2023
Development of the COMET tool: Caregiver‐reported Outcome Measure for Emergency care Transitions
Gettel C, Galske J, Uzamere I, Serina P, Hernandez‐Bigos K, Mane S, Chen K, Ottilie‐Kovelman S, Sandoval J, Venkatesh A, Cohen A, Monin J, Fried T, Hwang U. Development of the COMET tool: Caregiver‐reported Outcome Measure for Emergency care Transitions. Alzheimer's & Dementia 2023, 19 DOI: 10.1002/alz.074213.Peer-Reviewed Original ResearchCare transitionsOutcome measuresCare partnersED discharge processPhase 3Results Phase 1Phase 2Health care systemPhase 1Candidate itemsAcute illnessED encountersEmergency departmentCare considerationsPhase 4Outcome assessmentConclusion DevelopmentScreening toolCare systemResearch team membersContent validityPoor communicationEDMultidisciplinary stakeholdersDelphi approachManaging 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 shortagesPain
2022
Trends In Treat-And-Release Emergency Care Visits With High-Intensity Billing In The US, 2006–19
Janke A, Gettel C, Koski-Vacirca R, Lin M, Kocher K, Venkatesh A. Trends In Treat-And-Release Emergency Care Visits With High-Intensity Billing In The US, 2006–19. Health Affairs 2022, 41: 1772-1780. PMID: 36469824, DOI: 10.1377/hlthaff.2022.00484.Peer-Reviewed Original ResearchConceptsRelease ED visitsEmergency departmentED visitsNationwide Emergency Department SampleEmergency care visitsEmergency Department SampleProportion of visitsHealth care systemMore comorbiditiesCare visitsOlder patientsED careBilling practicesSerious diagnosisObservational studyUndifferentiated patientsPatient complexityCare servicesHealth statusCare systemVisitsPatientsEvolving roleReimbursement reformTreatA Quality Framework to Address Racial and Ethnic Disparities in Emergency Department Care
Khidir H, Salhi R, Sabbatini AK, Franks NM, Green A, Richardson LD, Terry A, Vasquez N, Goyal P, Kocher K, Venkatesh AK, Lin MP. A Quality Framework to Address Racial and Ethnic Disparities in Emergency Department Care. Annals Of Emergency Medicine 2022, 81: 47-56. PMID: 36257864, PMCID: PMC9780164, DOI: 10.1016/j.annemergmed.2022.08.010.Peer-Reviewed Original ResearchConceptsEmergency careEthnic disparitiesHealth disparitiesCare deliveryHealth equityEmergency department careTransitions of careQuality improvement initiativesHealth care servicesEmergency care deliveryHealth care systemWhite patientsEmergency departmentEmergency physiciansAmerican CollegeCare servicesCare systemCareDisproportionate barriersHealth careImprovement initiativesQuality measuresPatientsEthnic groupsIterative discussionsEmergency department care transition barriers: A qualitative study of care partners of older adults with cognitive impairment
Gettel CJ, Serina PT, Uzamere I, Hernandez‐Bigos K, Venkatesh AK, Cohen AB, Monin JK, Feder SL, Fried TR, Hwang U. Emergency department care transition barriers: A qualitative study of care partners of older adults with cognitive impairment. Alzheimer's & Dementia: Translational Research & Clinical Interventions 2022, 8: e12355. PMID: 36204349, PMCID: PMC9518973, DOI: 10.1002/trc2.12355.Peer-Reviewed Original ResearchCare transitionsCare partnersCognitive impairmentMean ageOlder adultsED discharge processEmergency department dischargeCare transition interventionsHealth care systemAcute illnessED encountersAdverse outcomesCare considerationsOutcome measuresQualitative studyTransition interventionsScreening toolCare systemImpairmentAdultsAfrican AmericansPoor communicationRepresentative quotationsRecovery phaseStandardized guide
2021
Head and Neck CTA Utilization: Analysis of Ordering Frequency and Nonroutine Results Communication, With Focus on the 50 Most Common Emergency Department Clinical Presentations.
Tu LH, Malhotra A, Venkatesh AK, Taylor RA, Sheth KN, Forman HP, Yaesoubi R. Head and Neck CTA Utilization: Analysis of Ordering Frequency and Nonroutine Results Communication, With Focus on the 50 Most Common Emergency Department Clinical Presentations. American Journal Of Roentgenology 2021, 218: 544-551. PMID: 34585611, DOI: 10.2214/ajr.21.26543.Peer-Reviewed Original ResearchConceptsNeck CTAED visitsEmergency departmentNonroutine communicationSingle health care systemAdult ED visitsSubset of reportsRadiologist communicationResult communicationPatient's chief concernHealth care systemFrequency of headCTA utilizationAcute findingsClinical presentationED settingPatient selectionIncidental findingClinical impactCTA examinationsCare systemCTAVisitsHigher numberNegative results