2025
Emergency Department Implementation of a Multimodal Electronic Health Record–Integrated Clinical Intervention for High-Sensitivity Troponin Testing Increases Diagnostic Efficiency
Sangal R, Iscoe M, Rothenberg C, Possick S, Taylor R, Safdar B, Desai N, Rhodes D, Venkatesh A. Emergency Department Implementation of a Multimodal Electronic Health Record–Integrated Clinical Intervention for High-Sensitivity Troponin Testing Increases Diagnostic Efficiency. Journal Of The American College Of Emergency Physicians Open 2025, 6: 100202. DOI: 10.1016/j.acepjo.2025.100202.Peer-Reviewed Original ResearchEmergency departmentAcute myocardial infarction diagnosisTroponin testingED dischargeMyocardial infarction diagnosisAssociated with lower oddsAccelerated diagnostic protocolPhysician practice variationAcute coronary syndromeInfarction diagnosisChest pain evaluationMultivariate logistic regressionSuspected acute coronary syndromePostintervention periodDownstream testingPhysician practicesPreintervention periodED dispositionLower oddsCoronary syndromeDecreased oddsIncreased oddsPractice variationED patientsHs-cTnTDevelopment and validation of the Patient‐Reported Outcome Measure–Older adult care Transitions from the Emergency Department (PROM‐OTED) tool
Gettel C, Venkatesh A, Uzamere I, Galske J, Chera T, White M, Hwang U, Authorship P. Development and validation of the Patient‐Reported Outcome Measure–Older adult care Transitions from the Emergency Department (PROM‐OTED) tool. Academic Emergency Medicine 2025 PMID: 40155783, DOI: 10.1111/acem.70029.Peer-Reviewed Original ResearchOutcomes of older adultsCare transitionsOlder adultsEmergency departmentClinical outcomes of older adultsQuality of carePatient-reported experiencesExpert panel reviewFollow-up careTest-retest reliabilityExcellent internal consistencyQuality of lifeLack of standardized toolsCognitive debriefingFactor analysisDischarge instructionsExploratory factor analysisDischarge practicesED dischargeMember checkingImpact clinical outcomesItem generationPanel reviewInteritem correlationsPsychometric evaluation
2024
Paediatric laceration repair in the emergency department: post-discharge pain and maladaptive behavioural changes
Martin S, Heyming T, Fortier M, Kain Z. Paediatric laceration repair in the emergency department: post-discharge pain and maladaptive behavioural changes. Emergency Medicine Journal 2024, 41: emermed-2023-213858. PMID: 38724104, PMCID: PMC11262956, DOI: 10.1136/emermed-2023-213858.Peer-Reviewed Original ResearchWeeks post-dischargePost-discharge recoveryPost-dischargePost-discharge painMaladaptive behavioral changesBehavioral changesDay 1Laceration repairAssociated with incidencePainful medical proceduresLonger length of stayLogistic regression analysisChildren's painPaediatric EDConvenience sampleED dischargeLength of stayHigher painPain managementPerioperative researchEmergency departmentChildren 2Mild levelProcedural painExtremity lacerationsAssociation between emergency department computed tomography utilization rate and patient satisfaction: A clinician level analysis across a regional healthcare system
Pollard K, Lardaro T, Pafford C, Vaizer J, Strachan C, Roumpf S, Crittendon M, Crevier K, Hunter B. Association between emergency department computed tomography utilization rate and patient satisfaction: A clinician level analysis across a regional healthcare system. JEM Reports 2024, 3: 100075. DOI: 10.1016/j.jemrpt.2024.100075.Peer-Reviewed Original ResearchNet Promotor ScoreRegional healthcare systemED cliniciansEmergency departmentCT useComputed tomographyHealthcare systemRate of CT usePatient satisfactionCT utilizationPatient satisfaction metricsNon-pediatric hospitalsImprove patient satisfactionAdult patient encountersAverage patient satisfaction scorePatient satisfaction scoresMultivariate regression modelED dischargePatient encountersInconsistent associationsSatisfaction scoresAdult patientsCT ratesMyriad reasonsSatisfaction metrics
2022
Trends in characteristics, management, and outcomes of patients presenting with gastrointestinal bleeding to emergency departments in the United States from 2006 to 2019
