Research at Terem

With an annual patient load of over 300,000 patients and an electronic database of all patient encounters, Terem is a natural environment for conducting research into urgent and emergency care.
Terem focuses its research on all areas pertaining to urgent care and of particular interest are:

• Developing supporting evidence for Terem's ambulatory  protocols
• The innovative use of information technology and telemedicine

Terem collaborates with hospitals and universities and can fulfil students training requirements from high school through residency training. If you are interested in joining our research efforts, please contact Dr Zimmerman who directs our research program.
Our list of publications and presentations:

Publications

1. Nahir B, Kovalski N, Zimmerman DR. “Failure to radiologically confirm community-acquired pneumonia means antibiotic overtreatment.” Clinical Infectious Diseases   
2. Hamui A, Zimmerman DR, Lipsitz J. "Fever Phobia in the Ultra-religious Community in Israel." Harefuah [in press]
3. Zimmerman DR. Diagnosis of childhood pneumonia: clinical assessment without radiological confirmation may lead to overtreatment.” Pediatric Emergency Care [in press]
4. Lipsitz JD, Zimmerman DR, Kovalski N, Gross R, Hammel R. Chief complaints and diagnoses of displaced Israelis seeking medical treatment during the 2006 Israel Lebanon War. American Journal Disaster Medicine September, 2010 ;1010;  5:305-14.  http://www.ncbi.nlm.nih.gov/pubmed/21162412
5. Hammel R, Zimmerman DR, Kovalski N. Mobile telephone-based orthopedic consultation. AJR- American Journal Roentgenology 2010;195:W307. http://www.ncbi.nlm.nih.gov/pubmed/20858795
6. Zimmerman DR. Treatment of pediatric community-acquired pneumonia in an urgent care center. Journal of Urgent Care Medicine November, 2009; web edition www.jucm.com/2009-nov/clinical.shtml
7. Zimmerman DR, Kovalski N, Hain B, Stewart-Freedman B, Halperin E. Temporal distribution of clinical bronchiolitis in the Jerusalem area – a preliminary report. Israel Journal of Emergency Medicine 2009:9 (2): 10-14. http://isrjem.org/july_09_zimmerman_bronchiolitis_postprod.pdf
8. Kovalski N, Zimmerman DR, Fields S, Frankl U. Effect of remote orthopedic consultation on hospital referrals in a community-based urgent care facility. Israeli Journal of Emergency Medicine 2008; 8(3):29-33. http://isrjem.org/isrjem_nov08%20zimmerman_ortho_postprod.pdf
9. Bagahon Y, Zimmerman DR, Schipilliti S, Kovalski N. Urgent Care of pharyngotonsillitis in Israel: undertested, overtreated. Israeli Journal of Emergency Medicine 2007;7(3):23-26 http://isrjem.org/ISRJEM_Nov_07.Bagahon_streppharyngitis.postprod.pdf
10. Stewart-Freedman B, Kovalski N. An ongoing outbreak of measles linked to the United Kingdom in an ultra-orthodox Jewish community in Israel. Euro Surveill. 2007; September 20;12 (9):EO70920.1. http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=8045
11. Zimmerman DR, Kovalski N. Referral rates from free-standing medical facilities in Jerusalem to hospital based emergency departments: a brief report. Israel Journal of Emergency Medicine 2006;6(2):56-8. http://isrjem.org/Dec06_TeremReferral_Zimmerman.postprod.pdf
12. Zimmerman DR, Kovalski N. Brief report: pediatric visits to a free-standing emergency facility. Israel Journal of Emergency Medicine 2006;6(4):15-21. http://www.docstoc.com/docs/76338399/Brief-Report-Pediatric-Visits-to-Free-Standing-Emergent-Medical
13. Lipsitz J, Zimmerman DR, Kovalski N, Gross, R. Urgent care utilization by relocated northern Israeli residents during the summer 2006 war. Israel Journal of Emergency Medicine 2006;6(4):15-21. http://www.isrjsem.org/Dec06_UrgentCare_Lipsitz_postprod.pdf

Meeting Abstracts (Posters and Presentations)

