Explanipedia

Electronic Health Record Tools for the Detection, Management, and Monitoring of Delirium in Emergency Departments: Examples from Five Healthcare Systems Open

Anita Chary, Lauren T. Southerland, Maura Kennedy, Ari B. Friedman, Sangil Lee , et al. · 2025

Background Delirium is a state of acute brain failure causing confusion, reduced focus, and changes in alertness. It is common in older patients, occurring in 6-38% of older emergency department (ED) patients. Evidence suggests that system…

Racial Disparities in Unmet Pain Treatment Preference, Pain Treatment Satisfaction and Subsequent Opioid Misuse: A Secondary Analysis of a National Multisite RCT Open

Max Jordan Nguemeni Tiako, Eden Engel‐Rebitzer, Ari B. Friedman, Frances S. Shofer, Abby Dolan , et al. · 2025

Background Racial disparities in opioid prescriptions for pain are well documented. Evidence shows undertreated acute pain increases the risk of developing chronic pain, which puts patients at risk of long-term opioid use and misuse. We so…

NOTICE ‐ ED : Nurse or Technician Insights Into Cognitive Evaluations in the Emergency Department Open

Sarah J. Nessen, Anita Chary, Annika Bhananker, K. Jane Muir, Lauren T. Southerland , et al. · 2025

Background Several strategies have been proposed to increase chronic cognitive impairment (CI) screening in the emergency department (ED). Our goal was to assess the feasibility and acceptability of implementing specific CI screening tools…

Triage, the Tip of the Shears Open

N. Seth Trueger, Ari B. Friedman · 2025

Measuring Risks to Users' Health Privacy Posed by Third-Party Web Tracking and Targeted Advertising Open

Eric Zeng, Xiaoyuan Wu, Emily N. Ertmann, Lily Huang, David Johnson , et al. · 2025

Images in Black and White: Disparities in Utilization of Computed Tomography and Ultrasound for Older Adults with Abdominal Pain Open

Ijeoma C. Unachukwu, Michael N Adjei-Poku, Olivia C Sailors, Rachel Gonzales, Eugenia C. South , et al. · 2025

Introduction: Abdominal pain is the leading emergency department (ED) chief complaint in older (≥65 years of age) adults, accounting for 1.4 million ED visits annually. Ultrasound and computed tomography (CT) are high-yield tests that offe…

DEVELOPMENT AND ASSESSMENT OF THE PERFORMANCE OF A LARGE LANGUAGE MODEL FOR ADMINISTERING THE SHORT BLESSED TEST Open

Rafeeul Jaman, Sarah J. Nessen, Michael N Adjei-Poku, Joella Byerley, Olivia C Sailors , et al. · 2024

Universal health system-based screening for mild cognitive impairment (MCI) or impairment consistent with dementia can modify care and increase access to disease-modifying therapies and memory centers, potentially reducing disparities. Con…

PLACE OF ORIGIN AND USE OF FORMAL HEALTH SERVICES Open

Allen Glicksman, Steven M. Albert, Adam Davey, Ari B. Friedman, Philip Lai , et al. · 2024

The point of contact between older immigrants and the formal health system is an area of concern for providers, policy makers and researchers. The challenges that often appear in any interaction between older adults and formal providers ar…

THE ERA OF CHATGPT: RECOMMENDATIONS FOR THE INTEGRATION OF LLMS IN GERONTOLOGY Open

Ari B. Friedman · 2024

Large language models (LLMs) and the platforms they support such as ChatGPT have experienced an exponential growth in popularity and use in the last year. ChatGPT surpassed100 million users in just two months after it was released to the p…

Prevalence of Serious Diagnoses and Disposition among Older Adults Presenting with a Chief Complaint of Constipation, a Retrospective Repeated Cross-sectional Study Open

Ari B. Friedman, Michael N Adjei-Poku, Rachel Gonzales, Rachel R. Kelz, Rachel R. Wu , et al. · 2024

Trends in visits, imaging, and diagnosis for emergency department abdominal pain presentations in the United States, 2007–2019 Open

