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1. Emergency Department Care Transitions for Patients With Cognitive Impairment: A Scoping Review

Author

Gettel, Cameron J, Falvey, Jason R, Gifford, Angela, Hoang, Ly, Christensen, Leslie A, Hwang, Ula, Shah, Manish N, Network, The GEAR 2 0-ADC, Aggarawal, Neelum, Allore, Heather, Amy, Aloysi, Belleville, Michael, Bellolio, M Fernanda, Betz, Marian, Biese, Kevin, Brandt, Cynthia, Bruursema, Stacey, Carnahan, Ryan, Carpenter, Christopher, Carr, David, Chin-Hansen, Jennie, Daven, Morgan, Degesys, Nida, Dresden, M Scott, Dussetschleger, Jeffrey, Ellenbogen, Michael, Falvey, Jason, Foster, Beverley, Gettel, Cameron, Gilmore-Bykovskyi, Andrea, Goldberg, Elizabeth, Han, Jin, Hardy, James, Hastings, S Nicole, Hirshon, Jon Mark, Hogan, Tess, Hung, William, Isaacs, Eric, Jaspal, Naveena, Jobe, Deb, Johnson, Jerry, Kelly, Kathleen, Kennedy, Maura, Kind, Amy, Leggett, Jesseca, Malone, Michael, Moccia, Michelle, Moreno, Monica, Morrow-Howell, Nancy, Nowroozpoor, Armin, Ohuabunwa, Ugochi, Oiyemhonian, Brenda, Perry, William, Prusaczk, Beth, Resendez, Jason, Rising, Kristen, Sano, Mary, Savage, Bob, Shah, Manish, Suyama, Joe, Swartzberg, Jeremy, Taylor, Zachary, Vaishal, Tolia, Vann, Allan, Webb, Teresa, and Weintraub, Sandra

Subjects
Emergency Care, Brain Disorders, Clinical Research, Health Services, Behavioral and Social Science, Aging, Management of diseases and conditions, 7.1 Individual care needs, Mental health, Good Health and Well Being, Aged, Cognitive Dysfunction, Emergency Service, Hospital, Geriatric Assessment, House Calls, Humans, Patient Transfer, GEAR 2.0-ADC Network, Care transitions, cognitive impairment, emergency department, patient-centered outcomes, Clinical Sciences, Nursing, Public Health and Health Services, Geriatrics
Abstract

ObjectivesWe aimed to describe emergency department (ED) care transition interventions delivered to older adults with cognitive impairment, identify relevant patient-centered outcomes, and determine priority research areas for future investigation.DesignSystematic scoping review.Setting and participantsED patients with cognitive impairment and/or their care partners.MethodsInformed by the clinical questions, we conducted systematic electronic searches of medical research databases for relevant publications following published guidelines. The results were presented to a stakeholder group representing ED-based and non-ED-based clinicians, individuals living with cognitive impairment, care partners, and advocacy organizations. After discussion, they voted on potential research areas to prioritize for future investigations.ResultsFrom 3848 publications identified, 78 eligible studies underwent full text review, and 10 articles were abstracted. Common ED-to-community care transition interventions for older adults with cognitive impairment included interdisciplinary geriatric assessments, home visits from medical personnel, and telephone follow-ups. Intervention effects were mixed, with improvements observed in 30-day ED revisit rates but most largely ineffective at promoting connections to outpatient care or improving secondary outcomes such as physical function. Outcomes identified as important to adults with cognitive impairment and their care partners included care coordination between providers and inclusion of care partners in care management within the ED setting. The highest priority research area for future investigation identified by stakeholders was identifying strategies to tailor ED-to-community care transitions for adults living with cognitive impairment complicated by other vulnerabilities such as social isolation or economic disadvantage.Conclusions and implicationsThis scoping review identified key gaps in ED-to-community care transition interventions delivered to older adults with cognitive impairment. Combined with a stakeholder assessment and prioritization, it identified relevant patient-centered outcomes and clarifies priority areas for future investigation to improve ED care for individuals with impaired cognition, an area of critical need given the current population trends.

Published
2022

5. Impact of Global Budget Revenue Policy on Emergency Department Efficiency in the State of Maryland

Author

Ren, Ai, Golden, Bruce, Alt, Frank, Wasil, Edward, Bjarnadottir, Margret, Hirshon, Jon Mark, and Pimentel, Laura

Subjects
Emergency Department Efficiency, Global Budgeting, Global Budget Revenue, Difference-in-Difference, Healthcare Policy Impact
Abstract

Introduction: On January 1, 2014, the State of Maryland implemented the Global Budget Revenue (GBR) program. We investigate the impact of GBR on length of stay (LOS) for inpatients in emergency departments (ED) in Maryland.Methods: We used the Hospital Compare data reports from the Centers for Medicare and Medicaid Services (CMS) and CMS Cost Reports Hospital Form 2552-10 from January 1, 2012–March 31, 2016, with GBR hospitals from Maryland and hospitals from West Virginia (WV), Delaware (DE), and Rhode Island (RI). We implemented difference-in-differences analysis and investigated the impact of GBR implementation on the LOS or ED1b scores of Maryland hospitals using a mixed-effects model with a state-level fixed effect, a hospital-level random effect, and state-level heterogeneity.Results: The GBR impact estimator was 9.47 (95% confidence interval [CI], 7.06 to 11.87, p-value

