1 40 2 Hyperlink A link, or reference, to another resource on the Internet. URL https://doi.org/10.1016/j.ajem.2022.04.029 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Do racial disparities exist at various time points during an emergency department visit for chest pain Creator An entity primarily responsible for making the resource Carl Allamby Thomas Scott Jessica Krizo Kathrina Consing Caroline Mangira Erin L Simon Date A point or period of time associated with an event in the lifecycle of the resource 2022 Description An account of the resource Introduction: It is well documented that disparities in patient care based on race and ethnicity are prevalent in the emergency medical care setting. In most cases these evaluations are patient focused and outcome based. The timeliness of patient treatment in the emergency department (ED) is correlated with patient outcomes. In this study, we sought to evaluate whether the timeliness of care for patients with chest pain across stages of care was impacted by patient race. Methods: This was a retrospective evaluation of ED throughput times including adults who presented to one of seventeen EDs in a large healthcare system from January 1, 2019 to December 31, 2019 and met criteria for inclusion. The effect of race on different intervals of care were assessed. Generalized Linear Models were used to estimate the effect of race on different intervals of care while controlling for Charlson Comorbidity index, age, gender, insurance, ED facility type and emergency severity index acuity level. Results: A total of 28,705 patients were included, with a mean age of 54 ± 18 years. The majority of patients were White (63%), female (56%) and had Medicare or Medicaid (56%). Black patients experienced significantly increased wait times for resident physician examination, advanced practice provider examination, attending physician examination, and ED disposition. There was no difference in time to triage between Black patients and White patients. Conclusion: Black patients have longer wait times for resident physician evaluation, advanced practice provider evaluation, attending physician evaluation, and ED disposition when presenting to the ED with chest pain. Source A related resource from which the described resource is derived Am J Emerg Med . 2022 Aug;58:1-4. doi: 10.1016/j.ajem.2022.04.029. Epub 2022 Apr 25. Language A language of the resource English 2022 chest pain disparities diversity Emergency department inclusion Racial bias throughput Wait times Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. URL Address <a href="http://doi.org/10.1093/jalm/jfaa073" target="_blank" rel="noreferrer noopener">http://doi.org/10.1093/jalm/jfaa073</a> Pages 732-737 Issue 4 Volume 5 Search for Full-text Locate full-text within NEOMED Library's e-journal collections <a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1093/jalm/jfaa073" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1093/jalm/jfaa073</a> <p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p> Update Year & Number August 2020 List NEOMED College NEOMED College of Medicine NEOMED Department NEOMED Student Publications Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Seeing red: Blood sample hemolysis is associated with prolonged emergency department throughput Publisher An entity responsible for making the resource available Journal of Applied Laboratory Medicine Date A point or period of time associated with an event in the lifecycle of the resource 2020 2020-07 Subject The topic of the resource Emergency Medicine; length-of-stay; hemolysis; poor sample; pre-analytical; rework; throughput; waste Creator An entity primarily responsible for making the resource Phelan MP; Hustey FM; Good DM; Reineks EZ Description An account of the resource Introduction: Hemolyzed emergency department (ED) blood specimens impose substantial burdens on various aspects of delivering care. The ED has the highest incidence of hemolysis among hospital departments. This study assessed the association and potential impact of hemolyzed blood samples on patient throughput time using ED length of stay (LOS) as the primary outcome measure. Methods: This study was a secondary analysis of data collected during a performance improvement project aimed at reducing the incidence of hemolysis in ED blood specimens. The electronic medical record was queried for potassium orders and results and for key patient throughput time points. Throughput times were stratified according to hemolysis, ED disposition (admitted vs discharged), and Emergency Services Index (ESI) triage categorization. Two-tailed t tests were used to compare throughput times for patients with and without hemolysis. Results: Potassium values were reported for 11 228 patient visits. The mean ED LOS was 287 minutes for patients with nonhemolyzed samples and 349 minutes for patients who had hemolyzed samples, a mean delay of 62 minutes. The mean throughput time for discharged patients was 92 minutes shorter in the group without hemolysis (337 vs 429 minutes). The mean throughput time for admitted patients was 28 minutes shorter in the group without hemolysis (264 vs 292 minutes). The increased LOS for patients with a hemolyzed blood sample was independent of the most commonly encountered ESI levels. Conclusion: Hemolysis of blood samples obtained in the ED is associated with patient throughput via delays in patient disposition, independent of various markers of acuity, such as the patients' ultimate disposition or triage categorization. Identifier An unambiguous reference to the resource within a given context <a href="http://doi.org/10.1093/jalm/jfaa073" target="_blank" rel="noreferrer noopener">10.1093/jalm/jfaa073</a> Rights Information about rights held in and over the resource Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s). Format The file format, physical medium, or dimensions of the resource journalArticle 2020 August 2020 List Emergency Medicine Good DM hemolysis Hustey FM Journal of Applied Laboratory Medicine journalArticle length-of-stay NEOMED College of Medicine Student NEOMED Student Publications Phelan MP poor sample pre-analytical Reineks EZ rework throughput waste