Publications Print Onal EG, Knier K, Hunt AW, Knudsen JM, Nestler DM, Campbell RL, Thompson KM, Sunga KL, Walker LE, Madsen BE, Sadosty AT, McGregor AJ, Mullan AF, Jeffery MM, Bellamkonda VR. Comparison of emergency department throughput and process times between male and female patients: A retrospective cohort investigation by the Reducing Disparities Increasing Equity in Emergency Medicine Study Group. J Am Coll Emerg Physicians Open. 2022 Oct; 3 (5):e12792 Epub 2022 Sept 26 View PubMed Ryu AJ, Romero-Brufau S, Qian R, Heaton HA, Nestler DM, Ayanian S, Kingsley TC. Assessing the Generalizability of a Clinical Machine Learning Model Across Multiple Emergency Departments. Mayo Clin Proc Innov Qual Outcomes. 2022 Jun; 6 (3):193-199 Epub 2022 Apr 26 View PubMed Enayati M, Farahani NZ, Chaudhry AP, Kapoor A, Arunachalam S, Walker LE, Nestler D, Pasupathy KS. Incorporating RTLS-Based Spatiotemporal Information in Studying Physical Activities of Clinical Staff(). Annu Int Conf IEEE Eng Med Biol Soc. 2021 Nov; 2021:2386-2391 View PubMed Kapoor A, Enayati M, Chaudhry A, Zanjirani N, Poigai S, Nestler DM, Pasupathy KS. Estimating Physical Work-Load on ED Clinicians and Staff Using Real-Time Location Systems IEEE Journal of Radio Frequency Identification. 2021; 5(3):331-334. Nestler DM, Laack TA, Scanlan-Hanson L, Clements CM, Sadosty AT, Walker LE. A Comprehensive Departmental Care Review Model: Requirements, Structure, and Flow. Jt Comm J Qual Patient Saf. 2021 Aug; 47 (8):503-509 Epub 2021 May 21 View PubMed Koenig KR, Pasupathy KS, Hellmich TR, Hawthorne HJ, Karalius VP, Sir M, Das D, Heaton HA, Nestler DM. Measuring Sensitivity and Precision of Real-Time Location Systems (RTLS): Definition, Protocol and Demonstration for Clinical Relevance. J Med Syst. 2021 Jan 7; 45 (1):15 Epub 2021 Jan 07 View PubMed Heaton HA, Nestler DM, Pasupathy KS, Wutthisirisart P, Sir MY, Hellmich TR. Unnecessary wait hours: a novel ED system-level metric. Emerg Med J. 2020 Sep; 37 (9):552-554 Epub 2020 June 22 View PubMed Enayati M, Zanjirani Farahani N, Nestler D, Heaton H, Pasupathy K. Can Real-Time Location System Replace Current Standard for Capture of Length of Stay? 2020 Design of Medical Devices Conference. 2020. Enayati M, Heaton H, Wang R, Marisamy G, Farahani NZ, Hellmich T, Pasupathy K, Kim B, Nestler D. Trauma Activation Responsiveness: An RFID-enabled trauma flowsheet. Annu Int Conf IEEE Eng Med Biol Soc. 2020 Jul; 2020:5718-5721. View PubMed Walker LE, Phelan MP, Bitner M, Legome E, Tomaszewski CA, Strauss RW Jr, Nestler DM. Ongoing and Focused Provider Performance Evaluations in Emergency Medicine: Current Practices and Modified Delphi to Guide Future Practice. Am J Med Qual. 2020 Jul/Aug; 35 (4):306-314 Epub 2019 Sept 13 View PubMed Enayati Moein, Zanjirani Farahani Nasibeh, Arunachalam SP, Heaton H, Nestler David, Pasupathy K. Emergency Department Provider Utilization. A New Measure For Quality of Care Biomedical Sciences Instrumentation. 2020. Arunachalam SP, Albertson S, Sir MY, Nestler DM, Heaton H, Marisamy G, Pasupathy KS. Patient Satisfaction In The Emergency Department Is Influenced By Total Length of Stay: A RFID Based Feasibility Study Proceedings of the Design of Medical Devices (DMD) Conference. 