2023
Correlations among common emergency medicine physician performance measures: Mixed messages or balancing forces?
Scofi J, Underriner E, Sangal R, Rothenberg C, Patel A, Pickens A, Sather J, Parwani V, Ulrich A, Venkatesh A. Correlations among common emergency medicine physician performance measures: Mixed messages or balancing forces? The American Journal Of Emergency Medicine 2023, 72: 58-63. PMID: 37481955, DOI: 10.1016/j.ajem.2023.07.021.Peer-Reviewed Original ResearchAn 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 sampleAdultsManaging opioid waste, cost, and opportunity for drug diversion in the emergency department
Coleska A, Oh A, Rothenberg C, Dinh D, Parwani V, Venkatesh A. Managing opioid waste, cost, and opportunity for drug diversion in the emergency department. The American Journal Of Emergency Medicine 2023, 69: 195-199. PMID: 37172559, DOI: 10.1016/j.ajem.2023.05.001.Peer-Reviewed Original ResearchMeSH KeywordsAnalgesics, OpioidEmergency Service, HospitalHumansHydromorphoneMorphinePainPrescription Drug DiversionConceptsDrug diversionContext of opioidEmergency department visitsManagement of painSingle health systemLogistic regression modelsHealth care systemOpioid ordersIntravenous opioidsSevere painDepartment visitsOpioid diversionEmergency departmentIncorrect doseOpioid epidemicOpioidsPrimary analysisMorphineDose orderHealth systemDoseHydromorphoneCare systemDrug shortagesPainClinical Performance Measures for Emergency Department Care for Adults With Intracranial Hemorrhage
Zachrison K, Goldstein J, Jauch E, Radecki R, Madsen T, Adeoye O, Oostema J, Feeser V, Ganti L, Lo B, Meurer W, Corral M, Rothenberg C, Chaturvedi A, Goyal P, Venkatesh A. Clinical Performance Measures for Emergency Department Care for Adults With Intracranial Hemorrhage. Annals Of Emergency Medicine 2023, 82: 258-269. PMID: 37074253, DOI: 10.1016/j.annemergmed.2023.03.015.Peer-Reviewed Original ResearchMeSH KeywordsAdultEmergency Medical ServicesEmergency Service, HospitalHumansIntracranial HemorrhagesQuality Indicators, Health CareStrokeConceptsIntracranial hemorrhageAcute neurologic emergenciesEmergency department careNontraumatic intracranial hemorrhageCare of patientsClinical performance measuresCommunity EDNeurologic emergencySyndromic approachEmergency departmentEvidence-based targetsHyperacute phaseWarrants further developmentWorkgroup of expertsQuality improvement resourcesCare processesReview of dataQuality improvementHemorrhageInternal quality improvementCareNational sampleBroad implementationEDImprovement resourcesEstimated reimbursement impact of COVID‐19 on emergency physicians
Venkatesh A, Janke A, Koski‐Vacirca R, Rothenberg C, Parwani V, Granovsky M, Burke L, Li S, Pines J. Estimated reimbursement impact of COVID‐19 on emergency physicians. Academic Emergency Medicine 2023, 30: 636-643. PMID: 36820470, DOI: 10.1111/acem.14700.Peer-Reviewed Original ResearchMeSH KeywordsCOVID-19Emergency Medical ServicesEmergency Service, HospitalHumansPandemicsPhysiciansUnited StatesConceptsNationwide Emergency Department SampleED visitsEmergency physiciansSecondary analysisCOVID-19Acute care utilizationEmergency Department SampleEmergency Department registryCOVID-19 pandemicHealth care servicesEmergency department sitesReimbursement impactCare utilizationBilling codesInsurance payerDepartment registryPrimary analysisCare servicesPhysiciansReimbursement lossHealth careStudy sampleVisitsPandemic-related lossReimbursementReal-World Observational Evaluation of Common Interventions to Reduce Emergency Department Prescribing of Opioid Medications
