Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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The authors examined the ability of emergency physicians (EPs) to recognize adverse drug-related events (ADREs) in elder patients presenting to the emergency department (ED). ⋯ EP performance was superior at identifying severe ADREs relating to the patients' chief complaints. However, EP performance was suboptimal with respect to identifying ADREs of lower severity, having missed a significant number of ADREs of moderate severity as well as ones unrelated to the patients' chief complaints. ADRE detection methods need to be developed for the ED to aid EPs in detecting those ADREs that are most likely to be missed.
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Randomized Controlled Trial
Development and implementation of an emergency practitioner-performed brief intervention for hazardous and harmful drinkers in the emergency department.
1) To develop and teach a brief intervention (BI) for "hazardous and harmful" (HH) drinkers in the emergency department (ED); 2) to determine whether emergency practitioners (EPs) (faculty, residents, and physician associates) can demonstrate proficiency in the intervention; and 3) to determine whether it is feasible for EPs to perform the BI during routine clinical care. ⋯ A BNI for HH drinkers can be successfully developed for EPs. EPs can demonstrate proficiency in performing the BNI in routine ED clinical practice.
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Comparative Study
What characteristics of applicants to emergency medicine residency programs predict future success as an emergency medicine resident?
Program directors of emergency medicine (EM) residencies attempt to select candidates who will subsequently perform well as residents. This study was undertaken to identify characteristics available at the time of application to an EM residency that predict future success in residency. ⋯ Using regression modeling, it may be possible to predict future resident performance from characteristics contained in residency applications. Applicants from top-tier medical schools and those with distinctive talents were more successful in the UCSD EM residency.
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To examine factors associated with motivation to quit smoking and interest in an emergency department (ED)-based intervention. ⋯ Approximately 50% of smokers reported at least moderate interest in an ED-based intervention and a willingness to stay 15 extra minutes, but only 8% reported receiving counseling during their ED visit. Considering time and resource constraints, counseling/referral may be best suited for patients characterized by a strong desire to quit, multiple previous quit attempts, high self-efficacy, a smoking-related ED visit, and strong interest in ED-based counseling.
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Comparative Study
An electronic chart prompt to decrease proprietary antibiotic prescription to self-pay patients.
Emergency physicians unaware of patients' insurance status may prescribe expensive proprietary antibiotics for patients who cannot afford them. The objective of this study was to develop a clinical decision support system to display patient insurance status before prescription writing for outpatient conditions. ⋯ A clinical decision support system, integrated into a prescription-writing program, can decrease the prescription of proprietary antibiotics for self-pay patients in the ED.