Featured Publications
The Geriatric Emergency Care Applied Research (GEAR) network approach: a protocol to advance stakeholder consensus and research priorities in geriatrics and dementia care in the emergency department
Hwang U, Carpenter C, Dresden S, Dussetschleger J, Gifford A, Hoang L, Leggett J, Nowroozpoor A, Taylor Z, Shah M, Bellolio M, Biese K, Binkley C, Bott N, Brody A, Carpenter C, Clark S, Dresden S, Forester S, Gettel C, Goldberg E, Greenberg A, Hammouda N, Han J, Hastings N, Hogan T, Hung W, Hwang U, Kayser J, Kennedy M, Ko K, Lesser A, Linton E, Liu S, Malsch A, Melady C, Morrow-Howell N, Nassisi D, Nerbonne L, Nyamu S, Ohuabunwa U, Platts-Mills T, Ragsdale L, Richardson L, Ringer T, Rosen A, Rosenberg M, Shah M, Skains R, Skees S, Souffront K, Stabler L, Sullivan C, Suyama J, Vargas S, Vaughan E, Voils C, Wei D, Allore H, Aloysi A, Belleville M, Bellolio M, Betz M, Biese K, Brandt C, Carnahan R, Carr D, Chin-Hansen J, Daven M, Degesys N, Ellenbogen M, Escobedo M, Falvey J, Gill T, Gilmore-Bykovskyi A, Goldberg E, Han J, Hardy J, Hastings S, Hirshon J, Hogan T, Hung W, Isaacs E, Kelly K, Kennedy M, Kind A, Malicki C, Malone M, Marottoli R, Moccia M, Mor V, Morris J, Howell N, Nowroozpoor A, Ohuabunwa U, Oiyemhonlan B, Perry W, Raven M, Rising K, Sano M, Stabler L, Sullivan C, Suyama J, Swartzberg J, Tolia V, Vann A, Weintraub S, Zieman S, Dussetschleger J, Gifford A, Leggett J, Nowroozpoor A, Taylor Z. The Geriatric Emergency Care Applied Research (GEAR) network approach: a protocol to advance stakeholder consensus and research priorities in geriatrics and dementia care in the emergency department. BMJ Open 2022, 12: e060974. PMID: 35459682, PMCID: PMC9036447, DOI: 10.1136/bmjopen-2022-060974.Peer-Reviewed Original ResearchConceptsEmergency departmentOlder adultsEmergency careEmergency care needsGeriatric emergency carePriority topic areasPeer-reviewed journalsClinical gapsCare needsResearch prioritiesCare partnersConsensus workshopSystematic reviewHealthcare needsDementia careIntervention impactDissemination of findingsTrial evaluationCareImplementation scienceAdultsResearch NetworkReviewStandardised searchHuman subjects research
2024
Geriatric 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 Research
2023
An Outcome Comparison Between Geriatric and Nongeriatric Emergency Departments
Gettel C, Hwang U, Janke A, Rothenberg C, Tomasino D, Schneider S, Goyal P, Venkatesh A. An Outcome Comparison Between Geriatric and Nongeriatric Emergency Departments. Annals Of Emergency Medicine 2023, 82: 681-689. PMID: 37389490, PMCID: PMC10756927, DOI: 10.1016/j.annemergmed.2023.05.013.Peer-Reviewed Original ResearchConceptsGeriatric EDDiagnosis rateED lengthEmergency departmentMedian discharge rateAmerican CollegeRevisit ratesOlder adultsUrinary tract infectionAge categoriesGeriatric Emergency DepartmentHigher diagnosis ratesED visitsTract infectionsMental statusObservational studyDelirium/Outcome comparisonsData registryED statusProcess outcomesED sitesStayAnalytic sampleAdults
2022
263 Emergency Department Care Transition Barriers: A Qualitative Study of Care Partners of Older Adults With Cognitive Impairment
Gettel C, Serina P, Uzamere I, Hernandez-Bigos K, Cohen A, Venkatesh A, Monin J, Feder S, Fried T, Hwang U. 263 Emergency Department Care Transition Barriers: A Qualitative Study of Care Partners of Older Adults With Cognitive Impairment. Annals Of Emergency Medicine 2022, 80: s115. DOI: 10.1016/j.annemergmed.2022.08.290.Peer-Reviewed Original ResearchEmergency department‐to‐community care transition barriers: A qualitative study of older adults