Rachel R. Wu, Michael N Adjei-Poku, Rachel R. Kelz, Gregory Peck, Ula Hwang , et al. · 2024

Objectives Abdominal pain is the most common reason for visit (RFV) to the emergency department (ED) for adults, yet no standardized diagnostic pathway exists for abdominal pain. Optimal management is age‐specific; symptoms, diagnoses, and…

Hospital‐free days: A novel measure to study outcomes for emergency department care Open

Ari B. Friedman, M. Kit Delgado, Catherine L. Auriemma, Austin S. Kilaru · 2024

Traditionally, researchers have evaluated the quality of emergency care using subsequent adverse events, like mortality or return hospital visits. The selection of these well-defined, single events as outcomes for epidemiological studies h…

The Complete Inpatient Record Using Comprehensive Electronic Data (CIRCE) project: A team‐based approach to clinically validated, research‐ready electronic health record data Open

Andrea L.C. Schneider, Jennifer C. Ginestra, Meeta Prasad Kerlin, M.G.S. Shashaty, Todd A. Miano , et al. · 2024

Introduction The rapid adoption of electronic health record (EHR) systems has resulted in extensive archives of data relevant to clinical research, hospital operations, and the development of learning health systems. However, EHR data are …

Artificial Intelligence for Emergency Care Triage—Much Promise, but Still Much to Learn Open

Ari B. Friedman, M. Kit Delgado, Gary E. Weissman · 2024

Christopher Y. K. Williams, MB, BChir; Travis Zack, MD, PhD; Brenda Y. Miao, BA; Madhumita Sushil, PhD; Michelle Wang, PharmD, PhD; Aaron E. Kornblith, MD; Atul J. Butte, MD, PhD

Feasibility and Acceptability of Goals of Care Elicitation in an Emergency Department Setting (RP112) Open

Sophia Yapalater, Ibis R. Vera Urbina, Ari B. Friedman, Felix E. Fernández‐Penny, Nick Loh , et al. · 2024

User Information Sharing and Hospital Website Privacy Policies Open

Matthew S. McCoy, Angela Ruohao Wu, Sam Burdyl, Y. Kim, Noell Kristen Smith , et al. · 2024

Importance Hospital websites frequently use tracking technologies that transfer user information to third parties. It is not known whether hospital websites include privacy policies that disclose relevant details regarding tracking. Object…

Identifying low acuity Emergency Department visits with a machine learning approach: The low acuity visit algorithms (LAVA) Open

Angela T. Chen, Richard S. Kuzma, Ari B. Friedman · 2024

Objective To improve the performance of International Classification of Disease (ICD) code rule‐based algorithms for identifying low acuity Emergency Department (ED) visits by using machine learning methods and additional covariates. Data …

Patient perceptions of behavioral flags in the emergency department: A qualitative analysis Open

Rachel Gonzales, Emily Seeburger, Ari B. Friedman, Anish K. Agarwal · 2024

Background To combat increasing levels of violence in the emergency department (ED), hospitals have implemented several safety measures, including behavioral flags. These electronic health record (EHR)‐based notifications alert future clin…

USING HEALTH INFORMATION EXCHANGE DATA FOR SOCIAL RESEARCH: CHALLENGES AND OPPORTUNITIES Open

Allen Glicksman, Ashley Z. Ritter, Steven M. Albert, Adam Davey, Ari B. Friedman , et al. · 2023

Data collected in encounters between health providers and older adults can provide an important source of information regarding the experience of older persons with limited English Proficiency (LEP) in the health care system further enhanc…

INFLUENCE OF COGNITION AND FUNCTIONAL LIMITATIONS ON HOSPITALIZATIONS AMONG OLDER ADULTS IN THE UNITED STATES Open

Augustine Cassis Obeng Boateng, Ari B. Friedman · 2023

Background Older adults frequently seek emergency department care, with 45 visits for every 100 older adults. Many health events in later stages of life can be attributed to health conditions and behaviors during middle-age. Yet, while qua…

