Featured Publications
Qualitative study of patient experiences and care observations during agitation events in the emergency department: implications for systems-based practice
Wong AH, Ray JM, Eixenberger C, Crispino LJ, Parker JB, Rosenberg A, Robinson L, McVaney C, Iennaco JD, Bernstein SL, Yonkers KA, Pavlo AJ. Qualitative study of patient experiences and care observations during agitation events in the emergency department: implications for systems-based practice. BMJ Open 2022, 12: e059876. PMID: 35545394, PMCID: PMC9096567, DOI: 10.1136/bmjopen-2021-059876.Peer-Reviewed Original ResearchConceptsEmergency departmentAgitation eventsQualitative studyEmergency careQualitative studies of patients' experiencesPhysical restraintStudies of patients' experiencesAvoidance of physical restraintSystem of healthcare deliveryPhysical restraint useEmergency care networkCommunity-based teaching hospitalSystems-based practiceTertiary care academic centreInterviews of patientsVerbal de-escalationGrounded theory approachPatient-oriented strategiesExposure to psychological traumaExcessive psychomotor activityCare approachSocioeconomic inequalitiesPatient experienceRestraint useCare networkA qualitative system dynamics model for effects of workplace violence and clinician burnout on agitation management in the emergency department
Wong AH, Sabounchi NS, Roncallo HR, Ray JM, Heckmann R. A qualitative system dynamics model for effects of workplace violence and clinician burnout on agitation management in the emergency department. BMC Health Services Research 2022, 22: 75. PMID: 35033071, PMCID: PMC8760708, DOI: 10.1186/s12913-022-07472-x.Peer-Reviewed Original ResearchConceptsExperience of workplace violenceClinician burnoutWorkplace violenceIncreased perceptions of safetyPhysical restraintPerceptions of safetyClinician stressWorkplace assaultsAgitated patientsEmergency departmentEffects of workplace violenceUse of restraintsQualitative system dynamics methodsModel building sessionsSymptoms of burnoutIncreased perceptionInterprofessional panelClinician stakeholdersResultsThe final modelRisk of assaultImpact future decisionsPatient safetyEpisodes of agitationAgitation managementClinician experienceDesign and Implementation of an Agitation Code Response Team in the Emergency Department
Wong AH, Ray JM, Cramer LD, Brashear TK, Eixenberger C, McVaney C, Haggan J, Sevilla M, Costa DS, Parwani V, Ulrich A, Dziura JD, Bernstein SL, Venkatesh AK. Design and Implementation of an Agitation Code Response Team in the Emergency Department. Annals Of Emergency Medicine 2021, 79: 453-464. PMID: 34863528, PMCID: PMC9038629, DOI: 10.1016/j.annemergmed.2021.10.013.Peer-Reviewed Original ResearchConceptsResponse team interventionPhysical restraint useInterrupted time series analysisRestraint useEmergency departmentTeam interventionRates of physical restraint useTeam-based interventionAdministrative supportQuality improvement studyResponse teamBehavioral health systemManagement of agitated patientsInterprofessional collaborationRestraint ordersExcessive psychomotor activityRestraint ratesHealth systemED visitsImprovement studyPhysical restraintCompare trendsPrimary outcomeTime series analysisAgitated patientsAddressing Workplace Safety in the Emergency Department: A Multi-Institutional Qualitative Investigation of Health Worker Assault Experiences.
