2024
The Clinical Emergency Data Registry: Structure, Use, and Limitations for Research
Lin M, Sharma D, Venkatesh A, Epstein S, Janke A, Genes N, Mehrotra A, Augustine J, Malcolm B, Goyal P, Griffey R. The Clinical Emergency Data Registry: Structure, Use, and Limitations for Research. Annals Of Emergency Medicine 2024, 83: 467-476. PMID: 38276937, DOI: 10.1016/j.annemergmed.2023.12.014.Peer-Reviewed Original ResearchConceptsEmergency departmentData elementsAmerican College of Emergency PhysiciansData RegistryParticipating emergency departmentsElectronic health recordsClinical data registryEmergency careHealth recordsEmergency medicineEmergency physiciansDe-identifiedBilling dataAmerican CollegeImprove data qualityCompletion of data elementsRegistryMultiple data elementsDemographic dataResearch usePatient demographicsReporting purposesData collectionCentral databaseClinical characteristics
2023
Leveraging a Learning Collaborative Model to Develop and Pilot Quality Measures to Improve Opioid Prescribing in the Emergency Department
Hawk K, Weiner S, Rothenberg C, Bernstein E, D'Onofrio G, Herring A, Hoppe J, Ketcham E, LaPietra A, Nelson L, Perrone J, Ranney M, Samuels E, Strayer R, Sharma D, Goyal P, Schuur J, Venkatesh A. Leveraging a Learning Collaborative Model to Develop and Pilot Quality Measures to Improve Opioid Prescribing in the Emergency Department. Annals Of Emergency Medicine 2023, 83: 225-234. PMID: 37831040, DOI: 10.1016/j.annemergmed.2023.08.490.Peer-Reviewed Original ResearchAtraumatic back painCommunity EDED visitsBack painOpioid prescribing practicesFirst-line treatmentEmergency department patientsOpioid use disorderQuality improvement projectEvidence-based resourcesOpioid administrationOpioid prescriptionsDental painSafe analgesiaDepartment patientsOpioid pillsPrescribing practicesEmergency departmentAmerican CollegeUse disordersMedication safety educationPainOpioidsImprovement projectVisitsAn Outcome Comparison Between Geriatric and Nongeriatric Emergency Departments
Gettel C, Hwang U, Janke A, Rothenberg C, Tomasino D, Schneider S, Goyal P, Venkatesh A. An Outcome Comparison Between Geriatric and Nongeriatric Emergency Departments. Annals Of Emergency Medicine 2023, 82: 681-689. PMID: 37389490, PMCID: PMC10756927, DOI: 10.1016/j.annemergmed.2023.05.013.Peer-Reviewed Original ResearchConceptsGeriatric EDDiagnosis rateED lengthEmergency departmentMedian discharge rateAmerican CollegeRevisit ratesOlder adultsUrinary tract infectionAge categoriesGeriatric Emergency DepartmentHigher diagnosis ratesED visitsTract infectionsMental statusObservational studyDelirium/Outcome comparisonsData registryED statusProcess outcomesED sitesStayAnalytic sampleAdults
2022
Development and testing of data infrastructure in the American College of Emergency Physicians’ Clinical Emergency Data Registry for opioid‐related research
Taylor A, Kinsman J, Hawk K, D'Onofrio G, Malicki C, Malcom B, Goyal P, Venkatesh A. Development and testing of data infrastructure in the American College of Emergency Physicians’ Clinical Emergency Data Registry for opioid‐related research. Journal Of The American College Of Emergency Physicians Open 2022, 3: e12816. PMID: 36311336, PMCID: PMC9597093, DOI: 10.1002/emp2.12816.Peer-Reviewed Original ResearchElectronic health recordsEmergency departmentAmerican CollegeData registryEmergency care visitsOpioid use disorderStructured data collection toolNational clinical quality registryUrine drug testingClinical quality registryManual chart reviewValidity testingStandardized documentation templateOpioid medicationsCare visitsChart reviewEnvironmental scanPhysician reviewersMedicines RegistryModerate feasibilityQuality registryEmergency physiciansHospital careUse disordersCommon data elementsA Quality Framework to Address Racial and Ethnic Disparities in Emergency Department Care
Khidir H, Salhi R, Sabbatini AK, Franks NM, Green A, Richardson LD, Terry A, Vasquez N, Goyal P, Kocher K, Venkatesh AK, Lin MP. A Quality Framework to Address Racial and Ethnic Disparities in Emergency Department Care. Annals Of Emergency Medicine 2022, 81: 47-56. PMID: 36257864, PMCID: PMC9780164, DOI: 10.1016/j.annemergmed.2022.08.010.Peer-Reviewed Original ResearchConceptsEmergency careEthnic disparitiesHealth disparitiesCare deliveryHealth equityEmergency department careTransitions of careQuality improvement initiativesHealth care servicesEmergency care deliveryHealth care systemWhite patientsEmergency departmentEmergency physiciansAmerican CollegeCare servicesCare systemCareDisproportionate barriersHealth careImprovement initiativesQuality measuresPatientsEthnic groupsIterative discussionsImproving Sepsis Management Through the Emergency Quality Network Sepsis Initiative
