2019
Effects of Real-time EMS Direction on Optimizing EMS Turnaround and Load-balancing Between Neighboring Hospital Campuses
Felice J, Coughlin RF, Burns K, Chmura C, Bogucki S, Cone DC, Joseph D, Parwani V, Li F, Saxa T, Ulrich A. Effects of Real-time EMS Direction on Optimizing EMS Turnaround and Load-balancing Between Neighboring Hospital Campuses. Prehospital Emergency Care 2019, 23: 788-794. PMID: 30798628, DOI: 10.1080/10903127.2019.1587123.Peer-Reviewed Original ResearchConceptsNurse navigator programSingle healthcare systemNavigator programHealthcare systemEmergency medical services (EMS) providersHealth system capacityNurse navigatorChief complaintEmergency departmentMedical service providersED volumeInpatient facilitiesTurnaround timeNeighboring hospitalRegistered NursesHospitalHospital campusSignificant decreaseED capacityIncidenceReal-time assessmentProgram implementationPrimary objectiveSignificant improvementPatientsA Qualitative Study of Risks Related to Interhospital Transfer of Patients with Nontraumatic Intracranial Hemorrhage
Finn EB, Campbell Britton MJ, Rosenberg AP, Sather JE, Marcolini EG, Feder SL, Sheth KN, Matouk CC, Pham LTL, Ulrich AS, Parwani VL, Hodshon B, Venkatesh AK. A Qualitative Study of Risks Related to Interhospital Transfer of Patients with Nontraumatic Intracranial Hemorrhage. Journal Of Stroke And Cerebrovascular Diseases 2019, 28: 1759-1766. PMID: 30879712, PMCID: PMC8354217, DOI: 10.1016/j.jstrokecerebrovasdis.2018.12.048.Peer-Reviewed Original ResearchMeSH KeywordsAttitude of Health PersonnelCooperative BehaviorDelivery of Health Care, IntegratedHealth Knowledge, Attitudes, PracticeHumansInterdisciplinary CommunicationInterviews as TopicIntracranial HemorrhagesPatient Care TeamPatient SafetyPatient TransferProfessional Practice GapsPrognosisQualitative ResearchRisk AssessmentRisk FactorsTime FactorsConceptsNontraumatic intracranial hemorrhageInterhospital transferCare transitionsIntracranial hemorrhageClinical practiceNeurocritical careSpecialized neurocritical careEmergency medicine providersQuality improvement initiativesAcademic medical centerInsufficient communicationPatient populationMedical CenterMedicine providersProviders' perceptionsHealth professionalsHospitalHemorrhageProvider questionsPatientsImprovement initiativesClinicians' voicesData saturationUnique risksConstant comparative method
2017
Multiple Fentanyl Overdoses — New Haven, Connecticut, June 23, 2016
Tomassoni AJ, Hawk KF, Jubanyik K, Nogee DP, Durant T, Lynch KL, Patel R, Dinh D, Ulrich A, D’Onofrio G. Multiple Fentanyl Overdoses — New Haven, Connecticut, June 23, 2016. MMWR Morbidity And Mortality Weekly Report 2017, 66: 107-111. PMID: 28151928, PMCID: PMC5657834, DOI: 10.15585/mm6604a4.Peer-Reviewed Case Reports and Technical NotesConceptsIntensive care unitEmergency departmentYale-New Haven HospitalEmergency medical services (EMS) crewsInterviews of patientsContinuous naloxone infusionNew Haven HospitalPublic health alertsRespiratory failureCare unitNaloxone infusionEndotracheal intubationOpioid overdoseNaloxone distributionPatientsRoute of intoxicationSubsequent episodesHealth alertsOpioid antidoteFentanylHospitalPublic healthFamily membersCocaineRapid notification
1999
Lorazepam for the Prevention of Recurrent Seizures Related to Alcohol
D'Onofrio G, Rathlev N, Ulrich A, Fish S, Freedland E. Lorazepam for the Prevention of Recurrent Seizures Related to Alcohol. New England Journal Of Medicine 1999, 340: 915-919. PMID: 10094637, DOI: 10.1056/nejm199903253401203.Peer-Reviewed Original ResearchConceptsPlacebo groupRecurrent seizuresSecond seizureLorazepam groupEmergency departmentNormal salineAlcohol abusePrimary end pointDouble-blind studyChronic alcohol abuseYears of ageIntravenous lorazepamHospital dischargeConsecutive patientsGeneralized seizuresEntry criteriaCommon causePatientsSeizuresEnd pointLorazepamObservation periodSignificant reductionHospitalSaline