Gettel CJ, Serina PT, Uzamere I, Hernandez‐Bigos K, Venkatesh AK, Rising KL, Goldberg EM, Feder SL, Cohen AB, Hwang U. Emergency department‐to‐community care transition barriers: A qualitative study of older adults. Journal Of The American Geriatrics Society 2022, 70: 3152-3162. PMID: 35779278, PMCID: PMC9669106, DOI: 10.1111/jgs.17950.Peer-Reviewed Original ResearchConceptsCare transitionsOlder adultsClinical careImmediate post-discharge periodED discharge processEmergency clinical careEmergency department visitsPost-discharge periodAdverse health outcomesOutpatient clinical careDepartment visitsIntact patientsEmergency departmentHealth outcomesOlder adults' willingnessU.S. healthcare systemBaseline activityEffective interventionsIntervention developmentHealthcare systemAdultsCareAdults' willingnessSymptom explanationsEDA Qualitative Study of “What Matters” to Older Adults in the Emergency Department
Gettel CJ, Venkatesh AK, Dowd H, Hwang U, Ferrigno RF, Reid EA, Tinetti ME. A Qualitative Study of “What Matters” to Older Adults in the Emergency Department. Western Journal Of Emergency Medicine 2022, 23: 579-588. PMID: 35980413, PMCID: PMC9391017, DOI: 10.5811/westjem.2022.4.56115.Peer-Reviewed Original ResearchConceptsOlder adult patientsAdult patientsEmergency departmentOlder adultsED careAge-Friendly Health SystemIntact older adultsSymptom resolutionED cliniciansED settingPatient 1Clinician recommendationsPatient concernsPatient prioritiesDyadic semi-structured interviewsSymptom reductionClinical practicePatientsCliniciansHealth systemConversation guideHealthcare systemAdultsHome environmentOutcomesEmergency department care transition barriers: A qualitative study of care partners of older adults with cognitive impairment
Gettel CJ, Serina PT, Uzamere I, Hernandez‐Bigos K, Venkatesh AK, Cohen AB, Monin JK, Feder SL, Fried TR, Hwang U. Emergency department care transition barriers: A qualitative study of care partners of older adults with cognitive impairment. Alzheimer's & Dementia: Translational Research & Clinical Interventions 2022, 8: e12355. PMID: 36204349, PMCID: PMC9518973, DOI: 10.1002/trc2.12355.Peer-Reviewed Original ResearchCare transitionsCare partnersCognitive impairmentMean ageOlder adultsED discharge processEmergency department dischargeCare transition interventionsHealth care systemAcute illnessED encountersAdverse outcomesCare considerationsOutcome measuresQualitative studyTransition interventionsScreening toolCare systemImpairmentAdultsAfrican AmericansPoor communicationRepresentative quotationsRecovery phaseStandardized guide
2021
Inclusion of older adults in emergency department clinical research: Strategies to achieve a critical goal
Hunold KM, Goldberg EM, Caterino JM, Hwang U, Platts‐Mills T, Shah MN, Rosen T, Medicine F. Inclusion of older adults in emergency department clinical research: Strategies to achieve a critical goal. Academic Emergency Medicine 2021, 29: 376-383. PMID: 34582613, PMCID: PMC8958170, DOI: 10.1111/acem.14386.Peer-Reviewed Original Research
2019
SEQUENTIAL IMPLEMENTATION AS A LEARNING HEALTH ORGANIZATION: THE EQUIPPED GERIATRIC MEDICATION SAFETY MODEL
