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.
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