Published
2019

6. Resource Utilization in Non-Academic Emergency Departments with Advanced Practice Providers

Author

Aledhaim, Ali, Walker, Anne, Vesselinov, Roumen, Hirshon, Jon Mark, and Pimentel, Laura

Subjects
Advanced practice providers, resource utilization, emergency department, hospitalizations, cost
Abstract

Introduction: Advanced practice providers (APP), including physicians’ assistants and nurse practitioners, have been increasingly incorporated into emergency department (ED) staffing over the past decade. There is scant literature examining resource utilization and the cost benefit of having APPs in the ED. The objectives of this study were to compare resource utilization in EDs that use APPs in their staffing model with those that do not and to estimate costs associated with the utilized resources.Methods: In this five-year retrospective secondary data analysis of the Emergency Department Benchmarking Alliance (EDBA), we compared resource utilization rates in EDs with and without APPs in non-academic EDs. Primary outcomes were hospital admission and use of computed tomography (CT), radiography, ultrasound, and magnetic resonance imaging (MRI). Costs were estimated using the 2014 physician fee schedule and inpatient payments from the Centers for Medicare and Medicaid Services. We measured outcomes as rates per 100 visits. Data were analyzed using a mixed linear model with repeated measures, adjusted for annual volume, patient acuity, and attending hours. We used the adjusted net difference to project utilization costs between the two groups per 1000 visits.Results: Of the 1054 EDs included in this study, 79% employed APPs. Relative to EDs without APPs, EDs staffing APPs had higher resource utilization rates (use per 100 visits): 3.0 more admissions (95% confidence interval [CI], 2.0–4.1), 1.7 more CTs (95% CI, 0.2–3.1), 4.5 more radiographs (95% CI, 2.2–6.9), and 1.0 more ultrasound (95% CI, 0.3–1.7) but comparable MRI use 0.1 (95% CI, -0.2–0.3). Projected costs of these differences varied among the resource utilized. Compared to EDs without APPs, EDs with APPs were estimated to have 30.4 more admissions per 1000 visits, which could accrue $414,717 in utilization costs.Conclusion: EDs staffing APPs were associated with modest increases in resource utilization as measured by admissions and imaging studies.

Published
2019

14. Clinical Policy: Critical Issues Related to Opioids in Adult Patients Presenting to the Emergency Department

Author

Wolf, Stephen J., Byyny, Richard, Carpenter, Christopher R., Diercks, Deborah B., Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Hatten, Benjamin W., Haukoos, Jason S., Hickey, Sean M., Kaji, Amy, Kwok, Heemun, Lo, Bruce M., Mace, Sharon E., Nazarian, Devorah J., Promes, Susan B., Shah, Kaushal H., Shih, Richard D., Silvers, Scott M., Smith, Michael D., Thiessen, Molly E.W., Tomaszewski, Christian A., Valente, Jonathan H., Wall, Stephen P., Winger, Justin, Cantrill, Stephen V., Hirshon, Jon Mark, Mims, Mandie, Schulz, Travis, Dubin, Jeffrey S., Ketcham, Eric M., and Runde, Daniel P.

Published
2020
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16. Clinical Practice Guidelines by the Infectious Diseases Society of America : 2018 Update on Diagnosis, Treatment, Chemoprophylaxis, and Institutional Outbreak Management of Seasonal Influenza

Author

Uyeki, Timothy M., Bernstein, Henry H., Bradley, John S., Englund, Janet A., File, Thomas M., Fry, Alicia M., Gravenstein, Stefan, Hayden, Frederick G., Harper, Scott A., Hirshon, Jon Mark, Ison, Michael G., Johnston, B. Lynn, Knight, Shandra L., McGeer, Allison, Riley, Laura E., Wolfe, Cameron R., Alexander, Paul E., and Pavia, Andrew T.