Vrablik MC, Lawrence M, Ray JM, Moore M, Wong AH. Addressing Workplace Safety in the Emergency Department: A Multi-Institutional Qualitative Investigation of Health Worker Assault Experiences. Journal Of Occupational And Environmental Medicine 2020, 62: 1019-1028. PMID: 32991380, DOI: 10.1097/jom.0000000000002031.Peer-Reviewed Original ResearchConceptsWorkplace violenceEmergency departmentGeographically distinct institutionsHealth workersPatient assaultsThematic analysisHealthcare systemPotential interventionsEmergency preparednessPhases of preparednessIdentified conceptsHealthQualitative investigationInterventionInterconnected influencesSustained impactWorkplace safetyWorkplacePreparednessAssault experiencesComprehensive approachIndividual workersDepartmentRecovery phaseWorkersHealing the Healer: Protecting Emergency Health Care Workers’ Mental Health During COVID-19
Wong AH, Pacella-LaBarbara ML, Ray JM, Ranney ML, Chang BP. Healing the Healer: Protecting Emergency Health Care Workers’ Mental Health During COVID-19. Annals Of Emergency Medicine 2020, 76: 379-384. PMID: 32534830, PMCID: PMC7196406, DOI: 10.1016/j.annemergmed.2020.04.041.Peer-Reviewed Original Research
2025
Association between patient primary language, physical restraints, and intramuscular sedation in the emergency department
Kumar A, Ryus C, Tartak J, Nath B, Faustino I, Shah D, Robinson L, Desai R, Heckmann R, Taylor R, Wong A. Association between patient primary language, physical restraints, and intramuscular sedation in the emergency department. Academic Emergency Medicine 2025 PMID: 39948714, DOI: 10.1111/acem.70004.Peer-Reviewed Original ResearchPatient's primary languagePortuguese-speaking patientsPhysical restraintEmergency departmentPrimary languageED visitsQuality of clinical interactionsRegional health care networkHealth care networkVerbal de-escalationElectronic medical recordsLogistic regression modelsAdult patients ageLanguage speakersEnglish speakersCare networkSpanish speakersPortuguese speakersCultural interpretationRetrospective cohort analysisAgitation symptomsOdds ratioClinical interactionsEvaluate associationsPrimary outcomeCharacterizing Emergency Department Care for Patients With Histories of Incarceration
Huang T, Socrates V, Ovchinnikova P, Faustino I, Kumar A, Safranek C, Chi L, Wang E, Puglisi L, Wong A, Wang K, Taylor R. Characterizing Emergency Department Care for Patients With Histories of Incarceration. Journal Of The American College Of Emergency Physicians Open 2025, 6: 100022. PMID: 40012663, PMCID: PMC11852703, DOI: 10.1016/j.acepjo.2024.100022.Peer-Reviewed Original ResearchCare processesHistory of incarcerationRestraint useEmergency departmentHealth care team membersMeasuring care processesCompare socio-demographic characteristicsCare team membersHealth care disparitiesEmergency department careHealth care systemSocio-demographic characteristicsUnique patient encountersMultivariate logistic regressionCare disparitiesHealth behaviorsED settingCare systemPatient encountersSubstance use historyMedical adviceLogistic regressionDemographic characteristicsTeam membersCare
2024
5.1 Identifying Drivers of Physical Restraint Use in a Pediatric Emergency Department
Rolison M, Adu M, Faustino I, Kumar A, Powers E, Wong A, Hoffman P, Tiyyagura G. 5.1 Identifying Drivers of Physical Restraint Use in a Pediatric Emergency Department. Journal Of The American Academy Of Child & Adolescent Psychiatry 2024, 63: s7-s8. DOI: 10.1016/j.jaac.2024.07.065.Peer-Reviewed Original ResearchEducational and personal impacts of the COVID-19 pandemic on emergency medicine resident physicians: a qualitative study
Fults E, Gerwin J, Boyce M, Joseph M, Wong A, Evans L. Educational and personal impacts of the COVID-19 pandemic on emergency medicine resident physicians: a qualitative study. BMC Medical Education 2024, 24: 1055. PMID: 39334215, PMCID: PMC11429862, DOI: 10.1186/s12909-024-05972-4.Peer-Reviewed Original ResearchConceptsEmergency medicine resident physiciansResident physiciansQualitative studyEmergency departmentResident physicians' experiencesEmergency medicine facultyCOVID-19 pandemicResident physician trainingResidency program leadershipSocial support systemsBackgroundThe COVID-19 pandemicData saturationPhysician trainingCode teamFrontline physiciansPractice styleUrban academic institutionProgram leadershipPhysician experienceMedicine facultyResident experiencePersonal impactPhysiciansMoral injuryResident preparationComparing Male and Female Resident Physicians in Central Venous Catheter Insertion Self-confidence and Competency: A Retrospective Cohort Study
