Explanipedia

Association of a Comprehensive ST‐Segment–Elevation Myocardial Infarction Protocol With Key Process Metrics Among Patients Transferred for Primary Percutaneous Coronary Intervention Open

Radoslav Zinoviev, Anirudh Kumar, Chetan Huded, Michael J. Johnson, Kathleen Kravitz , et al. · 2025

Background Most US patients with ST‐segment–elevation myocardial infarction (STEMI) transferred for percutaneous coronary intervention (PCI) do not achieve the goal door‐to‐balloon time (D2BT) of ≤120 minutes. We evaluated the impact of a …

A Comprehensive Quality Improvement Program to Improve Intubation Performance in Critical Care Transport Open

Andrew P. Reimer, John S. Driscoll, Lisa Lorenz, Abigail Brown, Travis Gullett , et al. · 2025

Our results demonstrate that a dedicated quality improvement project focused on improving airway management, specifically first-pass success and DASH-1A, improved our transport team's performance over time.

High-Flow Nasal Cannula in Transport: Process, Results, and Considerations Open

Andrew P. Reimer, Bryson Simpson, Abigail Brown, Michael J. Passalacqua, Jonathan Keary , et al. · 2021

Interhospital transport of patients with COVID-19: Cleveland Clinic approach Open

Abigail Brown, Fredric M. Hustey, Anita Reddy · 2020

Hospital-to-hospital transportation of patients in the COVID-19 era presents unique challenges to ensuring the safety of both patients and health care providers. Crucial factors to address include having adequate supplies of protective equ…

Seeing Red: Blood Sample Hemolysis Is Associated with Prolonged Emergency Department Throughput Open

Michael Phelan, Fredric M. Hustey, Daniel M Good, Edmunds Reineks · 2020

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 associatio…

Cost-Consequence Analysis of Mobile Stroke Units vs. Standard Prehospital Care and Transport Open

Andrew P. Reimer, Atif Zafar, Fredric M. Hustey, Damon Kralovic, Andrew Russman , et al. · 2020

Background: Mobile stroke units (MSUs) are the latest approach to improving time-sensitive stroke care delivery. Currently, there are no published studies looking at the expanded value of the MSU to diagnose and transport patients t…

An intervention based on the Electronic Medical Record to improve smoking cessation guidance in an urban tertiary care center emergency department Open

Michael Phelan, Balaji Nithianandam, Nathan Eikoff, Daniel M Good, Fredric M. Hustey , et al. · 2019

Automated deployment of smoking cessation discharge instructions in the EMR improves smoking cessation discharge instructions, and also has a positive impact on improving rates of in-person counseling by ED providers.

Impact of Interventions to Change CBC and Differential Ordering Patterns in the Emergency Department Open

Michael Phelan, Megan O. Nakashima, Daniel M Good, Fredric M. Hustey, Gary W. Procop · 2018

Reprioritizing EMR laboratory orders can reduce overutilization of CBC-DIFF testing.

Does Pneumatic Tube System Transport Contribute to Hemolysis in ED Blood Samples? Open

Michael Phelan, Edmunds Reineks, Fredric M. Hustey, Jacob Berriochoa, Seth R. Podolsky , et al. · 2016

We found no statistical difference in the percentages of hemolyzed specimens transported by a pneumatic tube system or hand delivered to the laboratory. Certain features of pneumatic tube systems might contribute to hemolysis (e.g., speed,…

Design and Implementation of an Emergency Department (ED) Based Rapid HIV Screening Program Open

Fredric M. Hustey, Michael Phelan, Sharon O’Keefe, Tracy Barbour · 2015

This was a prospective cohort study involving an ED rapid HIV screening program targeting high risk patients. 1090 patients underwent ED HIV testing over a 33 month period. 43% (467/1090) were male and 74%(804/1090) were African American. …

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