2024
Quality improvement interventions to reduce coagulation testing overuse in the emergency department
Venkatesh A, Duke J, Wong S, Shah A, Rothenberg C, Patel A, Sun W, Shapiro M, Ulrich A, Parwani V. Quality improvement interventions to reduce coagulation testing overuse in the emergency department. The American Journal Of Emergency Medicine 2024 PMID: 39490322, DOI: 10.1016/j.ajem.2024.10.037.Peer-Reviewed Original Research
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 studySevere acute respiratory coronavirus virus 2 (SARS-CoV-2) RNA and viable virus contamination of hospital emergency department surfaces and association with patient coronavirus disease 2019 (COVID-19) status and aerosol-generating procedures
Roberts S, Barbell E, Barber D, Dahlberg S, Heimer R, Jubanyik K, Parwani V, Pettigrew M, Tanner J, Ulrich A, Wade M, Wyllie A, Yolda-Carr D, Martinello R, Tanner W. Severe acute respiratory coronavirus virus 2 (SARS-CoV-2) RNA and viable virus contamination of hospital emergency department surfaces and association with patient coronavirus disease 2019 (COVID-19) status and aerosol-generating procedures. Infection Control And Hospital Epidemiology 2023, 45: 244-246. PMID: 37767709, PMCID: PMC10877528, DOI: 10.1017/ice.2023.183.Peer-Reviewed Original ResearchCorrelations 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 ResearchSociodemographic 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 accessManaging opioid waste, cost, and opportunity for drug diversion in the emergency department
Coleska A, Oh A, Rothenberg C, Dinh D, Parwani V, Venkatesh A. Managing opioid waste, cost, and opportunity for drug diversion in the emergency department. The American Journal Of Emergency Medicine 2023, 69: 195-199. PMID: 37172559, DOI: 10.1016/j.ajem.2023.05.001.Peer-Reviewed Original ResearchConceptsDrug diversionContext of opioidEmergency department visitsManagement of painSingle health systemLogistic regression modelsHealth care systemOpioid ordersIntravenous opioidsSevere painDepartment visitsOpioid diversionEmergency departmentIncorrect doseOpioid epidemicOpioidsPrimary analysisMorphineDose orderHealth systemDoseHydromorphoneCare systemDrug shortagesPainEstimated reimbursement impact of COVID‐19 on emergency physicians
Venkatesh A, Janke A, Koski‐Vacirca R, Rothenberg C, Parwani V, Granovsky M, Burke L, Li S, Pines J. Estimated reimbursement impact of COVID‐19 on emergency physicians. Academic Emergency Medicine 2023, 30: 636-643. PMID: 36820470, DOI: 10.1111/acem.14700.Peer-Reviewed Original ResearchConceptsNationwide Emergency Department SampleED visitsEmergency physiciansSecondary analysisCOVID-19Acute care utilizationEmergency Department SampleEmergency Department registryCOVID-19 pandemicHealth care servicesEmergency department sitesReimbursement impactCare utilizationBilling codesInsurance payerDepartment registryPrimary analysisCare servicesPhysiciansReimbursement lossHealth careStudy sampleVisitsPandemic-related lossReimbursement
2022
9 Nationwide Reimbursement Impact of COVID-19 to Emergency Physicians: $6.6 Billion Loss in 2020
Venkatesh A, Janke A, Koski-Vacirca R, Rothenberg C, Parwani V, Granovsky M, Burke L, Li S, Pines J. 9 Nationwide Reimbursement Impact of COVID-19 to Emergency Physicians: $6.6 Billion Loss in 2020. Annals Of Emergency Medicine 2022, 80: s4-s5. PMCID: PMC9519215, DOI: 10.1016/j.annemergmed.2022.08.031.Peer-Reviewed Original ResearchPatient cost consciousness in the emergency department
Gaylor JM, Chan E, Parwani V, Ulrich A, Rothenberg C, Venkatesh A. Patient cost consciousness in the emergency department. The American Journal Of Emergency Medicine 2022, 61: 61-63. PMID: 36054987, DOI: 10.1016/j.ajem.2022.08.039.Peer-Reviewed Original ResearchConceptsEmergency departmentPocket costsED patientsLarge academic hospital systemAcademic hospital systemCertain patient demographicsEmergency department settingPerceptions of patientsCost of careMedicare/MedicaidPatient demographicsED careUnscheduled careUninsured patientsDepartment settingPatients' estimatesPatient's abilityEmergency careHigh school educationPatientsPrivate insuranceFinal analysisHospital systemCareConvenience samplePrehospital emergency department care activations during the initial COVID-19 pandemic surge.
