Clinton J Coil

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OBJECTIVES Undiagnosed human immunodeficiency virus (HIV) infection is not uncommon among patients who seek care in urban inner-city emergency departments (EDs). The optimal method for providing appropriate HIV counseling, testing, and referral in this setting is unclear. A previous evaluation of an outpatient referral system for HIV testing among patients(More)
BACKGROUND Undiagnosed HIV infection is prevalent among patients who present to urban emergency departments (EDs). Providing appropriate counseling, testing, and follow-up in the ED is difficult. The aim of this study was to evaluate the effectiveness of a referral-based outpatient HIV testing system for patients referred from the ED. METHODS This was a(More)
STUDY OBJECTIVE We identify differences in the process of care for admitted patients who board in the emergency department (ED) compared with admitted patients who are transferred to an inpatient care area. METHODS This is a retrospective study of a random sample of adult patients admitted through the ED at one urban teaching hospital. Patients who(More)
PURPOSE The purpose of this study was to examine the association between the volume of intravenous (IV) fluids administered in the resuscitative phase of severe sepsis and septic shock and the development of the acute respiratory distress syndrome (ARDS). MATERIALS AND METHODS This was a retrospective cohort study of adult patients admitted with severe(More)
STUDY OBJECTIVE The use of a double check by 2 nurses has been advocated as a key error-prevention strategy. This study aims to determine how often a double check is used for high-alert medications and whether it increases error detection. METHODS Emergency department and ICU nurses worked in pairs to care for a simulated patient. Nurses were randomized(More)
BACKGROUND Many health care organizations use screen savers on the computer terminals in patient care areas to provide educational messages and announcements for staff and patients. The effectiveness of screen savers for educating medical students about patient safety was investigated. METHODS Screen savers were designed to teach 10 patient safety(More)
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