A Quality Framework for Emergency Department Treatment of Opioid Use Disorder
Emergency clinicians are on the front lines of responding to the opioid epidemic and are leading innovations to reduce opioid…
Associations of ICU Capacity Strain with Disposition and Outcomes of Patients with Sepsis Presenting to the Emergency Department
Intensive care unit (ICU) capacity strain refers to the potential limits placed on an ICU's ability to provide high-quality care…
Comparison of Collaborative Versus Single-Site Quality Improvement to Reduce NICU Length of Stay
There is unexplained variation in length of stay (LOS) across NICUs, suggesting that there may be practices that can optimize…
Acute Pulmonary Embolism in Emergency Department Patients Despite Therapeutic Anticoagulation
Emergency department (ED) patients with acute pulmonary embolism (PE) despite therapeutic anticoagulation at the time of diagnosis are uncommonly encountered…
Benefits of Intensive Care Unit Admission for Patients with Acute Respiratory Failure or Sepsis
Ideal and optimally efficient use of intensive care unit (ICU) resources would create benefits across the health care system. Ideal…
Identifying Distinct Subgroups of ICU Patients: A Machine Learning Approach
Identifying subgroups of ICU patients with similar clinical needs and trajectories may provide a framework for more efficient ICU care…
Ibutilide Effectiveness and Safety in the Cardioversion of Atrial Fibrillation and Flutter in the Community Emergency Department
Little is known about the use of ibutilide for cardioversion in atrial fibrillation and flutter outside of clinical trials. We…
Adaptation of the Acute Organ Failure Score for Use in a Medicare Population
Without widely available physiologic data, a need exists for ICU risk adjustment methods that can be applied to administrative data.…
Innovation and Technology: Electronic Intensive Care Unit Diaries
Hospitalization in the intensive care unit can be a stressful time for patients and their family members. Patients' family members…
Association Among ICU Congestion, ICU Admission Decision, and Patient Outcomes
To employ automated bed data to examine whether ICU occupancy influences ICU admission decisions and patient outcomes. Retrospective study using…
Developing a framework for implementing intensive care unit diaries: a focused review of the literature
Intensive care unit diaries have been shown to improve post-critical illness recovery, however, prior reports of diary implementation are heterogeneous.…
Evaluation Following Staggered Implementation of the “Rethinking Critical Care” ICU Care Bundle in a Multicenter Community Setting
To evaluate process metrics and outcomes after implementation of the "Rethinking Critical Care" ICU care bundle in a community setting.…
Visitation policies and practices in United States intensive care units
Prior reports suggest that restrictive ICU visitation policies can negatively impact patients and their loved ones. However, visitation practices in…
An electronic simplified acute physiology score-based risk adjustment score for critical illness in an integrated healthcare system*
OBJECTIVE: Risk adjustment is essential in evaluating the performance of an ICU; however, assigning scores is time-consuming. We sought to…
Risk factors for unplanned transfer to intensive care within 24 hours of admission from the emergency department in an integrated healthcare system
BACKGROUND: Emergency department (ED) ward admissions subsequently transferred to the intensive care unit (ICU) within 24 hours have higher mortality…
Adverse outcomes associated with delayed intensive care unit transfers in an integrated healthcare system
BACKGROUND: Patients with intensive care unit (ICU) transfers from hospital wards have higher mortality than those directly admitted from the…
Underimmunization at discharge from the neonatal intensive care unit
OBJECTIVE: The objectives of this study are to determine immunization rates at discharge from the neonatal intensive care unit (NICU)…
Risk of fever and sepsis evaluations after routine immunizations in the neonatal intensive care unit
OBJECTIVE: Premature infants can experience cardiorespiratory events such as apnea after immunization in the neonatal intensive care unit (NICU). These…
Intra-hospital transfers to a higher level of care: contribution to total hospital and intensive care unit (ICU) mortality and length of stay (LOS)
BACKGROUND: Patients who experience intra-hospital transfers to a higher level of care (eg, ward to intensive care unit [ICU]) are…
Risk factors for developing apnea after immunization in the neonatal intensive care unit
OBJECTIVES: Among hospitalized NICU infants, preimmunization apnea is a well-recognized predictor of postimmunization apnea. However, predictors for postimmunization apnea among…
Neonatal intensive care unit census influences discharge of moderately preterm infants
OBJECTIVE: The timely discharge of moderately premature infants has important economic implications. The decision to discharge should occur independent of…
Unstudied infants: outcomes of moderately premature infants in the neonatal intensive care unit
BACKGROUND: Newborns of 30-34 weeks gestation comprise 3.9% of all live births in the United States and 32% of all…