Featured Publications
Real-World Observational Evaluation of Common Interventions to Reduce Emergency Department Prescribing of Opioid Medications
Sangal R, Rothenberg C, Hawk K, D'Onofrio G, Hsiao A, Solad Y, Venkatesh A. Real-World Observational Evaluation of Common Interventions to Reduce Emergency Department Prescribing of Opioid Medications. The Joint Commission Journal On Quality And Patient Safety 2023, 49: 239-246. PMID: 36914528, DOI: 10.1016/j.jcjq.2023.01.013.Peer-Reviewed Original ResearchConceptsOpioid prescribingED visitsElectronic health recordsOpioid prescriptionsEmergency department opioid prescriptionsAnalgesia prescriptionOpioid stewardshipOpioid medicationsSecondary outcomesPrimary outcomePreintervention periodInterruptive alertsCommon interventionPrescribingAlert fatigueElectronic prescribingPrevious interventionsHospital systemObservational evaluationHealth recordsVisitsStewardship policiesInterventionOutcomesPrescriptionDisparities in Accessing and Reading Open Notes in the Emergency Department Upon Implementation of the 21st Century CURES Act
Sangal RB, Powers E, Rothenberg C, Ndumele C, Ulrich A, Hsiao A, Venkatesh AK. Disparities in Accessing and Reading Open Notes in the Emergency Department Upon Implementation of the 21st Century CURES Act. Annals Of Emergency Medicine 2021, 78: 593-598. PMID: 34353651, DOI: 10.1016/j.annemergmed.2021.06.014.Peer-Reviewed Original ResearchConceptsProportion of patientsPatient portal accessEmergency departmentOpen notesClinical notesPortal accessPublic insuranceUrgent care centersCentury Cures ActDifferent patient demographicsSingle health systemPatient demographicsPrimary outcomeCures ActPatient utilizationPatient visitsCare centerObservational studyPatientsDigital health toolsAge 18Health systemHealth toolsUnique barriersNon-English speakersSociodemographic Disparities in Queue Jumping for Emergency Department Care
Sangal R, Su H, Khidir H, Parwani V, Liebhardt B, Pinker E, Meng L, Venkatesh A, Ulrich A. Sociodemographic Disparities in Queue Jumping for Emergency Department Care. JAMA Network Open 2023, 6: e2326338. PMID: 37505495, PMCID: PMC10383013, DOI: 10.1001/jamanetworkopen.2023.26338.Peer-Reviewed Original ResearchConceptsCross-sectional studyHigh acuityPatient demographicsSame acuityLatino ethnicityNon-Hispanic raceEmergency department careBed placementTime of triageNon-Hispanic blacksNon-Hispanic whitesED visitsPrimary outcomeED arrivalED patientsMedicaid insuranceMean ageTriage acuityStudy visitAcuity patientsSociodemographic disparitiesED outcomesHigher oddsMAIN OUTCOMECare accessClinical Decision Support: Moving Beyond Interruptive “Pop-up” Alerts
Sangal R, Sharifi M, Rhodes D, Melnick E. Clinical Decision Support: Moving Beyond Interruptive “Pop-up” Alerts. Mayo Clinic Proceedings 2023, 98: 1275-1279. PMID: 37661138, PMCID: PMC10491420, DOI: 10.1016/j.mayocp.2023.05.025.Peer-Reviewed Original Research
2025
Emergency 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, DOI: 10.1001/jamahealthforum.2025.0417.Peer-Reviewed Original ResearchImpact 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 ResearchWho is coming in? Evaluation of physician performance within multi-physician emergency departments
Sangal R, Teresi R, Dashevsky M, Ulrich A, Tarabar A, Parwani V, Van Tonder R, King M, Venkatesh A. Who is coming in? Evaluation of physician performance within multi-physician emergency departments. The American Journal Of Emergency Medicine 2025, 90: 9-15. PMID: 39793122, DOI: 10.1016/j.ajem.2025.01.003.Peer-Reviewed Original ResearchPhysician performancePhysician behaviorAdmission ratesEvaluation of physician performanceED operational efficiencyAttending teamPhysician ordersED throughputStaffing modelsED visitsED revisitsCo-attendanceLinear regression modelsAverage attendancePatient LOSEmergency departmentPatient lengthPhysician workPatients treated per hourPhysiciansAttendanceImaging testsImaging utilizationRegression modelsPatient data