Published
2019

17. Quality of life after pharmacomechanical catheter-directed thrombolysis for proximal deep venous thrombosis

Author

Sichlau, Michael, Vlahos, Athanasios, Smith, Steven, Thalheimer, Quinn, Singh, Nisha, Harting, Rekha, Gocke, John, Guth, Scott, Shah, Neel, Brady, Paul, Schatz, Marvin, Horrow, Mindy, Markazi, Peyman, Forouzan, Leli, Matalon, Terence A.S., Hertzog, David, Goday, Swapna, Kennedy, Margaret, Kaplan, Robert, Campbell, Thomas, Hartman, Jamie, Nahum, Elmer, Venkat, Arvind, Krishnamurthy, Venkataramu, Rectenwald, John, Henke, Peter, Eliason, Jonathan, Willatt, Jonathon, Escobar, Guillermo, Samuels, Shaun, Katzen, Barry, Benenati, James, Powell, Alex, Pena, Constantino, Wallach, Howard, Gandhi, Ripal, Schneider, Joseph, Kim, Stanley, Hashemi, Farrah, Boyle, Joseph, Patel, Nilesh, Verta, Michael, Leung, Daniel, Garcia, Marc, Blatt, Phillip, Khatri, Jamil, Epstein, Dave, Ryan, Randall, Sweeny, Tom, Stillabower, Michael, Kimbiris, George, Raman, Tuhina, Sierzenski, Paul, Getto, Lelia, Dignazio, Michael, Horvath, Mark, Gornik, Heather, Bartholomew, John, Shishehbor, Mehdi, Peacock, Frank, Joseph, Douglas, Kim, Soo Hyum, Mahlay, Natalia Fendrikova, Clair, Daniel, Lyden, Sean, Kapoor, Baljendra, McLennon, Gordon, Pierce, Gregory, Newman, James, Spain, James, Gill, Amanjiit, Hamilton, Aaron, Rizzo, Anthony, Park, Woosup, Dietzek, Alan, Galin, Ira, Plummer, Dahlia, Hsu, Richard, Broderick, Patrick, Keller, Andrew, Sayeed, Sameer, Slater, Dennis, Lustberg, Herb, Akus, Jan, Sidman, Robert, Dhami, Mandeep, Kohanski, Phillip, Bulgaru, Anca, Dulala, Renuka, Burch, James, Kapur, Dinesh, Yang, Jie, Ranson, Mark, Wladis, Alan, Varnagy, David, Mekhail, Tarek, Winter, Robert, Perez-Izquierdo, Manuel, Motew, Stephen, Royd-Kranis, Robin, Workman, Raymond, Kribbs, Scott, Hogsette, Gerald, Moore, Phillip, Thomason, Bradley, Means, William, Bonsall, Richard, Stewart, John, Golwya, Daniel, Azene, Ezana, Bottner, Wayne, Bishop, William, Clayton, Dave, Gundersen, Lincoln, Riherd, Jody, Shakhnovich, Irina, Ziegelbein, Kurt, Chang, Thomas, Sharma, Karun, Allison, Sandra, Banovac, Fil, Cohen, Emil, Furlong, Brendan, Kessler, Craig, McCullough, Mike, Spies, Jim, Lin, Judith, Kaatz, Scott, Getzen, Todd, Miller, Joseph, Schwartz, Scott, Kabbani, Loay, McVinnie, David, Rundback, John, Manno, Joseph, Schwab, Richard, Cole, Randolph, Herman, Kevin, Singh, David, Barkama, Ravit, Patel, Amish, Comerota, Anthony, Pigott, John, Seiwert, Andrew, Whalen, Ralph, Russell, Todd, Assi, Zakaria, Kazanjian, Sahira, Yobbagy, Jonathan, Kaminski, Brian, Kaufman, Allan, Begeman, Garett, DiSalle, Robert, Thakur, Subash, Kim, Paul, Jacquet, Marc, Dykes, Thomas, Gerding, Joseph, Baker, Christopher, Debiasto, Mark, Mittleider, Derek, Higgins, George, III, Amberson, Steven, Pezzuti, Roger, Gallagher, Thomas, Schainfeld, Robert, Wicky, Stephan, Kalva, Sanjeeva, Walker, Gregory, Salazar, Gloria, Pomerantz, Benjamin, Patel, Virenda, Kabrhel, Christopher, Iqbal, Shams, Gangull, Suvranu, Oklu, Rahmi, Brannan, Scott, Misra, Sanjay, Bjarnason, Haraldur, Ashrani, Aneel, Caccavale, Michael, Fleming, Chad, Friese, Jeremy, Heit, John, Kalra, Manju, Macedo, Thanila, McBane, Robert, McKusick, Michael, Stockland, Andrew, Woodrum, David, Wysokinski, Waldemar, Verma, Adarsh, Davis, Andrew, Chung, Jerry, Nicker, David, Anderson, Brian, Stein, Robert, Weiss, Michael, Patel, Parag, Rilling, William, Tutton, Sean, Hieb, Robert, Hohenwalter, Eric, Colella, M. Riccardo, Gosset, James, White, Sarah, Lewis, Brian, Brown, Kellie, Rossi, Peter, Seabrook, Gary, Guimaraes, Marcelo, Selby, J. Bayne, McGary, William, Hannegan, Christopher, Robison, Jacob, Brothers, Thomas, Elliott, Bruce, Garg, Nitin, Anderson, M. Bret, Uflacker, Renan, Schonholz, Claudio, Raney, Laurence, Greenberg, Charles, Kaufman, John, Keller, Frederick, Kolbeck, Kenneth, Landry, Gregory, Mitchell, Erica, Barton, Robert, DeLoughery, Thomas, Kalbfleisch, Norman, Minjarez, Renee, Lakin, Paul, Liem, Timothy, Moneta, Gregory, Farsad, Khashayar, Fleischman, Ross, French, Loren, Marques, Vasco, Al−Hassani, Yasir, Sawar, Asad, Taylor, Frank, Patel, Rajul, Malhotra, Rahul, Hashemi, Farah, Padnick, Marvin, Gurley, Melissa, Cucher, Fred, Sterrenberg, Ronald, Deepthi, G. Reshmaal, Cumaranatunge, Gomes, Bhatla, Sumit, Jacobs, Darick, Dolen, Eric, Gamboa, Pablo, Dean, L. Mark, Davis, Thomas, Lippert, John, Khanna, Sanjeev, Schirf, Brian, Silber, Jeffrey, Wood, Donald, McGraw, J. Kevin, LaPerna, Lucy, Willette, Paul, Murphy, Timothy, Cerezo, Joselyn, Dhangana, Rajoo, Ahn, Sun