Featured Publications
Association of a Geriatric Emergency Department Innovation Program With Cost Outcomes Among Medicare Beneficiaries
Hwang U, Dresden SM, Vargas-Torres C, Kang R, Garrido MM, Loo G, Sze J, Cruz D, Richardson LD, Adams J, Aldeen A, Baumlin KM, Courtney DM, Gravenor S, Grudzen CR, Nimo G, Zhu CW, Abraham G, Amoko C, Genes N, Morano B, Nassisi D, Ortiz J, Rivera-Reyes L, Sanon M, Shapiro J, Winkel G, Malik S, Rosenberg M, Christensen M, Karounos M, Schultz R, Sumberg D. Association of a Geriatric Emergency Department Innovation Program With Cost Outcomes Among Medicare Beneficiaries. JAMA Network Open 2021, 4: e2037334. PMID: 33646311, PMCID: PMC7921898, DOI: 10.1001/jamanetworkopen.2020.37334.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overCost SavingsCross-Sectional StudiesEmergency Medical ServicesEmergency Service, HospitalFee-for-Service PlansGeriatric AssessmentHealth Services for the AgedHospital CostsHospitalsHumansMedicarePatient CareReferral and ConsultationSocial WorkTransitional CareUnited StatesConceptsTransitional care nursesFirst ED visitIndex ED visitED visitsMAIN OUTCOMEMedicare feeMedicare beneficiariesService beneficiariesEmergency department programComparison groupCross-sectional studyUnique Medicare beneficiariesLower Medicare expendituresMost patientsMean ageCare nursesVisit encountersCare programGeriatric treatmentCost outcomesPatient careMedicare expendituresHealth systemMean savingsPatients
2016
Usability 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
2011
Measures of Crowding in the Emergency Department: A Systematic Review
Hwang U, McCarthy ML, Aronsky D, Asplin B, Crane PW, Craven CK, Epstein SK, Fee C, Handel DA, Pines JM, Rathlev NK, Schafermeyer RW, Zwemer FL, Bernstein SL. Measures of Crowding in the Emergency Department: A Systematic Review. Academic Emergency Medicine 2011, 18: 527-538. PMID: 21569171, DOI: 10.1111/j.1553-2712.2011.01054.x.Peer-Reviewed Original ResearchConceptsEmergency departmentInclusion criteriaSystematic reviewCriterion standard measuresOriginal research studiesClinician opinionPatient countsPatient careStandardized definitionsStudy designCrowding measureEvidence of validityField of measuresCountTime intervalNumerical countsReviewMultiple sitesDepartment
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
2008
Emergency 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 care