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Shared Decision-Making for Patients Hospitalized with Acute Myocardial Infarction: A Randomized Trial.
Branda ME, Kunneman M, Meza-Contreras AI, Shah ND, Hess EP, LeBlanc A, Linderbaum JA, Nelson DM, Mc Donah MR, Sanvick C, Van Houten HK, Coylewright M, Dick SR, Ting HH, Montori VM. Branda ME, et al. Among authors: hess ep. Patient Prefer Adherence. 2022 Jun 1;16:1395-1404. doi: 10.2147/PPA.S363528. eCollection 2022. Patient Prefer Adherence. 2022. PMID: 35673524 Free PMC article. Clinical Trial.
CONCLUSION: The AMI Choice conversation tool improved patients' knowledge of their estimated risk of short-term mortality after an AMI and the pros and cons of treatments to reduce this risk. ...
CONCLUSION: The AMI Choice conversation tool improved patients' knowledge of their estimated risk of short-term mortality after an AM …
Development of an Emergency Department-Based Intervention to Expand Access to Medications for Opioid Use Disorder in a Medicaid Nonexpansion Setting: Protocol for Engagement and Community Collaboration.
Walter LA, Li L, Rodgers JB, Hess JJ, Skains RM, Delaney MC, Booth J, Hess EP. Walter LA, et al. Among authors: hess ep. JMIR Res Protoc. 2021 Apr 29;10(4):e18734. doi: 10.2196/18734. JMIR Res Protoc. 2021. PMID: 33913818 Free PMC article.
Likewise, continued patient engagement in a recovery or treatment program after ED discharge has been shown to be efficient for long-term treatment success. OBJECTIVE: This protocol outlines a framework for ED-initiated medications for OUD in a resource-limited region of t …
Likewise, continued patient engagement in a recovery or treatment program after ED discharge has been shown to be efficient for long-term …
Trends in opioid use in commercially insured and Medicare Advantage populations in 2007-16: retrospective cohort study.
Jeffery MM, Hooten WM, Henk HJ, Bellolio MF, Hess EP, Meara E, Ross JS, Shah ND. Jeffery MM, et al. Among authors: hess ep. BMJ. 2018 Aug 1;362:k2833. doi: 10.1136/bmj.k2833. BMJ. 2018. PMID: 30068513 Free PMC article.
MAIN ENDPOINTS: Proportion of beneficiaries with any opioid prescription per quarter, average daily dose in milligram morphine equivalents (MME), and proportion of opioid use episodes that represented long term use. RESULTS: Across all years of the study, annual opioid use …
MAIN ENDPOINTS: Proportion of beneficiaries with any opioid prescription per quarter, average daily dose in milligram morphine equivalents ( …
Opioid Prescribing for Opioid-Naive Patients in Emergency Departments and Other Settings: Characteristics of Prescriptions and Association With Long-Term Use.
Jeffery MM, Hooten WM, Hess EP, Meara ER, Ross JS, Henk HJ, Borgundvaag B, Shah ND, Bellolio MF. Jeffery MM, et al. Among authors: hess ep. Ann Emerg Med. 2018 Mar;71(3):326-336.e19. doi: 10.1016/j.annemergmed.2017.08.042. Epub 2017 Sep 26. Ann Emerg Med. 2018. PMID: 28967517 Free PMC article.
Disabled Medicare beneficiaries were the most likely to progress to long-term use, with 13.4% of their fills resulting in long-term use compared with 6.2% of aged Medicare and 1.8% of commercial beneficiaries' fills. ...Prescriptions from the ED are associated with …
Disabled Medicare beneficiaries were the most likely to progress to long-term use, with 13.4% of their fills resulting in long-ter …
How Do We Balance the Long-Term Health of a Patient With the Short-Term Risk to the Physician?
Weinstock MB, Mattu A, Hess EP. Weinstock MB, et al. Among authors: hess ep. J Emerg Med. 2017 Oct;53(4):583-585. doi: 10.1016/j.jemermed.2017.06.010. Epub 2017 Sep 1. J Emerg Med. 2017. PMID: 28870390
BACKGROUND: There is a wide variation in practice patterns among emergency medicine physicians; many factors weigh into the medical decision-making process including the health of the patient as well as short-term risk to the physician. OBJECTIVE: The objective of our disc …
BACKGROUND: There is a wide variation in practice patterns among emergency medicine physicians; many factors weigh into the medical decision …
Shared Decisionmaking in the Emergency Department: A Guiding Framework for Clinicians.
