2021
Universal 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 changesPositivity
2020
The cost of waiting: Association of ED boarding with hospitalization costs
Baloescu C, Kinsman J, Ravi S, Parwani V, Sangal RB, Ulrich A, Venkatesh AK. The cost of waiting: Association of ED boarding with hospitalization costs. The American Journal Of Emergency Medicine 2020, 40: 169-172. PMID: 33272871, DOI: 10.1016/j.ajem.2020.10.058.Peer-Reviewed Original ResearchConceptsED boardingHospitalization costsED crowdingHospital spendingHospital care accessMultivariate linear regression analysisED patient volumeCost of careQuality of careEmergency department boardingCross-sectional analysisPublic health crisisED lengthEffective careCare accessHospital levelInpatient bedsED characteristicsLinear regression analysisPatient volumeCareMedicare spendingMultivariate regressionPatientsRegression analysisClinical impact of rapid influenza PCR in the adult emergency department on patient management, ED length of stay, and nosocomial infection rate
Peaper DR, Branson B, Parwani V, Ulrich A, Shapiro MJ, Clemons C, Campbell M, Owen M, Martinello RA, Landry ML. Clinical impact of rapid influenza PCR in the adult emergency department on patient management, ED length of stay, and nosocomial infection rate. Influenza And Other Respiratory Viruses 2020, 15: 254-261. PMID: 32851793, PMCID: PMC7902247, DOI: 10.1111/irv.12800.Peer-Reviewed Original ResearchMeSH KeywordsAdultCross InfectionEmergency Service, HospitalHumansInfluenza, HumanLength of StayPolymerase Chain ReactionConceptsEmergency departmentInfluenza PCRPatient managementClinical redesignED lengthInfluenza seasonED workflowPCR testingBed transfersAnti-influenza medicationsDiverse emergency departmentsHospital-acquired influenzaInfluenza-positive patientsHA influenzaNosocomial infection ratesDiagnosis of influenzaAdult emergency departmentAnti-viral therapyCommon presenting concernPost-intervention periodPre-post studyED LOSED patientsSignificant morbidityTherapeutic guidelines
2018
Opening 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 admissionsApplying advanced analytics to guide emergency department operational decisions: A proof-of-concept study examining the effects of boarding
Taylor R, Venkatesh A, Parwani V, Chekijian S, Shapiro M, Oh A, Harriman D, Tarabar A, Ulrich A. Applying advanced analytics to guide emergency department operational decisions: A proof-of-concept study examining the effects of boarding. The American Journal Of Emergency Medicine 2018, 36: 1534-1539. PMID: 29310983, DOI: 10.1016/j.ajem.2018.01.011.Peer-Reviewed Original Research
2006
Length of Stay by Route of Contrast Administration for Diagnosis of Appendicitis by Computed‐tomography Scan
Berg ER, Mehta SD, Mitchell P, Soto J, Oyama L, Ulrich A. Length of Stay by Route of Contrast Administration for Diagnosis of Appendicitis by Computed‐tomography Scan. Academic Emergency Medicine 2006, 13: 1040-1045. PMID: 16973641, DOI: 10.1197/j.aem.2006.06.047.Peer-Reviewed Original ResearchConceptsAbdominal computed tomographyLength of stayOral contrastRectal contrastComputed tomographyContrast administrationED lengthPatient satisfactionPhase 2 patientsUrban academic EDEmergency department lengthDiagnosis of appendicitisConfidence intervalsWilcoxon rank sum testPhase 1 subjectsRank sum testAdult patientsPrimary outcomeAcademic EDComputed-tomography scansPatient throughput timeAppendicitisPatientsCT orderStay