2022
Pragmatic clinical trial design in emergency medicine: Study considerations and design types
Gettel CJ, Yiadom MYAB, Bernstein SL, Grudzen CR, Nath B, Li F, Hwang U, Hess EP, Melnick ER. Pragmatic clinical trial design in emergency medicine: Study considerations and design types. Academic Emergency Medicine 2022, 29: 1247-1257. PMID: 35475533, PMCID: PMC9790188, DOI: 10.1111/acem.14513.Peer-Reviewed Original ResearchConceptsPragmatic clinical trialsClinical trial designTrial designReal-world clinical practicePragmatic clinical trial designElectronic health recordsEmergency departmentClinical trialsStudy design typeClinical practiceStudy typeTrial componentsHealth recordsEmergency medicineEmergency medicine investigatorsHuman subjects concernsInvestigatorsStudy findingsStudy considerationsTrialistsTrials
2020
Delirium Prevention, Detection, and Treatment in Emergency Medicine Settings: A Geriatric Emergency Care Applied Research (GEAR) Network Scoping Review and Consensus Statement
Carpenter CR, Hammouda N, Linton EA, Doering M, Ohuabunwa UK, Ko KJ, Hung WW, Shah MN, Lindquist LA, Biese K, Wei D, Hoy L, Nerbonne L, Hwang U, Dresden SM, Network T. Delirium Prevention, Detection, and Treatment in Emergency Medicine Settings: A Geriatric Emergency Care Applied Research (GEAR) Network Scoping Review and Consensus Statement. Academic Emergency Medicine 2020, 28: 19-35. PMID: 33135274, PMCID: PMC7971946, DOI: 10.1111/acem.14166.Peer-Reviewed Original ResearchMeSH KeywordsAgedDeliriumEmergency Medical ServicesEmergency MedicineEmergency Service, HospitalGeriatric AssessmentHumansConceptsDelirium detectionEmergency departmentClinical questionsDelirium prevention interventionHigh-priority research focusEmergency medicine settingPreferred Reporting ItemsScoping ReviewClinician gestaltDelirium prevalenceDelirium preventionDelirium managementPrevention StudyClinical pathwayConsensus statementEmergency physiciansPrevention interventionsConsensus conferenceElectronic searchMedicine settingReporting ItemsCriterion standardApplicable research evidenceIntervention studiesAdditional nurses
2017
An Interdisciplinary Academic Detailing Approach to Decrease Inappropriate Medication Prescribing by Physician Residents for Older Veterans Treated in the Emergency Department
Moss JM, Bryan WE, Wilkerson LM, King HA, Jackson GL, Owenby RK, Van Houtven CH, Stevens MB, Powers J, Vaughan CP, Hung WW, Hwang U, Markland AD, Sloane R, Knaack W, Hastings SN. An Interdisciplinary Academic Detailing Approach to Decrease Inappropriate Medication Prescribing by Physician Residents for Older Veterans Treated in the Emergency Department. Journal Of Pharmacy Practice 2017, 32: 167-174. PMID: 29277130, PMCID: PMC6533068, DOI: 10.1177/0897190017747424.Peer-Reviewed Original ResearchMeSH KeywordsAgedClinical CompetenceDrug PrescriptionsEducation, MedicalEmergency MedicineEmergency Service, HospitalHealth Services for the AgedHumansInappropriate PrescribingInternship and ResidencyInterprofessional RelationsPhysiciansPotentially Inappropriate Medication ListQuality ImprovementSurveys and QuestionnairesUnited StatesUnited States Department of Veterans AffairsVeteransConceptsQuality improvement projectAcademic detailingEmergency departmentOlder adultsPIM ratesBeers criteriaPhysician residentsResident cohortVeterans Affairs emergency departmentInappropriate medication prescribingAcademic detailing interventionDrug-disease interactionsImprovement projectSelf-perceived barriersInappropriate medicationsMedication prescribingED populationAppropriate medicationOlder veteransSelf-reported confidenceCohortEducational interventionRate ratioSignificant decreaseSelf-rated confidence
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 ResearchMeSH KeywordsAdultDecision MakingEmergency MedicineEmergency Service, HospitalGeriatricsHealth Services ResearchHumansPatient ParticipationConceptsOlder adultsEmergency careOlder emergency department (ED) patientsEmergency department patientsGoals of careTypes of patientsUse of SDMAdverse eventsDepartment patientsEmergency physiciansAggressive approachHigh riskSide effectsSerious illnessDiagnostic testsCarePatientsAdultsHigh rateLack of knowledgeSDMInjuryIllnessPhysicians
2014
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
Carpenter CR, Bromley M, Caterino JM, Chun A, Gerson LW, Greenspan J, Hwang U, John DP, Lyons WL, Platts‐Mills T, Mortensen B, Ragsdale L, Rosenberg M, Wilber S. 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. Academic Emergency Medicine 2014, 21: 806-809. PMID: 25117158, DOI: 10.1111/acem.12415.Peer-Reviewed Original ResearchMeSH KeywordsAgedEmergency MedicineEmergency Service, HospitalGeriatricsGuidelines as TopicHumansUnited StatesConceptsEmergency Nurses AssociationAmerican Geriatrics SocietyGeriatric Emergency Department GuidelinesEmergency Department GuidelinesEmergency departmentEmergency physiciansAmerican CollegeEmergency careGeriatrics SocietyGeriatric health care providersStrained health care systemNurses AssociationDepartment guidelinesEmergency medicineEmergency medicine cliniciansCrowded emergency departmentsAcademic Emergency MedicineGeriatric Emergency DepartmentHealth care providersCost-effectiveness studiesHealth care systemMedicine cliniciansCare providersGeriatric careCare systemOptimal 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
A Brief Educational Intervention Is Effective in Teaching the Femoral Nerve Block Procedure to First-Year Emergency Medicine Residents
Akhtar S, Hwang U, Dickman E, Nelson BP, Morrison RS, Todd KH. A Brief Educational Intervention Is Effective in Teaching the Femoral Nerve Block Procedure to First-Year Emergency Medicine Residents. Journal Of Emergency Medicine 2013, 45: 726-730. PMID: 23993941, DOI: 10.1016/j.jemermed.2013.04.051.Peer-Reviewed Original ResearchMeSH KeywordsClinical CompetenceEducational MeasurementEmergency MedicineFemaleFemoral NerveHumansInternship and ResidencyMaleNerve BlockPilot ProjectsConceptsNerve block proceduresEmergency departmentHip fractureBlock procedureDirect observation evaluationsCrowded emergency departmentsFirst-year emergency medicine residentsTraining sessionsEmergency medicine resident physiciansFirst-year EM residentsEM residentsBrief educational interventionUrban training programsNerve blockPainful conditionsNerve stimulatorUltrasonographic guidanceSuboptimal dosesEmergency medicine residentsFNB proceduresCritical action checklistCompetency ratesResident physiciansPilot studyOlder adults
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