Probst MA, Kanzaria HK, Schoenfeld EM, Menchine MD, Breslin M, Walsh C, Melnick ER, Hess EP. Probst MA, et al. Among authors: hess ep. Ann Emerg Med. 2017 Nov;70(5):688-695. doi: 10.1016/j.annemergmed.2017.03.063. Epub 2017 May 27. Ann Emerg Med. 2017. PMID: 28559034 Free PMC article.
Despite the recent attention shared decisionmaking has received in the emergency medicine community, including being the topic of the 2016 Academic Emergency Medicine Consensus Conference, misconceptions remain in regard to the precise meaning of the term, the process, and …
Despite the recent attention shared decisionmaking has received in the emergency medicine community, including being the topic of the 2016 A …
Observation Status or Inpatient Admission: Impact of Patient Disposition on Outcomes and Utilization Among Emergency Department Patients With Chest Pain.
Bellolio MF, Sangaralingham LR, Schilz SR, Noel-Miller CM, Lind KD, Morin PE, Noseworthy PA, Shah ND, Hess EP. Bellolio MF, et al. Among authors: hess ep. Acad Emerg Med. 2017 Feb;24(2):152-160. doi: 10.1111/acem.13116. Acad Emerg Med. 2017. PMID: 27739128 Free article.
OBJECTIVES: to compare healthcare utilization including coronary angiography, percutaneous coronary intervention (PCI), rehospitalization, and rate of subsequent acute myocardial infarction (AMI) within 30 days, among patients presenting to the emergency department (ED) with ches …
OBJECTIVES: to compare healthcare utilization including coronary angiography, percutaneous coronary intervention (PCI), rehospitalization, a …
Engaging patients in health care decisions in the emergency department through shared decision-making: a systematic review.
Flynn D, Knoedler MA, Hess EP, Murad MH, Erwin PJ, Montori VM, Thomson RG. Flynn D, et al. Among authors: hess ep. Acad Emerg Med. 2012 Aug;19(8):959-67. doi: 10.1111/j.1553-2712.2012.01414.x. Epub 2012 Jul 31. Acad Emerg Med. 2012. PMID: 22853804 Free article. Review.
Each study was of satisfactory methodologic quality and used a DSI to engage patients or their surrogates in decision-making in the ED across four domains: 1) management options for children with small lacerations; 2) options for rehydrating children presenting with vomiting or d …
Each study was of satisfactory methodologic quality and used a DSI to engage patients or their surrogates in decision-making in the ED acros …
Development of a clinical prediction rule for 30-day cardiac events in emergency department patients with chest pain and possible acute coronary syndrome.
Hess EP, Brison RJ, Perry JJ, Calder LA, Thiruganasambandamoorthy V, Agarwal D, Sadosty AT, Silvilotti ML, Jaffe AS, Montori VM, Wells GA, Stiell IG. Hess EP, et al. Ann Emerg Med. 2012 Feb;59(2):115-25.e1. doi: 10.1016/j.annemergmed.2011.07.026. Epub 2011 Sep 1. Ann Emerg Med. 2012. PMID: 21885156
STUDY OBJECTIVE: Evaluation of emergency department (ED) patients with chest pain who are at low risk for acute coronary syndrome is resource intensive and may lead to false-positive test results and unnecessary downstream procedures. We seek to identify patients at low short- …
STUDY OBJECTIVE: Evaluation of emergency department (ED) patients with chest pain who are at low risk for acute coronary syndrome is resourc …
The "good" dean's letter.
Kiefer CS, Colletti JE, Bellolio MF, Hess EP, Woolridge DP, Thomas KB, Sadosty AT. Kiefer CS, et al. Among authors: hess ep. Acad Med. 2010 Nov;85(11):1705-8. doi: 10.1097/ACM.0b013e3181f55a10. Acad Med. 2010. PMID: 20881821
RESULTS: The authors collected MSPEs from 122 of the 125 Liaison Committee on Medical Education-accredited medical schools that were graduating students in 2008. Of these 122 institutions, 34 (28%) used the term "good." All 34 institutions used the term to character …
RESULTS: The authors collected MSPEs from 122 of the 125 Liaison Committee on Medical Education-accredited medical schools that were graduat …
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