Rodos A, Aaronson E, Rothenberg C, Goyal P, Sharma D, Slesinger T, Schuur J, Venkatesh A. Improving Sepsis Management Through the Emergency Quality Network Sepsis Initiative. The Joint Commission Journal On Quality And Patient Safety 2022, 48: 572-580. PMID: 36137885, DOI: 10.1016/j.jcjq.2022.08.002.Peer-Reviewed Original ResearchConceptsSepsis casesQI activitiesSEP-1 performanceEmergency department patientsQI effortsTime-sensitive conditionsSignificant correlationCross-sectional analysisSepsis careDepartment patientsSepsis managementAmerican CollegeED sitesScoresPublic reportingReal-time quality improvementHospital performanceEDQuality improvementImplementation dataOverall hospital performanceQI dataPatientsInpatientsED performance
2021
Closing the Compliance Loop on Follow-Up Imaging Recommendations: Comparing Radiologists’ and Administrators’ Attitudes
Kadom N, Fredericks N, Moore CL, Seidenwurm D, Shugarman S, Venkatesh A. Closing the Compliance Loop on Follow-Up Imaging Recommendations: Comparing Radiologists’ and Administrators’ Attitudes. Current Problems In Diagnostic Radiology 2021, 51: 486-490. PMID: 34565635, DOI: 10.1067/j.cpradiol.2021.08.003.Peer-Reviewed Original ResearchConceptsActionable incidental findingsTechnical expert panelNon-physician healthcare professionalsPrimary care providersIncidental findingImaging recommendationsAmerican CollegeCare providersOrdering providerMedical professional organizationsModerate riskHealthcare professionalsFollowExpert panelRespondent groupsTransition communicationHealthcare systemRadiologistsFair Play: Application of Normalized Scoring to Emergency Department Throughput Quality Measures in a National Registry
Venkatesh A, Ravi S, Rothenberg C, Kinsman J, Sun J, Goyal P, Augustine J, Epstein SK. Fair Play: Application of Normalized Scoring to Emergency Department Throughput Quality Measures in a National Registry. Annals Of Emergency Medicine 2021, 77: 501-510. PMID: 33455841, PMCID: PMC9103009, DOI: 10.1016/j.annemergmed.2020.10.021.Peer-Reviewed Original ResearchConceptsED groupMultiple EDsNational registryPatient-centered quality measuresED visit volumeHigh-volume EDsEmergency department throughputRegistry data setsSingle EDAmerican CollegeVisit volumeED typeRegistryStandardized approachPerformance scoresIdentification numberVisitsEDAcceptable methodStandardized scoresGroup-level analysisQuality measuresGroupScoresPerformance programs
2020
Choosing wisely in emergency medicine: Early results and insights from the ACEP emergency quality network (E-QUAL)
Venkatesh AK, Scofi JE, Rothenberg C, Berdahl CT, Tarrant N, Sharma D, Goyal P, Pilgrim R, Klauer K, Schuur JD. Choosing wisely in emergency medicine: Early results and insights from the ACEP emergency quality network (E-QUAL). The American Journal Of Emergency Medicine 2020, 39: 102-108. PMID: 32014376, PMCID: PMC7365747, DOI: 10.1016/j.ajem.2020.01.029.Peer-Reviewed Original ResearchConceptsCT utilization ratesMinor head injuryLow back painBack painHead injuryED sitesAtraumatic back painChoosing Wisely recommendationsQuality improvement dataLow-value careWisely recommendationsEmergency physiciansObservational studyQI interventionsAmerican CollegeClinical targetsPainSyncopeQI practicesInjuryEmergency medicineSignificant decreasePractice improvementImprovement dataMRI
2018
An appraisal of emergency medicine clinical practice guidelines: Do we agree?
Zupon A, Rothenberg C, Couturier K, Tan T, Siddiqui G, James M, Savage D, Melnick ER, Venkatesh AK. An appraisal of emergency medicine clinical practice guidelines: Do we agree? International Journal Of Clinical Practice 2018, 73: e13289. PMID: 30372798, PMCID: PMC6351191, DOI: 10.1111/ijcp.13289.Peer-Reviewed Original ResearchConceptsACEP clinical policyClinical practice guidelinesStrength of recommendationsClinical policyPractice guidelinesEvidence-based emergency careAGREE II instrumentAppraisal of GuidelinesRigor of developmentAGREE II criteriaOverall qualityPrimary outcomeOverall assessmentEmergency physiciansAmerican CollegeEmergency carePublication dateClarity of presentationSecondary analysisAppraisal instrumentsMean scorePositive associationGuidelinesAppraisal itemsScores
2017
“Choosing Wisely” Imaging Recommendations: Initial Implementation in New England Emergency Departments
Raja AS, Venkatesh A, Mick N, Zabbo CP, Hasegawa K, Espinola JA, Bittner JC, Camargo CA. “Choosing Wisely” Imaging Recommendations: Initial Implementation in New England Emergency Departments. Western Journal Of Emergency Medicine 2017, 18: 454-458. PMID: 28435496, PMCID: PMC5391895, DOI: 10.5811/westjem.2017.1.32677.Peer-Reviewed Original ResearchConceptsNew England Emergency DepartmentsEvidence-based interventionsEmergency departmentClinical pathwayExact testMultiple evidence-based interventionsLow-risk patientsFisher's exact testPulmonary embolismRisk patientsComputerized decision supportMinor traumaComputerized decision support systemImaging recommendationsCommon interventionAmerican CollegeLower riskResponse rateInstitutional review board reviewPatientsInitial mailingRepeat mailingInterventionBoard reviewDescriptive statistics