Patient and Staff Satisfaction with Nontargeted and Targeted HIV Screening Strategies in the Emergency Department
Funding Agency: None
This project will determine if there are differences in patient and staff satisfaction among 3 different methods to screen for HIV in the Denver Health Emergency Department and Adult Urgent Care Center.
The HIV TESTING using ENHANCED SCREENING TECHNIQUES in EMERGENCY DEPARTMENTS (TESTED) Trial
Funding Agency: National Institute of Allergy and Infectious Diseases (NIAID)
Early identification of undiagnosed HIV infection remains a critical public health priority. The research proposed in this project will evaluate the effectiveness of 3 rapid HIV screening methods, including a novel targeted strategy, in urban emergency department settings in the United States. The results of this study will help inform public health practices of how best to identify patients with whom to test for HIV infection in this important clinical setting, in an effort to improve the timeliness of diagnosis and linkage-to-care.
Specific Aim 1: To evaluate and compare the effectiveness of targeted and nontargeted rapid HIV screening strategies when fully-integrated into ED settings
Specific Aim 2: To measure and compare programmatic costs associated with implementation of targeted and nontargeted rapid HIV screening strategies when fully-integrated into ED settings
Specific Aim 3: To measure and compare ED operational processes and crowding when targeted and nontargeted rapid HIV screening strategies are fully-integrated into ED care
Click here to read the Study Protocol.
Rapid HIV Testing in Unscheduled Ambulatory Care Settings at Denver Health Medical Center
Funding Agency: Colorado HIV/AIDS Prevention Program
The purpose of this project is to evaluate rapid HIV testing in unscheduled ambulatory care settings at Denver Health Medical Center (DHMC). Rapid HIV testing has been performed at the DHMC ED since October 2004, in the Adult Urgent Care Center (AUCC) since September 2007, and in the Denver Emergency Center for Children (DECC), a pediatric emergent and urgent care center at DHMC, since October 2008. In all three of these settings physician-directed targeted rapid HIV testing is the standard of care. In addition to this physician-directed diagnostic HIV testing, we utilize triage nurses to conduct an HIV risk assessment (the Denver HIV Risk Score) on all eligible unscheduled ambulatory care patients and target patients at increased risk for having undiagnosed HIV infection for testing.
Understanding HIV Screening Experiences in an Urban Pediatric Emergency Department: A Mixed Methods Study
Funding Agency: None
HIV screening was established in Denver Health Medical Center’s (DHMC) Denver Emergency Center for Children (DECC) in November 2009. In April 2010, a closed-response self-administered HIV screening staff acceptance survey was distributed to all DECC staff in order to evaluate the HIV screening program. Staff was also given the opportunity to write comments in an open-ended format at the end of the survey. The survey responses and comments identified a number of potential barriers to conducting HIV screening in a pediatric emergency department setting. The purpose of this study is to report on the results from the survey and better understand the identified barriers associated with conducting HIV screening in a pediatric emergency department (ED). The specific aims of this study are to: (1) Report staff acceptance of non-targeted rapid HIV screening in a pediatric emergency department; (2) Identify potential barriers to performing HIV screening in the pediatric ED setting; (3) Identify strategies for overcoming identified barriers.