Medicine and Health Sciences Commons^™

Comparing The Safety And Efficacy Of A Rapid High-Sensitivity Cardiac Troponin I Protocol Between Hospital-Based And Free-Standing Emergency Departments, Arqam Husain, Joseph B. Miller, Satheesh Gunaga, Seth Krupp, Howard Klausner, Elizabeth Plemmons, Hashem Nasseredine, Jacob Tuttle, Bernard Cook, James K. Mccord

Medical Student Research Symposium

Study Objectives: Current high sensitivity cardiac troponin I (hs-cTnI) research has been conducted almost exclusively in hospital-based emergency department (HBED) settings and the translation of these protocols into free-standing emergency departments (FSED) has yet to be explored. This study compared the safety and efficacy of applying a rapid-rule out protocol using hs-cTnI for exclusion of acute myocardial infarction (AMI) in HBEDs and FSEDs.

Methods: This was a secondary analysis of a randomized trial of patients evaluated for possible AMI in 9 emergency departments (ED) from July 2020 through March 2021. The trial arms included a new 0/1-hour rapid protocol using …

How Long Is Too Long?, Muhammad Ahmed, Sikander Chohan, Arqam Husain, Chelsea Meixner, Ujwal Patel, Benjamin Wright, Vijaya Kumar

Medical Student Research Symposium

Background: The United States is experiencing a nationwide shortage of nurses. Emergency departments (EDs) are at the forefront of this crisis which is contributing to long wait times for patients. Existing literature shows a strong correlation between increased wait times and patients leaving without being seen (LWBS). This likely increases the incidence of adverse events (AE).

Studies examining the impact of nursing coverage on the incidence of AE have been conducted primarily in inpatient settings. Our study aims to assess the relationship between nursing coverage and incidence of LWBS/AE in the ED.

Methods: This is a retrospective cohort study from …

Incidence Of Cannabinoid Hyperemesis Syndrome In An Urban Emergency Department Setting, Muhammad Ahmed, James Paxton

Medical Student Research Symposium

Introduction:

Cannabis is a psychoactive drug that is widely used for both medicinal and recreational purposes. Despite its traditional use as an antiemetic, emerging evidence suggests a possible association between excessive cannabis usage and the incidence of Cannabinoid Hyperemesis Syndrome (CHS), a condition characterized by otherwise unexplained cyclic abdominal pain and vomiting. Although previous studies have been done in mixed-race or primarily Caucasian populations, our study focuses on an urban, predominantly African-American population. We aim to measure the incidence of CHS among patients presenting to two urban Detroit emergency departments, including a descriptive analysis on apparent demographic and behavioral risk …

The Impact Of Machine Learning Algorithms On Benchmarking Process In Healthcare Service Delivery, Egbe-Etu Emmanuel Etu

Wayne State University Theses

Currently, organizations have adopted and implemented a variety of innovative quality management philosophies, approaches, and techniques to stay competitive in an ever-changing global economy. Benchmarking is one of such techniques deployed by organizations to stay competitive. The motivation for this research stems from a real-world problem being faced by hospitals in the healthcare industry who have amassed a ton of data and want to embark on benchmarking project to assess the performance of the emergency departments due to challenges faced with poor management of operations which has led to high patient boarding rates, high patient wait-times, poor quality service, low …

Predictive Analytics For Disease Condition Of Patients In Emergency Department, Azade Tabaie

Wayne State University Theses

Emergency Departments (EDs) in hospitals are experiencing severe crowding and prolonged patient waiting times. The reported crowding in hospitals shows patients in hospital hallways, long waiting times and full occupancy of ED beds. ED crowding has several potential unfavorable effects including patients and staff frustration, lower patient satisfaction and poor health outcomes. The primary motivations behind this study are shortening the patients’ waiting time and improving patient satisfaction and level of care.

The very initial interaction between clinicians and a patient is recorded on nurse triage notes which contain details of the reason for patient’s visit including specific symptoms and …