2016
A 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 likelihoodUsability 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
A Multicenter Evaluation of the Impact of Sex on Abdominal and Fracture Pain Care
Siddiqui A, Belland L, Rivera-Reyes L, Handel D, Yadav K, Heard K, Eisenberg A, Hwang U. A Multicenter Evaluation of the Impact of Sex on Abdominal and Fracture Pain Care. Medical Care 2015, 53: 948-953. PMID: 26465122, PMCID: PMC4610254, DOI: 10.1097/mlr.0000000000000430.Peer-Reviewed Original ResearchConceptsAbdominal painAnalgesic administrationPain careMulticenter evaluationFinal ED diagnosisInitial pain scoreSingle pain conditionRetrospective cohort reviewType of painSex-based disparitiesImpact of sexPain scoresCohort reviewED visitsSecondary outcomesPain conditionsPrimary outcomeMulticenter studyTriage acuityED diagnosisMultivariable modelMedication ordersSex disparitiesCare outcomesED crowding
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 reduction
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
2011
A Painful Setback: Misinterpretation of Analgesic Safety in Older Adults May Inadvertently Worsen Pain Care
Hwang U, Morrison RS, Richardson LD, Todd KH. A Painful Setback: Misinterpretation of Analgesic Safety in Older Adults May Inadvertently Worsen Pain Care. JAMA Internal Medicine 2011, 171: 1127-1127. PMID: 21709124, PMCID: PMC3368583, DOI: 10.1001/archinternmed.2011.262.Peer-Reviewed Original Research
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 medication
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