Solberg M, Wong A, Ikejiani S, Bonz J, Evans L. Comparing Male and Female Resident Physicians in Central Venous Catheter Insertion Self-confidence and Competency: A Retrospective Cohort Study. Journal Of General Internal Medicine 2024, 40: 63-69. PMID: 39117882, PMCID: PMC11780025, DOI: 10.1007/s11606-024-08982-6.Peer-Reviewed Original ResearchTraining programPost-trainingCentral venous catheterFemale resident physiciansSelf-confidenceSelf-reported confidenceMale traineesDifferences pre-Simulation training programVenous cathetersCannulation attemptsDesigning training programsPhysician residentsInserting central venous cathetersSkill-based outcomesLinear regressionDesignUsing dataMale physiciansResident physiciansCentral venous catheter insertionRetrospective cohort studyClinical competenceSpecialty designationBaseline demographic characteristicsPhysician educationAssessment of an organizational effort to increase emergency medicine faculty on National Institutes of Health study sections
Pulcini C, Barton D, Cassara M, Davis J, DeMasi S, Durant E, Garg N, Greineder C, McMillian M, Paxton J, Puskarich M, Vogel J, Wong A, Sharp W. Assessment of an organizational effort to increase emergency medicine faculty on National Institutes of Health study sections. Academic Emergency Medicine 2024, 31: 1280-1282. PMID: 39056157, DOI: 10.1111/acem.14993.Peer-Reviewed Original ResearchApplying simulation learning theory to identify instructional strategies for Generation Z emergency medicine residency education
Hrdy M, Tarver E, Lei C, Moss H, Wong A, Moadel T, Beattie L, Lamberta M, Cohen S, Cassara M, Hughes M, De Castro A, Sahi N, Chen T. Applying simulation learning theory to identify instructional strategies for Generation Z emergency medicine residency education. AEM Education And Training 2024, 8: s56-s69. PMID: 38774828, PMCID: PMC11102949, DOI: 10.1002/aet2.10981.Peer-Reviewed Original ResearchGeneration Z learnersInstructional strategiesLearning preferencesSimulation-based educationLearning environmentLearning theoryInteractive small-group learningStudent-centered educationSmall group learningVisual learning environmentEffective educational strategiesSelf-paced learningClinical learning environmentDeliver effective educationEducational innovationInstructional landscapeEducational environmentAcademic supportAsynchronous educationEducational allianceEffective educationDidactic environmentEducational strategiesMultimedia designEducationThe MIDAS touch: Frameworks for procedural model innovation and validation
Stapleton S, Cassara M, Roth B, Matulis C, Desmond C, Wong A, Cardell A, Moadel T, Lei C, Munzer B, Moss H, Nadir N. The MIDAS touch: Frameworks for procedural model innovation and validation. AEM Education And Training 2024, 8: s24-s35. PMID: 38774824, PMCID: PMC11102942, DOI: 10.1002/aet2.10980.Peer-Reviewed Original ResearchModel creationProcedural modelNovel modelMinimization frameworkDevelopment expertiseMidas touchValidation processModel innovationLow timeSimulation communityFrameworkEducational outcomesTraining qualityEngineering fieldsSimulationistsWorking GroupDevelopment of modelsImproved modelTrainingProcedural practicesSkills trainingSimulationStandard approachWorkshop participantsPreconference workshopHuman-Algorithmic Interaction Using a Large Language Model-Augmented Artificial Intelligence Clinical Decision Support System
Rajashekar N, Shin Y, Pu Y, Chung S, You K, Giuffre M, Chan C, Saarinen T, Hsiao A, Sekhon J, Wong A, Evans L, Kizilcec R, Laine L, Mccall T, Shung D. Human-Algorithmic Interaction Using a Large Language Model-Augmented Artificial Intelligence Clinical Decision Support System. 2024, 1-20. DOI: 10.1145/3613904.3642024.Peer-Reviewed Original ResearchClinical decision support systemsHuman-computer interactionDecision support systemArtificial intelligenceAI-CDSSIntelligent clinical decision support systemSupport systemIntegration of artificial intelligenceHuman-algorithm interactionsEase-of-useLanguage modelHuman algorithmAI systemsSocio-technological challengesHealth-care providersMedical student participationQualitative themesClinical simulationClinical expertiseUpper gastrointestinal bleedingUsabilityBorderline decisionsLanguageClinical intuitionTrust407 IMPACT OF ARTIFICIAL INTELLIGENCE SYSTEMS FOR UPPER GASTROINTESTINAL BLEEDING ON CLINICIAN TRUST AND LEARNING USING LARGE LANGUAGE MODELS: A RANDOMIZED PILOT SIMULATION STUDY
