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Ted Melnick Profile picture
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Sep 30 • 4 tweets • 3 min read
For me, the reality that ED boarding was not going to get better came when:

A family friend spent >24 hrs waiting for a hospital bed in a stretcher in the ER hallway with a horrific injury & I had explain to him that that was normal.

#OurERisFull #EveryoneDeservesEmergencyCare
American ERs are working in disaster conditions every day. The COVID cases have dropped but the hospitals are understaffed & full w/no place to provide care for patients in a safe, private, and dignified way.



#OurERisFull #EveryoneDeservesEmergencyCare
Long wait times mean that people without access care to care leave without being seen effectively denying them the care they are entitled to under EMTALA



#OurERisFull #EveryoneDeservesEmergencyCare
ER closures like the ones in Canada may not be far off here

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More from @Ted_Melnick

Ted Melnick Profile picture
Apr 5, 2021
How did it happen that the EHR emerged as a threat to clinicians’ well-being and what is the path forward?

@ChristineSinsky, @hmkyale & I present a roadmap for scientifically sound EHR use metrics today in @JAMA_current

jamanetwork.com/journals/jama/…

/thread
Here’s the first step:

Also, HOT OFF THE PRESSES TODAY in the Journal of @AMIAinformatics!

Our feasibility & cross-sectional analysis of physician EHR use measured with vendor-derived data across 2 healthcare systems w/different vendor products

academic.oup.com/jamia/advance-…

/2
Using vendor data, we were able to derive 5 of 7 standardized, time-based EHR use measures proposed here:

academic.oup.com/jamia/article/…

We could only derive the metrics for non-teaching, exclusively ambulatory attending physicians.

/3
Read 7 tweets
Ted Melnick Profile picture
Feb 27, 2019
Excited for our ⁦@YaleMed⁩ @JMIRpub on the design of a user-friendly health IT solution to facilitate rapid adoption of ED-initiated buprenorphine in routine emergency care /1 humanfactors.jmir.org/2019/1/e13121/
Buprenorphine decreases mortality, withdrawal symptoms, craving, and opioid use. But ED-initiation is not currently routine emergency care for people suffering from opioid use disorder. /2
In our pragmatic user-centered design process we learned (confirmed) that clinicians don’t want another annoying pop up. Instead, we provide only the info you want/need with a flexible and streamlined workflow whether waivered or not, new or experienced with ED bupe processes
Read 6 tweets

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