Publications
Social Emergency Medicine Frameworks
Publications:
aSDoH
Adverse social determinants of health (aSDoH), such as housing and food insecurity, are strongly associated with healthcare utilization and health outcomes. The goal of our work is to identify and address aSDoH in an efficient and scalable way to address social needs, reduce disparities in care, and improve health outcomes. We have ongoing additional work around understanding neighborhood and spatial risk, evaluating and developing directories of community resources, and identification of social risk and social need.
Publications:
ECOCH
ECOCH was a comparative examination of two social need and risk screening strategies in the ED. Using a mixed-methods approach, ED patients were recruited at a large urban academic medical center and randomized to verbal vs. electronic modalities following informed consent.
Primary Publication:
MEDS
Medication Education for Dosing Safety (MEDS) aimed to determine whether a brief intervention at the time of emergency department (ED) discharge can improve safe dosing of liquid acetaminophen and ibuprofen by parents/guardians. We performed a randomized controlled trial of a teaching intervention combining lay language, simplified handouts, provision of an unmarked dosing syringe, and teach-back to confirm correct dosing. A multi-faceted intervention at the time of ED discharge – consisting of a simplified dosing handout, a teaching session, teach-back, and provision of a standardized dosing device – can improve parents’ knowledge of safe dosing of liquid medications at 48-72 hours.
Publications:
PECC
Pediatric Emergency Care Coordinators (PECC) are a specialized role within the emergency department (ED) whose responsibilities include training, quality improvement, and establishment of procedures and supply requirements. Presence of PECCs within the ED has been associated with higher pediatric readiness scores, lower trauma and critical illness mortality, and reduced disparities of care.
Publications
VLENS
Visualization Linking Emergency Needs and Services (VLENS) aimed to enable the visualization of community resources, hospital utilization, and social determinants of health/predicted need. Click here to view a video overview of the project.
COVID-19 Disparities
The COVID-19 Disparities project aimed to identify disparities in measured prevalence and outcomes of COVID-19 patients based on factors such as demographics, individual socioeconomic status, and neighborhood socioeconomic status.
Publications: