2025
Emergency Department Implementation of a Multimodal Electronic Health Record–Integrated Clinical Intervention for High-Sensitivity Troponin Testing Increases Diagnostic Efficiency
Sangal R, Iscoe M, Rothenberg C, Possick S, Taylor R, Safdar B, Desai N, Rhodes D, Venkatesh A. Emergency Department Implementation of a Multimodal Electronic Health Record–Integrated Clinical Intervention for High-Sensitivity Troponin Testing Increases Diagnostic Efficiency. Journal Of The American College Of Emergency Physicians Open 2025, 6: 100202. DOI: 10.1016/j.acepjo.2025.100202.Peer-Reviewed Original ResearchEmergency departmentAcute myocardial infarction diagnosisTroponin testingED dischargeMyocardial infarction diagnosisAssociated with lower oddsAccelerated diagnostic protocolPhysician practice variationAcute coronary syndromeInfarction diagnosisChest pain evaluationMultivariate logistic regressionSuspected acute coronary syndromePostintervention periodDownstream testingPhysician practicesPreintervention periodED dispositionLower oddsCoronary syndromeDecreased oddsIncreased oddsPractice variationED patientsHs-cTnTEmergency Care Access Based on a Proposed CMS National Quality Measure
Sangal R, Rothenberg C, Taylor R, Venkatesh A. Emergency Care Access Based on a Proposed CMS National Quality Measure. JAMA Health Forum 2025, 6: e250417. PMID: 40215073, PMCID: PMC11992599, DOI: 10.1001/jamahealthforum.2025.0417.Peer-Reviewed Original ResearchAutomated computation of the HEART score with the GPT-4 large language model
Wright D, Socrates V, Huang T, Safranek C, Sangal R, Dilip M, Boivin Z, Srica N, Wright C, Feher A, Miller E, Chartash D, Taylor R. Automated computation of the HEART score with the GPT-4 large language model. The American Journal Of Emergency Medicine 2025, 93: 120-125. PMID: 40184662, PMCID: PMC12202168, DOI: 10.1016/j.ajem.2025.03.065.Peer-Reviewed Original ResearchConceptsClinical decision supportHEART scoreChest pain observation unitAverage heart scoreCohen's weighted kappaDecision supportNurse practitionersPhysician assistantsRetrospective cohort studyRoutine careCases of disagreementProspective InvestigationAPP scoresCohort studySafety interventionsPhysician judgmentObservation unitAdverse cardiac eventsInstitutional registryScoresPhysiciansInterventionParticipantsNo significant differenceAppsImpact of Artificial Intelligence–Based Triage Decision Support on Emergency Department Care
Taylor R, Chmura C, Hinson J, Steinhart B, Sangal R, Venkatesh A, Xu H, Cohen I, Faustino I, Levin S. Impact of Artificial Intelligence–Based Triage Decision Support on Emergency Department Care. NEJM AI 2025, 2 DOI: 10.1056/aioa2400296.Peer-Reviewed Original Research
2024
Leveraging artificial intelligence to reduce diagnostic errors in emergency medicine: Challenges, opportunities, and future directions
Taylor R, Sangal R, Smith M, Haimovich A, Rodman A, Iscoe M, Pavuluri S, Rose C, Janke A, Wright D, Socrates V, Declan A. Leveraging artificial intelligence to reduce diagnostic errors in emergency medicine: Challenges, opportunities, and future directions. Academic Emergency Medicine 2024, 32: 327-339. PMID: 39676165, PMCID: PMC11921089, DOI: 10.1111/acem.15066.Peer-Reviewed Original ResearchClinical decision supportEmergency departmentArtificial intelligencePatient safetyDiagnostic errorsImplementing AIImprove patient safetyClinical decision support systemsEnhance patient outcomesReducing diagnostic errorsLeverage artificial intelligenceEmergency medicineHealth careTargeted educationReduce cognitive loadQuality improvementEmergency cliniciansData retrievalReal-time insightsDecision supportPatient outcomesCognitive overloadInformation-gathering processPatient detailsCliniciansEnhancing Emergency Department Triage Equity With Artificial Intelligence: Outcomes From a Multisite Implementation
