2023
Development and Internal Validation of an Emergency Department Admission Intensity Measure Using Data From a National Group
Oskvarek J, Zocchi M, Cai A, Venkat A, Janke A, Venkatesh A, Pines J, Group A. Development and Internal Validation of an Emergency Department Admission Intensity Measure Using Data From a National Group. Annals Of Emergency Medicine 2023, 82: 316-325. PMID: 36669915, DOI: 10.1016/j.annemergmed.2022.12.011.Peer-Reviewed Original ResearchMeSH KeywordsEmergency Service, HospitalHospitalizationHumansInternational Classification of DiseasesPatient AdmissionPhysiciansRetrospective StudiesConceptsAdmission ratesSeparate technical panelEvidence-based protocolsICD-10 diagnosisValue-based payment modelsPhysician's discretionED diagnosisEmergency physiciansInternational ClassificationPhysician levelFacility levelPhysiciansInternal validationQuarterly ratesAdministrative dataFace validityDiagnosisPayment modelsLinear probability modelsICC
2022
Hospital Occupancy and Emergency Department Boarding During the COVID-19 Pandemic
Janke AT, Melnick ER, Venkatesh AK. Hospital Occupancy and Emergency Department Boarding During the COVID-19 Pandemic. JAMA Network Open 2022, 5: e2233964. PMID: 36178691, PMCID: PMC9526134, DOI: 10.1001/jamanetworkopen.2022.33964.Peer-Reviewed Original Research
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 physiciansReportAuditMinutesHoursNational 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 analysis
2020
Emergency Department Psychiatric Observation Units: Good Care and Good Money?
Parwani V, Goldenberg M, Venkatesh A. Emergency Department Psychiatric Observation Units: Good Care and Good Money? Academic Emergency Medicine 2020, 28: 141-143. PMID: 33140472, DOI: 10.1111/acem.14167.Peer-Reviewed Original Research
2018
Emergency physician empathy does not explain variation in admission rates
Parwani V, Ashkenasi D, Rothenberg C, Ulrich A, Chekijian S, Shapiro M, Melnick E, Venkatesh A. Emergency physician empathy does not explain variation in admission rates. The American Journal Of Emergency Medicine 2018, 37: 767-768. PMID: 30220643, DOI: 10.1016/j.ajem.2018.08.025.Peer-Reviewed Original ResearchOpening of Psychiatric Observation Unit Eases Boarding Crisis
Parwani V, Tinloy B, Ulrich A, D'Onofrio G, Goldenberg M, Rothenberg C, Patel A, Venkatesh A. Opening of Psychiatric Observation Unit Eases Boarding Crisis. Academic Emergency Medicine 2018, 25: 456-460. PMID: 29266537, DOI: 10.1111/acem.13369.Peer-Reviewed Original ResearchConceptsED LOSLength of stayMedian ED LOSTotal LOSPsychiatric admission ratesCrisis intervention unitSecondary outcomesPrimary outcomeObservation unitAdmission ratesPrimary analysisTertiary care academic medical centerPsychiatric chief complaintsBehavioral health staffInpatient psychiatric bedsAcute psychiatric careAcademic medical centerHours of careEmergency department boardingAdult EDAdult patientsPreintervention periodChief complaintPediatric hospitalInpatient admissions
2013
A “Top Five” list for emergency medicine: a policy and research agenda for stewardship to improve the value of emergency care
Venkatesh AK, Schuur JD. A “Top Five” list for emergency medicine: a policy and research agenda for stewardship to improve the value of emergency care. The American Journal Of Emergency Medicine 2013, 31: 1520-1524. PMID: 23993868, DOI: 10.1016/j.ajem.2013.07.019.Peer-Reviewed Original ResearchConceptsHealth care costsEmergency careEmergency medicineCare costsPost-discharge careHigh-cost imagingLow-value careMedico-legal concernsFront-line providersHealth system improvementHospital admissionIntravenous fluidsMedication administrationProvider knowledgeClinical actionsStewardship effortsHealth servicesClinical decisionValue carePotential interventionsCareExamples of interventionsEmergency MedicalPatientsOverused services
2012
The Growing Role of Emergency Departments in Hospital Admissions
Schuur JD, Venkatesh AK. The Growing Role of Emergency Departments in Hospital Admissions. New England Journal Of Medicine 2012, 367: 391-393. PMID: 22784039, DOI: 10.1056/nejmp1204431.Peer-Reviewed Original Research