Zheng NS, Tsay C, Laine L, Shung DL. Trends in characteristics, management, and outcomes of patients presenting with gastrointestinal bleeding to emergency departments in the United States from 2006 to 2019. Alimentary Pharmacology & Therapeutics 2022, 56: 1543-1555. PMID: 36173090, PMCID: PMC9669230, DOI: 10.1111/apt.17238.Peer-Reviewed Original ResearchConceptsGastrointestinal bleedingLength of stayEmergency departmentMultivariable analysisIncidence of GIBRed blood cell transfusionNationwide Emergency Department SampleBlood cell transfusionIncidence of patientsOutcomes of patientsSex-adjusted incidenceEmergency Department SampleCase fatality rateRecent epidemiologic studiesProportion of casesED dischargeMore comorbiditiesCell transfusionRBC transfusionMore patientsComorbid populationEpidemiological evaluationInpatient costsPrimary diagnosisEpidemiologic studies
2021
Implementation of Oral and Extended-Release Naltrexone for the Treatment of Emergency Department Patients With Moderate to Severe Alcohol Use Disorder: Feasibility and Initial Outcomes
Anderson ES, Chamberlin M, Zuluaga M, Ullal M, Hawk K, McCormack R, D'Onofrio G, Herring AA. Implementation of Oral and Extended-Release Naltrexone for the Treatment of Emergency Department Patients With Moderate to Severe Alcohol Use Disorder: Feasibility and Initial Outcomes. Annals Of Emergency Medicine 2021, 78: 752-758. PMID: 34353648, DOI: 10.1016/j.annemergmed.2021.05.013.Peer-Reviewed Original ResearchConceptsAlcohol use disorderSevere alcohol use disorderFormal addiction treatmentIntramuscular naltrexoneOral naltrexoneUse disordersAddiction treatmentED patientsExtended-release naltrexoneEffectiveness of naltrexoneEmergency department patientsED dischargeAdult patientsDepartment patientsNaltrexone treatmentEmergency departmentMean ageEffective treatmentNaltrexonePatientsClinical protocolsBrief interventionDescriptive studyDisordersInitial outcomesAdverse Events Among Emergency Department Patients With Cardiovascular Conditions: A Multicenter Study
Calder LA, Perry J, Yan JW, De Gorter R, Sivilotti MLA, Eagles D, Myslik F, Borgundvaag B, Émond M, McRae AD, Taljaard M, Thiruganasambandamoorthy V, Cheng W, Forster AJ, Stiell IG. Adverse Events Among Emergency Department Patients With Cardiovascular Conditions: A Multicenter Study. Annals Of Emergency Medicine 2021, 77: 561-574. PMID: 33612283, DOI: 10.1016/j.annemergmed.2020.12.012.Peer-Reviewed Original ResearchConceptsAcute heart failureAdverse eventsEmergency department patientsED visitsDepartment patientsHeart failureAtrial fibrillationHealth care provider visitsRecent-onset atrial fibrillationClinical practice guideline adherenceIndex ED visitPractice guideline adherenceAdverse event incidenceProspective cohort studyAdverse event ratesCase summariesQuality improvement opportunitiesFactor themesAdverse event typesCanadian EDsSentinel diagnosesED dischargeProvider visitsAdult patientsCohort study
2020
Risk Factors for Disability After Emergency Department Discharge in Older Adults
Nagurney JM, Han L, Leo‐Summers L, Allore HG, Gill TM. Risk Factors for Disability After Emergency Department Discharge in Older Adults. Academic Emergency Medicine 2020, 27: 1270-1278. PMID: 32673434, PMCID: PMC7749835, DOI: 10.1111/acem.14088.Peer-Reviewed Original ResearchConceptsLower extremity weaknessDisability burdenRisk factorsOlder adultsED visitsPhysical frailtyLongitudinal multivariable modelsEmergency department dischargeModifiable risk factorsCommunity-living personsCandidate risk factorsEmergency department experienceED dischargeNonmodifiable factorsMultivariable analysisRisk stratificationFunctional outcomeIndependent associationMultivariable modelOngoing longitudinal studyMonthly interviewsAnalytic sampleFunctional activityAdultsVisitsInterrupted Time Series of User‐centered Clinical Decision Support Implementation for Emergency Department–initiated Buprenorphine for Opioid Use Disorder
