Philadelphia University + Thomas Jefferson University

Publications

Highlighted Publications

Rising KL, Hudgins A, Reigle M, Hollander JE, Carr BG. I'm Just A Patient": Fear and Uncertainty as Drivers of Emergency Department Use in Patients With Chronic Disease. Ann Emer Med. 2016. In press. doi 10.1016/j.annemergmed.2016.03.053.

Our findings highlight an important, yet to date underappreciated, potential driver of ED utilization: fear. This paper underscores the vulnerability that individuals experience when in the role of a patient and give insight into how these vulnerabilities may affect decisions about when and where to seek health care.


Rising KL, Padrez KA, O’Brien M, Hollander JE, Carr BC, Shea JA. Return Visits to the Emergency Department: The Patient Perspective. Ann Emerg Med. 2015. 65(4):377-386.

Our findings offer rich insight into both the physical and emotional challenges that patients have on discharge from the ED. In their narratives, most participants discussed their decision to return to the ED being driven largely by fear and uncertainty about their medical conditions, as well as a lack of trust in the system to be responsive to their needs.


Rising KL, Carr BG, Hess EP, Meisel ZF, Ranney ML, Vogel JA. Patient-centered outcomes research in emergency care: opportunities, challenges and future directions. Acad Emerg Med. 2016. 23(4):497-502.

This paper explores factors unique to patient-centered emergency care research and highlights specific areas of potential alignment within each Patient Centered Outcomes Research Institute (PCORI) priority and emergency care research.


Rising KL, Victor TW, Hollander JE, Carr BG. Patient Returns to the Emergency Department: The Time-to-Return Curve. Acad Emerg Med. 2014. 21(8):864-871.

This is the first study to rigorously quantify the rate of ED revisits after index ED discharges. We find that 9 days is the most appropriate time period to use in the examination of ED revisits when analyzed from a strict mathematical viewpoint, and suggest that the 72-hour period used in many studies and clinical improvement initiatives may be inadequate to capture the majority of acute ED returns.


Rising KL, Ricco JC, Printz AD, Woo SH, Hollander JE. Virtual Rounds: Observational study of a new service connecting family members remotely to inpatient rounds. Gen Int Med Clin Innov. 2016. 1(3):50-53. doi: 10.15761/GIMCI.1000115.

We report the results of implementation of a new patient- and family-centered service, virtual rounds, which was designed to improve communication between patients, caregivers, and providers. Our findings support the idea that a patient-centered delivery system must be flexible and filled with options, as no two patients are the same and thus preferences for care will vary.


Recent Publications

Factors associated with hospital admission after an emergency department treat and release visit for older adults with injuries

Patient perceptions of telehealth primary care video visits

The 2016 Academic Emergency Medicine Consensus Conference, “Shared Decision Making in the Emergency Department: Development of a Policy-relevant Patient-centered Research Agenda” Diagnostic Testing Breakout Session Report

Fear, vulnerability and sacrifice: Drivers of emergency department use and implications for policy

“I'm Just a Patient”: Fear and Uncertainty as Drivers of Emergency Department Use in Patients With Chronic Disease

A qualitative analysis of interprofessional healthcare team members' perceptions of patient barriers to healthcare engagement

Recurrent violent injury: magnitude, risk factors, and opportunities for intervention from a statewide analysis

Patient-centered Outcomes Research in Emergency Care: Opportunities, Challenges, and Future Directions

Geography, Not Health System Affiliations, Determines Patients' Revisits to the Emergency Department

Return visits to the emergency department: The patient perspective

Patient returns to the emergency department: The time-to-return curve

Infectious sacroiliitis

The authors reply: Understanding the importance of heterogeneity when analyzing medical marijuana laws

The impact of state medical marijuana legislation on adolescent marijuana use

Dialysis care and death following hurricane sandy

Home is where the heart is

Emergency department visits after hospital discharge: A missing part of the equation

Working together to prepare for disasters

The US emergency care system: Meeting everyday acute care needs while being ready for disasters

Observation units: Cost saving through cost shifting