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2025 JAN 25 (NewsRx) -- By a News Reporter-Staff News Editor at Obesity, Fitness & Wellness Week -- Researchers detail new data in Drugs and Therapies - Clinical Therapeutics. According [...]

1 | INTRODUCTION Access to hospital-based emergency care is an important population health metric, (1) but it is not equitable. Emergency department (ED) capability and capacity vary geographically, (2-4) with [...], Objective: To examine racial/ethnic differences in emergency department (ED) transfers to public hospitals and factors explaining these differences. Data Sources and Study Setting: ED and inpatient data from the Healthcare Cost and Utilization Project for Florida (2010-2019); American Hospital Association Annual Survey (2009-2018). Study Design: Logistic regression examined race/ethnicity and payer on the likelihood of transfer to a public hospital among transferred ED patients. The base model was controlled for patient and hospital characteristics and year fixed effects. Models II and III added urbanicity and hospital referral region (HRR), respectively. Model IV used hospital fixed effects, which compares patients within the same hospital. Models V and VI stratified Model IV by payer and condition, respectively. Conditions were classified as emergency care sensitive conditions (ECSCs), where transfer is protocolized, and non-ECSCs. We reported marginal effects at the means. Data Collection/Extraction Methods: We examined 1,265,588 adult ED patients transferred from 187 hospitals. Principal Findings: Black patients were more likely to be transferred to public hospitals compared with White patients in all models except ECSC patients within the same initial hospital (except trauma). Black patients were 0.5-1.3 percentage points (pp) more likely to be transferred to public hospitals than White patients in the same hospital with the same payer. In the base model, Hispanic patients were more likely to be transferred to public hospitals compared with White patients, but this difference reversed after controlling for HRR. Hispanic patients were - 0.6 pp to -1.2 pp less likely to be transferred to public hospitals than White patients in the same hospital with the same payer. Conclusions: Large population-level differences in whether ED patients of different races/ethnicities were transferred to public hospitals were largely explained by hospital market and the initial hospital, suggesting that they may play a larger role in explaining differences in transfer to public hospitals, compared with other external factors. KEYWORDS disparities, emergency departments, public hospital, race and ethnicity, transfers

To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.annemergmed.2010.03.004 Byline: Rebecca M. Cunningham (a)(c), Stephanie R. Harrison (a), Mary Pat McKay (d), Michael J. Mello (e), Mark Sochor (f), Jamie R. Shandro (g), Maureen A. Walton (b), Gail D'Onofrio (h) Abstract: We describe current alcohol screening and brief intervention practices in emergency departments (EDs) at Level I and Level II trauma centers and characterize ED directors' attitudes and perceived barriers associated with these practices among injured patients in the ED. Author Affiliation: (a) Injury Research Center, Department of Emergency Medicine, University of Michigan, Ann Arbor, MI (b) Department of Psychiatry, University of Michigan, Ann Arbor, MI (c) Hurley Medical Center, Flint, MI (d) Emergency Medicine, Center for Injury Prevention, George Washington University, Washington, DC (e) Departments of Emergency Medicine and Community Health, Alpert Medical School of Brown University, Injury Prevention Center at Rhode Island Hospital, Providence, RI (f) Department of Emergency Medicine, University of Virginia, Charlottesville, VA (g) Injury Prevention Center, Department of Emergency Medicine, Harborview Medical Center, Seattle, WA (h) Department of Emergency Medicine, Yale University, New Haven, CT Article History: Received 17 November 2009; Revised 11 February 2010; Accepted 1 March 2010 Article Note: (footnote) Supervising editor: Debra E. Houry, MD, MPH, Author contributions: RMC and SRH wrote the initial draft of the article. MM, MJM, and MS conceptualized the study and contributed to analysis plan. JRS and GD assisted in editing the article. All authors contributed to and have approved the final article. RMC takes responsibility for the paper as a whole., Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article that might create any potential conflict of interest. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement. This project was supported by an ACEP Trauma and Injury section grant., Please see page 557 for the Editor's Capsule Summary of this article., Reprints not available from the authors., Publication date: Available online April 3, 2010.

Earlier this year, a young practitioner posed a question about emergency compensation on the AAEP New Practitioners listserv. This led to a short survey being posted on this community's listserv, [...]

