Rapid HIV testing program implementation: lessons from the emergency department

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Rapid HIV testing program implementation: lessons from the emergency department

BACKGROUND The US Centers for Disease Control and Prevention (CDC) guidelines and the World Health Organization (WHO) both recommend HIV testing in health-care settings. However, neither organization provides prescriptive details regarding how these recommendations should be adapted into clinical practice in an emergency department. METHODS We have implemented an HIV-testing program in the ED...

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Design and Implementation of an Emergency Department (ED) Based Rapid HIV Screening Program

Introduction In 2003, the Centers for Disease Control and Prevention (CDC) in Atlanta, Georgia estimated that approximately 1 million people in the United States were living with HIV/AIDS, and that approximately 25% of these were undiagnosed and unaware of their HIV infection. For many such patients the ED may be the only part of the health care system that is utilized. In 2006, the CDC revised...

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Less encouraging lessons from the front lines: barriers to implementation of an emergency department-based HIV screening program.

OBJECTIVE We describe barriers to, and discuss recommendations for, implementing a limited emergency department (ED)-based HIV screening program. METHODS A pilot program was designed to study the feasibility of integrating HIV screening into ED care among patients aged 18 to 64 years at an urban academic emergency department with an annual census of 50,000 patients. RESULTS During the first...

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2009 US emergency department HIV testing practices.

OBJECTIVES We characterize HIV testing practices and programs in US emergency departments (EDs) in 2009. METHODS A national Web-based survey of members of the National ED HIV Testing Consortium, participants in the 2007 Centers for Disease Control and Prevention (CDC)-sponsored ED HIV Testing Workshops, all US academic EDs, and a weighted random sample of US community EDs with snowball sampli...

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Ontario's Emergency Department Process Improvement Program: The Experience of Implementation

OBJECTIVES In recent years, Lean manufacturing principles have been applied to health care quality improvement efforts to improve wait times. In Ontario, an emergency department (ED) process improvement program based on Lean principles was introduced by the Ministry of Health and Long-Term Care as part of a strategy to reduce ED length of stay (LOS) and to improve patient flow. This article aim...

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ژورنال

عنوان ژورنال: International Journal of Emergency Medicine

سال: 2009

ISSN: 1865-1372,1865-1380

DOI: 10.1007/s12245-009-0123-x