Ho, Dubel, Gregory, Haas, Richard, Jay, Bryan, Prince, Ethan, Soares, Gregory, Klinger, James, Lambiase, Robert, Jay, Gregory, Tubbs, Robert, Beland, Michael, Hampson, Chris, O'Hara, Ryan, Thompson, Chad, Frodsham, Aaron, Gardiner, Fenwick, Jaffan, Abdel, Keating, Lawrence, Zafar, Abdul, Alicic, Radica, Raabe, Rodney, Brower, Jayson, McClellan, David, Pellow, Thomas, Zylak, Christopher, Davis, Joseph, Reilly, M. Kathleen, Symington, Kenneth, Seibold, Camerson, Nachreiner, Ryan, Murray, Daniel, Murray, Stephen, Saha, Sandeep, Luna, Gregory, Hodgson, Kim, McLafferty, Robert, Hood, Douglas, Moore, Colleen, Griffen, David, Hurst, Darren, Lubbers, David, Kim, Daniel, Warren, Brent, Engel, Jeremy, Suresh, D.P., VanderWoude, Eric, Razdan, Rahul, Hutchins, Mark, Rounsborg, Terry, Midathada, Madhu, Moravec, Daniel, Tilford, Joni, Beckman, Joni, Razavi, Mahmood, Openshaw, Kurt, Flanigan, D. Preston, Loh, Christopher, Dorne, Howard, Chan, Michael, Thomas, Jamie, Psaila, Justin, Ringold, Michael, Fisher, Jay, Lipcomb, Any, Oskin, Timothy, Wible, Brandt, Coleman, Brendan, Elliott, David, Gaddis, Gary, Cochran, C. Doug, Natarajan, Kannan, Bick, Stewart, Cooke, Jeffrey, Hedderman, Ann, Greist, Anne, Miller, Lorrie, Martinez, Brandon, Flanders, Vincent, Underhill, Mark, Hofmann, Lawrence, Sze, Daniel, Kuo, William, Louie, John, Hwang, Gloria, Hovsepian, David, Kothary, Nishita, Berube, Caroline, Schreiber, Donald, Jeffrey, Brooke, Schor, Jonathan, Deitch, Jonathan, Singh, Kuldeep, Hahn, Barry, Ardolic, Brahim, Gupta, Shilip, Bashir, Riyaz, Rao, Angara Koneti, Garg, Manish, Patil, Pravin, Zack, Chad, Cohen, Gary, Schmieder, Frank, Lakhter, Valdimir, Sacks, David, Guay, Robert, Scott, Mark, Cunningham, Karekin, Sigal, Adam, Cescon, Terrence, Leasure, Nick, Dhurairaj, Thiruvenkatasamy, Muck, Patrick, Knochel, Kurt, Lohr, Joann, Barreau, Jose, Recht, Matthew, Bhaskaran, Jayapandia, Brahmamdam, Ranga, Draper, David, Mehta, Apurva, Maher, James, Sharafuddin, Melhem, Lentz, Steven, Nugent, Andrew, Sharp, William, Kresowik, Timothy, Nicholson, Rachel, Sun, Shiliang, Youness, Fadi, Pascarella, Luigi, Ray, Charles, Knuttinen, Martha-Gracia, Bui, James, Gaba, Ron, Dobiesz, Valerie, Shamim, Ejaz, Nimmagadda, Sangeetha, Peace, David, Zain, Aarti, Palumto, Alison, Haskal, Ziv, Hirshon, Jon Mark, Richard, Howard, Verceles, Avelino, Wong-You-Chong, Jade, Othee, Bertrand, Patel, Rahul, Iliescu, Bogdan, Williams, David, Gemmete, Joseph, Cwikiel, Wojciech, Cho, Kyung, Schields, James, Vellody, Ranjith, Novelli, Paula, Dasika, Narasimham, Wakefield, Thomas, Desmond, Jeffrey, Froehlich, James, Khaja, Minhajuddin, Hunter, David, Golzarian, Jafar, Cressman, Erik, Dotta, Yvonne, Schmiechen, Nate, Marek, John, Garcia, David, Tawil, Isaac, Langsfeld, Mark, Moll, Stephan, Mauro, Matthew, Stavas, Joseph, Burke, Charles, Dixon, Robert, Yu, Hyeon, Keagy, Blair, Kim, Kyuny, Kasthuri, Raj, Key, Nigel, Chaer, Rabih, Makaroun, Michael, Rhee, Robert, Cho, Jae−Sung, Baril, Donald, Marone, Luke, Hseih, Margaret, Feterik, Kristian, Smith, Roy, Jeyabalan, Geetha, Rogers, Jennifer, Vinik, Russel, Kinikini, Dan, Kraiss, Larry, Mueller, Michelle, Pendleton, Robert, Rondina, Matthew, Sarfati, Mark, Wanner, Nathan, Johnson, Stacy, Hopkins, Christy, Ihnat, Daniel, Angle, John, Matsumoto, Alan, Harthun, Nancy, Turba, Ulku, Saad, Wael, Uthlaut, Brian, Nannapaneni, Srikant, Ling, David, Sabri, Saher, Kern, John, Macik, B. Gail, Hoke, George, Park, Auh Wahn, Stone, James, Sneed, Benjamin, Syverud, Scott, Davidson, Kelly, Sharma, Aditya, Wilkins, Luke, Black, Carl, Asay, Mark, Hatch, Daniel, Smilanich, Robert, Patten, Craig, Brown, S. Douglas, Nielsen, Ryan, Alward, William, Collins, John, Nokes, Matthew, Geary, Randolph, Edwards, Matthew, Godshall, Christopher, Levy, Pavel, Winokur, Ronald, Sista, Akhilesh, Madoff, David, Lee, Kyungmouk, Pua, Bradley, DeSancho, Maria, Milizia, Raffaele, Gao, Jing, McLean, Gordon, Khalid, Sanualah, Vedantham, Suresh, Lewis, Larry, Saad, Nael, Thoelke, Mark, Pallow, Robert, Klein, Seth, Sicard, Gregorio, Cohen, David J., Comerota, Anthony J., Gornik, Heather L., Jaff, Michael R., Julian, Jim, Kahn, Susan R., Kearon, Clive, Kee, Stephen, Kindzelski, Andrei L., Lewis, Lawrence, Magnuson, Elizabeth, Razavi, Mahmood K., Murphy, Timothy P., Julian, Jim A., Gu, Chu-Shu, Magnuson, Elizabeth A., Goldhaber, Samuel Z., Schneider, Joseph R., Sista, Akhilesh K., McLafferty, Robert B., Kaufman, John A., Wible, Brandt C., and Blinder, Morey

