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
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
Research Priorities for Palliative and End‐of‐life Care in the Emergency Setting
Quest TE, Asplin BR, Cairns CB, Hwang U, Pines JM. Research Priorities for Palliative and End‐of‐life Care in the Emergency Setting. Academic Emergency Medicine 2011, 18: e70-e76. PMID: 21676052, PMCID: PMC3368013, DOI: 10.1111/j.1553-2712.2011.01088.x.Peer-Reviewed Original ResearchConceptsEmergency departmentPalliative careLife careEmergency careHigh-quality care experiencesPalliative care continuumPalliative care servicesHealth care utilizationPalliative care trainingLife-threatening illnessEducation of cliniciansCare utilizationEmergency cliniciansBody of evidenceCare continuumEmergency settingClinical providersCare servicesCare trainingCare experiencesOptimal rolePatientsHealthcare ResearchCareChronic trajectory
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
The Effect of Emergency Department Crowding on Clinically Oriented Outcomes
Bernstein SL, Aronsky D, Duseja R, Epstein S, Handel D, Hwang U, McCarthy M, McConnell K, Pines JM, Rathlev N, Schafermeyer R, Zwemer F, Schull M, Asplin BR, Medicine E. The Effect of Emergency Department Crowding on Clinically Oriented Outcomes. Academic Emergency Medicine 2008, 16: 1-10. PMID: 19007346, DOI: 10.1111/j.1553-2712.2008.00295.x.Peer-Reviewed Original ResearchConceptsDomains of qualityEmergency departmentED crowdingEffect of EDST-elevation myocardial infarctionTime-sensitive conditionsObjective clinical endpointsEnglish-language literatureEmergency department (ED) crowdingHospital mortalityAcute painCohort studyCase seriesMyocardial infarctionPatient satisfactionSingle institutionClinical endpointsClinical trialsStudy qualityMedical adviceMedicine reportMedical literaturePatientsCareBody of dataEmergency 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 careWhat Affects Time to Care in Emergency Room Appendicitis Patients?
Bickell NA, Hwang U, Anderson RM, Rojas M, Barsky CL. What Affects Time to Care in Emergency Room Appendicitis Patients? Medical Care 2008, 46: 417-422. PMID: 18362822, DOI: 10.1097/mlr.0b013e31815c1e66.Peer-Reviewed Original ResearchConceptsEmergency departmentAppendicitis patientsED LOSQuicker careSurgeon's diagnosisPrivate insuranceRetrospective observational studyTreatment of patientsTime-sensitive conditionsNonwhite patientsED lengthPatient factorsSpecialist consultationED staffingObservational studyMinority patientsPatientsED characteristicsIll individualsPatient safetyDiagnosisED qualityAppendicitisGreater numberModest effect
2007
The Geriatric Emergency Department
Hwang U, Morrison RS. The Geriatric Emergency Department. Journal Of The American Geriatrics Society 2007, 55: 1873-1876. PMID: 17916122, DOI: 10.1111/j.1532-5415.2007.01400.x.Peer-Reviewed Original ResearchConceptsSpecial care needsEmergency departmentOlder patientsCare needsGeriatric Emergency Department InterventionOlder adultsEmergency Department InterventionGeriatric Emergency DepartmentSubtle clinical signsMultiple comorbiditiesAcute illnessGeriatric patientsCare modificationsClinical signsRapid triageCognitive impairmentPatientsHealthcare systemCareAdultsDepartmentPolypharmacyComorbiditiesSymptomsIllness