2020. Geers JM, Pasupathy KS, Lovik KK, Finley JL, Hellmich TR, Marisamy G, Nestler DM, Sadosty AT, Sir MY, Heaton HA. Characterization of emergency department abandonment using a real-time location system. Am J Emerg Med. 2020 Apr; 38 (4):759-762 Epub 2019 June 15 View PubMed Griffin JM, Hellmich TR, Pasupathy KS, Funni SA, Pagel SM, Srinivasan SS, Heaton HA, Sir MY, Nestler DM, Blocker RC, Hawthorne HJ, Koenig KR, Herbst KM, Hallbeck MS. Attitudes and Behavior of Health Care Workers Before, During, and After Implementation of Real-Time Location System Technology. Mayo Clin Proc Innov Qual Outcomes. 2020 Feb; 4 (1):90-98 Epub 2020 Jan 08 View PubMed Walker LE, Colletti JE, Bellolio MF, Nestler DM. Progression of Emergency Medicine Resident Patient Experience Scores by Level of Training. J Patient Exp. 2019 Sep; 6 (3):210-215 Epub 2018 Sept 04 View PubMed Arunachalam SP, Asan O, Nestler DM, Heaton HA, Hellmich TR, Wutthisirisart P, Marisamy G, Pasupathy KS, Sir MY. Patient-Care Team Contact Patterns Impact Treatment Length of Stay in the Emergency Department. Conf Proc IEEE Eng Med Biol Soc. 2019 Jul; 2019:345-348 View PubMed Heaton HA, Nestler DM, Barry WJ, Helmers RA, Sir MY, Goyal DG, Haas DA, Kaplan RS, Sadosty AT. A Time-Driven Activity-Based Costing Analysis of Emergency Department Scribes. Mayo Clin Proc Innov Qual Outcomes. 2019 Mar; 3(1):30-34. Epub 2019 Feb 26. View PubMed Tomaszewski CA, Nestler D, Shah KH, Sudhir A, Brown MD, American College of Emergency Physicians Clinical Policies Subcommittee (Writing Committee) on Suspected Non-ST-Elevation Acute Coronary Syndromes:. Clinical Policy: Critical Issues in the Evaluation and Management of Emergency Department Patients With Suspected Non-ST-Elevation Acute Coronary Syndromes. Ann Emerg Med. 2018 Nov; 72 (5):e65-e106 View PubMed Flowers LM, Maass KT, Melin GJ, Campbell RL, Novotny PJ, Westphal JJ, Nestler DM, Pasupathy KS. Consequences of the 48-h rule: A lens into the psychiatric patient flow through an emergency department. Am J Emerg Med. 2018 Nov; 36 (11):2029-2034 Epub 2018 Mar 18 View PubMed Heaton HA, Wang R, Farrell KJ, Ruelas OS, Goyal DG, Lohse CM, Sadosty AT, Nestler DM. Time Motion Analysis: Impact of Scribes on Provider Time Management. J Emerg Med. 2018 Jul; 55 (1):135-140 Epub 2018 May 26 View PubMed Walker LE, Nestler DM, Laack TA, Clements CM, Erwin PJ, Scanlan-Hanson L, Bellolio MF. Clinical care review systems in healthcare: a systematic review. Int J Emerg Med. 2018 Feb 8; 11 (1):6 Epub 2018 Feb 08 View PubMed Heaton HA, Nestler DM, Sadosty AT, Ernste VK, Boggust A, Clements CM, Marisamy G, Koenig KR, Pasupathy KS, Hellmich TR. R-EME: RTLS-event mapping engine applications in emergency medicine. Am J Emerg Med 2018 Feb; 36 (2):324-325 Epub 2017 July 16 View PubMed Hellmich TR, Clements CM, El-Sherif N, Pasupathy KS, Nestler DM, Boggust A, Ernste VK, Marisamy G, Koenig KR, Hallbeck MS. Contact tracing with a real-time location system: A case study of increasing relative effectiveness in an emergency department. Am J Infect Control. 