Published
2020
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20. Emergency Department Communication in Persons Living With Dementia and Care Partners: A Scoping Review

Author

Aggarwal, Neelum, Allore, Heather, Aloysi, Amy, Belleville, Michael, Bellolio, M Fernanda, Betz, Marian (Emmy), Biese, Kevin, Brandt, Cynthia, Bruursema, Stacey, Carnahan, Ryan, Carpenter, Christopher, Carr, David, Chin-Hansen, Jennie, Daven, Morgan, Degesys, Nida, Dresden, M Scott, Dussetschleger, Jeffrey, Ellenbogen, Michael, Falvey, Jason, Foster, Beverley, Gettel, Cameron, Gifford, Angela, Gilmore-Bykovskyi, Andrea, Goldberg, Elizabeth, Han, Jin, Hardy, James, Hastings, S. Nicole, Hirshon, Jon Mark, Hoang, Ly, Hogan, Teresita, Hung, William, Hwang, Ula, Isaacs, Eric, Jaspal, Naveena, Jobe, Deb, Johnson, Jerry, Kelly, Kathleen (Kathy), Kennedy, Maura, Kind, Amy, Leggett, Jesseca, Malone, Michael, Moccia, Michelle, Moreno, Monica, Morrow-Howell, Nancy, Nowroozpoor, Armin, Ohuabunwa, Ugochi, Oiyemhonlan, Brenda, Perry, William, Prusaczyk, Beth, Resendez, Jason, Rising, Kristin, Sano, Mary, Savage, Bob, Shah, Manish, Suyama, Joseph, Swartzberg, Jeremy, Taylor, Zachary, Tolia, Vaishal, Vann, Allan, Webb, Teresa, Weintraub, Sandra, Carpenter, Christopher R., Bellolio, Fernanda, Betz, Marian, Carnahan, Ryan M., Doering, Michelle, Hansen, Jennie Chin, Isaacs, Eric D., Jobe, Deborah, Kelly, Kathleen, Suyama, Joe, Vann, Allan S., Rising, Kristin L., and Shah, Manish N.

Published
2022
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21. Emergency Department Care Transitions for Patients With Cognitive Impairment: A Scoping Review

Author

Aggarawal, Neelum, Allore, Heather, Amy, Aloysi, Belleville, Michael, Bellolio, M. Fernanda, Betz, Marian (Emmy), Biese, Kevin, Brandt, Cynthia, Bruursema, Stacey, Carnahan, Ryan, Carpenter, Christopher, Carr, David, Chin-Hansen, Jennie, Daven, Morgan, Degesys, Nida, Dresden, M. Scott, Dussetschleger, Jeffrey, Ellenbogen, Michael, Falvey, Jason, Foster, Beverley, Gettel, Cameron, Gifford, Angela, Gilmore-Bykovskyi, Andrea, Goldberg, Elizabeth, Han, Jin, Hardy, James, Hastings, S. Nicole, Hirshon, Jon Mark, Hoang, Ly, Hogan, Tess, Hung, William, Hwang, Ula, Isaacs, Eric, Jaspal, Naveena, Jobe, Deb, Johnson, Jerry, Kelly, Kathleen (Kathy), Kennedy, Maura, Kind, Amy, Leggett, Jesseca, Malone, Michael, Moccia, Michelle, Moreno, Monica, Morrow-Howell, Nancy, Nowroozpoor, Armin, Ohuabunwa, Ugochi, Oiyemhonian, Brenda, Perry, William, Prusaczk, Beth, Resendez, Jason, Rising, Kristen, Sano, Mary, Savage, Bob, Shah, Manish, Suyama, Joe, Swartzberg, Jeremy, Taylor, Zachary, Vaishal, Tolia, Vann, Allan, Webb, Teresa, Weintraub, Sandra, Gettel, Cameron J., Falvey, Jason R., Christensen, Leslie A., and Shah, Manish N.

