2023
Sociodemographic 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 accessCorrelations among common emergency medicine physician performance measures: Mixed messages or balancing forces?
Scofi J, Underriner E, Sangal R, Rothenberg C, Patel A, Pickens A, Sather J, Parwani V, Ulrich A, Venkatesh A. Correlations among common emergency medicine physician performance measures: Mixed messages or balancing forces? The American Journal Of Emergency Medicine 2023, 72: 58-63. PMID: 37481955, DOI: 10.1016/j.ajem.2023.07.021.Peer-Reviewed Original Research
2021
Disparities 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 speakersUniversal 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 changesPositivitySimulating approaches to emergency department pandemic physician staffing during COVID-19.
Sangal RB, Venkatesh AK, Kinsman J, Dashevsky M, Scofi JE, Ulrich A. Simulating approaches to emergency department pandemic physician staffing during COVID-19. American Journal Of Disaster Medicine 2021, 16: 85-93. PMID: 34392521, DOI: 10.5055/ajdm.2021.0391.Peer-Reviewed Original ResearchConceptsEmergency departmentInfection rateStaffing modelsPercent infection rateCohort modelHigher infection rateInfectious disease outbreaksEmergency physiciansED staffAvailable physiciansThree-teamWeek 5Health systemEM physiciansPhysiciansAdequate staffingImmunityPhysician attritionCOVID-19CohortDisease outbreaksPandemicPandemic disasterWeeksLeadership communication, stress, and burnout among frontline emergency department staff amid the COVID-19 pandemic: A mixed methods approach
Sangal RB, Bray A, Reid E, Ulrich A, Liebhardt B, Venkatesh AK, King M. Leadership communication, stress, and burnout among frontline emergency department staff amid the COVID-19 pandemic: A mixed methods approach. Healthcare 2021, 9: 100577. PMID: 34411923, PMCID: PMC8361146, DOI: 10.1016/j.hjdsi.2021.100577.Peer-Reviewed Original ResearchCan metrics give physicians insight?
Bright E, Scofi J, Sangal RB, Rothenberg C, Kinsman J, Patel A, Parwani V, Sather J, Pickens A, Ulrich A, Venkatesh AK. Can metrics give physicians insight? The American Journal Of Emergency Medicine 2021, 55: 219-220. PMID: 34301446, DOI: 10.1016/j.ajem.2021.06.059.Peer-Reviewed Original ResearchReal-world assessment of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) nasopharyngeal swab testing in a region with a high burden of coronavirus disease 2019 (COVID-19)
Sangal RB, Peaper DR, Rothenberg C, Fadlallah H, Mobolaji-Lawal M, Landry ML, Sussman LS, Ulrich A, Venkatesh AK. Real-world assessment of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) nasopharyngeal swab testing in a region with a high burden of coronavirus disease 2019 (COVID-19). Infection Control And Hospital Epidemiology 2021, 43: 1051-1053. PMID: 33823949, PMCID: PMC8111191, DOI: 10.1017/ice.2021.153.Peer-Reviewed Original Research
2025
Who 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
2022
Implementation of an Electronic Health Record Integrated Clinical Pathway Improves Adherence to COVID-19 Hospital Care Guidelines
Sangal RB, Liu RB, Cole KO, Rothenberg C, Ulrich A, Rhodes D, Venkatesh AK. Implementation of an Electronic Health Record Integrated Clinical Pathway Improves Adherence to COVID-19 Hospital Care Guidelines. American Journal Of Medical Quality 2022, 37: 335-341. PMID: 35026785, PMCID: PMC9241559, DOI: 10.1097/jmq.0000000000000036.Peer-Reviewed Original ResearchConceptsClinical pathwaySecondary outcomesCOVID-19 treatment guidelinesEmergency department cliniciansIntegrated clinical pathwayCOVID-19Electronic health recordsPrimary outcomeTreatment guidelinesClinician adherenceED cliniciansED patientsCare guidelinesTreatment recommendationsMedication administrationPatient outcomesPatient carePatientsCliniciansHealth systemHealth recordsOutcomesAdherenceAspirinCOVID-19 pandemic
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 analysisWork team identification associated with less stress and burnout among front-line emergency department staff amid the COVID-19 pandemic
Sangal R, Wrzesniewski A, DiBenigno J, Reid E, Ulrich A, Liebhardt B, Bray A, Yang E, Eun E, Venkatesh A, King M. Work team identification associated with less stress and burnout among front-line emergency department staff amid the COVID-19 pandemic. BMJ Leader 2020, 5: 51-54. DOI: 10.1136/leader-2020-000331.Peer-Reviewed Original ResearchFront-line healthcare workersHealthcare workersCOVID-19 pandemicEmergency department staffQuality improvement initiativesCOVID-19Cross-sectional surveyCross-sectional analysisEmergency departmentProtective effectOngoing COVID-19Mental healthWork stressImprovement initiativesDepartment staffProlonged stressFeelings of stressReduced reportsLess work stressFurther evidenceLongitudinal evidencePandemicFirst waveFront-line workersWorkersIdentification of Patients with Nontraumatic Intracranial Hemorrhage Using Administrative Claims Data
Sangal RB, Fodeh S, Taylor A, Rothenberg C, Finn EB, Sheth K, Matouk C, Ulrich A, Parwani V, Sather J, Venkatesh A. Identification of Patients with Nontraumatic Intracranial Hemorrhage Using Administrative Claims Data. Journal Of Stroke And Cerebrovascular Diseases 2020, 29: 105306. PMID: 33070110, PMCID: PMC7686163, DOI: 10.1016/j.jstrokecerebrovasdis.2020.105306.Peer-Reviewed Original ResearchLess social emergency departments: implementation of workplace contact reduction during COVID-19
Sangal RB, Scofi JE, Parwani V, Pickens AT, Ulrich A, Venkatesh AK. Less social emergency departments: implementation of workplace contact reduction during COVID-19. Emergency Medicine Journal 2020, 37: 463-466. PMID: 32581052, PMCID: PMC7418594, DOI: 10.1136/emermed-2020-209826.Peer-Reviewed Original ResearchMeSH KeywordsBetacoronavirusCoronavirus InfectionsCOVID-19Delivery of Health CareDisease Transmission, InfectiousEmergency Service, HospitalHumansInfection ControlInterdisciplinary CommunicationInterpersonal RelationsOrganizational InnovationPandemicsPneumonia, ViralPolicy MakingSARS-CoV-2United StatesWorkplaceConceptsHealthcare worker transmissionDirect patient carePublic health measuresCOVID-19 Task ForceNon-pharmaceutical interventionsEmergency departmentMultidisciplinary recommendationsHealthcare workersPatient careHealth measuresPatient arrivalED patient arrivalsTransmission riskPatientsPerson contactPandemic response effortsCOVID-19COVID-19 pandemicContact reductionClose personTask ForceSocial distancingUnique challengesStaffCare
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