Social Emergency Medicine Research

Past Research Projects

Past Research Projects

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:

Screening for Health-Related Social Needs of Emergency Department Patients. Samuels-Kalow ME, Boggs KM, Cash RE, Herrington R, Mick NW, Rutman MS, Venkatesh AK, Zabbo CP, Sullivan AF, Hasegawa K, Zachrison KS, Camargo CA Jr.Ann Emerg Med. 2021 Jan;77(1):62-68. doi: 10.1016/j.annemergmed.2020.08.010. Epub 2020 Nov 5.PMID: 33160720 

Prevalence of Emergency Department Social Risk and Social Needs. Molina MF, Li CN, Manchanda EC, White B, Faridi MK, Espinola JA, Ashworth H, Ciccolo G, Camargo CA Jr, Samuels-Kalow M.West J Emerg Med. 2020 Oct 6;21(6):152-161. doi: 10.5811/westjem.2020.7.47796.PMID: 33207161

Geographically Indexed Referral Databases to Address Social Needs in the Emergency Department. Curt A, Khidir H, Ciccolo G, Camargo CA Jr, Samuels-Kalow M.West J Emerg Med. 2021 Mar 4;22(2):218-224. doi: 10.5811/westjem.2020.11.49250.PMID: 33856303 

Prevalence of social risk factors and social needs in a Medicaid Accountable Care Organization (ACO). Schiavoni KH, Helscel K, Vogeli C, Thorndike AN, Cash RE, Camargo CA Jr, Samuels-Kalow ME.BMC Health Serv Res. 2022 Nov 19;22(1):1375. doi: 10.1186/s12913-022-08721-9.PMID: 36403024 

Improving Understanding of Screening Questions for Social Risk and Social Need Among Emergency Department Patients. Ciccolo G, Curt A, Camargo CA Jr, Samuels-Kalow M.West J Emerg Med. 2020 Aug 20;21(5):1170-1174. doi: 10.5811/westjem.2020.5.46536.PMID: 32970571 

Patient and Community Organization Perspectives on Accessing Social Resources from the Emergency Department: A Qualitative Study. Samuels-Kalow ME, Molina MF, Ciccolo GE, Curt A, Cleveland Manchanda EC, de Paz NC, Camargo CA Jr.West J Emerg Med. 2020 Jun 24;21(4):964-973. doi: 10.5811/westjem.2020.3.45932.PMID: 32726271 


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:

Association of Elementary School Reopening Status and County COVID-19 Incidence. Michelson KA, Samuels-Kalow ME.Acad Pediatr. 2022 May-Jun;22(4):667-670. doi: 10.1016/j.acap.2021.09.006. Epub 2021 Sep 20.PMID: 34547519 

Neighborhood Disadvantage Measures and COVID-19 Cases in Boston, 2020. Samuels-Kalow ME, Dorner S, Cash RE, Dutta S, White B, Ciccolo GE, Brown DFM, Camargo CA Jr.Public Health Rep. 2021 May;136(3):368-374. doi: 10.1177/00333549211002837. Epub 2021 Mar 17.PMID: 33729070

Applying crisis standards of care to critically ill patients during the COVID-19 pandemic: Does race/ethnicity affect triage scoring? Molina MF, Cash RE, Carreras-Tartak J, Ciccolo G, Petersen J, Mecklai K, Rodriguez G, Castilla-Ojo N, Boms O, Velasquez D, Macias-Konstantopoulos W, Camargo CA Jr, Samuels-Kalow M.J Am Coll Emerg Physicians Open. 2021 Jul 12;2(4):e12502. doi: 10.1002/emp2.12502. eCollection 2021 Aug.PMID: 34278377 


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:

A pilot mixed-methods randomized controlled trial of verbal versus electronic screening for adverse social determinants of health. Macias-Konstantopoulos W, Ciccolo G, Muzikansky A, Samuels-Kalow M.J Am Coll Emerg Physicians Open. 2022 Feb 15;3(1):e12678. doi: 10.1002/emp2.12678. eCollection 2022 Feb.PMID: 35224551 


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.

Primary publication:

Medication Education for Dosing Safety (MEDS): A Randomized Controlled Trial Naureckas Li C, Camargo CA Jr, Faridi M, Espinola JA, Hayes BD, Porter S, Cohen A, Samuels-Kalow M. Medication Education for Dosing Safety: A Randomized Controlled Trial. Ann Emerg Med. 2020 Nov;76(5):637-645. doi: 10.1016/j.annemergmed.2020.07.007. Epub 2020 Aug 15. PMID: 32807539; PMCID: PMC7857015.


Social Emergency Medicine Frameworks

Publications:

Executive summary of the 2021 SAEM consensus conference: From bedside to policy: Advancing social emergency medicine and population health through research, collaboration, and education. Schoenfeld EM, Lin MP, Samuels-Kalow ME.Acad Emerg Med. 2022 Mar;29(3):354-363. doi: 10.1111/acem.14451. Epub 2022 Mar 15.PMID: 35064982

A Structural Competency Framework for Emergency Medicine Research: Results from a Scoping Review and Consensus Conference. Zeidan A, Salhi B, Backster A, Shelton E, Valente A, Safdar B, Wong A, Porta AD, Lee S, Schneberk T, Wilson J, Westgard B, Samuels-Kalow M.West J Emerg Med. 2022 Sep 12;23(5):650-659. doi: 10.5811/westjem.2022.6.56056.PMID: 36205664 

Structural competency in emergency medical education: A scoping review and operational framework. Salhi BA, Zeidan A, Stehman CR, Kleinschmidt S, Liu EL, Bascombe K, Preston-Suni K, White MH, Druck J, Lopez BL, Samuels-Kalow ME.AEM Educ Train. 2022 Jun 23;6(Suppl 1):S13-S22. doi: 10.1002/aet2.10754. eCollection 2022 Jun.PMID: 35783075 

The terminology of social emergency medicine: Measuring social determinants of health, social risk, and social need. Samuels-Kalow ME, Ciccolo GE, Lin MP, Schoenfeld EM, Camargo CA Jr.J Am Coll Emerg Physicians Open. 2020 Jul 20;1(5):852-856. doi: 10.1002/emp2.12191. eCollection 2020 Oct.PMID: 33145531 


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.