2017 Dec 01; 45(12):1308-1311. Epub 2017 Sep 28. View PubMed Blocker RC, Heaton HA, Forsyth KL, Hawthorne HJ, El-Sherif N, Bellolio MF, Nestler DM, Hellmich TR, Pasupathy KS, Hallbeck MS. Physician, Interrupted: Workflow Interruptions and Patient Care in the Emergency Department. J Emerg Med. 2017 Dec; 53 (6):798-804 Epub 2017 Oct 25 View PubMed Poigai S, Sir M, Marisamy G, Sadosty A, Nestler D, Hellmich T, Pasupathy KS. Optimizing Emergency Department Workflow Using Radio Frequency Identification Device (RFID) Data Analytics The American Society of Mechanical Engineers (ASME) Digital Collection. 2017; V001T12A002. Sir MY, Nestler D, Hellmich T, Das D, Laughlin MJ Jr, Dohlman MC, Pasupathy K. Optimization of multidisciplinary staffing improves patient experiences at the Mayo Clinic Interfaces. 2017 Sep-oct; 47 (5):425-41 Motosue MS, Bellolio MF, Van Houten HK, Shah ND, Bellamkonda VR, Nestler DM, Campbell RL. Temporal Trends in Epinephrine Dispensing and Allergy/Immunology Follow-up Among Emergency Department Anaphylaxis Patients in the United States, 2005-2014. J Allergy Clin Immunol Pract. 2017 Sep-Oct; 5 (5):1272-1279.e1 Epub 2017 July 26 View PubMed Heaton HA, Nestler DM, Jones DD, Varghese RS, Lohse CM, Williamson ES, Sadosty AT. Impact of Scribes on Billed Relative Value Units in an Academic Emergency Department. J Emerg Med. 2017 Mar; 52 (3):370-376 Epub 2016 Dec 14 View PubMed Arunachalam SP, Sir M, Marisamy G, Sadosty AT, Nestler D, Hellmich T, Pasupathy K. Identifying Factors Influencing Patient Alone Time at the Emergency Department using RFID Data: What is Next? Proceedings - 2017 IEEE International Conference on Healthcare Informatics, ICHI 2017.2017; Heaton HA, Nestler DM, Lohse CM, Sadosty AT. Impact of scribes on emergency department patient throughput one year after implementation. Am J Emerg Med. 2017 Feb; 35 (2):311-314 Epub 2016 Nov 05 View PubMed Nestler DM, Gilani WI, Anderson RT, Bellolio MF, Branda ME, LeBlanc A, Phelan S, Campbell RL, Hess EP. Does gender bias in cardiac stress testing still exist? A videographic analysis nested in a randomized controlled trial. Am J Emerg Med. 2017 Jan; 35 (1):29-35 Epub 2016 Sept 30 View PubMed Bellamkonda VR, Kumar R, Scanlan-Hanson LN, Hess JJ, Hellmich TR, Bellamkonda E, Campbell RL, Hess EP, Nestler DM. Pilot Study of Kano "Attractive Quality" Techniques to Identify Change in Emergency Department Patient Experience. Ann Emerg Med. 2016 Nov; 68 (5):553-561 Epub 2016 Apr 26 View PubMed Heaton HA, Nestler DM, Jones DD, Lohse CM, Goyal DG, Kallis JS, Sadosty AT. Impact of scribes on patient throughput in adult and pediatric academic EDs. Am J Emerg Med. 2016 Oct; 34 (10):1982-1985 Epub 2016 July 08 View PubMed Blocker R, Yu D, Hawthorne H, Sir M, Hellmich T, Hallbeck S, Nestler D, Pasupathy K. Application of sociometers in the emergency department Journal Of Medical Devices-Transactions Of The ASME. 2016 Jun; 10: (2)020964. Yu D, Blocker RC, Sir MY, Hallbeck MS, Hellmich TR, Cohen T, Nestler DM, Pasupathy KS. Intelligent Emergency Department: Validation of Sociometers to Study Workload. J Med Syst. 2016 Mar; 40 (3):53 Epub 2015 Dec 08 View PubMed Lai A, Tenpenny E, Nestler D, Hess E, Stiell