2023
Automatable end‐of‐life screening for older adults in the emergency department using electronic health records
Haimovich A, Xu W, Wei A, Schonberg M, Hwang U, Taylor R. Automatable end‐of‐life screening for older adults in the emergency department using electronic health records. Journal Of The American Geriatrics Society 2023, 71: 1829-1839. PMID: 36744550, PMCID: PMC10258151, DOI: 10.1111/jgs.18262.Peer-Reviewed Original ResearchConceptsAdvance care planningDecision curve analysisLife screeningComorbidity indexCode statusPrognostic modelHealth systemOlder adultsCurve analysisOlder ED patientsPalliative care interventionsObservational cohort studyEmergency department visitsPalliative care servicesElixhauser Comorbidity IndexReceiver-operating characteristic curveIdentification of patientsMultivariable logistic regressionLarge regional health systemLife-limiting illnessRisk older adultsCode status ordersLife Screening ToolMortality predictive modelsElectronic health records
2022
Emergency 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 explanationsED
2021
Emergency department visits for emergent conditions among older adults during the COVID‐19 pandemic
Janke AT, Jain S, Hwang U, Rosenberg M, Biese K, Schneider S, Goyal P, Venkatesh AK. Emergency department visits for emergent conditions among older adults during the COVID‐19 pandemic. Journal Of The American Geriatrics Society 2021, 69: 1713-1721. PMID: 33955546, PMCID: PMC8242842, DOI: 10.1111/jgs.17227.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionED visit countsOlder adultsHip fractureExcess mortalityEmergent conditionsED sitesVisit countsEmergency department visitsIncident rate ratiosNational clinical quality registryAge categoriesClinical quality registryEarly pandemic periodCOVID-19 pandemicPandemic periodPoisson regression modelsPre-pandemic periodED visitsYounger patientsDepartment visitsPoor outcomeEmergency departmentMyocardial infarctionED diagnosis
2017
Using music to reduce anxiety among older adults in the emergency department: a randomized pilot study
Belland L, Rivera-Reyes L, Hwang U. Using music to reduce anxiety among older adults in the emergency department: a randomized pilot study. Journal Of Integrative Medicine 2017, 15: 450-455. PMID: 29103414, DOI: 10.1016/s2095-4964(17)60341-8.Peer-Reviewed Original ResearchConceptsRandomized pilot studyState-Trait Anxiety InventoryOlder adultsRoutine careIntervention subjectsPilot studyAcademic tertiary medical centerOlder ED patientsEmergency department visitsTertiary medical centerEffects of musicAnxiety levelsGeriatric EDDepartment visitsPrimary outcomeED patientsEmergency departmentControl subjectsStudy protocolMedical CenterTreatment groupsControl groupSTAI scoresMin of musicAnxiety Inventory
2016
Geriatric dispositions and transitions of care
Morano B, Morano C, Biese K, Coleman E, Hwang U. Geriatric dispositions and transitions of care. 2016, 394-406. DOI: 10.1002/9781118753262.ch26.Peer-Reviewed Original ResearchTransitional careNurse practitionersHome transitional careEmergency department visitsShortness of breathTransitional care modelCare transition interventionsTransitional care programTransitions of careDuration of interventionSettings of careDepartment visitsHospital readmissionPatient transitionsCare modelCare programTransition interventionsCare initiativesCareProject BOOSTProject REDInterventionOutcomesReadmissionShortness
2014
Enhancing a Geriatric Emergency Department Care Coordination Intervention Using Automated Health Information Exchange-Based Clinical Event Notifications
Gutteridge DL, Genes N, Hwang U, Kaplan B, Investigator T, Shapiro J. Enhancing a Geriatric Emergency Department Care Coordination Intervention Using Automated Health Information Exchange-Based Clinical Event Notifications. Healthcare 2014, 2: 1095. PMID: 25848622, PMCID: PMC4371432, DOI: 10.13063/2327-9214.1095.Peer-Reviewed Original ResearchRegional health information organizationsHealth information exchangeElectronic health recordsHealth information technologyInformation exchangeDelivery of notificationsEvent notification serviceReal-time notificationHealth information organizationsCare coordination teamEvent notificationNotification serviceInformation technologyInformation organizationAvoidable admissionsCare coordinationHIE infrastructureSecondary useHealth recordsMultiple chronic medical conditionsNumerous providersCare coordination programCare coordination interventionEmergency department visitsChronic medical conditions
2010
Emergency 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