Publications

Active Projects

  • E*Drive Clinical Information Management System

    • Open-access, low-cost, comprehensive clinical information hub with ># standardized clinical guidelines, created by collaborating with a multidisciplinary team of clinicians, designers and hospital leaders

    • Outcomes: Increased utilization of clinical guidelines by over % compared to system

  • Digital Discharge Navigation Tool                                                                                                                               

    • Discharge navigation tool that helps clinicians match vulnerable patients with tailored community resources by collaborating with a team of clinicians, designers and community partners

    • Outcomes: Increased clinician familiarity with community resources from 25% to 70%; tool received “Excellent” net promoter score on surveys

  • Performance Improvement Portal

    • A centralized and streamlined project management platform for all performance improvement projects at the ZSFG ED


Peer-Reviewed Publications

Bains, J.. Stark, N., Dhanoa, J., Hayirli, T., Vu, M., Kerrissey, M., Kanzaria, H., Peabody, C. Preparing for the Next Pandemic: Designing Resilient Information-Sharing Systems in Acute Care. Annals of Emergency Medicine. Epub August 2025. DOI: 10.1016/j.annemergmed.2025.06.615



Other Publications

  1. Stark, N., Alkhouri, S., Villavicencio-Ramirez, N. S., Klotzbier, W., Musleh, W., Kim, I. Y., Afzal, S., De La Torre, F., Peabody, C., Bains, K., Lee, T., Retiring the Memo: A Process Improvement Approach to Real-Time Clinical Guidance. SAEM Pulse. September 2025. Volume XL, Number 5.


Abstracts & Presentations

  1. Villavicencio-Ramirez, N. S., Kim, I. Y., Klotzbier, W., Dhanoa, J., Stark, N. From Informal Consults to Standard Work: Translating Specialist Expertise into Digital Workflows in a Community Emergency Department. Presented at the LHAC in Stanford, CA on Sept 28-29, 2026.

  2. Villavicencio-Ramirez, N. S., Malhi, S., Musleh, W., Klotzbier, W., Alkhouri, S., Bao, V., Stark, N. Leveraging Digital Infrastructure for Immediate System Change: Pediatric Workflow Implementation in the ED. Presented at the SAEM Conference in Atlanta, GA on May 20, 2026.

  3. Villavicencio-Ramirez, N. S., Malhi, S., Bao, V., Musleh, W., Alkhouri, S., Klotzbier, W., Stark, N. Evaluating Provider Experience With a Digital Support Tool in a Community/Rural Emergency Department. Presented at the Central Valley Medical Conference in Clovis, CA on March 28, 2026.

  4. Villavicencio-Ramirez, N. S., Malhi, S., Musleh, W., Klotzbier, W., Alkhouri, S., Bao, V., Stark, N. Leveraging Digital Infrastructure for Immediate System Change: Pediatric Workflow Implementation in the ED. Accepted for the Western Regional SAEM Conference in Rancho Mirage, CA on March 14, 2026.

  5. Villavicencio-Ramirez, N. S., Malhi, S., Musleh, W., Klotzbier, W., Alkhouri, S., Bao, V., Peabody, C. R., Stark, N. Leveraging Digital Infrastructure for Immediate System Change: Pediatric Workflow Implementation in the ED. Presented at the UC Prime Statewide Conference on January 23, 2026.

  6. Malhi, S., Bao, V.,Villavicencio-Ramirez, N., Musleh, W., Alkhouri, S., Klotzbier, W., Dhillon, A., Germani, M., Baria, C., Arjmand, A., Afzal, S., Stark, N. Piloting an Animated Medical Education Tool in High School Students: Laying the Groundwork for Emergency Department Integration. Presented at the UC Prime Statewide Conference on January 23, 2026.

  7. Musleh, W., Villavicencio-Ramirez, N. S., Malhi, S., Klotzbier, W., Alkhouri, S., Stark, N. Smoothing the Transition: Using a Digital Platform to Support Trauma Center Designation. Presented at the UC Prime Statewide Conference on January 23, 2026.

  8. Klotzbier, W., Villavicencio-Ramirez, N. S., Kim, I. Y., Afzal, S., Peabody, C. R., Stark, N. Translating Digital Support Tools from Academic to Community Hospital Systems. Presented at the ACEP25 Research Forum in Salt Lake City, UT on Sept 9, 2025.

  9. Alkhouri, S., Musleh, W., Villavicencio-Ramirez, N. S., Klotzbier, W., Peabody, C. R., Stark, N. A Catalyst for Change: Reimagining the Role of Scribes in the Age of Artificial Intelligence. Presented at the ACEP25 Research Forum in Salt Lake City, UT on Sept 7, 2025.

  10. Villavicencio-Ramirez, N. S., Klotzbier, W., Kim, I. Y., Afzal, S., Peabody, C. R., Stark, N. Translating Digital Support Tools from Academic to Community Hospital Systems. Presented at the Western Regional SAEM Conference in Irvine, CA on April 11, 2025.

  11. Alkhouri, S., Musleh, W., Villavicencio-Ramirez, N. S., Klotzbier, W., Stark, N. Empowering Frontline Clinicians to Augment Public Health by Democratizing Access to Critical Clinical Information. Presented at NPHA Annual Conference in Las Vegas, NV on April 8, 2025.

  12. Kim, I. Y., Villavicencio-Ramirez, N. S., Klotzbier, W., Afzal, S., Peabody, C. R., Stark, N. Bridging the Academic-Community Gap: Translating Digital Support Tools from Academic to Community Hospital Systems. Presented at UC Prime Statewide Conference in Irvine, CA on February 7, 2025.

  13. Alkhouri, S., Musleh, W., Stark, N. Implementation of Nurse Standing Orders: A Ground Up Operations Effort at a Community Emergency Department. Presented at the Clark County Medical Society Resident/Medical Research Symposium in Las Vegas, NV, on February 1, 2025.

Awards

Best Medical Student Presentation Award (Samir, February 2025)