Chung S, Rajashekar N, Pu Y, Shin Y, Giuffrè M, Chan C, You K, Saarinen T, Hsiao A, Sekhon J, Wong A, Evans L, McCall T, Kizilcec R, Laine L, Shung D. 407 IMPACT OF ARTIFICIAL INTELLIGENCE SYSTEMS FOR UPPER GASTROINTESTINAL BLEEDING ON CLINICIAN TRUST AND LEARNING USING LARGE LANGUAGE MODELS: A RANDOMIZED PILOT SIMULATION STUDY. Gastroenterology 2024, 166: s-95-s-96. DOI: 10.1016/s0016-5085(24)00715-7.Peer-Reviewed Original ResearchHRVEST: a novel data solution for using wearable smart technology to measure physiologic stress variables during a randomized clinical trial
Gerwin J, de Oliveira Almeida G, Boyce M, Joseph M, Wong A, Burleson W, Evans L. HRVEST: a novel data solution for using wearable smart technology to measure physiologic stress variables during a randomized clinical trial. Frontiers In Computer Science 2024, 6: 1343139. DOI: 10.3389/fcomp.2024.1343139.Peer-Reviewed Original ResearchWearable smart garmentsSmart garmentsNovel algorithmRaw physiological dataData solutionsElectrocardiogram (ECGData processing algorithmsReal-time feedbackWearable technologyBiometric dataNoise-filteringProprietary softwareProposed solutionsData challengeSmart technologiesRaw dataAlgorithmDataAnalytical softwareSoftwarePhysiological dataTechnologyBreak-takingDecision-makingHeart rate variabilityFormative evaluation of an emergency department clinical decision support system for agitation symptoms: a study protocol
Wong A, Nath B, Shah D, Kumar A, Brinker M, Faustino I, Boyce M, Dziura J, Heckmann R, Yonkers K, Bernstein S, Adapa K, Taylor R, Ovchinnikova P, McCall T, Melnick E. Formative evaluation of an emergency department clinical decision support system for agitation symptoms: a study protocol. BMJ Open 2024, 14: e082834. PMID: 38373857, PMCID: PMC10882402, DOI: 10.1136/bmjopen-2023-082834.Peer-Reviewed Original ResearchConceptsComputerised clinical decision supportED treatRestraint useExperiences of restraint useMental health-related visitsEmergency departmentPrevent agitationSystems-related factorsImprove patient experienceClinical decision support systemsRegional health systemClinical decision supportDe-escalation techniquesRandomised controlled trialsFormative evaluationPeer-reviewed journalsBest-practice guidanceAt-risk populationsCDS toolsThematic saturationED cliniciansPatient experienceED sitesHealth systemED physiciansThe impact of interviewer characteristics on residency candidate scores in Emergency Medicine: a brief report
Coughlin R, Bod J, Wood D, Goldflam K, Della-Giustina D, Joseph M, Devlin D, Wong A, Tsyrulnik A. The impact of interviewer characteristics on residency candidate scores in Emergency Medicine: a brief report. MedEdPublish 2024, 13: 205. PMID: 38481470, PMCID: PMC10933563, DOI: 10.12688/mep.19735.2.Peer-Reviewed Original ResearchGroup discussionsScore changesCross-sectional observational studyInterviewer characteristicsLogistic regression modelsEmergency medicineBourdieu's social capital theoryUniversity SchoolObservational studyOddsResidency candidatesRegression modelsInterviewsPost-discussionInterview dayResidentsScoresIndividual scoresAcademic rankScore interactionResidency matchBrief reportEmergencyFaculty interviewsFellowship Accreditation: Experiences From Health Care Simulation Experts.
Musits A, Khan H, Cassara M, McKenna R, Penttila A, Ahmed R, Wong A. Fellowship Accreditation: Experiences From Health Care Simulation Experts. Journal Of Graduate Medical Education 2024, 16: 41-50. PMID: 38304604, PMCID: PMC10829926, DOI: 10.4300/jgme-d-23-00388.1.Peer-Reviewed Original ResearchConceptsSimulation leadersFellowship accreditationOne-on-one semistructured interviewsHealth care simulationImpact of accreditationProfessional societiesOpen coding techniqueThematic analysisWorkforce concernsQualitative studyStandardization of training programsTraining programSnowball samplingSimulation expertsFellowship programsAccreditation pathwaysLack of consensusAccreditation effortsSubthemesAccreditationPhenomenological frameworkParticipantsInterviewsSpectrum of opinionsFellowship
2021
Impact of a Virtual Simulation-Based Educational Module on Managing Agitation for Medical Students
Chaffkin J, Ray JM, Goldenberg M, Wong AH. Impact of a Virtual Simulation-Based Educational Module on Managing Agitation for Medical Students. Academic Psychiatry 2021, 46: 495-499. PMID: 34505279, PMCID: PMC8428505, DOI: 10.1007/s40596-021-01521-z.Peer-Reviewed Original Research
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