2024
Pre-to-post COVID-19 pandemic trends in time from emergency department arrival to inpatient floor arrival: Door to floor time
Loza A, Sangal R, Gielissen K, Melnick E, Sankey C, Ostfeld-Johns S. Pre-to-post COVID-19 pandemic trends in time from emergency department arrival to inpatient floor arrival: Door to floor time. The American Journal Of Emergency Medicine 2024, 89: 187-189. PMID: 39731897, DOI: 10.1016/j.ajem.2024.12.051.Peer-Reviewed Original ResearchLeveraging 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 detailsCliniciansEffects of opening a vertical care area on emergency medicine resident clinical experience
Tsyrulnik A, Rothenberg C, Sun W, Venkatesh A, Coughlin R, Goldflam K, Sangal R. Effects of opening a vertical care area on emergency medicine resident clinical experience. AEM Education And Training 2024, 8: e11040. PMID: 39574943, PMCID: PMC11576914, DOI: 10.1002/aet2.11040.Peer-Reviewed Original ResearchEmergency Severity IndexBehavioral health patientsEmergency departmentHealth patientsPostgraduate year (PGY)-1 residentsAcuity level of patientsCare unitPractice registered nursesResident educational outcomesESI 4PGY-3 residentsFast-track unitPGY-1 residentsResident clinical experiencePatient acuityCritical care patientsCare patientsCare areasClinical educationTriage physiciansAcuity levelsCritical careLevels of patientsPGY-2PGY-1Enhancing 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 Research409 The Impact of Level Loading in a Large Academic Medical System
Dilip M, Su H, Zhang W, Meng L, Tuffuor K, Pham L, Fogarty R, Venkatesh A, Pinker E, Sangal R. 409 The Impact of Level Loading in a Large Academic Medical System. Annals Of Emergency Medicine 2024, 84: s184-s185. DOI: 10.1016/j.annemergmed.2024.08.408.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 ResearchInterrogating and Uprooting Systemic Racism in the Emergency Department
Sangal R, Khidir H, Agarwal A. Interrogating and Uprooting Systemic Racism in the Emergency Department. JAMA Health Forum 2024, 5: e242347. PMID: 39177981, DOI: 10.1001/jamahealthforum.2024.2347.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 spaceUsing an artificial intelligence software improves emergency medicine physician intracranial haemorrhage detection to radiologist levels
Warman P, Warman A, Warman R, Degnan A, Blickman J, Smith D, McHale P, Coburn Z, McCormick S, Chowdhary V, Dash D, Sangal R, Vadhan J, Bueso T, Windisch T, Neves G. Using an artificial intelligence software improves emergency medicine physician intracranial haemorrhage detection to radiologist levels. Emergency Medicine Journal 2024, 41: 298-303. PMID: 38233106, DOI: 10.1136/emermed-2023-213158.Peer-Reviewed Original ResearchCranial CT scanEmergency physiciansIntracranial haemorrhageBoard-certified emergency physiciansCT scanYears of practice experienceNon-contrast cranial CT scansED physiciansClinical careImaging ReportingEP cohortArtificial intelligenceReader accuracyNon-contrastPatient outcomesRadiologistsRandom orderPhysiciansPatientsCohort
2023
Inequities among patient placement in emergency department hallway treatment spaces
Tuffuor K, Su H, Meng L, Pinker E, Tarabar A, Van Tonder R, Chmura C, Parwani V, Venkatesh A, Sangal R. Inequities among patient placement in emergency department hallway treatment spaces. The American Journal Of Emergency Medicine 2023, 76: 70-74. PMID: 38006634, DOI: 10.1016/j.ajem.2023.11.013.Peer-Reviewed Original ResearchEscalation of careAdjusted odds ratioED revisitsHallway bedsEmergency departmentHigher oddsPatient placementPatient insurance coverageSocial risk factorsPatient social factorsDischarge AMAED visitsSecondary outcomesPatient agePatient demographicsPrimary outcomeMale sexPatient sexTreatment spaceED censusFemale sexRisk factorsOdds ratioED staffingObservational study
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