2019
Electronic Health Record–Assisted Reflex Urine Culture Testing Improves Emergency Department Diagnostic Efficiency
Coughlin RF, Peaper D, Rothenberg C, Golden M, Landry ML, Cotton J, Parwani V, Shapiro M, Ulrich A, Venkatesh AK. Electronic Health Record–Assisted Reflex Urine Culture Testing Improves Emergency Department Diagnostic Efficiency. American Journal Of Medical Quality 2019, 35: 252-257. PMID: 31296024, DOI: 10.1177/1062860619861947.Peer-Reviewed Original ResearchConceptsUrine culture ordersUrine culture testingED visitsUrine cultureEmergency departmentDiagnostic yieldCulture ordersCulture testingUrine culture utilizationClinical decision support toolElectronic health recordsSecondary outcomesPrimary outcomeTest utilizationHealth recordsSignificant decreaseDiagnostic efficiencyMean numberVisitsCulture utilizationOutcomesTesting algorithm
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 admissions
2011
Impact of an Emergency Department Closure on the Local Emergency Medical Services System
Sayed M, Mitchell PM, White LF, Rubin-Smith JE, Maciejko TM, Obendorfer DT, Ulrich AS, Dyer S, Olshaker JS. Impact of an Emergency Department Closure on the Local Emergency Medical Services System. Prehospital Emergency Care 2011, 16: 198-203. PMID: 22191683, DOI: 10.3109/10903127.2011.640418.Peer-Reviewed Original ResearchMeSH KeywordsAcademic Medical CentersAmbulancesBostonConfidence IntervalsEmergency Medical ServicesEmergency Service, HospitalEmergency TreatmentFemaleHumansMaleMassachusettsNeeds AssessmentOutcome Assessment, Health CareProspective StudiesRisk AssessmentTime FactorsTransportation of PatientsTrauma CentersUrban PopulationConceptsBoston Medical CenterEmergency departmentED volumeUrban EMS systemED closureAmbulance diversionLocal emergency medical services systemAdult patient visitsEmergency department closureMean emergency departmentTotal ED volumeRatio of patientsEmergency medical services (EMS) providersBusy emergency departmentEmergency medical services systemSignificant increaseEmergency medical servicesEMS systemMedical services systemPatient visitsMedical CenterMedical service providersHospital destinationMultivariate analysisSignificant decrease