Walter LA, Casey MF, Napoli A, Hoppe JA, Jeffery MM. Emergency Department Visits for Nonfatal Opioid Overdose During the COVID-19 Pandemic Across Six US Health Care Systems. Annals Of Emergency Medicine 2021, 79: 158-167. PMID: 34119326, PMCID: PMC8449788, DOI: 10.1016/j.annemergmed.2021.03.013.Peer-Reviewed Original ResearchConceptsHealth care systemCause ED visitsNonfatal opioid overdoseED visitsOpioid use disorderCare systemOpioid overdoseUse disordersCOVID-19 pandemicOpioid-related complicationsEmergency department visitsHospital-based interventionsED visit ratesEmergency department utilizationVisit countsUS health care systemOpioid overdose ratesDepartment visitsHistorical controlsAdult visitsOpioid overdosesOverdose ratesMedical emergencyVisit ratesMore weeks
2019
User-centred clinical decision support to implement emergency department-initiated buprenorphine for opioid use disorder: protocol for the pragmatic group randomised EMBED trial
Melnick ER, Jeffery MM, Dziura JD, Mao JA, Hess EP, Platts-Mills TF, Solad Y, Paek H, Martel S, Patel MD, Bankowski L, Lu C, Brandt C, D’Onofrio G. User-centred clinical decision support to implement emergency department-initiated buprenorphine for opioid use disorder: protocol for the pragmatic group randomised EMBED trial. BMJ Open 2019, 9: e028488. PMID: 31152039, PMCID: PMC6550013, DOI: 10.1136/bmjopen-2018-028488.Peer-Reviewed Original ResearchMeSH KeywordsAdultBuprenorphineCluster AnalysisDecision Support Systems, ClinicalEmergency Service, HospitalFemaleHumansMaleMiddle AgedMulticenter Studies as TopicNarcotic AntagonistsOpiate Substitution TreatmentOpioid-Related DisordersPragmatic Clinical Trials as TopicRandomized Controlled Trials as TopicUnited StatesYoung AdultConceptsOpioid use disorderEmergency departmentSecondary outcomesUse disordersEmergency department-initiated buprenorphineWestern Institutional Review BoardData Safety Monitoring BoardIndependent study monitorsRates of cliniciansRoutine emergency careSafety monitoring boardInstitutional review boardClinical decision support systemClinician prescribingPragmatic clusterPatient characteristicsPeer-reviewed journalsClinical decision supportPrimary outcomeED cliniciansWithdrawal symptomsOngoing treatmentPatients' willingnessMonitoring boardBuprenorphine
2018
A Community Health Center Blueprint for Responding to the Needs of the Displaced after a Natural Disaster: The Hurricane Maria Experience
Paek H, Niess M, Padilla B, Olson D. A Community Health Center Blueprint for Responding to the Needs of the Displaced after a Natural Disaster: The Hurricane Maria Experience. Journal Of Health Care For The Poor And Underserved 2018, 29: x-xvi. PMID: 29805122, DOI: 10.1353/hpu.2018.0040.Peer-Reviewed Original Research