Article
Pediatrics
Niloufar Paydar-Darian, Anne M. Stack, Diana Volpe, Megan J. Gerling, Annie Seneski, Matthew A. Eisenberg, Eileen Hickey, Katie Toomey Lindsay, Laura Moriarty, Joel D. Hudgins, Francine Falvo, Elyse N. Portillo, Jessica K. Creedon, Catherine E. Perron
Summary: The implementation of a standardized discharge process successfully eliminated discharge-related events without increasing hospital stay or return visits.
Article
Emergency Medicine
Kellan Clausen, Steven Davis, Ali Pourmand
Summary: Anisocoria is an asymmetry in the size of the pupils, often caused by trauma, medication, inflammation, or lack of blood supply to the eye. Understanding the normal ocular neuroanatomy and common causes of pathological anisocoria is important for emergency physicians to provide appropriate medical care and prevent irreversible eye damage. This article describes a case of a patient presenting to the emergency department with sudden blurry vision and anisocoria.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2023)
Article
Social Sciences, Interdisciplinary
Yuan Tian, Jenny Basran, James Stempien, Adrienne Danyliw, Graham Fast, Patrick Falastein, Nathaniel D. Osgood
Summary: We conducted a case study using participatory modeling approach to identify intervention strategies for reducing emergency department wait times in a Canadian health policy setting. We developed a four-stage participatory modeling approach tailored to the local policy environment, engaging stakeholders throughout the process. The approach allowed a provincial team to involve a wide range of stakeholders in examining the causes and solutions to lengthy ED wait times from a whole-system perspective. A significant feature of this approach was the use of a multi-criteria framework to prioritize interventions. Lessons learned from this study provide insights for future development and application of participatory modeling methods in policy making and consensus building among stakeholders.
Article
Nursing
Vicki Binnie, Robyne Le Brocque, Melanie Jessup, Amy N. B. Johnston
Summary: This study explores the healthcare experiences of Australian adults who frequently use emergency department services using a mixed methods approach combining phenomenology and dialectical pluralism. The research found that mixed methods research can provide nurse researchers with clearer research phenomena, but incorporating phenomenology into mixed methods research may be philosophically incompatible.
JOURNAL OF ADVANCED NURSING
(2021)
Article
Emergency Medicine
Michael J. Yoo, Rachel E. Bridwell, Brannon L. Inman, Jonathan D. Henderson, Brit Long
Summary: Nephrostomy tube complications may include obstructive signs and symptoms caused by kinking, dislodgment, or migration of the tube. Asymptomatic bacteriuria should not be treated, but patients with infectious symptoms should be managed similarly to complicated cystitis or pyelonephritis.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Geriatrics & Gerontology
Stine Emilie Junker Udesen, Claus-Henrik Rasmussen, Soren Mikkelsen, Nina Andersen, Mikkel Brabrand, Annmarie Touborg Lassen
Summary: This study describes a new mobile service that provides emergency care in nursing homes to reduce hospital admissions. The results show that the service helps to keep the majority of elderly residents at home for treatment, but 20% require unplanned hospital admissions within 30 days, and the 90-day mortality rate is 36.4%.
Article
Health Care Sciences & Services
Jaya Aysola, Justin T. Clapp, Patricia Sullivan, Patrick J. Brennan, Eve J. Higginbotham, Matthew D. Kearney, Chang Xu, Rosemary Thomas, Sarah Griggs, Mohamed Abdirisak, Alec Hilton, Toluwa Omole, Sean Foster, Mira Mamtani
Summary: This study identified disparities in emergency department throughput times for non-Hispanic Black compared to non-Hispanic White patients, even after adjusting for various factors. Qualitative findings highlighted the potential role of provider communication styles in contributing to these disparities. To reduce healthcare inequities, understanding how communication and care may differ by race/ethnicity and utilizing structured processes for care equalization are important.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Emergency Medicine
Christopher Kennedy, Marc Sycip, Shautonja Woods, Lisa Ell
Summary: The study focuses on using simulation-based clinical systems testing to improve emergency department COVID-19 preparations. Through rapid-cycle simulations, staff identified and prioritized multiple latent safety threats, allowing for mitigation strategies to be implemented. The study showed that simulation provides an effective way to test and improve systems, increasing system preparedness and reducing potential errors.
ANNALS OF EMERGENCY MEDICINE
(2023)
Article
Geriatrics & Gerontology
Edward Chong, Birong Zhu, Sheryl Hui Xian Ng, Hongyun Tan, Eileen Fabia Goh, Joseph De Castro Molina, Michelle Jessica Pereira, Palvinder Kaur, Jewel Baldevarona-Llego, Jia Qian Chia, Amanda Chong, Selina Cheong, Chik Loon Foo, Mark Chan, Wee Shiong Lim
Summary: The multicomponent frailty intervention delivered to older persons at the emergency department may improve functional outcomes, reduce ED re-attendances, and attenuate sarcopenia progression.
Article
Management
Siddharth Arora, James W. Taylor, Ho-Yin Mak
Summary: This study focuses on estimating the probability distribution of individual patient waiting times in an emergency department using a machine learning approach. The proposed method provides more accurate probabilistic forecasts compared to existing methods that only focus on point forecasts. This can improve overall patient satisfaction and prevent patient abandonment.
M&SOM-MANUFACTURING & SERVICE OPERATIONS MANAGEMENT
(2023)
Article
Nursing
Sharene E. Pascoe, Christina Aggar, Olivia Penman
Summary: Regionally and remote emergency departments have a higher rate of mental health presentations compared to metropolitan areas. Mental health patients in regional emergency departments experience longer wait times and length of stay, which highlights the need for further research and funding models to address this issue.
INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING
(2022)
Article
Medicine, General & Internal
Johnny Atallah, Musie Ghebremichael, Kyle D. D. Timmer, Hailey M. M. Warren, Ella Mallinger, Ellen Wallace, Fiona R. R. Strouts, David H. H. Persing, Michael K. K. Mansour
Summary: Improved diagnostic modalities are necessary to determine the etiology of fever quickly. This study used a novel PCR-based assay to measure five host mRNA transcripts directly from whole blood and differentiate infectious from non-infectious febrile syndromes. Significant associations were found between multiple genes and infection status, and a classifier model was developed to accurately classify participants into their respective groups based on these genes and other variables of interest.
Article
Pediatrics
Katherine M. Gupta, Daria Campeggio, Chinonyerem Madu, James M. Callahan, Gabriela Jenicek, Priscilla Ortiz, Joseph J. Zorc
Summary: In order to improve the identification and utilization of interpreter services for patients and families with limited English proficiency in a pediatric emergency department, a bundle of electronic health record prompts and alerts were implemented. Using clinical observations and data review, the project team identified key processes for improvement and introduced interventions to increase identification of language needs and offer interpreter services. Results showed increased identification rates for patients with limited English proficiency, increased utilization of interpreter services, and improved documentation of interpreter use.
Article
Pediatrics
Bolanle Akinsola, John Cheng, Srikant B. Iyer, Shabnam Jain
Summary: By implementing interventions such as institutional discussions, education, electronic medical record changes, and individual physician audits, the use of isotonic maintenance IVF in pediatric patients admitted from the emergency department increased and was sustained at over 80%, without an increase in the occurrence of hyponatremia.
Article
Health Care Sciences & Services
Jennifer Jewer
Summary: The implementation of a surge management system in the emergency department was successful in reducing crowding and improving wait times. By applying work system theory, the implementation team was able to integrate the system into the workflow and address areas of misalignment. The study highlights the importance of a holistic approach in guiding eHealth system implementations.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2022)