Anthony M. Napoli

Generative AI Interfaces for Emergency Department Volume Forecasting and Fiscal-Year Proximal Forecasting: Longitudinal Observational Study (Preprint)

Anthony M. Napoli, Dave Curley, Timmy R. Lin, Janette Baird et autres

BACKGROUND Forecasting emergency department (ED) arrivals is foundational to operational decision-making, including clinician scheduling, bed management, throughput initiatives, and revenue forecasting. The historical baseline for many health systems has been expert consensus combined with prior-year volume—a process that is often opaque, variably …

AI-Powered Ambient Scribe Technology Experiences Among Emergency Physicians: Cross-Sectional, Mixed Methods Pilot Survey Study

Taylor Marquis, Matthew A. Kopp, Jared S. Anderson, Anthony M. Napoli et autres

BACKGROUND: Health care organizations have started to implement artificial intelligence-powered ambient scribe technology in clinical documentation workflows. Early outpatient studies have shown mixed results. Few studies have evaluated ambient scribes in the emergency department (ED). Due to differences in setting and patient …

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Reduced Functional Bed Capacity Due to Inpatient Boarding Is Associated with Increased Rates of Left Without Being Seen in the Emergency Department

Yosef Berlyand, Timmy R. Lin, Taylor Marquis, Jared S. Anderson et autres

INTRODUCTION: We evaluated the relationship between inpatient boarding, measured as functional bed capacity, and left-without-being-seen (LWBS) rates. Functional bed capacity is defined as the mean percentage of ED beds available for new and existing patients over a 24-hour period. METHODS: We performed …

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Inpatient boarding in the emergency departments and clinical outcomes: A propensity-matched study

Mohammed Yousufuddin, Kaitlyn Leopold, Anthony M. Napoli, Zeliang Ma et autres

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364 An Innovative Staffing-Neutral Flow Model Reduces Rates of Leaving Without Being Seen

Daniel J. Shanin, Yosef Berlyand, Johan Anderson, J. Feden et autres

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RECi-PE (REducing CT in Pulmonary Embolism Diagnosis): an emergency department quality intervention

Jared S. Anderson, Andrew H. Beck, Janette R. Baird, Timmy R. Lin et autres

Background Pulmonary embolism (PE) is a potentially deadly disease and a diagnostic challenge in emergency departments (EDs). Established strategies exist for risk stratification and test stewardship for CT pulmonary angiography (CTPA). However, implementation of best practices has proven challenging, and rising CTPA …

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AI-Powered Ambient Scribe Technology Experiences Among Emergency Physicians: Cross-Sectional, Mixed Methods Pilot Survey Study (Preprint)

Taylor Marquis, Matthew A. Kopp, Jared S. Anderson, Anthony M. Napoli et autres

BACKGROUND Health care organizations have started to implement artificial intelligence–powered ambient scribe technology in clinical documentation workflows. Early outpatient studies have shown mixed results. Few studies have evaluated ambient scribes in the emergency department (ED). Due to differences in setting and patient …

Findings from the Fifth Emergency Department Benchmarking Alliance Summit

Deb Richey, Gillian Schmitz, Zach Jarou, Anthony M. Napoli et autres

Data and a shared vocabulary are essential for managing emergency department (ED) operations. This Fifth Emergency Department Benchmarking Alliance (EDBA) Summit brought together many of the nation's experts in the field to update key ED operations definitions and to discuss challenges facing …

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Maintaining Emergency Department Operational Efficiency and Capacity Management in the Era of ED Overcrowding and Inpatient Boarding

Anthony M. Napoli

Inpatient boarding in the Emergency department (ED) has long been associated with reductions in patient safety, patient and staff experience, and hospital operational performance. Boarding increased sharply during the COVID-19 pandemic and has remained elevated, representing continued mismatch between demand for unscheduled …

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Extremes of Emergency Department Boarding are Associated With Poorer Financial Performance Among Hospitals

Anthony M. Napoli, Shihab Ali, Janette R. Baird, Daniel J. Shanin et autres

GOAL: Boarding emergency department (ED) patients is associated with reductions in quality of care, patient safety and experience, and ED operational efficiency. However, ED boarding is ultimately reflective of inefficiencies in hospital capacity management. The ability of a hospital to accommodate variability …

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The Accuracy of Predictive Analytics in Forecasting Emergency Department Volume Before and After Onset of COVID-19

Anthony M. Napoli, Rachel Smith-Shain, Timmy R. Lin, Janette R. Baird

Introduction: Big data and improved analytic techniques, such as triple exponential smoothing (TES), allow for prediction of emergency department (ED) volume. We sought to determine 1) which method of TES was most accurate in predicting pre-coronavirus 2019 (COVID-19), during COVID-19, and post-COVID-19 …

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Medical leadership and artificial intelligence: Hope or hype?

Jim Austin, Anthony M. Napoli, Alan O’Neil

Healthcare systems face unprecedented labour supply issues. In the United States, for example, it is estimated that 117,000 physicians left the workforce, while fewer than 40,000 joined it post-COVID. Many commentators point to artificial intelligence (AI) as the technological fix to reduce …

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