Sangal R, Rothenberg C, Hawk K, D'Onofrio G, Hsiao A, Solad Y, Venkatesh A. Real-World Observational Evaluation of Common Interventions to Reduce Emergency Department Prescribing of Opioid Medications. The Joint Commission Journal On Quality And Patient Safety 2023, 49: 239-246. PMID: 36914528, DOI: 10.1016/j.jcjq.2023.01.013.Peer-Reviewed Original ResearchMeSH KeywordsAnalgesics, OpioidElectronic Health RecordsEmergency Service, HospitalHospitalsHumansPractice Patterns, Physicians'Retrospective StudiesConceptsOpioid prescribingED visitsElectronic health recordsOpioid prescriptionsEmergency department opioid prescriptionsAnalgesia prescriptionOpioid stewardshipOpioid medicationsSecondary outcomesPrimary outcomePreintervention periodInterruptive alertsCommon interventionPrescribingAlert fatigueElectronic prescribingPrevious interventionsHospital systemObservational evaluationHealth recordsVisitsStewardship policiesInterventionOutcomesPrescription
2022
Patient cost consciousness in the emergency department
Gaylor JM, Chan E, Parwani V, Ulrich A, Rothenberg C, Venkatesh A. Patient cost consciousness in the emergency department. The American Journal Of Emergency Medicine 2022, 61: 61-63. PMID: 36054987, DOI: 10.1016/j.ajem.2022.08.039.Peer-Reviewed Original ResearchMeSH KeywordsConsciousnessEmergency Service, HospitalFees and ChargesHumansMedically UninsuredMedicareUnited StatesConceptsEmergency departmentPocket costsED patientsLarge academic hospital systemAcademic hospital systemCertain patient demographicsEmergency department settingPerceptions of patientsCost of careMedicare/MedicaidPatient demographicsED careUnscheduled careUninsured patientsDepartment settingPatients' estimatesPatient's abilityEmergency careHigh school educationPatientsPrivate insuranceFinal analysisHospital systemCareConvenience sampleImproving 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 ResearchMeSH KeywordsAgedCross-Sectional StudiesEmergency Service, HospitalHospitalsHumansMedicareSepsisUnited StatesConceptsSepsis 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 performanceImplementation of an Electronic Health Record Integrated Clinical Pathway Improves Adherence to COVID-19 Hospital Care Guidelines
Sangal RB, Liu RB, Cole KO, Rothenberg C, Ulrich A, Rhodes D, Venkatesh AK. Implementation of an Electronic Health Record Integrated Clinical Pathway Improves Adherence to COVID-19 Hospital Care Guidelines. American Journal Of Medical Quality 2022, 37: 335-341. PMID: 35026785, PMCID: PMC9241559, DOI: 10.1097/jmq.0000000000000036.Peer-Reviewed Original ResearchMeSH KeywordsAspirinCOVID-19 Drug TreatmentCritical PathwaysDexamethasoneElectronic Health RecordsEmergency Service, HospitalHospitalsHumansPandemicsConceptsClinical pathwaySecondary outcomesCOVID-19 treatment guidelinesEmergency department cliniciansIntegrated clinical pathwayCOVID-19Electronic health recordsPrimary outcomeTreatment guidelinesClinician adherenceED cliniciansED patientsCare guidelinesTreatment recommendationsMedication administrationPatient outcomesPatient carePatientsCliniciansHealth systemHealth recordsOutcomesAdherenceAspirinCOVID-19 pandemicPrehospital emergency department care activations during the initial COVID-19 pandemic surge.
