Rapid HIV Testing Program Implementation: Lessons from the Emergency Department
Wright, Elizabeth A.
Reichmann, William M.
Solomon, Jessica D.
Dooley, Matthew M.
Walensky, Rochelle P.
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Citation (published version)Arbelaez, Christian, Brian Block, Elena Losina, Elizabeth A. Wright, William M. Reichmann, Regina Mikulinsky, Jessica D. Solomon, Matthew M. Dooley, Rochelle P. Walensky. "Rapid HIV testing program implementation: lessons from the emergency department" International Journal of Emergency Medicine 2(3): 187-194. (2009)
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 of a major academic medical center within the scope of the Universal Screening for HIV Infection in the Emergency Room (USHER) Trial—a randomized clinical trial evaluating the feasibility and cost-effectiveness of HIV screening in this setting. RESULTS AND CONCLUSION. Drawing on our collective experiences in establishing programs domestically and internationally, we offer a practical framework of lessons learned so that others poised to embark on such HIV testing programs may benefit from our experiences.
RightsCopyright Springer-Verlag London Ltd 2009
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