Emergency Department Operations

What is a Freestanding Emergency Department? Definitions Differ Across Major United States Data Sources

Herscovici, BS, et al.

Despite the growing number of freestanding emergency departments (FSED) in the United States (US), FSED definitions differ across major US data sources of healthcare facilities and use. We compare these sources and propose a universal definition of FSED (and its two major types) to improve communications regarding these facilities and their patients.

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Human Papillomavirus Awareness, Vaccine Status, and Risk Factors in Female Emergency Patients

Walter, MD, et al.

This study sought to gather information pertaining to HPV and cervical cancer risk factors, awareness of HPV and the vaccine, as well as HPV vaccine uptake in female patients presenting to an ED.

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Provider Workforce

Public Performance Metrics: Driving Physician Motivation and Performance

Jen, MD, et al.

Our objective was to determine whether displaying public performance metrics of physician triage data could drive intangible motivators and improve triage performance in the ED.

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Location of Violent Crime Relative to Trauma Resources in Detroit: Implications for Community Interventions

Clery, MD, et al.

Detroit, Michigan, is among the leading United States cities for per-capita homicide and violent crime. Hospital- and community-based intervention programs could decrease the rate of violent-crime related injury but require a detailed understanding of the locations of violence in the community to be most effective.

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Triage and Ongoing Care for Critically Ill Patients in the Emergency Department: Results from a National Survey of Emergency Physicians

Mathews, MD, MPH, et al.

We conducted a cross-sectional study at the Icahn School of Medicine at Mount Sinai to elicit emergency physician (EP) perceptions regarding intensive care unit (ICU) triage decisions and ongoing management for boarding of ICU patients in the emergency department (ED). We assessed factors influencing the disposition decision for critically ill patients in the ED to characterize EPs’ perceptions about ongoing critical care delivery in the ED while awaiting ICU admission.

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Prediction Model for 30-day Outcomes Among Emergency Department Patients with Lower Gastrointestinal Bleeding

Ramaekers, MD, MSc, et al.

There are currently no robust tools available for risk stratification of emergency department (ED) patients with lower gastrointestinal bleed (LGIB). Our aim was to identify risk factors and develop a preliminary model to predict 30-day serious adverse events among ED LGIB patients.

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Misunderstanding the Match: Do Students Create Rank Lists Based on True Preferences?

Schnapp, MD, et al.

The objective of this study was to determine whether medical students consistently make rank lists that reflect their true preferences.

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Establishing an Elective Rotation Director and Its Effect on Elective Opportunities and Satisfaction

Janicki, MD, et al.

Emergency medicine (EM) residency program elective rotations may be limited due to the absence of awareness of opportunities and administrative support. We sought to increase the breadth of elective rotation opportunities, improve residents’ satisfaction with their elective rotations, and enhance the opportunities for clinical training.

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Maggots, Mucous and Monkey Meat: Does Disgust Sensitivity Affect Case Mix Seen During Residency?

Schnapp, MD, MEd, et al.

The objective of this study was to determine whether emergency physicians with higher disgust sensitivity see fewer “disgusting” cases during training.

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Increasing Education Research Productivity: A Network Analysis

Peterson, MD, et al.

The objective of this study was to use a social network analysis tool to demonstrate the growth of institutional publication networks for education researchers and show how a single institution has expanded its publication network over time.

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Time Cost of Standardized Nursing Screens in the Emergency Department

Migdal, MD, et al.

Various policies require that screening questions be asked of all patients who present to the emergency department (ED). No studies have previously examined the potential time costs of standardized screens. Our objective was to analyze the time nursing spent conducting standardized nursing screens and calculate the corresponding time cost.

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Vitamin D Deficiency and Long-Term Cognitive Impairment Among Older Adult Emergency Department Patients

Evans, MD, et al.

Currently, no effective interventions exist to prevent LTCI after an acute illness. Identifying early and modifiable risk factors for LTCI is the first step toward effective therapy. We hypothesized that Vitamin D deficiency at ED presentation was associated with LTCI in older adults.

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Emergency Department Access

Examining the Effect of the Affordable Care Act on Two Illinois Emergency Departments

Probst, MD, et al.

This study aimed to compare the characteristics and severity of ED visits in an Illinois academic medical center (AMC) and community hospital (CH) of a single health system before and after the implementation of the Affordable Care Act (ACA).