Leff R, Fleming-Nouri A, Venkatesh AK, Parwani V, Rothenberg C, Sangal RB, Flood CT, Goldenberg M, Wira C. Prehospital emergency department care activations during the initial COVID-19 pandemic surge. American Journal Of Disaster Medicine 2022, 17: 23-39. PMID: 35913181, DOI: 10.5055/ajdm.2022.0417.Peer-Reviewed Original ResearchMeSH KeywordsCOVID-19Emergency Medical ServicesEmergency Service, HospitalHumansPandemicsRetrospective StudiesStrokeConceptsCOVID-19 hospital admissionsCOVID-19 pandemic surgeTotal ED volumeNumber of patientsCOVID-19 hospitalizationScatterplot smoothing curvesPublic health measuresCritical medical conditionPublic health emergencyPrehospital presentationStroke activationHospital admissionPrimary outcomeTrauma activationsUrban EDAcademic EDCOVID-19 casesPrehospital settingClinical indicationsType of presentationMedical conditionsED volumePandemic surgeAbsolute decreaseHealth measuresEmergency department utilization for substance use disorders and mental health conditions during COVID-19
Venkatesh AK, Janke AT, Kinsman J, Rothenberg C, Goyal P, Malicki C, D’Onofrio G, Taylor A, Hawk K. Emergency department utilization for substance use disorders and mental health conditions during COVID-19. PLOS ONE 2022, 17: e0262136. PMID: 35025921, PMCID: PMC8757912, DOI: 10.1371/journal.pone.0262136.Peer-Reviewed Original ResearchMeSH KeywordsAmbulatory CareCOVID-19Emergency Service, HospitalHumansMental DisordersMental HealthPandemicsSubstance-Related DisordersConceptsOpioid use disorderOverall ED visitsED visitsEmergency departmentMental health conditionsAlcohol use disorderED visitationUse disordersED utilizationHospital-based emergency departmentsHealth conditionsEmergency department utilizationPublic health surveillance toolSite of careClinical quality registryEarly pandemic periodVisit countsSubstance use disordersCOVID-19COVID-19 pandemicED visit countsDiagnosis codesOutpatient treatmentMedicines RegistryQuality registry
2021
Improving Emergency Department Throughput Using Audit-and-Feedback With Peer Comparison Among Emergency Department Physicians
Scofi J, Parwani V, Rothenberg C, Patel A, Ravi S, Sevilla M, D'Onofrio G, Ulrich A, Venkatesh AK. Improving Emergency Department Throughput Using Audit-and-Feedback With Peer Comparison Among Emergency Department Physicians. Journal For Healthcare Quality 2021, 44: 69-77. PMID: 34570029, DOI: 10.1097/jhq.0000000000000329.Peer-Reviewed Original ResearchConceptsAdmission ratesEmergency department throughputEmergency physiciansMean timeUrban academic EDEmergency department physiciansMean admission rateLower admission ratesFirst study periodED physiciansAcademic EDDepartment physiciansPatient visitsPractice variationAdmissionPeer comparisonPhysiciansPhysician performanceStudy periodPatientsAcademic emergency physiciansReportAuditMinutesHoursUniversal SARS-CoV-2 Testing of Emergency Department Admissions Increases Emergency Department Length of Stay
Sangal RB, Peaper DR, Rothenberg C, Landry ML, Sussman LS, Martinello RA, Ulrich A, Venkatesh AK. Universal SARS-CoV-2 Testing of Emergency Department Admissions Increases Emergency Department Length of Stay. Annals Of Emergency Medicine 2021, 79: 182-186. PMID: 34756452, PMCID: PMC8424016, DOI: 10.1016/j.annemergmed.2021.09.005.Peer-Reviewed Original ResearchMeSH KeywordsCOVID-19COVID-19 TestingEmergency Service, HospitalHumansLength of StayPandemicsSARS-CoV-2United StatesConceptsSARS-CoV-2 testingUniversal SARS-CoV-2 testingEmergency department lengthAdmission lengthED admissionPositivity rateSARS-CoV-2 testAcademic health systemCOVID-19 prevalenceSecondary outcomesED lengthPrevention needsED boardingPatientsStayPositive casesClinical costsHealth systemAdmissionTesting policiesContainment effortsTestingPrevalenceTesting changesPositivityDisparities in Accessing and Reading Open Notes in the Emergency Department Upon Implementation of the 21st Century CURES Act
Sangal RB, Powers E, Rothenberg C, Ndumele C, Ulrich A, Hsiao A, Venkatesh AK. Disparities in Accessing and Reading Open Notes in the Emergency Department Upon Implementation of the 21st Century CURES Act. Annals Of Emergency Medicine 2021, 78: 593-598. PMID: 34353651, DOI: 10.1016/j.annemergmed.2021.06.014.Peer-Reviewed Original ResearchConceptsProportion of patientsPatient portal accessEmergency departmentOpen notesClinical notesPortal accessPublic insuranceUrgent care centersCentury Cures ActDifferent patient demographicsSingle health systemPatient demographicsPrimary outcomeCures ActPatient utilizationPatient visitsCare centerObservational studyPatientsDigital health toolsAge 18Health systemHealth toolsUnique barriersNon-English speakersCan metrics give physicians insight?