2012

1. Zimmerman DR, Nahir B, Kovalski N. “Will New Community Acquired Pneumonia (CAP) Clinical Practice Guidelines Cause Excessive Antibiotic Use?” Pediatric Academic Societies Meeting Boston, April, 2012 [poster presentation]
2. Rosenzweig J, Zimmerman D, Lieberman Z, Kovalski N, “Fever in Elderly Patients Who Visit a Community Emergent Care Center - Reliable Indicator of Serious Illness,"Israel Association of Emergency Medicine, Tel Aviv, March, 2012 [Oral presentation]
3. Ivankovsky M, Zimmerman DR, Friedman E, Kovalski N. ”Estimation of the Pediatric Injury Rate of Jerusalem Residents,” Israel Association of Emergency Medicine, Tel Aviv, March, 2012 [Oral presentation]
4. Admon T, Kovalski N, Zimmerman DR. "Interventions to Increase Mandated Reporting," Israel Clinical Pediatrics Association) Annual Conference, Tel Aviv, February, 2012 [Poster presentation]
5. Weiner LK., Shipiliti S, Kovalski N, Zimmerman DR. “The Frequency of Positive Strep Throat Cultures in Children under Age Five,”  Israel Association of Clinical Pediatrics in Israel) Annual Conference,  Tel Aviv February, 2012 [Oral presentation]

2011

1. Reich P, Manning A, Wimpfheimer Z, Fields S, Zimmerman DR. “Image Interpretation Discrepancies between Clinicians and Radiologists and their Clinical Significance in Urgent Care,"RSNA, Chicago, December, 2011 [Oral presentation]
2. Kovalski, N, Zimmerman DR. "Computer Based Tools for the Improvement of Quality of Care in Urgent Care Centers," Quality in Medicine Annual Meeting, Tel Aviv, November, 2011 [Poster presentation]
3. Kovalski N. “Updates in Terem: Online High Resolution Plain Films, Online Echocardiogram Viewer,” Israeli National PACS conference, Jerusalem, June 2011 [Oral presentation]
4. Zimmerman D, Kovalski N, Hain B, Hamawi A, Lipsitz J. “Urgent Fever Leads to Urgent Care,” First International Congress of Primary Care, Tel Aviv, May, 2011 [Oral presentation]
5. Manning A, Wimpheimer Z, Zimmerman DR. "Significance of Radiology Discrepancies Between Treating Physicians and Radiologists in an Urgent Care Setting," Israel Association for Emergency Medicine, Tel Aviv, March, 2011 [Poster presentation]
6. Applebaum Y, Zalut T, Hammel RD, Zimmerman DR. “From Urgent Care to Emergency Department – Who Doesn’t Go?” Israel Association for Emergency Medicine, Tel Aviv, March, 2011 [Oral presentation]

2010

1. Zimmerman DR, Miron D, Lumelsky D et al. “Clinical Diagnosis of Pneumonia May Lead to Overdiagnosis,” Israel Ambulatory Pediatrics Association, Tel Aviv, July 2010 [Oral presentation]
2. Hammel R, Zimmerman DR, Kovalski N. "Development of an X-ray Teaching Tool for Primary Care". Israel Ambulatory Pediatric Association Conference, Tel Aviv, June 2010 [Oral presentation] Prize for best abstract
3. Kovalski N, Fields S, Zimmerman D, Hochberg A, Ilan Y. “VMedico - TeleVideoMedicine Enables Realtime Consulting and Offline Full Study Review," Israeli National PACS conference, Jerusalem, May, 2010 [Oral presentation]
4. Zimmerman DR, Dresner Y, Wimpfheimer Z et al. “Teaching emergency Management of Life Threatening Situations to Outpatient Practitioners,” Israel Association of Family Medicine Physicians Ben Meir Conference, Beer Sheva, March, 2010 [Oral presentation]
5. Nahir B, Zimmerman DR, Kovalski N  et al. “Rethinking Clinical Diagnosis of Community Acquired Pneumonia in Children,” Israel Association of Family Medicine Physicians Ben Meir Conference, Beer Sheva, March, 2010 [Oral presentation]
6. Nahir B. “Occult Pneumonia in Children – the Israeli Experience,” Israel Clinical Pediatrics Association , Tel Aviv, February 2010 [Poster presentation]
7. Zimmerman DR, Miron D, Lumelsky D, Kovalski N. “There is Significant Over Treatment When Pneumonia is Diagnosed without X-Ray Confirmation,” Israel Clinical Pediatrics Association,  Tel Aviv, February,, 2010 [Poster presentation]