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How Well Does the Standardized Video Interview Score Correlate with Traditional Interview Performance?

Chung, MD, et al.

The SVI is a video-recorded, uni-directional interview consisting of six questions designed to assess interpersonal and communication skills and professionalism. The goal of this study was to determine whether the SVI score correlates with a traditional in-person interview score.

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Population Health Research Design

Potential of Mobile Health Technology to Reduce Health Disparities in Underserved Communities

Veen, MD, et al.

Mobile health (mHealth) has the potential to change how patients make healthcare decisions. We sought to determine the readiness to use mHealth technology in underserved communities.

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Physician Documentation of Access to Firearms in Suicidal Patients in the Emergency Department

Naganathan, MD, et al.

Suicide is the 10th leading cause of death in the United States. An estimated 50% of these deaths are due to firearms. Suicidal ideation (SI) is a common complaint presenting to the emergency department (ED). Despite these facts, provider documentation on access to lethal means is lacking. Our primary aim was to quantify documentation of access to firearms in patients presenting to the ED with a chief complaint of SI.

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Preferences for Firearm Locking Devices and Device Features Among Participants in a Firearm Safety Event

Simonetti, MD, MPH, et al.

The aim of this study was to describe preferences for firearm locking devices and device features among firearm safety event participants.

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Association of Vital Signs and Process Outcomes in Emergency Department Patients

Hodgson, MD, et al.

We sought to determine the association of abnormal vital signs with emergency department (ED) process outcomes in both discharged and admitted patients.

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Epidemiology of Community-Onset Staphylococcus aureus Bacteremia

Yarovoy, MD, et al.

The incidence of methicillin-resistant S. aureus (MRSA) has recently decreased across much of the United States, and we seek to describe risk factors for CO-MRSA bacteremia, which will aid emergency providers in their choice of empiric antibiotics

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Emergency Department Access

A Geospatial Analysis of Freestanding and Hospital Emergency Department Accessibility via Public Transit

Carlson, MD, et al.

In order to explore the effect of freestanding emergency departments (FSED) on access to care for urban underserved populations, we performed a geospatial analysis comparing the proximity of FSEDs and hospital EDs to public transit lines in three United States (U.S.) metropolitan areas: Houston, Denver, and Cleveland.

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End-tidal CO2 Monitoring is Available in Most Community Hospitals in a Rural State: A Health System Survey

Ilko, BA, et al.

Procedural sedation and analgesia (PSA) provides safe and effective relief for pain, anxiety and discomfort during procedures performed in the emergency department (ED). Our objective was to identify hospital-level factors associated with routine PSA capnography use in the ED.

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Standardized Video Interviews Do Not Correlate to United States Medical Licensing Examination Step 1 and Step 2 Scores

Egan, MD, et al.

In 2017, the Standardized Video Interview (SVI) was required for applicants to emergency medicine (EM). The SVI contains six questions highlighting professionalism and interpersonal communication skills.

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A Needs Assessment for a Longitudinal Emergency Medicine Intern Curriculum

Shappell, MD, et al.

The traditional model for delivering core content is lecture-based weekly conference; however, a growing body of literature finds this format less effective and less appealing than alternatives. We sought to address this challenge by conducting a needs assessment for a longitudinal intern curriculum for millennial learners.

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Competency Assessment in Senior Emergency Medicine Residents for Core Ultrasound Skills

Schmidt, MD, et al.

We sought to design and implement a rigorous assessment of image acquisition and interpretation in POC US in a cohort of graduating residents at our institution.

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Analysis of Patients with Ventricular Assist Devices Presenting to an Urban Emergency Department

McKillip, MD, et al.

Left ventricular assist device (LVAD) insertion is an increasingly common intervention for patients with advanced heart failure; however, published literature on the emergency department (ED) presentation of this population is limited. The objective of this study was to characterize ED presentations of patients with LVADs with a focus on device-specific complications to inform provider education and preparation initiatives.

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Social Disconnection Among Older Adults Receiving Care in the Emergency Department

Kandasamy, MPH, et al.

This study describes the prevalence of social disconnection and patient interest in social resources to address social disconnection among older adults receiving emergency department (ED) care.

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