Holland WC, Nath B, Li F, Maciejewski K, Paek H, Dziura J, Rajeevan H, Lu CC, Katsovich L, D'Onofrio G, Melnick ER. Interrupted Time Series of User‐centered Clinical Decision Support Implementation for Emergency Department–initiated Buprenorphine for Opioid Use Disorder. Academic Emergency Medicine 2020, 27: 753-763. PMID: 32352206, PMCID: PMC7496559, DOI: 10.1111/acem.14002.Peer-Reviewed Original ResearchConceptsOpioid use disorderComputerized clinical decision support systemsRates of EDBUP initiationUse disordersClinical decision support implementationEmergency department initiationRoutine emergency careInterrupted time series studyAdult ED patientsInterrupted time seriesClinical decision support systemElectronic health recordsClinicians' unfamiliarityED initiationDecision support implementationED dischargeOpioid withdrawalSecondary outcomesOngoing trialsPrimary outcomeAcademic EDED patientsSingle EDUnique patientsComparison Between Anatomical and Functional Imaging Modalities for Evaluation of Chest Pain in the Emergency Department
Kargoli F, Levsky J, Bulcha N, Mustehsan M, Brown-Manhertz D, Furlani A, Polanco D, Mizrachi S, Makkiya M, Golive A, Haramati L, Taub C, Garcia M. Comparison Between Anatomical and Functional Imaging Modalities for Evaluation of Chest Pain in the Emergency Department. The American Journal Of Cardiology 2020, 125: 1809-1814. PMID: 32345475, DOI: 10.1016/j.amjcard.2020.03.024.Peer-Reviewed Original ResearchConceptsMyocardial perfusion imagingStress echocardiographyEmergency departmentChest painRehospitalization ratesCoronary angiographyLeast intermediate riskNegative initial troponinUrban ED settingDiagnostic coronary angiographyRetrospective cohort studyHospital emergency departmentUrban hospital emergency departmentFunctional imaging modalitiesCCTA groupInitial troponinED dischargeCohort studyIntermediate riskSecondary outcomesNondiagnostic electrocardiogramPrimary outcomeED settingTomography angiographyClinical utility
2019
Presenting complaints and mortality in a cohort of 22 000 adult emergency patients at a local hospital in Nepal
Giri S, Rogne T, Uleberg O, Skovlund E, Shrestha SK, Koju R, Damås JK, Solligård E, Risnes KR. Presenting complaints and mortality in a cohort of 22 000 adult emergency patients at a local hospital in Nepal. Journal Of Global Health 2019, 9: 020403. PMID: 31489186, PMCID: PMC6708590, DOI: 10.7189/jogh.09.020403.Peer-Reviewed Original ResearchConceptsLow-resource settingsEmergency departmentAdult emergency patientsPost-discharge mortalityChronic lung diseaseEmergency department populationHealth carePrimary health careEmergency health care systemHealth care needsPost-discharge studyHealth care systemEmergency health careAbdominal complaintsED dischargeAdult patientsMedian ageLung diseaseAppropriate followSex distributionEmergency patientsLocal hospitalCare needsPatientsHigh mortalityAssociation Between Insurance Status and Access to Hospital Care in Emergency Department Disposition
Venkatesh AK, Chou SC, Li SX, Choi J, Ross JS, D’Onofrio G, Krumholz HM, Dharmarajan K. Association Between Insurance Status and Access to Hospital Care in Emergency Department Disposition. JAMA Internal Medicine 2019, 179: 686-693. PMID: 30933243, PMCID: PMC6503571, DOI: 10.1001/jamainternmed.2019.0037.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAsthmaCritical CareCross-Sectional StudiesDatabases, FactualEmergency Service, HospitalFemaleHealth Services AccessibilityHospitalizationHumansInsurance CoverageInsurance, HealthLung DiseasesMaleMedicaidMedically UninsuredMiddle AgedPatient DischargePatient TransferPneumoniaPulmonary Disease, Chronic ObstructiveUnited StatesConceptsNational Emergency Department SampleEmergency Department SampleCommon medical conditionsUninsured patientsCritical care capabilitiesED dischargeED visitsED transfersPulmonary diseaseCare capabilitiesInsurance statusHigher oddsMedicaid beneficiariesMedical conditionsChronic obstructive pulmonary diseaseAcute pulmonary diseaseEmergency department transfersAdult ED visitsHospital admission ratesObstructive pulmonary diseaseEmergency department dispositionPatient insurance statusPatient case mixHospital ownership statusIntensive care capabilitiesImproving Emergency Department Patient Experience Through Implementation of an Informational Pamphlet