Published
2022
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22. Detecting Cognitive Impairment and Dementia in the Emergency Department: A Scoping Review

Author

Aggarwal, Neelum, Fernanda Bellolio, M., Betz, Marian (Emmy), Biese, Kevin, Brandt, Cynthia, Bruursema, Stacey, Carnahan, Ryan, Carpenter, Christopher R., Carr, David, Chin-Hansen, Jennie, Daven, Morgan, Degesys, Nida, Dresden, Scott M., Ellenbogen, Michael, Falvey, Jason, Foster, Beverly, Gettel, Cameron, Gilmore-Bykovskyi, Andrea, Goldberg, Elizabeth, Han, Jin, Hardy, James, Nicole Hastings, S., Hogan, Teresita, Isaacs, Eric, Jaspal, Naveena, Johnson, Jerry, Kelly, Kathleen, Kennedy, Maura, Kind, Amy, Malone, Michael, Moreno, Monica, Morrow-Howell, Nancy, Oiyemhonlan, Brenda, Resendez, Jason, Rising, Kristin L., Savage, Bob, Suyama, Joe, Swartzberg, Jeremy, Tolia, Vaishal, Vann, Allan, Webb, Teresa, Weintraub, Sandra, Nowroozpoor, Armin, Dussetschleger, Jeff, Perry, William, Sano, Mary, Aloysi, Amy, Belleville, Michael, Brackett, Alexandria, Hirshon, Jon Mark, Hung, William, Moccia, Joan Michelle, Ohuabunwa, Ugochi, Shah, Manish N., and Hwang, Ula

Published
2022
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23. Clinical Policy: Critical Issues in the Evaluation and Management of Emergency Department Patients With Suspected Non–ST-Elevation Acute Coronary Syndromes

Author

Brown, Michael D., Wolf, Stephen J., Byyny, Richard, Diercks, Deborah B., Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Harrison, Nicholas E., Hatten, Benjamin W., Haukoos, Jason S., Kaji, Amy, Kwok, Heemun, Lo, Bruce M., Mace, Sharon E., Nazarian, Devorah J., Proehl, Jean A., Promes, Susan B., Shah, Kaushal H., Shih, Richard D., Silvers, Scott M., Smith, Michael D., Thiessen, Molly E.W., Tomaszewski, Christian A., Valente, Jonathan H., Wall, Stephen P., Cantrill, Stephen V., Hirshon, Jon Mark, Schulz, Travis, Whitson, Rhonda R., Nestler, David, and Sudhir, Amita

Published
2018
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24. Feasibility of a pragmatic randomized adaptive clinical trial to evaluate a brief negotiational interview for harmful and hazardous alcohol use in Moshi, Tanzania

Author

Staton, Catherine A., primary, Friedman, Kaitlyn, additional, Phillips, Ashley J., additional, Minnig, Mary Catherine, additional, Sakita, Francis M., additional, Ngowi, Kennedy M., additional, Suffoletto, Brian, additional, Hirshon, Jon Mark, additional, Swahn, Monica, additional, Mmbaga, Blandina T., additional, and Vissoci, Joao Ricardo Nickenig, additional

Published
2023
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25. Clinical Policy: Emergency Department Management of Patients Needing Reperfusion Therapy for Acute ST-Segment Elevation Myocardial Infarction

Author

Brown, Michael D., Byyny, Richard, Diercks, Deborah B., Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Hatten, Benjamin W., Haukoos, Jason S., Ingalsbe, Graham S., Kaji, Amy, Kwok, Heemun, Lo, Bruce M., Mace, Sharon E., Nazarian, Devorah J., Proehl, Jean A., Promes, Susan B., Shah, Kaushal H., Shih, Richard D., Silvers, Scott M., Smith, Michael D., Thiessen, Molly E.W., Tomaszewski, Christian A., Valente, Jonathan H., Wall, Stephen P., Wolf, Stephen J., Cantrill, Stephen V., Hirshon, Jon Mark, Whitson, Rhonda R., Schulz, Travis, Glauser, Jonathan M., and Torbati, Sam S.

Published
2017
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26. Clinical Policy: Critical Issues in the Diagnosis and Management of the Adult Psychiatric Patient in the Emergency Department

Author

Brown, Michael D., Byyny, Richard, Diercks, Deborah B., Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Hatten, Benjamin W., Haukoos, Jason S., Ingalsbe, Graham S., Kaji, Amy, Kwok, Heemun, Lo, Bruce M., Mace, Sharon E., Nazarian, Devorah J., Proehl, Jean A., Promes, Susan B., Shah, Kaushal H., Shih, Richard D., Silvers, Scott M., Smith, Michael D., Thiessen, Molly E.W., Tomaszewski, Christian A., Valente, Jonathan H., Wall, Stephen P., Wolf, Stephen J., Cantrill, Stephen V., O'Connor, Robert E., Hirshon, Jon Mark, Whitson, Rhonda R., Broder, Joshua S., Wilson, Michael P., and Zun, Leslie S.

Published
2017
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35. Epidemiology of Knife Injuries at Ain Shams University Hospital Emergency Department from 2018 to 2019: A Cross-Sectional Study

Author

Ellaban, Manar M, Afifi, Eman, El Houssinie, Moustafa, Hirshon, Jon Mark, El-Shinawi, Mohamed, and El-Setouhy, Maged

Subjects
surgical procedures, operative, accidental, emergency department, education, Emergency Medicine, epidemiology, sense organs, Emergency Nursing, Open Access Emergency Medicine, ASUH, Original Research, knife injuries
Abstract