Leff R, Fleming-Nouri A, Venkatesh AK, Parwani V, Rothenberg C, Sangal RB, Flood CT, Goldenberg M, Wira C. Prehospital emergency department care activations during the initial COVID-19 pandemic surge. American Journal Of Disaster Medicine 2022, 17: 23-39. PMID: 35913181, DOI: 10.5055/ajdm.2022.0417.Peer-Reviewed Original ResearchConceptsCOVID-19 hospital admissionsCOVID-19 pandemic surgeTotal ED volumeNumber of patientsCOVID-19 hospitalizationScatterplot smoothing curvesPublic health measuresCritical medical conditionPublic health emergencyPrehospital presentationStroke activationHospital admissionPrimary outcomeTrauma activationsUrban EDAcademic EDCOVID-19 casesPrehospital settingClinical indicationsType of presentationMedical conditionsED volumePandemic surgeAbsolute decreaseHealth measures
2020
Improving the Safety of Neurocritical Care Transitions through Failure Mode and Effects Analysis (FMEA) (5300)
Chilakamarri P, Finn E, Sather J, Sheth K, Matouk C, Parwani V, Ulrich A, Davis M, Pham L, Chaudhry S, Venkatesh A. Improving the Safety of Neurocritical Care Transitions through Failure Mode and Effects Analysis (FMEA) (5300). Neurology 2020, 94 DOI: 10.1212/wnl.94.15_supplement.5300.Peer-Reviewed Original Research
2018
96EMF Time-Interrupted Quality Improvement Interventions to Improve the Timeliness of Pain Medication Delivery for Acute Fractures in the Emergency Department
Singh J, Shapiro M, Rothenberg C, Parwani V, Venkatesh A. 96EMF Time-Interrupted Quality Improvement Interventions to Improve the Timeliness of Pain Medication Delivery for Acute Fractures in the Emergency Department. Annals Of Emergency Medicine 2018, 72: s41-s42. DOI: 10.1016/j.annemergmed.2018.08.101.Peer-Reviewed Original Research
2017
138 Assessment of the Cost of Reducing Drug Waste Through Supply Optimization
Oh A, Rothenberg C, Lord K, Dinh D, Williams J, Parwani V, Ulrich A, Venkatesh A. 138 Assessment of the Cost of Reducing Drug Waste Through Supply Optimization. Annals Of Emergency Medicine 2017, 70: s55-s56. DOI: 10.1016/j.annemergmed.2017.07.164.Peer-Reviewed Original Research295 Interhospital Transfer is Not a Predictor of In-Hospital Mortality for Patients With Nontraumatic Intracranial Hemorrhage
Yip M, Sather J, Sheth K, Matouk C, Littauer R, Finn E, Rothenberg C, Costello D, Parwani V, Venkatesh A. 295 Interhospital Transfer is Not a Predictor of In-Hospital Mortality for Patients With Nontraumatic Intracranial Hemorrhage. Annals Of Emergency Medicine 2017, 70: s116-s117. DOI: 10.1016/j.annemergmed.2017.07.273.Peer-Reviewed Original Research
2016
1EMF Availability of Primary Care Follow-up in Greater New Haven after Emergency Department Visit in the Era of the Affordable Care Act
Chou S, Deng Y, Parwani V, Smart J, Bernstein S, Venkatesh A. 1EMF Availability of Primary Care Follow-up in Greater New Haven after Emergency Department Visit in the Era of the Affordable Care Act. Annals Of Emergency Medicine 2016, 68: s149. DOI: 10.1016/j.annemergmed.2016.08.407.Peer-Reviewed Original Research
2006
