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
2020
AGS Position Statement: Resource Allocation Strategies and Age‐Related Considerations in the COVID‐19 Era and Beyond
Farrell TW, Ferrante LE, Brown T, Francis L, Widera E, Rhodes R, Rosen T, Hwang U, Witt LJ, Thothala N, Liu SW, Vitale CA, Braun UK, Stephens C, Saliba D. AGS Position Statement: Resource Allocation Strategies and Age‐Related Considerations in the COVID‐19 Era and Beyond. Journal Of The American Geriatrics Society 2020, 68: 1136-1142. PMID: 32374440, PMCID: PMC7267615, DOI: 10.1111/jgs.16537.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsAmerican Geriatrics SocietyOlder adultsAppropriate advance care planningShort-term outcomesRelevant clinical factorsCoronavirus disease 2019Advance care planningPotential short-term outcomeClinical factorsSevere illnessAdvanced ageDisease 2019Care planningMortality riskGeriatrics SocietySocial determinantsHealthcare professionalsHealth systemOlder peopleInterprofessional expertsEthics CommitteeCOVID-19 eraLife expectancyAgeCOVID-19Rationing Limited Healthcare Resources in the COVID‐19 Era and Beyond: Ethical Considerations Regarding Older Adults
Farrell TW, Francis L, Brown T, Ferrante LE, Widera E, Rhodes R, Rosen T, Hwang U, Witt LJ, Thothala N, Liu SW, Vitale CA, Braun UK, Stephens C, Saliba D. Rationing Limited Healthcare Resources in the COVID‐19 Era and Beyond: Ethical Considerations Regarding Older Adults. Journal Of The American Geriatrics Society 2020, 68: 1143-1149. PMID: 32374466, PMCID: PMC7267288, DOI: 10.1111/jgs.16539.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus Statements
2019
Concepts in Practice: Geriatric Emergency Departments
Southerland LT, Lo AX, Biese K, Arendts G, Banerjee J, Hwang U, Dresden S, Argento V, Kennedy M, Shenvi CL, Carpenter CR. Concepts in Practice: Geriatric Emergency Departments. Annals Of Emergency Medicine 2019, 75: 162-170. PMID: 31732374, PMCID: PMC6980991, DOI: 10.1016/j.annemergmed.2019.08.430.Peer-Reviewed Original Research
2017
Enhancing Quality of Provider Practices for Older Adults in the Emergency Department (EQUiPPED)
Stevens M, Hastings SN, Markland AD, Hwang U, Hung W, Vandenberg AE, Bryan W, Cross D, Powers J, McGwin G, Fattouh N, Ho W, Clevenger C, Vaughan CP. Enhancing Quality of Provider Practices for Older Adults in the Emergency Department (EQUiPPED). Journal Of The American Geriatrics Society 2017, 65: 1609-1614. PMID: 28388818, DOI: 10.1111/jgs.14890.Peer-Reviewed Original ResearchConceptsOlder adultsAmerican Geriatrics Society 2012 Beers CriteriaMulticomponent quality improvement initiativeEmergency department dischargeNumber of PIMsUse of PIMsElectronic clinical decision supportQuality improvement initiativesPost-intervention comparisonBeers criteriaPIM prescriptionInappropriate medicationsClinical decision supportEmergency departmentSafe prescribingCenter EDMedication safetyProvider practicesOlder veteransSustained reductionMulticomponent programPoisson regressionED sitesImprovement initiativesIndividual providers
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 knowledgeSDMInjuryIllnessPhysiciansFeasibility of nurses measuring gait speed in older community-dwelling Emergency Department patients
Tucker PW, Evans DD, Clevenger CK, Ardisson M, Hwang U. Feasibility of nurses measuring gait speed in older community-dwelling Emergency Department patients. Geriatric Nursing 2016, 37: 453-457. PMID: 27477084, DOI: 10.1016/j.gerinurse.2016.06.015.Peer-Reviewed Original ResearchConceptsGait speedCommunity-dwelling adults 65 yearsDescriptive pilot projectED screening toolsED social workersFeasibility of nursesGait speed assessmentRoutine nursing assessmentRoutine nursing practiceEmergency department patientsAdults 65 yearsAdverse eventsDepartment patientsNursing assessmentUnfavorable outcomeED treatmentDisposition planningPatientsNursing practiceScreening toolNursesIndividualized resourcesObjective measuresSpeed assessmentSocial workersUsability 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
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 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. Journal Of The American Geriatrics Society 2014, 62: 1360-1363. PMID: 24890806, DOI: 10.1111/jgs.12883.Peer-Reviewed Original ResearchConceptsGeriatric Emergency Department GuidelinesEmergency Department GuidelinesEmergency Nurses AssociationEmergency departmentAmerican Geriatrics SocietyEmergency physiciansAmerican CollegeEmergency careEmergency medicineGeriatrics SocietyNurses AssociationDepartment guidelinesGeriatric healthcare providersCrowded emergency departmentsEmergency medicine cliniciansAcademic Emergency MedicineOptimal 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
2009
Quality Indicators for Geriatric Emergency Care
Terrell KM, Hustey FM, Hwang U, Gerson LW, Wenger NS, Miller DK, Force O. Quality Indicators for Geriatric Emergency Care. Academic Emergency Medicine 2009, 16: 441-449. PMID: 19344452, DOI: 10.1111/j.1553-2712.2009.00382.x.Peer-Reviewed Original ResearchConceptsEmergency departmentOlder patientsQuality improvement effortsPain managementNursing homesCognitive AssessmentCandidate quality indicatorsGeriatric emergency carePotential quality indicatorsTask ForceED usersTransitional careMedical recordsEmergency physiciansAmerican CollegeEmergency careVulnerable subsetPatient careSystematic reviewHealth care environmentPatientsEmergency practiceImprovement effortsQuality indicatorsAnnual Meeting
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