IG. Comparison of management and outcomes of ED patients with acute decompensated heart failure between the Canadian and United States' settings. CJEM. 2016 Mar; 18: (2)81-9. View PubMed Warren MB, Campbell RL, Nestler DM, Pasupathy KS, Lohse CM, Koch KA, Schlechtinger E, Schmidt ST, Melin GJ. Prolonged length of stay in ED psychiatric patients: a multivariable predictive model. Am J Emerg Med. 2016 Feb; 34 (2):133-9 Epub 2015 Oct 03 View PubMed Arunachalam SP, Marisamy G, Sir M, Nestler D, Hellmich T, Pasupathy K. Linking patient alone time and provider time to staffing levels and los at the emergency department: a rfid based study Proceedings - 2016 IEEE International Conference on Healthcare Informatics, ICHI 2016. 2016; 102-5. Traub SJ, Wood JP, Kelley J, Nestler DM, Chang YH, Saghafian S, Lipinski CA. Emergency department rapid medical assessment: overall effect and mechanistic considerations. J Emerg Med. 2015 May; 48 (5):620-7 Epub 2015 Mar 11 View PubMed Campbell RL, Bellolio MF, Knutson BD, Bellamkonda VR, Fedko MG, Nestler DM, Hess EP. Epinephrine in anaphylaxis: higher risk of cardiovascular complications and overdose after administration of intravenous bolus epinephrine compared with intramuscular epinephrine. J Allergy Clin Immunol Pract. 2015 Jan-Feb; 3 (1):76-80 Epub 2014 Aug 29 View PubMed Nestler DM, Halasy MP, Fratzke AR, Church CJ, Scanlan-Hanson LN, Lohse CM, Campbell RL, Sadosty AT, Hess EP. Patient throughput benefits of triage liaison providers are lost in a resource-neutral model: a prospective trial. Acad Emerg Med. 2014 Jul; 21 (7):794-8 Epub 2014 June 10 View PubMed Haller EP, Nestler DM, Campbell RL, Bellamkonda VR. Point-of-care ultrasound findings of acute pulmonary embolism: McConnell sign in emergency medicine. J Emerg Med. 2014 Jul; 47: (1)e19-21. View PubMed Manivannan V, Hess EP, Bellamkonda VR, Nestler DM, Bellolio MF, Hagan JB, Sunga KL, Decker WW, Li JT, Scanlan-Hanson LN, Vukov SC, Campbell RL. A multifaceted intervention for patients with anaphylaxis increases epinephrine use in adult emergency department. J Allergy Clin Immunol Pract. 2014 May-Jun; 2 (3):294-9.e1 Epub 2014 Feb 16 View PubMed Lee S, Hess EP, Nestler DM, Bellamkonda Athmaram VR, Bellolio MF, Decker WW, Li JT, Hagan JB, Manivannan V, Vukov SC, Campbell RL. Antihypertensive medication use is associated with increased organ system involvement and hospitalization in emergency department patients with anaphylaxis. J Allergy Clin Immunol. 2013 Apr; 131 (4):1103-8 Epub 2013 Feb 27 View PubMed Hess EP, Nestler DM. Transforming the emergency department observation unit: a look into the future. Cardiol Clin. 2012 Nov; 30 (4):501-21 Epub 2012 Sept 27 View PubMed Nestler DM, Fratzke AR, Church CJ, Scanlan-Hanson L, Sadosty AT, Halasy MP, Finley JL, Boggust A, Hess EP. Effect of a physician assistant as triage liaison provider on patient throughput in an academic emergency department. Acad Emerg Med. 2012 Nov; 19 (11):1235-41 View PubMed Poku JK, Bellamkonda-Athmaram VR, Bellolio MF, Nestler DM, Stiell IG, Hess EP. Failure of prospective validation and derivation of a refined clinical decision rule for chest radiography