2009

1. Kovalski N. “Generation Of An Xray Teaching File Via Direct Links Into An Electronic Health Record System,” Israeli National PACS conference, Jerusalem, June 2009 [Oral presentation]
2. Stewart-Freedman, Kovalski N, Zimmerman DR.  “Computer-aided Continuity of Care in Emergent Care,” 19th Israeli Medical Association World’s Fellowship International Conference, Jerusalem, April, 2009 [Oral presentation]

2008

1. Zimmerman DR, Miron D, Lumelsky D et al “Clinical Diagnosis of Pneumonia May Lead to Overuse of Antibiotics,” Israel Ambulatory Pediatric Association Conference, Lod, July, 2008 [Oral presentation] Prize for best abstract
2. Zimmerman DR, Kovalski N. “Use of a Data Warehouse for Clinical Epidemiology,” Computers in Medicine Conference, Tel Aviv, July, 2008 [Oral presentation]
3. Kovalski N. “Updates in Terem: Mobile Viewing, Remote Reporting Dicom Worklist,” Israeli National PACS conference, Jerusalem, July, 2008 [Oral presentation]
4. Kovalski N. “Digital Medicine in Modern Medical Management,” Association of Academics in Political Science and Medical Management, Eilat, July 2008 [Oral presentation]
5. Zimmerman DR, Fields S, Kovalski N. “Diagnosis of Pneumonia by Non Pediatricians vs. Pediatricians in an Urgent Care Setting,” Israel Association of Emergency Medicine Conference, Tel Aviv, June, 2008 [Poster presentation]
6. Kovalski N.“The Nokia E-61 Mobile Phone is as Effective as a Remote Viewing Station for Consultations on Orthopedic Cases,” Israeli National PACS Conference, Jerusalem, April 2008 [Oral presentation]
7. Stewart-Friedman B, Kovalski N. “Computerized Notification to Improve Continuity of Care in Community Based Pediatrics,” Israel Association of Family Physicans Conference, Haifa, April, 2008 [Oral presentation]
8. Gayer Y, Stewart-Friedman B. “Management of Cellulitis in an Urgent Care Setting,” Israel Association of Family Physicans Conference, Haifa, April, 2008 [Oral presentation]
9. Yerushalmi S, Zimmerman DR, Kovalski N. "Fever as a Reason for Presentation to Urgent Care by Children," International Nursing Rsearch Conference, Jerusalem, July, 2008 [Poster presentation]

2007

1. Stewart-Freedman B, Zimmerman DR. “A New Model for the Delivery of Remote Medical Care,” presented to Health Minister, government of Kenya, October, 2007 [Oral presentation]
2. Zimmerman DR, Kovalski N, Carol F, Fields S. "Outpatient Treatment of Pneumonia in a Free Standing Urgent Care Facility," Israel Ambulatory Pediatric Association Annual Meeting, Tel Aviv, July, 2007 [Oral presentation]
3. Kovalski N. “Clinical Productivity Gains via Integration of an Open Source PACS System into an Electronic Medical Record,” Israeli National PACS conference, Jerusalem, June, 2007 [Oral presentation]
4. Zimmerman DR, Fields S, Kovalski N. “Diagnosis of Wrist Fractures by Non-Orthopedists  in an Urgent Care Setting,” Israeli Association of Emergency Medicine Conference, Tel Aviv, June, 2007 [Poster presentation]

2006

1. Kovalski N. “The TEREM Experience with Commercial and Open Sources PACS Systems for Viewing, Distributing and Archiving Radiological Studies,” Israeli National PACS conference, Jerusalem, April, 2006 [Oral presentation]
2. Kovalski N. “A New Model for Urgent Care Delivery in the Community,” Conference, Urgent Care Association of America, Lake Tahoe, Nevada, March, 2006 [Oral presentation]
3. Zimmerman DR, Kovalski N. "Pediatric Use of a 24 Hour Urgent Care Center ('Moked Cherum'),'" Israel Clinical Pediatric Association Meeting, Tel Aviv, February, 2006 [Poster presentation]