Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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Multicenter Study
Does Shared Decision-Making actually occur in the ED? Looking at it from the patients' perspective.
We sought to assess the frequency, content, and quality of shared decision making (SDM) in the emergency department (ED), from patients' perspectives. ⋯ Fewer than half of ED patients surveyed reported they were involved in SDM. The most common decision for which SDM was used was around ED disposition (admission vs. discharge). When SDM was employed, patients generally rated the discussion highly.
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Randomized Controlled Trial
A Multifaceted Intervention to Improve Patient Knowledge and Safe Use of Opioids: Results of the ED EMC2 Randomized Controlled Trial.
Despite increased focus on opioid prescribing, little is known about the influence of prescription opioid medication information given to patients in the emergency department (ED). The study objective was to evaluate the effect of an Electronic Medication Complete Communication (EMC2 ) Opioid Strategy on patients' safe use of opioids and knowledge about opioids. ⋯ The study found that the EMC2 tools improved demonstrated safe dosing, but these benefits did not translate into actual use based on medication dairies. The text-messaging intervention did result in improved patient knowledge.
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Randomized Controlled Trial
Video Discharge Instructions for Acute Otitis Media in Children: A Randomized Controlled Open-label Trial.
Thirty percent of children with acute otitis media (AOM) experience symptoms < 7 days after initiating treatment, highlighting the importance of comprehensive discharge instructions. ⋯ Video discharge instructions in the ED are associated with less perceived AOM symptomatology compared to a paper handout.