Vandenberg A, Kegler M, Hastings S, Hwang U, Vaughan C. SEQUENTIAL IMPLEMENTATION AS A LEARNING HEALTH ORGANIZATION: THE EQUIPPED GERIATRIC MEDICATION SAFETY MODEL. Innovation In Aging 2019, 3: s945-s945. PMCID: PMC6846564, DOI: 10.1093/geroni/igz038.3434.Peer-Reviewed Original ResearchEmergency departmentOlder adultsHealth OrganizationImportant public health issueSame electronic health recordEffective Programs frameworkHospital emergency departmentPublic health issueEvidence-based interventionsElectronic health recordsResearch NetworkInappropriate medicationsAdverse eventsClinical decision supportIntervention sitesHealth issuesHealth recordsIntervention packageProcess evaluationCollaborative research networksHealthcare practiceWidespread disseminationAdultsFocus groupsSafety program
2016
Shared Decision Making to Improve the Emergency Care of Older Adults: A Research Agenda
Hogan TM, Richmond NL, Carpenter CR, Biese K, Hwang U, Shah MN, Escobedo M, Berman A, Broder JS, Platts‐Mills T. Shared Decision Making to Improve the Emergency Care of Older Adults: A Research Agenda. Academic Emergency Medicine 2016, 23: 1386-1393. PMID: 27561819, DOI: 10.1111/acem.13074.Peer-Reviewed Original ResearchConceptsOlder adultsEmergency careOlder emergency department (ED) patientsEmergency department patientsGoals of careTypes of patientsUse of SDMAdverse eventsDepartment patientsEmergency physiciansAggressive approachHigh riskSide effectsSerious illnessDiagnostic testsCarePatientsAdultsHigh rateLack of knowledgeSDMInjuryIllnessPhysicians
2013
Transforming Emergency Care For Older Adults
Hwang U, Shah MN, Han JH, Carpenter CR, Siu AL, Adams JG. Transforming Emergency Care For Older Adults. Health Affairs 2013, 32: 2116-2121. PMID: 24301394, PMCID: PMC4070367, DOI: 10.1377/hlthaff.2013.0670.Peer-Reviewed Original ResearchConceptsEmergency departmentEmergency careHealth care systemOlder adultsCare systemComprehensive discharge planningUS emergency departmentsPatient health outcomesGeriatric emergency careGeriatric Emergency DepartmentBroader health care systemED visitsInitial hospitalizationDischarge planningCare coordinationHealth outcomesObservation unitCareAdultsLengthy evaluationRehospitalizationHospitalizationPatientsVisitsAcute Pain Management in Older Adults in the Emergency Department
Hwang U, Platts-Mills TF. Acute Pain Management in Older Adults in the Emergency Department. Clinics In Geriatric Medicine 2013, 29: 151-164. PMID: 23177605, DOI: 10.1016/j.cger.2012.10.006.Peer-Reviewed Original ResearchConceptsAcute painOlder adultsAcute pain careAcute pain managementPresence of painPatient-specific riskSystemic analgesicsAdverse eventsOlder patientsPain managementPain treatmentPain careEmergency departmentEmergency providersEffective treatmentFrequent reassessmentPainInitial assessmentAnalgesicsAdultsTreatmentCurrent knowledgeRiskPatientsRetreatment
2007
The Geriatric Emergency Department
Hwang U, Morrison RS. The Geriatric Emergency Department. Journal Of The American Geriatrics Society 2007, 55: 1873-1876. PMID: 17916122, DOI: 10.1111/j.1532-5415.2007.01400.x.Peer-Reviewed Original ResearchConceptsSpecial care needsEmergency departmentOlder patientsCare needsGeriatric Emergency Department InterventionOlder adultsEmergency Department InterventionGeriatric Emergency DepartmentSubtle clinical signsMultiple comorbiditiesAcute illnessGeriatric patientsCare modificationsClinical signsRapid triageCognitive impairmentPatientsHealthcare systemCareAdultsDepartmentPolypharmacyComorbiditiesSymptomsIllness