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
Automating risk stratification for geriatric syndromes in the emergency department
Haimovich A, Shah M, Southerland L, Hwang U, Patterson B. Automating risk stratification for geriatric syndromes in the emergency department. Journal Of The American Geriatrics Society 2023, 72: 258-267. PMID: 37811698, PMCID: PMC10866303, DOI: 10.1111/jgs.18594.Peer-Reviewed Original ResearchRisk stratificationGeriatric syndromesCognitive impairmentGeriatric Emergency Department GuidelinesHigh-risk patientsRisk stratification approachHigh-risk populationED patient volumeEmergency Department GuidelinesGeriatric emergency careElectronic health recordsOlder patientsRisk patientsPalliative careEmergency departmentProvider burdenImproved careLife careEmergency carePatient volumeDepartment guidelinesOlder adultsHealth recordsCareEHR dataCare transition outcome measures of importance after emergency care: Do emergency clinicians and older adults agree?
Gettel C, Hwang U, Rising K, Goldberg E, Feder S, Uzamere I, Venkatesh A. Care transition outcome measures of importance after emergency care: Do emergency clinicians and older adults agree? Academic Emergency Medicine 2023, 30: 1061-1064. PMID: 37014286, PMCID: PMC10548356, DOI: 10.1111/acem.14732.Peer-Reviewed Original ResearchDissemination and implementation of age‐friendly care and geriatric emergency department accreditation at Veterans Affairs hospitals
Hwang U, Runels T, Han L, Gruber E, McQuown C, Ragsdale L, Jetter E, Rossomano N, Javier D. Dissemination and implementation of age‐friendly care and geriatric emergency department accreditation at Veterans Affairs hospitals. Academic Emergency Medicine 2023, 30: 270-277. PMID: 36653961, DOI: 10.1111/acem.14665.Peer-Reviewed Original ResearchConceptsVA emergency departmentEmergency departmentOlder veteransED visitsVA Corporate Data WarehouseAge-friendly careIndex ED visitVeterans Affairs hospitalYears of ageCorporate Data WarehouseScreening prevalencePoor outcomeStandardization of practiceMean ageVisit encountersPotential confoundingEmergency careGreater oddsExtended careDemographic dataOlder adultsLevel 1Observational evaluationCarePandemic year
2022
Identifying and Prioritizing Research to Improve Emergency Care of Persons Living With Dementia: A Geriatric Emergency care Applied Research 2.0 Network ‐ Advancing Dementia Care (GEAR 2.0‐ADC) Scoping Review
Gifford A, Shah M, Carpenter C, Dresden S, Dussetschleger J, Leggett J, Taylor Z, Hwang U. Identifying and Prioritizing Research to Improve Emergency Care of Persons Living With Dementia: A Geriatric Emergency care Applied Research 2.0 Network ‐ Advancing Dementia Care (GEAR 2.0‐ADC) Scoping Review. Alzheimer's & Dementia 2022, 18 DOI: 10.1002/alz.061593.Peer-Reviewed Original ResearchEmergency departmentCare partnersEmergency careTask force membersPatient-centered care interventionsLiterature searchUnique care needsSystematic literature searchMeasurement of dementiaScoping ReviewPRISMA-ScR guidelinesTask ForceED settingPICO questionCare interventionsCare needsConsensus conferenceClinical practiceOutcome questionsDementia careBackground PersonsMedical staffDementiaCareDementia detectionEmergency 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
28 Geriatric Emergency Department Accreditation Accelerates Integration of Geriatric Care at the Veterans Health Administration
McQuown C, Gruber E, Runels T, Ragsdale L, Hwang U. 28 Geriatric Emergency Department Accreditation Accelerates Integration of Geriatric Care at the Veterans Health Administration. Annals Of Emergency Medicine 2021, 78: s12. DOI: 10.1016/j.annemergmed.2021.09.036.Peer-Reviewed Original ResearchResearch priorities for elder abuse screening and intervention: A Geriatric Emergency Care Applied Research (GEAR) network scoping review and consensus statement
Kayser J, Morrow-Howell N, Rosen TE, Skees S, Doering M, Clark S, Hurka-Richardson K, Bin Shams R, Ringer T, Hwang U, Platts-Mills TF, Network TG. Research priorities for elder abuse screening and intervention: A Geriatric Emergency Care Applied Research (GEAR) network scoping review and consensus statement. Journal Of Elder Abuse & Neglect 2021, 33: 123-144. PMID: 33797344, PMCID: PMC8204570, DOI: 10.1080/08946566.2021.1904313.Peer-Reviewed Original ResearchConceptsEmergency departmentEmergency department-based interventionsEmergency Department ScreeningHealth care utilizationResearch NetworkUsual careCare utilizationConsensus statementSafety outcomesConsensus conferenceElder abuseReference listsComparative effectivenessAbuse screeningPsychosocial impactGoogle ScholarAbuse assessmentInterventionPatientsCurrent literatureCareDepartmentAbuseScreeningResearch priorities
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 knowledgeSDMInjuryIllnessPhysiciansA Multicenter Evaluation of Emergency Department Pain Care Across Different Types of Fractures