Hinson J, Levin S, Steinhart B, Chmura C, Sangal R, Venkatesh A, Taylor R. Enhancing Emergency Department Triage Equity With Artificial Intelligence: Outcomes From a Multisite Implementation. Annals Of Emergency Medicine 2024, 85: 288-290. PMID: 39570253, DOI: 10.1016/j.annemergmed.2024.10.014.Peer-Reviewed Original ResearchAccelerated Chest Pain Treatment With Artificial Intelligence–Informed, Risk-Driven Triage
Hinson J, Taylor R, Venkatesh A, Steinhart B, Chmura C, Sangal R, Levin S. Accelerated Chest Pain Treatment With Artificial Intelligence–Informed, Risk-Driven Triage. JAMA Internal Medicine 2024, 184: 1125-1127. PMID: 39037785, PMCID: PMC11264065, DOI: 10.1001/jamainternmed.2024.3219.Peer-Reviewed Original ResearchBalancing act: the complex role of artificial intelligence in addressing burnout and healthcare workforce dynamics
Pavuluri S, Sangal R, Sather J, Taylor R. Balancing act: the complex role of artificial intelligence in addressing burnout and healthcare workforce dynamics. BMJ Health & Care Informatics 2024, 31: e101120. PMID: 39181545, PMCID: PMC11344516, DOI: 10.1136/bmjhci-2024-101120.Peer-Reviewed Original ResearchConceptsQuality of patient careSustainability of health systemsComplexity of medical informationArtificial intelligenceWorkforce attritionHealth systemClinical skillsPatient careSense of purposeHealthcare workersHealthcareMedical informationWorkforce dynamicsMedical practiceProfessional attributesDigital scribeData management systemCognitive burdenBurnoutAdvanced data management systemsAI technologyAI potentialAutomated billingSignificant riskCaregiversPatient-Representing Population's Perceptions of GPT-Generated Versus Standard Emergency Department Discharge Instructions: Randomized Blind Survey Assessment
Huang T, Safranek C, Socrates V, Chartash D, Wright D, Dilip M, Sangal R, Taylor R. Patient-Representing Population's Perceptions of GPT-Generated Versus Standard Emergency Department Discharge Instructions: Randomized Blind Survey Assessment. Journal Of Medical Internet Research 2024, 26: e60336. PMID: 39094112, PMCID: PMC11329854, DOI: 10.2196/60336.Peer-Reviewed Original ResearchImpact of the geriatric emergency medicine specialist intervention on final emergency department disposition
Cohen I, Sangal R, Taylor R, Crawford A, Lai J, Martin P, Palleschi S, Rothenberg C, Tomasino D, Hwang U. Impact of the geriatric emergency medicine specialist intervention on final emergency department disposition. Journal Of The American Geriatrics Society 2024, 72: 2017-2026. PMID: 38667266, DOI: 10.1111/jgs.18908.Peer-Reviewed Original ResearchED length of stayED lengthLength of stayObservation admissionsED dispositionInpatient admissionsEmergency departmentOdds of inpatient admissionRate of hospital admissionsAdvanced practice providersGeriatric ED patientsEmergency medicine specialistsTarget trial emulation frameworkHospital admission ratesOdds of dischargeRegional healthcare systemEmergency department dispositionIncreased odds of dischargeCare planningPractice providersED sitesED visitsOlder adultsSpecialist interventionAdmission ratesAutomated HEART score determination via ChatGPT: Honing a framework for iterative prompt development
Safranek C, Huang T, Wright D, Wright C, Socrates V, Sangal R, Iscoe M, Chartash D, Taylor R. Automated HEART score determination via ChatGPT: Honing a framework for iterative prompt development. Journal Of The American College Of Emergency Physicians Open 2024, 5: e13133. PMID: 38481520, PMCID: PMC10936537, DOI: 10.1002/emp2.13133.Peer-Reviewed Original ResearchPrompt designsChest pain evaluationRule-based logicScore determinationLanguage modelPrivacy safeguardsPrompt improvementExtract insightsPain evaluationClinical notesRate of responseDiagnostic performancePhysician assessmentPrompt testingDetermination of heartChatGPTDesign frameworkNote analysisHeartSubscoresSimulated patientsClinical space
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