Sangal RB, Orloski CJ, Shofer FS, Mills AM. Improving Emergency Department Patient Experience Through Implementation of an Informational Pamphlet. Journal Of Patient Experience 2019, 7: 225-231. PMID: 32851144, PMCID: PMC7427355, DOI: 10.1177/2374373519826246.Peer-Reviewed Original ResearchPatient satisfactionED visitsPatient understandingInformational pamphletTertiary care center EDEmergency Department Patient ExperienceHealth care metricsED dischargeSecondary outcomesPrimary outcomeED careProspective studyRegular careCenter EDCare teamSustained improvementPatient experiencePatientsControl groupMultifactorial approachVisitsWait timeWeeksCareOutcomes
2016
Comorbid Parkinson's disease, falls and fractures in the 2010 National Emergency Department Sample
Beydoun HA, Beydoun MA, Mishra NK, Rostant OS, Zonderman AB, Eid SM. Comorbid Parkinson's disease, falls and fractures in the 2010 National Emergency Department Sample. Parkinsonism & Related Disorders 2016, 35: 30-35. PMID: 27887896, PMCID: PMC5663222, DOI: 10.1016/j.parkreldis.2016.11.005.Peer-Reviewed Original ResearchConceptsICD-9-CM codesParkinson's diseaseBone fracturesHospital deathNational Emergency Department SamplePD diagnosisAssociation of PDComorbid Parkinson's diseaseElderly patient visitsEmergency Department SampleFall-related injuriesConfidence intervalsEmergency department settingLogistic regression modelsBone fracture locationPD admissionsU.S. EDsED dischargeElderly patientsED admissionHospitalization lengthFracture prevalenceWorse prognosisMost injuriesDepartment settingIncreased Identification of Emergency Department 72‐hour Returns Using Multihospital Health Information Exchange
Shy BD, Kim EY, Genes NG, Lowry T, Loo GT, Hwang U, Richardson LD, Shapiro JS. Increased Identification of Emergency Department 72‐hour Returns Using Multihospital Health Information Exchange. Academic Emergency Medicine 2016, 23: 645-649. PMID: 26932394, DOI: 10.1111/acem.12954.Peer-Reviewed Original ResearchConceptsEmergency departmentHealth information exchangeED returnIndex visitReturn visitsEarly ED returnsInitial ED dischargeCases of patientsReturn visit rateLarge health information exchangeIndividual emergency departmentsPatient safety effortsED dischargeED visitsEarly returnVisit ratesPatient encountersStudy periodPatient dataVisitsNew York metropolitan areaSafety effortsDepartmentHoursPatientsTackling causes and costs of ED presentation for American football injuries: a population-level study
Smart BJ, Haring RS, Asemota AO, Scott JW, Canner JK, Nejim BJ, George BP, Alsulaim H, Kirsch TD, Schneider EB. Tackling causes and costs of ED presentation for American football injuries: a population-level study. The American Journal Of Emergency Medicine 2016, 34: 1198-1204. PMID: 27185745, DOI: 10.1016/j.ajem.2016.02.057.Peer-Reviewed Original ResearchConceptsFootball-related injuriesAmerican tackle footballAge groupsED presentationsED treatmentNationwide Emergency Department SampleClinical Modification diagnosis codesTackle footballAmerican football injuriesPrimary International ClassificationEmergency department treatmentMean hospital lengthPediatric age groupSprains/strainsLong-term outcomesMean total chargesEmergency Department SamplePatterns of injuryMajor therapeutic interventionPrevious epidemiologic studiesStandard descriptive methodsCross-sectional overviewFootball playersED dischargeHospital length
2015
Enhancing the Quality of Prescribing Practices for Older Veterans Discharged from the Emergency Department (EQUiPPED): Preliminary Results from Enhancing Quality of Prescribing Practices for Older Veterans Discharged from the Emergency Department, a Novel Multicomponent Interdisciplinary Quality Improvement Initiative
