Annals of emergency medicine
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Physician experiences with new care models like the virtual observation unit in emergency departments (EDs) can offer important insights. Virtual observation unit leverages telehealth, remote monitoring, and mobile integrated health to enable home-based ED-level care. We explored physicians' experience with delivering care in the virtual observation unit and perceived effect of this new model. ⋯ Physicians who staffed the virtual observation unit in our context reported largely positive experiences. Policymakers and administrators should consider benefits to physician wellbeing and cultivating interprofessional and interspecialty care when making decisions about funding telehealth and care models like the virtual observation unit.
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To use artificial intelligence (AI) to predict billing code levels for emergency department (ED) encounters. ⋯ Currently available AI models accurately predict billing code levels for ED encounters based on clinical notes, clinical characteristics, and orders. This has the potential to automate coding of ED encounters and save administrative costs and time.
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Observational Study
Result Push Notifications Improve Time to Emergency Department Disposition: A Pragmatic Observational Study.
Emergency department (ED) crowding has multiple causative factors, including delayed patient throughput. Patient care efficiency may be improved by addressing delays in decisionmaking following diagnostic testing results. We examined the influence of sending subscribed result push notifications to ED clinicians' smartphones on reducing the time to disposition decision. ⋯ Elective push notification of test results was associated with reduced time between the last laboratory or imaging result and ED disposition decision. Further study is needed to determine its effect on overall ED throughput.