Bright E, Scofi J, Sangal RB, Rothenberg C, Kinsman J, Patel A, Parwani V, Sather J, Pickens A, Ulrich A, Venkatesh AK. Can metrics give physicians insight? The American Journal Of Emergency Medicine 2021, 55: 219-220. PMID: 34301446, DOI: 10.1016/j.ajem.2021.06.059.Peer-Reviewed Original ResearchNational trends in emergency department closures, mergers, and utilization, 2005-2015
Venkatesh AK, Janke A, Rothenberg C, Chan E, Becher RD. National trends in emergency department closures, mergers, and utilization, 2005-2015. PLOS ONE 2021, 16: e0251729. PMID: 34015007, PMCID: PMC8136839, DOI: 10.1371/journal.pone.0251729.Peer-Reviewed Original ResearchMeSH KeywordsEmergency Service, HospitalHospitalizationHospitalsHumansInpatientsPatient AdmissionUnited StatesConceptsHospital-based EDsEmergency department closureED visitsHospital admissionHospital bedsED closureYearly ED visitsLarge health systemAmerican Hospital Association Annual SurveyInpatient bed capacityPrimary outcomeSecondary outcomesMore patientsEmergency departmentRelative increaseInpatient bedsPatient volumeRural areasHealth systemAdmissionVisitsNational trendsBed capacityEDObservational analysisDelays in antibiotic redosing: Association with inpatient mortality and risk factors for delay
Kemmler CB, Sangal RB, Rothenberg C, Li SX, Shofer FS, Abella BS, Venkatesh AK, Foster SD. Delays in antibiotic redosing: Association with inpatient mortality and risk factors for delay. The American Journal Of Emergency Medicine 2021, 46: 63-69. PMID: 33735698, DOI: 10.1016/j.ajem.2021.02.058.Peer-Reviewed Original ResearchConceptsSecond dose administrationEmergency departmentDose administrationRisk factorsEmergency Severity IndexHospital mortalityFirst doseSecond doseED boardingAntibiotic dosesEnd-stage renal diseaseExtremes of weightHigh acuity presentationsRetrospective cohort studyStage renal diseaseWorse clinical outcomesSerious bacterial infectionsOdds of delayEarly hospital courseSingle healthcare systemAntibiotic redosingDosing intervalHospital courseCohort studyInpatient mortalityBalancing quality and utilization: Emergency physician level correlation between 72 h returns, admission, and CT utilization rates
Parwani V, Thomas M, Rothenberg C, Ulrich A, Venkatesh A. Balancing quality and utilization: Emergency physician level correlation between 72 h returns, admission, and CT utilization rates. The American Journal Of Emergency Medicine 2021, 48: 365-366. PMID: 33597095, DOI: 10.1016/j.ajem.2021.01.078.Peer-Reviewed Original ResearchFair 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 programsEmergency Department Utilization for Emergency Conditions During COVID-19
Venkatesh AK, Janke AT, Shu-Xia L, Rothenberg C, Goyal P, Terry A, Lin M. Emergency Department Utilization for Emergency Conditions During COVID-19. Annals Of Emergency Medicine 2021, 78: 84-91. PMID: 33840512, PMCID: PMC7805390, DOI: 10.1016/j.annemergmed.2021.01.011.Peer-Reviewed Original ResearchMeSH KeywordsCOVID-19EmergenciesEmergency Service, HospitalHeart ArrestHumansMyocardial InfarctionPatient Acceptance of Health CareRegistriesStrokeUnited StatesVenous ThromboembolismConceptsED visitsED visit countsVisit countsClinical Modification codesEmergency department utilizationAcute myocardial infarctionEmergency Department registryCoronavirus disease 2019 (COVID-19) outbreakCoronavirus disease 2019Emergency department (ED) visitationEmergency medical conditionsClinical quality registryTotal visit countsDisease 2019 outbreakCerebrovascular diseaseMyocardial infarctionQuality registryTenth RevisionDisease 2019Medical conditionsEmergency conditionsInternational ClassificationEmergency carePrepandemic levelsDepartment registry