2024
Geriatric Emergency Medication Safety Recommendations (GEMS-Rx): Modified Delphi Development of a High-Risk Prescription List for Older Emergency Department Patients
Skains R, Koehl J, Aldeen A, Carpenter C, Gettel C, Goldberg E, Hwang U, Kocher K, Southerland L, Goyal P, Berdahl C, Venkatesh A, Lin M. Geriatric Emergency Medication Safety Recommendations (GEMS-Rx): Modified Delphi Development of a High-Risk Prescription List for Older Emergency Department Patients. Annals Of Emergency Medicine 2024, 84: 274-284. PMID: 38483427, PMCID: PMC11343681, DOI: 10.1016/j.annemergmed.2024.01.033.Peer-Reviewed Original ResearchOlder ED patientsHigh-risk prescriptionsED patientsHigh-risk medication usePrescribed high-risk medicationsEmergency departmentHigh-risk medicationsEnd of lifeShort-term adverse eventsAdverse drug eventsQuestionnaire response rateEmergency department patientsDrug eventsRound 2Prescription refillsPhysician expertsMedication useSkeletal muscle relaxantsDepartment patientsMedication categoriesAdverse eventsRisk of short-term adverse eventsMedication classesMedical indicationsPrescription list
2022
Examination of geriatric care processes implemented in level 1 and level 2 geriatric emergency departments
Santangelo I, Ahmad S, Liu S, Southerland L, Carpenter C, Hwang U, Lesser A, Tidwell N, Biese K, Kennedy M. Examination of geriatric care processes implemented in level 1 and level 2 geriatric emergency departments. Journal Of Geriatric Emergency Medicine 2022, 3 PMID: 36970655, PMCID: PMC10035774, DOI: 10.17294/2694-4715.1041.Peer-Reviewed Original ResearchGeriatric EDGeriatric fallsCare processesMedication reconciliationMedication-related adverse eventsOlder adultsGeriatric pain managementPain medication protocolUnique care needsEmergency department settingInappropriate medication administrationGeriatric Emergency DepartmentIndividual care processesDifferent screening toolsCross-sectional analysisAssessment of functionLevel 1Beers criteriaED administrationInappropriate medicationsAdverse eventsRenal functionMedication protocolsPain managementEmergency department
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 knowledgeSDMInjuryIllnessPhysiciansFeasibility of nurses measuring gait speed in older community-dwelling Emergency Department patients
Tucker PW, Evans DD, Clevenger CK, Ardisson M, Hwang U. Feasibility of nurses measuring gait speed in older community-dwelling Emergency Department patients. Geriatric Nursing 2016, 37: 453-457. PMID: 27477084, DOI: 10.1016/j.gerinurse.2016.06.015.Peer-Reviewed Original ResearchConceptsGait speedCommunity-dwelling adults 65 yearsDescriptive pilot projectED screening toolsED social workersFeasibility of nursesGait speed assessmentRoutine nursing assessmentRoutine nursing practiceEmergency department patientsAdults 65 yearsAdverse eventsDepartment patientsNursing assessmentUnfavorable outcomeED treatmentDisposition planningPatientsNursing practiceScreening toolNursesIndividualized resourcesObjective measuresSpeed assessmentSocial workers
2013
Acute 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