Siddiqui A, Belland L, Rivera-Reyes L, Handel D, Yadav K, Heard K, Eisenberg A, Khelemsky Y, Hwang U. A Multicenter Evaluation of Emergency Department Pain Care Across Different Types of Fractures. Pain Medicine 2016, 18: 41-48. PMID: 27245631, PMCID: PMC5283699, DOI: 10.1093/pm/pnw072.Peer-Reviewed Original ResearchConceptsPain careEmergency departmentType of fractureFracture typeOlder patientsBaseline pain scoresRetrospective cohort studyLong bone fracturesOpioid doseAnalgesic administrationAnalgesic usePain scoresCohort studyTriage acuityFinal diagnosisSubgroup analysisMulticenter evaluationED crowdingPatientsBone fracturesSecondary analysisAge-based differencesCareProcess outcomesGreater likelihoodGeriatric 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 REDInterventionOutcomesReadmissionShortnessUsability Evaluation of a Clinical Decision Support System for Geriatric ED Pain Treatment
Genes N, Kim MS, Thum FL, Rivera L, Beato R, Song C, Soriano J, Kannry J, Baumlin K, Hwang U. Usability Evaluation of a Clinical Decision Support System for Geriatric ED Pain Treatment. Applied Clinical Informatics 2016, 07: 128-142. PMID: 27081412, PMCID: PMC4817340, DOI: 10.4338/aci-2015-08-ra-0108.Peer-Reviewed Original ResearchConceptsClinical decision support systemElectronic health recordsPain careCDSS interventionClinical careSystem usability scoreUnrelieved acute painRate of physiciansCare clinical decision support systemAcute painPain treatmentPoor outcomeCare interventionsEmergency physiciansClinicians' usePatient carePatient scenariosOlder adultsCDS interventionsCareHealth recordsPhysiciansInterventionTest sessionsRounds of testing
2015
The Evolving Role of Geriatric Emergency Department Social Work in the Era of Health Care Reform
Hamilton C, Ronda L, Hwang U, Abraham G, Baumlin K, Morano B, Nassisi D, Richardson L. The Evolving Role of Geriatric Emergency Department Social Work in the Era of Health Care Reform. Social Work In Health Care 2015, 54: 849-868. PMID: 26565950, DOI: 10.1080/00981389.2015.1087447.Peer-Reviewed Original ResearchGeriatrics Emergency Department—The GEDI WISE Program
Hwang U, Rosenberg M, Dresden S. Geriatrics Emergency Department—The GEDI WISE Program. 2015, 201-209. DOI: 10.1007/978-3-319-16068-9_18.Peer-Reviewed Original Research
2014
EMF-226 The Effect of a Novel Clinical Decision Support System on Pain Care for Older Adults Presenting to the Emergency Department With Acute Abdominal Pain
Belland L, Rivera-Reyes L, Genes N, Thum F, Winkel G, Soriano J, Hwang U. EMF-226 The Effect of a Novel Clinical Decision Support System on Pain Care for Older Adults Presenting to the Emergency Department With Acute Abdominal Pain. Annals Of Emergency Medicine 2014, 64: s81. DOI: 10.1016/j.annemergmed.2014.07.253.Peer-Reviewed Original ResearchIs all pain is treated equally? A multicenter evaluation of acute pain care by age
Hwang U, Belland LK, Handel DA, Yadav K, Heard K, Rivera-Reyes L, Eisenberg A, Noble MJ, Mekala S, Valley M, Winkel G, Todd KH, Morrison R. Is all pain is treated equally? A multicenter evaluation of acute pain care by age. Pain 2014, 155: 2568-2574. PMID: 25244947, PMCID: PMC4250377, DOI: 10.1016/j.pain.2014.09.017.Peer-Reviewed Original ResearchConceptsAcute pain careFinal pain scoreOlder patientsYounger patientsPain carePain scoresCross-sectional observation studyType of painPatient-related characteristicsHealth care settingsFracture painAbdominal painPain medicationPain conditionsPain treatmentEmergency departmentCare treatmentCare settingsMulticenter evaluationPainPatientsOlder adultsCareAnalgesicsGreater reductionOptimal Older Adult Emergency Care: Introducing Multidisciplinary Geriatric Emergency Department Guidelines From the American College of Emergency Physicians, American Geriatrics Society, Emergency Nurses Association, and Society for Academic Emergency Medicine
Carpenter CR, Bromley M, Caterino JM, Chun A, Gerson LW, Greenspan J, Hwang U, John DP, Lyons WL, Platts-Mills TF, Mortensen B, Ragsdale L, Rosenberg M, Wilber ST, ACEP Geriatric Emergency Medicine Section A. Optimal Older Adult Emergency Care: Introducing Multidisciplinary Geriatric Emergency Department Guidelines From the American College of Emergency Physicians, American Geriatrics Society, Emergency Nurses Association, and Society for Academic Emergency Medicine. Annals Of Emergency Medicine 2014, 63: e1-e3. PMID: 24746436, DOI: 10.1016/j.annemergmed.2014.03.002.Peer-Reviewed Original ResearchConceptsGeriatric Emergency Department GuidelinesEmergency Department GuidelinesEmergency Nurses AssociationAmerican Geriatrics SocietyEmergency physiciansAmerican CollegeEmergency careGeriatrics SocietyNurses AssociationDepartment guidelinesEmergency medicineAcademic Emergency MedicinePhysiciansCare
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 evaluationRehospitalizationHospitalizationPatientsVisits
2011
A Research Agenda to Assure Equity During Periods of Emergency Department Crowding
Hwang U, Weber EJ, Richardson LD, Sweet V, Todd K, Abraham G, Ankel F. A Research Agenda to Assure Equity During Periods of Emergency Department Crowding. Academic Emergency Medicine 2011, 18: 1318-1323. PMID: 22168197, PMCID: PMC3368012, DOI: 10.1111/j.1553-2712.2011.01233.x.Peer-Reviewed Original ResearchConceptsInstitute of MedicineEmergency departmentDomains of qualityEmergency department (ED) crowdingPeriods of crowdingHealth care systemEquitable careCare systemPotential interventionsSuccessful interventionsVulnerable populationsBase interventionsInterventionCareLittle evidenceField of medicineMedicineInequities