Stevens MB, Hastings SN, Powers J, Vandenberg AE, Echt KV, Bryan WE, Peggs K, Markland AD, Hwang U, Hung WW, Schmidt AJ, McGwin G, Ikpe-Ekpo E, Clevenger C, Johnson TM, Vaughan CP. Enhancing the Quality of Prescribing Practices for Older Veterans Discharged from the Emergency Department (EQUiPPED): Preliminary Results from Enhancing Quality of Prescribing Practices for Older Veterans Discharged from the Emergency Department, a Novel Multicomponent Interdisciplinary Quality Improvement Initiative. Journal Of The American Geriatrics Society 2015, 63: 1025-1029. PMID: 25945692, DOI: 10.1111/jgs.13404.Peer-Reviewed Original ResearchConceptsQuality improvement initiativesOlder veteransPrescribing practicesStaff providersEmergency departmentProvider educationEmergency department studyNumber of PIMsUse of PIMsImprovement initiativesAverage monthly proportionBeers criteriaED dischargeInappropriate medicationsClinical decision supportAcademic detailingSustained reductionHealth outcomesPoisson regressionSuboptimal medicationOrder setsDepartment studyOlder adultsMonthly proportionVeteransAssociation of clinical practice guidelines with emergency department management of febrile infants ≤56 days of age
Aronson PL, Thurm C, Williams DJ, Nigrovic LE, Alpern ER, Tieder JS, Shah SS, McCulloh RJ, Balamuth F, Schondelmeyer AC, Alessandrini EA, Browning WL, Myers AL, Neuman MI, Collaborative F. Association of clinical practice guidelines with emergency department management of febrile infants ≤56 days of age. Journal Of Hospital Medicine 2015, 10: 358-365. PMID: 25684689, PMCID: PMC4456211, DOI: 10.1002/jhm.2329.Peer-Reviewed Original ResearchMeSH KeywordsAnti-Bacterial AgentsBlood Chemical AnalysisCeftriaxoneCerebrospinal FluidCost ControlCross-Sectional StudiesEmergency Service, HospitalFeverGuideline AdherenceHealth Care SurveysHealth Information SystemsHospitals, PediatricHumansInfantInfant, NewbornPractice Guidelines as TopicRetrospective StudiesUnited StatesUrinalysisConceptsClinical practice guidelinesCeftriaxone useCPG recommendationsInfants 29CSF testingHealthcare costsED dischargeFebrile infantsPractice guidelinesInstitutional clinical practice guidelinePediatric Health Information SystemRetrospective cross-sectional studyCerebrospinal fluid testingEmergency department managementCross-sectional studyLower healthcare costsRate of urineDiagnosis of feverDays of ageED visitsPractice variationDepartment managementAge groupsHealth information systemsFluid testing
2012
Time Series Analysis of Emergency Department Length of Stay per 8-Hour Shift
Rathlev NK, Obendorfer D, White LF, Rebholz C, Magauran B, Baker W, Ulrich A, Fisher L, Olshaker J. Time Series Analysis of Emergency Department Length of Stay per 8-Hour Shift. Western Journal Of Emergency Medicine 2012, 13: 163-168. PMID: 22900106, PMCID: PMC3415804, DOI: 10.5811/westjem.2011.7.6743.Peer-Reviewed Original ResearchElective surgical admissionsEmergency department lengthHospital occupancySurgical admissionsED patientsIntensive care unit admissionResuscitation casesCare unit admissionAdult ED patientsInner-city teaching hospitalMean emergency department lengthNumber of nursesPrevious shiftED dischargeUnit admissionHospital admissionMore patientsED nursesTeaching hospitalAdditional admissionsAdmissionPatientsShift 1LOSAverage time series analysis
2004
A Randomized Trial of Nebulized Epinephrine vs Albuterol in the Emergency Department Treatment of Bronchiolitis
Mull CC, Scarfone RJ, Ferri LR, Carlin T, Salvaggio C, Bechtel KA, Trephan MA, Rissman RL, Gracely EJ. A Randomized Trial of Nebulized Epinephrine vs Albuterol in the Emergency Department Treatment of Bronchiolitis. JAMA Pediatrics 2004, 158: 113-118. PMID: 14757602, DOI: 10.1001/archpedi.158.2.113.Peer-Reviewed Original ResearchConceptsEpinephrine-treated groupEmergency department treatmentED dischargeClinical scoresNebulized epinephrineIll infantsOutcome measuresAntecedent upper respiratory tract infectionRespiratory rateRoom air oxygen saturationUpper respiratory tract infectionNew-onset wheezingRoom air saturationDouble-blind fashionProportion of patientsRespiratory tract infectionsMean clinical scoreSecondary outcome measuresPrimary outcome measureMonths of ageNebulized albuterolTract infectionsRelapse rateMedian timeRacemic epinephrine
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