in emergency department patients with chest pain and possible acute coronary syndrome. Acad Emerg Med. 2012 Sep; 19 (9):E1004-10 View PubMed Dhiman N, Miller RM, Finley JL, Sztajnkrycer MD, Nestler DM, Boggust AJ, Jenkins SM, Smith TF, Wilson JW, Cockerill FR 3rd, Pritt BS. Effectiveness of patient-collected swabs for influenza testing. Mayo Clin Proc. 2012 Jun; 87 (6):548-54 Epub 2012 May 01 View PubMed Chandra S, Hess EP, Agarwal D, Nestler DM, Montori VM, Song LM, Wells GA, Stiell IG. External validation of the Glasgow-Blatchford Bleeding Score and the Rockall Score in the US setting. Am J Emerg Med. 2012 Jun; 30(5):673-9. View PubMed Hess EP, Knoedler MA, Shah ND, Kline JA, Breslin M, Branda ME, Pencille LJ, Asplin BR, Nestler DM, Sadosty AT, Stiell IG, Ting HH, Montori VM. The chest pain choice decision aid: a randomized trial. Circ Cardiovasc Qual Outcomes. 2012 May; 5 (3):251-9 Epub 2012 Apr 10 View PubMed Nestler DM, White RD, Rihal CS, Myers LA, Bjerke CM, Lennon RJ, Schultz JL, Bell MR, Gersh BJ, Holmes DR Jr, Ting HH. Impact of prehospital electrocardiogram protocol and immediate catheterization team activation for patients with ST-elevation-myocardial infarction. Circ Cardiovasc Qual Outcomes. 2011 Nov 1; 4(6):640-6. View PubMed Russi CS, Myers LA, Kolb LJ, Steever K, Nestler DM, Bjerke MC, White RD, Ting HH. Prehospital diagnosis of ST-segment elevation myocardial infarction using an "all-posterior" 12-lead electrocardiogram. Prehosp Emerg Care. 2011 Jul-Sep; 15 (3):410-3 Epub 2011 Apr 04 View PubMed Yarris LM, Fu R, LaMantia J, Linden JA, Gene Hern H, Lefebvre C, Nestler DM, Tupesis J, Kman N, Emergency Medicine Education Research Group (EMERGe). Effect of an educational intervention on faculty and resident satisfaction with real-time feedback in the emergency department. Acad Emerg Med. 2011 May; 18(5):504-12. View PubMed Holmes DR Jr, Aguirre FV, Aplin R, Lennon RJ, Nestler DM, Bell MR, Rihal CS, Ting HH. Circadian rhythms in patients with ST-elevation myocardial infarction. Circ Cardiovasc Qual Outcomes. 2010 Jul; 3(4):382-9. Epub 2010 Jun 22. View PubMed Pierce MA, Hess EP, Kline JA, Shah ND, Breslin M, Branda ME, Pencille LJ, Asplin BR, Nestler DM, Sadosty AT, Stiell IG, Ting HH, Montori VM. The Chest Pain Choice trial: a pilot randomized trial of a decision aid for patients with chest pain in the emergency department. Trials. 2010 May 17; 11:57 View PubMed Yarris LM, Linden JA, Gene Hern H, Lefebvre C, Nestler DM, Fu R, Choo E, LaMantia J, Brunett P, Emergency Medicine Education Research Group (EMERGe). Attending and resident satisfaction with feedback in the emergency department. Acad Emerg Med. 2009 Dec; 16 Suppl 2:S76-81. View PubMed Nestler DM, Noheria A, Haro LH, Stead LG, Decker WW, Scanlan-Hanson LN, Lennon RJ, Lim CC, Holmes DR Jr, Rihal CS, Bell MR, Ting HH. Sustaining improvement in door-to-balloon time over 4 years: the Mayo clinic ST-elevation myocardial infarction protocol. Circ Cardiovasc Qual Outcomes. 2009 Sep; 2 (5):508-13 View PubMed Effron D, Poponick J, Nestler DM. Confused, disoriented man with cough and cold symptoms. Consultant. 2008; 48(7):563-5. PST-20224761 Home Publications