Impact of Predictive Text Clinical Decision Support on Imaging Order Entry in the Emergency Department.

Purpose: Imaging clinical decision support (CDS) is designed to assist providers in selecting appropriate imaging studies and is now federally required. The aim of this study was to understand the effect of CDS on decisions and workflows in the emergency department (ED).

Methods: The authors' institution's order entry platform serves up structured indications for imaging orders.

Bridges to Care and Recovery: Addressing Behavioral Health and Mental Health Needs Through the Faith Community.

The Bridges to Care and Recovery program supports the behavioral health assessment, treatment, and recovery of individuals through partnerships with the African-American faith community. Church members receive mental health training and skill building, so they can serve as personal mental health educators and advocates. A Community Connector provides guidance and referral to behavioral health services, including access to free counseling.

Impact of order set design on urine culturing practices at an academic medical centre emergency department.

Background: Urinalysis and urine culture are commonly ordered tests in the emergency department (ED). We evaluated the impact of removal of order sets from the 'frequently ordered test' in the computerised physician order entry system (CPOE) on urine testing practices.

Methods: We conducted a before (1 September to 20 October 2015) and after (21 October to 30 November 2015) study of ED patients.

An emergency department patient flow model based on queueing theory principles.

Objectives: The objective was to derive and validate a novel queuing theory-based model that predicts the effect of various patient crowding scenarios on patient left without being seen (LWBS) rates.

Methods: Retrospective data were collected from all patient presentations to triage at an urban, academic, adult-only emergency department (ED) with 87,705 visits in calendar year 2008. Data from specific time windows during the day were divided into derivation and validation sets based on odd or even days.

Emergency severity index triage system correlation with emergency department evaluation and management billing codes and total professional charges.

Objectives: All services provided by physicians to patients during an emergency department (ED) visit, including procedures and "cognitive work," are described by common procedural terminology (CPT) codes that are translated by coders into total professional (physician) charges for the visit. These charges do not include the technical (facility) charges. The objectives of this study were to characterize associations between Emergency Severity Index (ESI) acuity level, ED Evaluation and Management (E&M) billing codes 99281-99285 and 99291, and total ED provider charges (sum of total procedure and E&M professional charges).

"Hook-like effect" causes false-negative point-of-care urine pregnancy testing in emergency patients.

Background: Failure to detect pregnancy in the emergency department (ED) can have important consequences. Urine human chorionic gonadotropin (uhCG) point-of-care (POC) assays are valued for rapidly detecting early pregnancy with high sensitivity. However, under certain conditions, POC uhCG tests can fail to detect pregnancy.