{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T20:46:48Z","timestamp":1785271608531,"version":"3.55.0"},"reference-count":12,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2016,4,18]],"date-time":"2016-04-18T00:00:00Z","timestamp":1460937600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2016,6]]},"abstract":"Abstract<\/jats:title>Objective<\/jats:title>The emergency department (ED) of NYU Langone Medical Center was destroyed by Hurricane Sandy, contributing to a public health disaster in New York City. We evaluated hospital-based acute care provided through the establishment of an urgent care center with an associated ED-run observation service (EDOS) that operated in the absence of an ED during this disaster.<\/jats:p><\/jats:sec>Methods<\/jats:title>We conducted a retrospective cohort study of all patients placed in an EDOS following a visit to an urgent care center during the 18 months of ED closure. We reviewed diagnoses, clinical protocols, selection criteria, and performance metrics.<\/jats:p><\/jats:sec>Results<\/jats:title>Of 55,723 urgent care center visits, 15,498 patients were hospitalized, and 3167 of all hospitalized patients (20.4%) were placed in the EDOS. A total of 2660 EDOS patients (84%) were discharged from the EDOS. The 8 most frequently utilized clinical protocols accounted for 76% of the EDOS volume.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>A diverse group of patients presenting to an urgent care center following the destruction of an ED by natural disaster can be cared for in an EDOS, regardless of association with a physical ED. An urgent care center with an associated EDOS can be implemented to provide patient care in a disaster situation. This may be useful when existing ED or hospital resources are compromised. (Disaster Med Public Health Preparedness<\/jats:italic>. 2016;10:405\u2013410)<\/jats:p><\/jats:sec>","DOI":"10.1017\/dmp.2016.49","type":"journal-article","created":{"date-parts":[[2016,4,18]],"date-time":"2016-04-18T06:15:19Z","timestamp":1460960119000},"page":"405-410","source":"Crossref","is-referenced-by-count":8,"title":["Observation Services Linked With an Urgent Care Center in the Absence of an Emergency Department: An Innovative Mechanism to Initiate Efficient Health Care Delivery in the Aftermath of a Natural Disaster"],"prefix":"10.1017","volume":"10","author":[{"given":"Christopher","family":"Caspers","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silas W.","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rishi","family":"Seth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Femia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lewis R.","family":"Goldfrank","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2016,4,18]]},"reference":[{"key":"S1935789316000495_ref10","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000149236.92822.07"},{"key":"S1935789316000495_ref4","unstructured":"American College of Emergency Physicians. Observation Medicine https:\/\/www.acep.org\/Physician-Resources\/Practice-Resources\/Administration\/Observation-Medicine\/. Accessed September 17, 2015."},{"key":"S1935789316000495_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(96)00093-9"},{"key":"S1935789316000495_ref5","volume-title":"Emergency Severity Index (ESI): A Triage Tool for Emergency Department Care, Version 4","author":"Gilboy","year":"2011"},{"key":"S1935789316000495_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2013.10.029"},{"key":"S1935789316000495_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2007.03.008"},{"key":"S1935789316000495_ref3","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2014.19"},{"key":"S1935789316000495_ref9","doi-asserted-by":"publisher","DOI":"10.1111\/j.1520-037X.2002.00550.x"},{"key":"S1935789316000495_ref2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1213844"},{"key":"S1935789316000495_ref12","volume-title":"Observation Medicine","author":"Graff","year":"1993"},{"key":"S1935789316000495_ref11","doi-asserted-by":"publisher","DOI":"10.1136\/emj.13.3.163"},{"key":"S1935789316000495_ref1","unstructured":"NYU\u2019s ER After Sandy - Optimists at Work. http:\/\/www.nyu.edu\/about\/news-publications\/nyu-stories\/dr--goldfrank-on-langone-er-re-opening.html. Accessed September 25, 2015."}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789316000495","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,19]],"date-time":"2019-04-19T00:10:30Z","timestamp":1555632630000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789316000495\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,4,18]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2016,6]]}},"alternative-id":["S1935789316000495"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2016.49","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,4,18]]}}}