Related Experiment Video
Updated: Feb 9, 2026
04:05
Author Spotlight: Unveiling Prognostic Indicators in Heart Failure - The Role of Phase Angle and Bioelectrical Impedance Analysis
Published on: June 30, 2023
2.9K
Routine HIV Screening in Cancer Patients in the Emergency Department
T W Rice1, P A Brock1, C Gonzalez1
1Department of Emergency Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Acute Medicine
|June 9, 2018
Summary
Implementing a quality initiative significantly increased human immunodeficiency virus (HIV) screening in an emergency department for cancer patients. This improved early detection and linkage to care for this vulnerable population.
Area of Science:
- Oncology
- Infectious Diseases
- Public Health
Background:
- Cancer patients have similar human immunodeficiency virus (HIV) testing rates as the general population (15-40%).
- Untreated HIV in cancer patients can negatively impact outcomes and increase oncogenic virus transmission.
- There is a need to improve HIV screening in cancer centers.
Purpose of the Study:
- To enhance HIV screening rates among cancer patients within the Emergency Department (ED) of a comprehensive cancer center.
- To evaluate the effectiveness of a quality improvement initiative aimed at increasing HIV testing.
Main Methods:
- A quality initiative was implemented in the ED of a comprehensive cancer center.
- HIV testing rates were monitored before and during the intervention period.
- Data on seropositive rates, incidence, and linkage to care were collected.
Main Results:
- HIV testing increased significantly from 0.15/day to 2.69/day (p<0.001).
- The seropositive HIV rate was 1.4% (12/852), with an incidence of 0.3%.
- All identified patients were successfully linked to care.
Conclusions:
- A targeted quality initiative can substantially improve HIV screening in the ED setting for cancer patients.
- Barriers to testing include consent confusion, provider oversight, and linkage concerns.
- Effective linkage to care was achieved for all newly diagnosed cases.
Related Concept Videos
01:27Emerging Adulthood
715
Jeffrey Arnett's concept of emerging adulthood offers a framework to understand the unique developmental stage between adolescence and full-fledged adulthood, generally from ages 18 to 25. This period is marked by extensive exploration and shifts in identity, relationships, and career choices, a process known in psychology as role experimentation. Emerging adulthood reflects the evolving cultural expectations surrounding adulthood and the dynamic process of personal transformation during...
715
01:30Introduction Cardiac Emergencies
376
Cardiac emergencies are critical situations involving the heart that require immediate medical intervention to prevent severe complications or death. These emergencies often arise from underlying heart conditions that impair the heart's ability to function correctly.Types of Cardiac EmergenciesThe most common types of cardiac emergencies include Acute Coronary Syndrome (ACS), myocardial infarction (MI), cardiac arrest, and heart failure.Acute Coronary Syndrome (ACS)Acute Coronary Syndrome (ACS)...
376
01:29Applications of GIS: Disaster Management and Emergency Response
535
Geographic Information System (GIS) technology is essential for risk identification, action prioritization, and resource optimization in critical situations like flooding and earthquakes. By integrating spatial and demographic data, GIS provides a comprehensive framework for emergency response.GIS integrates data layers, like rainfall intensity, topography, elevation profiles, and river levels, to model high-risk flood zones. These layers assess areas susceptible to flooding based on their...
535
02:46Genetic Screens
5.8K
Genetic screens are tools used to identify genes and mutations responsible for phenotypes of interest. Genetic screens help identify individuals or a group of people at risk of developing genetic diseases and help them with early intervention, targeted therapy, and reproductive options.
Forward genetic screens
Forward or “classical” genetic screens involve creating random mutations in an organism’s DNA using radiation, mutagens, or insertion of additional bases, which...
Forward genetic screens
Forward or “classical” genetic screens involve creating random mutations in an organism’s DNA using radiation, mutagens, or insertion of additional bases, which...
5.8K
02:18Cancer
54.4K
Cancers arise due to mutations in genes involved in the regulation of cell division, which leads to unrestricted cell proliferation. Modern science and medicine have made great strides in the understanding and treatment of cancer, including eradicating cancer in some patients. However, there is still no cure for cancer. This is largely due to the fact that cancer is a large group of many diseases.
54.4K
01:13Patient-centered Care
3.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
3.1K