2024
Scaling the EQUIPPED medication safety program: Traditional and hub‐and‐spoke implementation models
Vandenberg A, Hwang U, Das S, Genes N, Nyamu S, Richardson L, Ezenkwele U, Legome E, Richardson C, Belachew A, Leong T, Kegler M, Vaughan C. Scaling the EQUIPPED medication safety program: Traditional and hub‐and‐spoke implementation models. Journal Of The American Geriatrics Society 2024, 72: 2184-2194. PMID: 38259070, DOI: 10.1111/jgs.18746.Peer-Reviewed Original ResearchPotentially inappropriate medicationsHub-and-spoke modelEmergency departmentSpoke sitesReduce potentially inappropriate medicationMedication safety programQuality improvement initiativesElectronic medical recordsInappropriate medicationsHealth systemImprovement initiativesPrescribing dataHub-and-spokeDisproportionate barriersImplementation modelMedical recordsSite engagementInterview dataSafety programCOVID-19 pandemicProgramEQUIP programCOVID-19BarriersHealth
2021
Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme
Vaughan CP, Hwang U, Vandenberg AE, Leong T, Wu D, Stevens MB, Clevenger C, Eucker S, Genes N, Huang W, Ikpe-Ekpo E, Nassisi D, Previl L, Rodriguez S, Sanon M, Schlientz D, Vigliotti D, Hastings SN. Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme. BMJ Open Quality 2021, 10: e001369. PMID: 34750188, PMCID: PMC8576471, DOI: 10.1136/bmjoq-2021-001369.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationAcademic health systemElectronic medical recordsHealth systemMedical recordsPrescribing outcomesOlder adultsVA health systemMedication safety programMonthly proportionEpic electronic medical recordDifferent health systemsSignificant reductionBeers criteriaMonthly prescribingMonths preimplementationInappropriate medicationsBenzodiazepine prescriptionsPrescribing ratesEmergency departmentMonths postimplementationDrug classesHealth AdministrationOrder setsVA system
2016
Improving geriatric prescribing in the ED: a qualitative study of facilitators and barriers to clinical decision support tool use
Vandenberg AE, Vaughan CP, Stevens M, Hastings SN, Powers J, Markland A, Hwang U, Hung W, Echt KV. Improving geriatric prescribing in the ED: a qualitative study of facilitators and barriers to clinical decision support tool use. International Journal For Quality In Health Care 2016, 29: 117-123. PMID: 27852639, DOI: 10.1093/intqhc/mzw129.Peer-Reviewed Original ResearchConceptsEmergency departmentQuality improvement initiativesClinical decision supportOrder setsMedical recordsOrder set useSettings of carePatients' medical recordsGeriatric prescribingPrescribing practicesAdoption of CDSOlder veteransProvider groupsOlder adultsPhone interviewsImprovement initiativesPrescribingSafety concernsOrder entry processProvider autonomyQualitative studyProvidersEntry process
2011
Factors associated with delays to emergency care for bowel obstruction
Hwang U, Aufses AH, Bickell NA. Factors associated with delays to emergency care for bowel obstruction. The American Journal Of Surgery 2011, 202: 1-7. PMID: 21632032, DOI: 10.1016/j.amjsurg.2010.05.003.Peer-Reviewed Original ResearchConceptsSmall bowel obstructionFirst treatmentBowel obstructionSurgical resectionTertiary care medical centerEmergency department patientsPatient-related characteristicsHospital factorsIntestinal obstructionDepartment patientsED patientsRetrospective studyMedical recordsAdministrative databasesHospital careMedical CenterEmergency careGreater oddsPatientsObstructionResectionTreatmentCareEDFactors
2009
Quality Indicators for Geriatric Emergency Care
Terrell KM, Hustey FM, Hwang U, Gerson LW, Wenger NS, Miller DK, Force O. Quality Indicators for Geriatric Emergency Care. Academic Emergency Medicine 2009, 16: 441-449. PMID: 19344452, DOI: 10.1111/j.1553-2712.2009.00382.x.Peer-Reviewed Original ResearchConceptsEmergency departmentOlder patientsQuality improvement effortsPain managementNursing homesCognitive AssessmentCandidate quality indicatorsGeriatric emergency carePotential quality indicatorsTask ForceED usersTransitional careMedical recordsEmergency physiciansAmerican CollegeEmergency careVulnerable subsetPatient careSystematic reviewHealth care environmentPatientsEmergency practiceImprovement effortsQuality indicatorsAnnual Meeting