Manar M Ellaban, 1 Eman Afifi, 2 Moustafa El Houssinie, 1 Jon Mark Hirshon, 3, 4 Mohamed El-Shinawi, 3, 5, 6 Maged El-Setouhy 1, 3, 7 1Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt; 2Department of Geriatrics and Gerontology, Faculty of Medicine, Ain Shams University, Cairo, Egypt; 3Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, USA; 4Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, USA; 5General Surgery Department, Ain Shams University, Cairo, Egypt; 6Galala University, Suez, Egypt; 7Department of Family and Community Medicine, Faculty of Medicine, Jazan University, Jazan, Saudi ArabiaCorrespondence: Manar M EllabanCommunity, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Abbasia, Cairo, EgyptTel +201550690740Fax +2024346041Email manarellaban@med.asu.edu.egPurpose: For knife-related injuries (KRI), a comprehensive understanding of the incidence, mechanism, and pattern of injury is required for the development of prevention strategies. Unfortunately, reliable data on knife-related injuries are difficult to obtain. In Egypt, there is no national routine surveillance system for all knife injuries. The aim was to examine the epidemiologic characteristics of knife-related injuries at the Ain Shams University Hospital (ASUH) emergency department (ED).Patients and Methods: A cross-sectional study was conducted on 140 patients who presented with knife injuries at the ASUH ED. Data collection was done during a randomly selected period of seven days each month from October 2018 to September 2019. The sociodemographic characteristics, injury-related variables, and outcomes of the injury were recorded on a structured worksheet.Results: Knife-related injuries represented 22.9% of all injury cases that presented to the ED. Majority of the knife-related injuries (87.86%) were accidental, 7.9% were assault, and 4.3% were self-inflicted. Home was the most reported place of injury. Most of the victims were discharged from the ED (87.1%), and 84.3% recovered completely. The mean hospital stay was 3.6 ± 1.3 days.Conclusion: Majority of the knife-related injuries were accidental, and the most common pattern was isolated chest injury with contusions. Cases that were not severe and had favorable prognosis (ie, complete recovery) comprised the largest proportion. Recommendations include development of a surveillance system may result in the effective control and prevention of this growing problem of knife-related injuries.Keywords: epidemiology, knife injuries, accidental, emergency department, ASUH

Published
2021

36. Differential Gene Expression of fresh tissue and patient-derived explants’ matricellular proteins augment inflammatory breast cancer metastasis: the possible role of IL-6 and MCP-1

Author

Tarek, Alshaimaa, primary, Mohamed, Hossam Taha, additional, El-Sharkawy, Aya Ali, additional, El-Sayed, Shrouk Khalaf, additional, Hirshon, Jon Mark, additional, Woodward, Wendy A, additional, El-Shinawi, Mohamed, additional, and Mohamed, Mona Mostafa, additional

Published
2023
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37. 972: AN INTERDEPARTMENTAL MULTIDISCIPLINARY CONFERENCE IMPROVES PATIENT SAFETY AND LEADS TO SYSTEM CHANGE

Author

Garcia, Katrina, primary, Cheung, Nora, additional, Collins, Meshondra, additional, Cowan, Mark, additional, De Guzman, John, additional, Fowlkes, Ericka, additional, Garcia-Bunuel, Martin, additional, Hirshon, Jon Mark, additional, McClendon, Tina, additional, Norris, Edward, additional, Olmsted, William, additional, Ortiz, Brenda, additional, Pickering, Ed, additional, Priest, Melanie, additional, Qureshi, Faryal, additional, So, Jennifer, additional, von Nordeck, Kimberly, additional, Whitt, Daniel, additional, and To, Kathleen, additional

Published
2022
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42. Detecting Cognitive Impairment and Dementia in the Emergency Department: A Scoping Review

Author

Nowroozpoor, Armin, primary, Dussetschleger, Jeff, additional, Perry, William, additional, Sano, Mary, additional, Aloysi, Amy, additional, Belleville, Michael, additional, Brackett, Alexandria, additional, Hirshon, Jon Mark, additional, Hung, William, additional, Moccia, Joan Michelle, additional, Ohuabunwa, Ugochi, additional, Shah, Manish N., additional, Hwang, Ula, additional, Aggarwal, Neelum, additional, Fernanda Bellolio, M., additional, Betz, Marian (Emmy), additional, Biese, Kevin, additional, Brandt, Cynthia, additional, Bruursema, Stacey, additional, Carnahan, Ryan, additional, Carpenter, Christopher R., additional, Carr, David, additional, Chin-Hansen, Jennie, additional, Daven, Morgan, additional, Degesys, Nida, additional, Dresden, Scott M., additional, Ellenbogen, Michael, additional, Falvey, Jason, additional, Foster, Beverly, additional, Gettel, Cameron, additional, Gilmore-Bykovskyi, Andrea, additional, Goldberg, Elizabeth, additional, Han, Jin, additional, Hardy, James, additional, Nicole Hastings, S., additional, Hogan, Teresita, additional, Isaacs, Eric, additional, Jaspal, Naveena, additional, Johnson, Jerry, additional, Kelly, Kathleen, additional, Kennedy, Maura, additional, Kind, Amy, additional, Malone, Michael, additional, Moreno, Monica, additional, Morrow-Howell, Nancy, additional, Oiyemhonlan, Brenda, additional, Resendez, Jason, additional, Rising, Kristin L., additional, Savage, Bob, additional, Suyama, Joe, additional, Swartzberg, Jeremy, additional, Tolia, Vaishal, additional, Vann, Allan, additional, Webb, Teresa, additional, and Weintraub, Sandra, additional

Published
2022
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43. Emergency Department Communication in Persons Living With Dementia and Care Partners: A Scoping Review