86 Comparison of Two Common Techniques for Inflating Endotracheal Tube Cuffs: Set Volume of Air Vs. Palpation of the Pilot Balloon
Hoffman R, Parwani V, Kaban J, Dueffer H, Howell A, Sturmann K. 86 Comparison of Two Common Techniques for Inflating Endotracheal Tube Cuffs: Set Volume of Air Vs. Palpation of the Pilot Balloon. Annals Of Emergency Medicine 2006, 48: 27. DOI: 10.1016/j.annemergmed.2006.07.534.Peer-Reviewed Original Research186 High Endotracheal Tube Cuff Pressure Is Typical in Endotracheally Intubated Emergency Department Patients
Hoffman R, Parwani V, Lee Y, Scott G, Hahn I. 186 High Endotracheal Tube Cuff Pressure Is Typical in Endotracheally Intubated Emergency Department Patients. Annals Of Emergency Medicine 2006, 48: 58. DOI: 10.1016/j.annemergmed.2006.07.642.Peer-Reviewed Original Research
2005
Recommended Modifications and Applications of the Hospital Emergency Incident Command System for Hospital Emergency Management
Arnold JL, Dembry LM, Tsai MC, Dainiak N, Rodoplu Ü, Schonfeld DJ, Parwani V, Paturas J, Cannon C, Selig S. Recommended Modifications and Applications of the Hospital Emergency Incident Command System for Hospital Emergency Management. Prehospital And Disaster Medicine 2005, 20: 290-300. PMID: 16295165, DOI: 10.1017/s1049023x00002740.Peer-Reviewed Original ResearchConceptsHospital emergency managementHospital healthcare workersHealthcare workersHospital Emergency Incident Command SystemMental health needsHospital emergency responseHealth needsSevere acute respiratory syndrome (SARS) outbreakSignificant mental health needsTypes of patientsRespiratory syndrome outbreakMental health supportTokyo subway sarin attackInfectious patientsFurther experiencePatientsHealth supportResource-deficient settingsHealthcare systemUnit leadersSpecial proficiencyEmergency managementIncident Command SystemSarin attackEmergencyRecommended Modifications and Applications of the Hospital Emergency Incident Command System
Arnold J, Dembry L, Tsai M, Rodolpu U, Parwani V, Paturas J, Cannon C, Selig S. Recommended Modifications and Applications of the Hospital Emergency Incident Command System. Prehospital And Disaster Medicine 2005, 20: 90-90. DOI: 10.1017/s1049023x00014060.Peer-Reviewed Original Research
2004
Experienced paramedics cannot inflate or estimate endotracheal tube cuff pressure using standard techniques
Parwani V, Hahn I, Hoffman R. Experienced paramedics cannot inflate or estimate endotracheal tube cuff pressure using standard techniques. Annals Of Emergency Medicine 2004, 44: s64. DOI: 10.1016/j.annemergmed.2004.07.211.Peer-Reviewed Original ResearchEndotracheal tube cuff pressureTube cuff pressureEndotracheal tube cuffTube cuffCuff pressureEndotracheal tubeHigh-volume low-pressure cuffsAverage cuff pressureStandard palpation techniqueLow-pressure cuffsCapillary perfusion pressureExperienced paramedicsPilot balloonPerfusion pressureTracheal necrosisSafe pressureInflated cuffPalpation techniqueCuffOverall sensitivityLuer lockParamedicsStandard techniquesBalloonDescriptive survey