2022
A 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 environmentOutcomes
2021
ED‐DEL: Development of a change package and toolkit for delirium in the emergency department
Kennedy M, Webb M, Gartaganis S, Hwang U, Biese K, Stuck A, Lesser A, Hshieh T, Inouye SK. ED‐DEL: Development of a change package and toolkit for delirium in the emergency department. Journal Of The American College Of Emergency Physicians Open 2021, 2: e12421. PMID: 33969341, PMCID: PMC8082702, DOI: 10.1002/emp2.12421.Peer-Reviewed Original ResearchEmergency departmentED settingGeriatric Emergency Department GuidelinesManagement of deliriumOlder adult patientsEmergency Department GuidelinesEmergency department environmentAvailable patient informationAdult patientsChange packageInpatient unitDelirium identificationPatient acuityDeliriumDelirium programOlder populationOlder adultsDepartment guidelinesPatient crowdingPatient informationDepartment environmentDeadly problemUnique needsDepartmentMultistep process
2016
Impact of Clinical Pharmacy Specialists on the Design and Implementation of a Quality Improvement Initiative to Decrease Inappropriate Medications in a Veterans Affairs Emergency Department
Moss JM, Bryan WE, Wilkerson LM, Jackson GL, Owenby RK, Van Houtven C, Stevens MB, Powers JS, Vaughan CP, Hung WW, Hwang U, Markland AD, McGwin G, Hastings SN. Impact of Clinical Pharmacy Specialists on the Design and Implementation of a Quality Improvement Initiative to Decrease Inappropriate Medications in a Veterans Affairs Emergency Department. Journal Of Managed Care & Specialty Pharmacy 2016, 22: 10.18553/jmcp.2016.22.1.74. PMID: 27015054, PMCID: PMC10397930, DOI: 10.18553/jmcp.2016.22.1.74.Peer-Reviewed Original ResearchConceptsClinical pharmacy specialistsVeterans Affairs emergency departmentPIM prescribingEmergency departmentQuality improvement initiativesPIM ratesAcademic detailingED providersPharmacy specialistsRate of PIMInappropriate medication useQI projectOlder adult patientsImprovement initiativesVA Medical CenterComputerized patient record systemHealth care systemBeers criteriaPIM prescriptionInappropriate medicationsAdult patientsMedication usePrescribing practicesProvider educationMedical Center
2010
The Quality of Emergency Department Pain Care for Older Adult Patients
Hwang U, Richardson LD, Harris B, Morrison RS. The Quality of Emergency Department Pain Care for Older Adult Patients. Journal Of The American Geriatrics Society 2010, 58: 2122-2128. PMID: 21054293, PMCID: PMC3058876, DOI: 10.1111/j.1532-5415.2010.03152.x.Peer-Reviewed Original ResearchConceptsED pain carePain assessmentPain carePain scoresAdult patientsOlder patientsAcademic tertiary care EDYoung adultsFinal ED diagnosisRetrospective observational cohortTertiary care EDCharlson comorbidity scoreDegree of painOlder adult patientsLess opioid useCare process measuresAnalgesic medicationComorbidity scoreMild painED visitsObservational cohortOpioid useYounger patientsOpioid analgesicsPrior medicationEmergency Department Patient Volume and Troponin Laboratory Turnaround Time
Hwang U, Baumlin K, Berman J, Chawla NK, Handel DA, Heard K, Livote E, Pines JM, Valley M, Yadav K. Emergency Department Patient Volume and Troponin Laboratory Turnaround Time. Academic Emergency Medicine 2010, 17: 501-507. PMID: 20536804, PMCID: PMC10570502, DOI: 10.1111/j.1553-2712.2010.00738.x.Peer-Reviewed Original ResearchConceptsED patient volumeLaboratory turnaround timePatient volumeTroponin testTertiary care EDRetrospective cohort reviewEmergency department visitsLength of stayEmergency department (ED) patient volumePrimary predictor variableNumber of boardersAdjusted covariatesAdult patientsCohort reviewDepartment visitsHospital-based laboratoriesPatient characteristicsAppropriate therapyIll patientsVolume measuresTurnaround timeSubstantial burdenTimely treatmentTriage severityED beds
2009
Disparities in use of computed tomography for patients presenting with headache
Harris B, Hwang U, Lee WS, Richardson LD. Disparities in use of computed tomography for patients presenting with headache. The American Journal Of Emergency Medicine 2009, 27: 333-336. PMID: 19328379, PMCID: PMC2757437, DOI: 10.1016/j.ajem.2008.03.041.Peer-Reviewed Original ResearchConceptsHead CTEmergency departmentPatient characteristics influencesPercent of patientsCommon presenting complaintRetrospective cohort reviewED medical recordsPatient demographic factorsHistory of migraineUrban emergency departmentCause of headacheDemographic factorsCharlson scoreAdult patientsCohort reviewED evaluationPresenting complaintChief complaintMultivariable analysisCT evaluationMean ageStudy eligibilityFinal diagnosisInsurance statusClinical evaluation
2008
Emergency Department Crowding and Decreased Quality of Pain Care
Hwang U, Richardson L, Livote E, Harris B, Spencer N, Morrison R. Emergency Department Crowding and Decreased Quality of Pain Care. Academic Emergency Medicine 2008, 15: 1248-1255. PMID: 18945239, PMCID: PMC2729811, DOI: 10.1111/j.1553-2712.2008.00267.x.Peer-Reviewed Original ResearchConceptsNumber of boardersPain careEmergency departmentPain assessmentED censusAnalgesic medicationTertiary care emergency departmentFinal ED diagnosisTotal ED censusRetrospective observational studyOutcomes of interestEmergency department (ED) crowdingAdult patientsChief complaintPainful conditionsCare measuresMedication administrationPatient visitsED diagnosisObservational studyED crowdingInpatient bedsPatientsMedication orderingPatient care
2007
383: Disparities in Computed Tomography Utilization for Adult Patients Presenting to the Emergency Department With Headache
Harris B, Hwang U, Richardson L, Lee W. 383: Disparities in Computed Tomography Utilization for Adult Patients Presenting to the Emergency Department With Headache. Annals Of Emergency Medicine 2007, 50: s120. DOI: 10.1016/j.annemergmed.2007.06.432.Peer-Reviewed Original Research
2005
Reasons for Using the Emergency Department: Results of the EMPATH Study
Ragin DF, Hwang U, Cydulka RK, Holson D, Haley LL, Richards CF, Becker BM, Richardson LD, Investigators T. Reasons for Using the Emergency Department: Results of the EMPATH Study. Academic Emergency Medicine 2005, 12: 1158-1166. PMID: 16282515, DOI: 10.1197/j.aem.2005.06.030.Peer-Reviewed Original ResearchConceptsEmergency departmentChart reviewPatients' reasonsHospital emergency departmentSource of careAdult patientsED carePatient interviewsHospital characteristicsObservational studyPatient accessLevel of agreementMedical necessityU.S. hospitalsCarePatientsAfrican AmericansLack of accessStructured interviewsInsurance dataPrincipal reasonEthnic groupsExploratory analysisLast resortDepartment