2019
Electronic Health Record–Assisted Reflex Urine Culture Testing Improves Emergency Department Diagnostic Efficiency
Coughlin RF, Peaper D, Rothenberg C, Golden M, Landry ML, Cotton J, Parwani V, Shapiro M, Ulrich A, Venkatesh AK. Electronic Health Record–Assisted Reflex Urine Culture Testing Improves Emergency Department Diagnostic Efficiency. American Journal Of Medical Quality 2019, 35: 252-257. PMID: 31296024, DOI: 10.1177/1062860619861947.Peer-Reviewed Original ResearchConceptsUrine culture ordersUrine culture testingED visitsUrine cultureEmergency departmentDiagnostic yieldCulture ordersCulture testingUrine culture utilizationClinical decision support toolElectronic health recordsSecondary outcomesPrimary outcomeTest utilizationHealth recordsSignificant decreaseDiagnostic efficiencyMean numberVisitsCulture utilizationOutcomesTesting algorithmEffects of Real-time EMS Direction on Optimizing EMS Turnaround and Load-balancing Between Neighboring Hospital Campuses
Felice J, Coughlin RF, Burns K, Chmura C, Bogucki S, Cone DC, Joseph D, Parwani V, Li F, Saxa T, Ulrich A. Effects of Real-time EMS Direction on Optimizing EMS Turnaround and Load-balancing Between Neighboring Hospital Campuses. Prehospital Emergency Care 2019, 23: 788-794. PMID: 30798628, DOI: 10.1080/10903127.2019.1587123.Peer-Reviewed Original ResearchConceptsNurse navigator programSingle healthcare systemNavigator programHealthcare systemEmergency medical services (EMS) providersHealth system capacityNurse navigatorChief complaintEmergency departmentMedical service providersED volumeInpatient facilitiesTurnaround timeNeighboring hospitalRegistered NursesHospitalHospital campusSignificant decreaseED capacityIncidenceReal-time assessmentProgram implementationPrimary objectiveSignificant improvementPatients
2011
Impact of an Emergency Department Closure on the Local Emergency Medical Services System
Sayed M, Mitchell PM, White LF, Rubin-Smith JE, Maciejko TM, Obendorfer DT, Ulrich AS, Dyer S, Olshaker JS. Impact of an Emergency Department Closure on the Local Emergency Medical Services System. Prehospital Emergency Care 2011, 16: 198-203. PMID: 22191683, DOI: 10.3109/10903127.2011.640418.Peer-Reviewed Original ResearchMeSH KeywordsAcademic Medical CentersAmbulancesBostonConfidence IntervalsEmergency Medical ServicesEmergency Service, HospitalEmergency TreatmentFemaleHumansMaleMassachusettsNeeds AssessmentOutcome Assessment, Health CareProspective StudiesRisk AssessmentTime FactorsTransportation of PatientsTrauma CentersUrban PopulationConceptsBoston Medical CenterEmergency departmentED volumeUrban EMS systemED closureAmbulance diversionLocal emergency medical services systemAdult patient visitsEmergency department closureMean emergency departmentTotal ED volumeRatio of patientsEmergency medical services (EMS) providersBusy emergency departmentEmergency medical services systemSignificant increaseEmergency medical servicesEMS systemMedical services systemPatient visitsMedical CenterMedical service providersHospital destinationMultivariate analysisSignificant decrease