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 ResearchConceptsSARS-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 analysisA Multimodal Intervention to Improve the Quality and Safety of Interhospital Care Transitions for Nontraumatic Intracerebral and Subarachnoid Hemorrhage
Sather J, Littauer R, Finn E, Matouk C, Sheth K, Parwani V, Pham L, Ulrich A, Rothenberg C, Venkatesh AK. A Multimodal Intervention to Improve the Quality and Safety of Interhospital Care Transitions for Nontraumatic Intracerebral and Subarachnoid Hemorrhage. The Joint Commission Journal On Quality And Patient Safety 2020, 47: 99-106. PMID: 33358659, DOI: 10.1016/j.jcjq.2020.10.003.Peer-Reviewed Original ResearchConceptsInterhospital transferQuality improvement interventionsIntracerebral hemorrhageMultimodal interventionImprovement interventionsClinical practice guideline disseminationEmergency department timeNeurocritical care cliniciansMultimodal quality improvement interventionNontraumatic intracerebral hemorrhageTimeliness of careED boarding timeRegionalization of careChi-square testIHT processED lengthPostintervention outcomesCare cliniciansSubarachnoid hemorrhageCare transitionsAdmission ordersDepartment timeGuideline disseminationOutcome measuresStudy populationClinical 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 ResearchConceptsEmergency 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
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