COMPARISON OF DIAGNOSTIC COMPLEXITY AND IMAGING DECISIONS IN YOUNGER, MIDDLE AGE, AND OLDER ADULTS Open

Varun Saraswathula, Aubrey Mwinyogle, Lili Schadt, Gopal C. Kowdley, Rachel R. Kelz , et al. · 2023

A primary reason for visit of abdominal pain in the emergency department (ED) defines a syndromic presentation that can carry morbidity and mortality comparable to a myocardial infarction. Whether imaging decisions in the ED adequately acc…

EMERGENCY DEPARTMENT PRACTICE PATTERNS FOR OLDER ADULTS WITH ABDOMINAL PAIN Open

Rachel Wu, Ari B. Friedman · 2023

Abdominal pain is the most common reason for visit (RFV) to the emergency department (ED) for older adults in the United States. Despite high morbidity and mortality, unlike for chest pain, there is no standardized diagnostic pathway. We i…

THE USE OF AMBULATORY VERSUS EMERGENCY SERVICES AMONG SENIOR ADULTS WITH LIMITED ENGLISH PROFICIENCY Open

Allen Glicksman, Adam Davey, Steven M. Albert, Ari B. Friedman, Philip Lai , et al. · 2023

Senior adults who are immigrants with limited English proficiency may have difficulty accessing health and social services. However, identifying patients with LEP in large databases such as insurance claims has historically been challengin…

Costs of Care for Operative and Nonoperative Management of Emergency General Surgery Conditions Open

Elinore J. Kaufman, Christopher Wirtalla, Luke Keele, Mark D. Neuman, Claire B. Rosen , et al. · 2023

Objective: Many emergency general surgery (EGS) conditions can be managed operatively or nonoperatively, with outcomes that vary by diagnosis. We hypothesized that operative management would lead to higher in-hospital costs but to cost sav…

Patient and clinician perspectives of a remote monitoring program for COVID-19 and lessons for future programs Open

Krisda H. Chaiyachati, Judy A. Shea, Michaela Ward, Maria N. Nelson, Medha Ghosh , et al. · 2023

COVID Watch is a remote patient monitoring program implemented during the pandemic to support home dwelling patients with COVID-19. The program conferred a large survival advantage. We conducted semi-structured interviews of 85 patients an…

National Cohort Study of Resource Utilization in Older Adults With Emergency General Surgery Conditions Open

Justin S. Hatchimonji, Catherine L. Mavroudis, Ari B. Friedman, Elinore J. Kaufman, Solomiya Syvyk , et al. · 2023

Qualitative Perspectives of Emergency Nurses on Electronic Health Record Behavioral Flags to Promote Workplace Safety Open

Emily Seeburger, Rachel Gonzales, Eugenia C. South, Ari B. Friedman, Anish K. Agarwal · 2023

Importance Emergency nurses experience high levels of workplace violence during patient interactions. Little is known about the efficacy of behavioral flags, which are notifications embedded within electronic health records (EHRs) as a too…

Widespread Third-Party Tracking On Hospital Websites Poses Privacy Risks For Patients And Legal Liability For Hospitals Open

Ari B. Friedman, Raina M. Merchant, Amey Maley, Karim Farhat, Kristen Smith , et al. · 2023

Computer code that transfers data to third parties (third-party tracking) is common across the web and is subject to few federal privacy regulations. We determined the presence of potentially privacy-compromising data transfers to third pa…

Prevalence of Behavioral Flags in the Electronic Health Record Among Black and White Patients Visiting the Emergency Department Open

Anish K. Agarwal, Emily Seeburger, Gerald D. O'Neill, Chidinma C. Nwakanma, Lillian E. Marsh , et al. · 2023

Importance Behavioral flags in the electronic health record (EHR) are designed to alert clinicians of potentially unsafe or aggressive patients. These flags may introduce bias, and understanding how they are used is important to ensure equ…

Data addendum for "Widespread Third-Party Tracking On Hospital Websites" Open

Ari B. Friedman · 2023

For each hospital web page, we only recorded data requests that initiated data transfers to third-party domains. We then used the webXray database to determine the corporation associated with the third-party domain and the majority owner o…

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