Author

Carpenter, Christopher R., primary, Leggett, Jesseca, additional, Bellolio, Fernanda, additional, Betz, Marian, additional, Carnahan, Ryan M., additional, Carr, David, additional, Doering, Michelle, additional, Hansen, Jennie Chin, additional, Isaacs, Eric D., additional, Jobe, Deborah, additional, Kelly, Kathleen, additional, Morrow-Howell, Nancy, additional, Prusaczyk, Beth, additional, Savage, Bob, additional, Suyama, Joe, additional, Vann, Allan S., additional, Rising, Kristin L., additional, Hwang, Ula, additional, Shah, Manish N., additional, Aggarwal, Neelum, additional, Allore, Heather, additional, Aloysi, Amy, additional, Belleville, Michael, additional, Bellolio, M Fernanda, additional, Betz, Marian (Emmy), additional, Biese, Kevin, additional, Brandt, Cynthia, additional, Bruursema, Stacey, additional, Carnahan, Ryan, additional, Carpenter, Christopher, additional, Chin-Hansen, Jennie, additional, Daven, Morgan, additional, Degesys, Nida, additional, Dresden, M Scott, additional, Dussetschleger, Jeffrey, additional, Ellenbogen, Michael, additional, Falvey, Jason, additional, Foster, Beverley, additional, Gettel, Cameron, additional, Gifford, Angela, additional, Gilmore-Bykovskyi, Andrea, additional, Goldberg, Elizabeth, additional, Han, Jin, additional, Hardy, James, additional, Hastings, S. Nicole, additional, Hirshon, Jon Mark, additional, Hoang, Ly, additional, Hogan, Teresita, additional, Hung, William, additional, Isaacs, Eric, additional, Jaspal, Naveena, additional, Jobe, Deb, additional, Johnson, Jerry, additional, Kelly, Kathleen (Kathy), additional, Kennedy, Maura, additional, Kind, Amy, additional, Malone, Michael, additional, Moccia, Michelle, additional, Moreno, Monica, additional, Nowroozpoor, Armin, additional, Ohuabunwa, Ugochi, additional, Oiyemhonlan, Brenda, additional, Perry, William, additional, Resendez, Jason, additional, Rising, Kristin, additional, Sano, Mary, additional, Shah, Manish, additional, Suyama, Joseph, additional, Swartzberg, Jeremy, additional, Taylor, Zachary, additional, Tolia, Vaishal, additional, Vann, Allan, additional, Webb, Teresa, additional, and Weintraub, Sandra, additional

Published
2022
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46. Support for Emergency Department Screening for Intimate Partner Violence Depends on Perceived Risk

Author

Witting, Michael D., Furuno, Jon P., and Hirshon, Jon Mark

Abstract

Emergency department (ED) screening for intimate partner violence (IPV) faces logistic difficulties and has uncertain efficacy. We surveyed 146 ED visitors and 108 ED care providers to compare their support for ED IPV screening in three hypothetical scenarios of varying IPV risk. Visitor support for screening was 5 times higher for the high-risk (86%) than for the low-risk (17%) scenario. Providers showed significantly more support for the need for ED IPV screening than visitors. Controlling for confounding by gender, race, experience with IPV, hospital, and marital status did not affect comparisons between groups. These responses indicate greater support for IPV screening in the ED for high-risk than for low-risk cases, particularly among visitors. (Contains 4 tables.)

Published
2006
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47. Clinical Policy: Emergency Department Management of Patients Needing Reperfusion Therapy for Acute ST-Segment Elevation Myocardial Infarction

Author

Glauser, Jonathan M., Torbati, Sam S., Brown, Michael D., Byyny, Richard, Diercks, Deborah B., Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Hatten, Benjamin W., Haukoos, Jason S., Ingalsbe, Graham S., Kaji, Amy, Kwok, Heemun, Lo, Bruce M., Mace, Sharon E., Nazarian, Devorah J., Proehl, Jean A., Promes, Susan B., Shah, Kaushal H., Shih, Richard D., Silvers, Scott M., Smith, Michael D., Thiessen, Molly E.W., Tomaszewski, Christian A., Valente, Jonathan H., Wall, Stephen P., Wolf, Stephen J., Cantrill, Stephen V., Hirshon, Jon Mark, Whitson, Rhonda R., and Schulz, Travis

Published
2017
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48. Perceptions of Help Resources for Victims of Intimate Partner Violence

Author

Krugman, Scott D., Witting, Michael D., Furuno, Jon P., Hirshon, Jon Mark, Limcangco, Rhona, Perisse, Andre R. S., and Rasch, Elizabeth K.

Abstract

Intimate partner violence (IPV) constitutes a major public health problem in the United States. This cross-sectional survey of 108 emergency department (ED) care providers and 146 ED visitors at three metropolitan EDs compared the beliefs of ED health care providers with those of community members about the relative benefits of the helpfulness of resources for IPV victims using hypothetical case scenarios. Although providers generally indicated that help resources were helpful in all scenarios, visitors were more discriminating, showing less support for resources in the lower-risk scenario. Regarding differences between groups, visitors selected police and attorneys more frequently than providers as a helpful resource, whereas providers selected shelters and counselors more frequently than visitors. Adjustment for previous experience with IPV did not change these results. Understanding the differences between health care providers' and community members' perceptions of resources for victims of IPV may improve the effectiveness of referral to IPV resources.

Published
2004
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