2023
Automating risk stratification for geriatric syndromes in the emergency department
Haimovich A, Shah M, Southerland L, Hwang U, Patterson B. Automating risk stratification for geriatric syndromes in the emergency department. Journal Of The American Geriatrics Society 2023, 72: 258-267. PMID: 37811698, PMCID: PMC10866303, DOI: 10.1111/jgs.18594.Peer-Reviewed Original ResearchRisk stratificationGeriatric syndromesCognitive impairmentGeriatric Emergency Department GuidelinesHigh-risk patientsRisk stratification approachHigh-risk populationED patient volumeEmergency Department GuidelinesGeriatric emergency careElectronic health recordsOlder patientsRisk patientsPalliative careEmergency departmentProvider burdenImproved careLife careEmergency carePatient volumeDepartment guidelinesOlder adultsHealth recordsCareEHR dataAutomatable end‐of‐life screening for older adults in the emergency department using electronic health records
Haimovich A, Xu W, Wei A, Schonberg M, Hwang U, Taylor R. Automatable end‐of‐life screening for older adults in the emergency department using electronic health records. Journal Of The American Geriatrics Society 2023, 71: 1829-1839. PMID: 36744550, PMCID: PMC10258151, DOI: 10.1111/jgs.18262.Peer-Reviewed Original ResearchConceptsAdvance care planningDecision curve analysisLife screeningComorbidity indexCode statusPrognostic modelHealth systemOlder adultsCurve analysisOlder ED patientsPalliative care interventionsObservational cohort studyEmergency department visitsPalliative care servicesElixhauser Comorbidity IndexReceiver-operating characteristic curveIdentification of patientsMultivariable logistic regressionLarge regional health systemLife-limiting illnessRisk older adultsCode status ordersLife Screening ToolMortality predictive modelsElectronic health records
2022
Feasibility of the Transport PLUS intervention to improve the transitions of care for patients transported home by ambulance: a non-randomized pilot study
Munjal KG, Yeturu SK, Chapin HH, Tan N, Gregoriou D, Garcia D, Grudzen C, Hwang U, Morano B, Neher H, Gorbenko K, Youngblood G, Misra A, Dietrich S, Gonzalez C, Appel G, Jacobs E, Siu A, Richardson LD. Feasibility of the Transport PLUS intervention to improve the transitions of care for patients transported home by ambulance: a non-randomized pilot study. Pilot And Feasibility Studies 2022, 8: 169. PMID: 35932067, PMCID: PMC9354351, DOI: 10.1186/s40814-022-01138-5.Peer-Reviewed Original ResearchCommunity health workersEmergency medical techniciansPatient acceptanceNon-randomized pilot studyRate of readmissionMajority of patientsPopulation of patientsEmergency room visitsTransitions of careRandomized control trialElectronic health recordsEligible patientsED revisitsFeasibility outcomesClinical outcomesRoom visitsDischarge instructionsGeriatric populationHealth workersHigh riskControl trialHome visitsPatientsPatient encountersCommunity paramedicinePragmatic 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
2019
SEQUENTIAL IMPLEMENTATION AS A LEARNING HEALTH ORGANIZATION: THE EQUIPPED GERIATRIC MEDICATION SAFETY MODEL
Vandenberg A, Kegler M, Hastings S, Hwang U, Vaughan C. SEQUENTIAL IMPLEMENTATION AS A LEARNING HEALTH ORGANIZATION: THE EQUIPPED GERIATRIC MEDICATION SAFETY MODEL. Innovation In Aging 2019, 3: s945-s945. PMCID: PMC6846564, DOI: 10.1093/geroni/igz038.3434.Peer-Reviewed Original ResearchEmergency departmentOlder adultsHealth OrganizationImportant public health issueSame electronic health recordEffective Programs frameworkHospital emergency departmentPublic health issueEvidence-based interventionsElectronic health recordsResearch NetworkInappropriate medicationsAdverse eventsClinical decision supportIntervention sitesHealth issuesHealth recordsIntervention packageProcess evaluationCollaborative research networksHealthcare practiceWidespread disseminationAdultsFocus groupsSafety program
2016
The musculoskeletal diagnosis cohort
Goulet JL, Kerns RD, Bair M, Becker W, Brennan P, Burgess DJ, Carroll CM, Dobscha S, Driscoll M, Fenton BT, Fraenkel L, Haskell S, Heapy A, Higgins D, Hoff RA, Hwang U, Justice AC, Piette JD, Sinnott P, Wandner L, Womack J, Brandt CA. The musculoskeletal diagnosis cohort. Pain 2016, 157: 1696-1703. PMID: 27023420, PMCID: PMC4949131, DOI: 10.1097/j.pain.0000000000000567.Peer-Reviewed Original ResearchConceptsMSD diagnosisMusculoskeletal disordersMSD cohortIndex dateVeterans Health Administration (VHA) careNumeric rating scale scoreICD-9-CM codesCohort inclusion criteriaNontraumatic joint disordersPain-related treatmentsMore outpatient visitsVeterans Health AdministrationMental health diagnosesRating Scale scoresHigher NRS scoresHealth services researchElectronic health recordsDiagnosis cohortSevere painInpatient visitsNRS scoresOutpatient visitsNeck disordersFirst diagnosisMean ageUsability 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
Enhancing a Geriatric Emergency Department Care Coordination Intervention Using Automated Health Information Exchange-Based Clinical Event Notifications
Gutteridge DL, Genes N, Hwang U, Kaplan B, Investigator T, Shapiro J. Enhancing a Geriatric Emergency Department Care Coordination Intervention Using Automated Health Information Exchange-Based Clinical Event Notifications. Healthcare 2014, 2: 1095. PMID: 25848622, PMCID: PMC4371432, DOI: 10.13063/2327-9214.1095.Peer-Reviewed Original ResearchRegional health information organizationsHealth information exchangeElectronic health recordsHealth information technologyInformation exchangeDelivery of notificationsEvent notification serviceReal-time notificationHealth information organizationsCare coordination teamEvent notificationNotification serviceInformation technologyInformation organizationAvoidable admissionsCare coordinationHIE infrastructureSecondary useHealth recordsMultiple chronic medical conditionsNumerous providersCare coordination programCare coordination interventionEmergency department visitsChronic medical conditionsUsability Improvement of a Clinical Decision Support System
Thum F, Kim M, Genes N, Rivera L, Beato R, Soriano J, Kannry J, Baumlin K, Hwang U. Usability Improvement of a Clinical Decision Support System. Lecture Notes In Computer Science 2014, 8519: 125-131. DOI: 10.1007/978-3-319-07635-5_13.Peer-Reviewed Original ResearchClinical decision support systemElectronic health recordsCDSS interventionEmergency department workflowCDSS useProvider feedbackSimulated electronic health recordDecision support systemElderly adultsProvider behaviorHealth recordsCDSS designRounds of testingSupport systemInterventionUsability improvementsDepartment workflowPainTest scenarios