INTRODUCTION Emergency medicine (EM) is a quixotic profession: emergency physicians (EPs) deliver one-time, episodic care to random patients during unpredictable health crises at all hours of the day; and then, [...], Objective: Emergency physicians (EPs) rarely find out what happens to patients after the patients leave their care, a process we call 'outcome feedback.' Some suggest this hinders the practice of emergency medicine (EM); however, evidence is lacking. We sought to evaluate EPs' perception of the current and potential role of outcome feedback in EM. Methods: We surveyed practising French- and English-speaking EPs from emergency departments within 100 km of Ottawa, Ont., in the provinces of Ontario and Quebec. The main outcomes included the prevalence, role and effect of outcome feedback. Results: Of the 297 physicians surveyed, 231 (77.8%) respond ed. The sample contained good representation of language groups, practice settings, sexes and age groups. All participants indicated that knowing outcomes is 'essential' (62.6%) or 'beneficial' (37.4%) to gaining experience in EM. Participants reported currently receiving passive outcome feedback in 10.0% of all cases, and seeking out (active) outcome feedback in 7.5% of all cases. The great majority of participants (97.3%) stated that they would like to receive more outcome feedback and believed that this would improve diagnostic accuracy (97.3%), clinical efficiency (85.5%), treatment outcomes (95.6%) and job satisfaction (95.1%). When asked to indicate 'any possible negative effects that might arise from increased outcome feedback,' 62.1% indicated none. However, 17.9% hypothesized negative emotional effects and 11.5% suggested increased time requirements. Conclusion: The overwhelming majority of EPs receive very little outcome feedback. Most would like more outcome feedback and believe it would improve the practice of EM. Keywords: treatment outcome, quality of health care, emergency medicine, decision support techniques, outcome feedback Objectif : Les medecins d'urgence savent rarement ce qu'il advient de leurs patients apres leur passage a l'urgence. Il y a ce qu'on appelle un manque <>. Certains suggerent que cela entrave la pratique de la medecine d'urgence. Il n'y a toutefois pas suffisamment de preuves a l'appui de cette hypothese. Nous avons cherche a evaluer la perception des medecins d'urgence quant au role actuel et potentiel de l'information sur les resultats en medecine d'urgence. Methodes : Nous avons interroge des medecins d'urgence francophones et anglophones travaillant dans les services d'urgence, en Ontario et au Quebec, dans un perimetre de 100 kilometres autour d'Ottawa (Ont.). Les principaux criteres d'evaluation etaient la prevalence, le role et l'effet de l'information sur les resultats. Resultats : Des 297 medecins interroges, 231 (77,8 %) ont repondu. L'echantillon offrait une bonne representation des groupes linguistiques, des milieux de pratique, des sexes et des groupes d'age. Tous les participants ont indique qu'il etait <> (62,6 %) ou << benefique >> (37,4 %) de recevoir de l'information sur le devenir de leurs patients pour acquerir des competences en medecine d'urgence. Les repondants ont signifie qu'ils recevaient actuellement de l'information passive sur leurs patients dans 10,0 % des cas, et qu'ils faisaient activement des demarches pour obtenir de l'information sur leurs patients dans 7,5 % des cas. La grande majorite (97,3 %) des repondants ont dit vouloir recevoir davantage d'information sur les resultats et pense que cela ameliorerait la precision du diagnostic (97,3 %), l'efficacite clinique (85,5 %), les resultats therapeutiques (95,6 %) et la satisfaction professionnelle (95,1 %). Lorsqu'on a demande aux repondants de reperer les << effets negatifs eventuels que pourrait entrainer une augmentation de la communication d'information sur les resultats >>, 62,1 % n'ont rien indique. Toutefois, 17,9 % ont suppose que cela pourrait engendrer des effets emotionnels negatifs et 11,5 % ont suggere comme effet eventuel la hausse d'exigences en matiere de temps. Conclusion : La grande majorite des medecins d'urgence recoivent tres peu d'information sur les resultats. La plupart aimeraient en recevoir davantage et estiment que cela ameliorerait la qualite de la pratique de medecine d'urgence.

Objective: Consultation is a common and important aspect of emergency department (ED) care. We prospectively examined the consultation rates, the admission rates of consulted patients, the emergency physician (EP) disposition [...]

Introduction: US emergency personnel cared for 106% more patients in 1990 than they did in 1980,1 and national emergency department census data show that 60%-80% of those patients presented with [...]

Objective: The objective of this study was to identify the facilitators and barriers associated with integrating nurse practitioners (NPs) into Canadian emergency departments (EDs) from the perspectives of NPs and [...]

Background Patients frequently present to emergency departments (EDs) with abdominal pain. The use of analgesia for this complaint has been debated for many years. (1-3) The fear of analgesics originated [...]

Hockey is enjoyed by millions of people around the world and is a sport in which aggression is encouraged and injuries are common. Although body-checking is the most common cause [...]

Objective: To evaluate whether the addition of intravenous (IV) dexamethasone to standard emergency department (ED) benign headache therapy would reduce the incidence of headache recurrence at 48-72 hours. Methods: This [...]