{"id":"https://openalex.org/W7203652522","doi":"https://doi.org/10.5811/westjem.63064","title":"Emergency Department Evaluation and Care of Hepatic Encephalopathy: ACEP Expert Panel Recommendations","display_name":"Emergency Department Evaluation and Care of Hepatic Encephalopathy: ACEP Expert Panel Recommendations","publication_year":2026,"publication_date":"2026-08-17","ids":{"openalex":"https://openalex.org/W7203652522","doi":"https://doi.org/10.5811/westjem.63064","pmid":"https://pubmed.ncbi.nlm.nih.gov/42900941","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13660559"},"language":"en","primary_location":{"id":"doi:10.5811/westjem.63064","doi":"https://doi.org/10.5811/westjem.63064","is_oa":true,"landing_page_url":"https://doi.org/10.5811/westjem.63064","pdf_url":null,"source":{"id":"https://openalex.org/S2738799989","display_name":"Western Journal of Emergency Medicine","issn_l":"1936-900X","issn":["1936-900X","1936-9018"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","medline","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320339","host_organization_name":"eScholarship Publishing, University of California","host_organization_lineage":["https://openalex.org/P4310320339"],"host_organization_lineage_names":["eScholarship Publishing, University of California"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Western Journal of Emergency Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.5811/westjem.63064","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5083848966","display_name":"Christopher W. Baugh","orcid":"https://orcid.org/0000-0002-2360-1891","observed_orcids":["https://orcid.org/0000-0002-2360-1891"]},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I121934306","https://openalex.org/I1283280774","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Christopher W. Baugh","raw_affiliation_strings":["Brigham and Women's Hospital, Department of Emergency Medicine, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Brigham and Women's Hospital, Department of Emergency Medicine, Boston, Massachusetts","institution_ids":["https://openalex.org/I1283280774"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045301400","display_name":"Arun B. Jesudian","orcid":"https://orcid.org/0000-0002-8562-3375","observed_orcids":["https://orcid.org/0000-0002-8562-3375"]},"institutions":[{"id":"https://openalex.org/I4387153466","display_name":"Weill Cornell Medicine","ror":"https://ror.org/02r109517","country_code":"US","type":"education","lineage":["https://openalex.org/I205783295","https://openalex.org/I4387153466"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Arun B. Jesudian","raw_affiliation_strings":["Weill Cornell Medicine, Division of Gastroenterology and Hepatology, New York, New York"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Weill Cornell Medicine, Division of Gastroenterology and Hepatology, New York, New York","institution_ids":["https://openalex.org/I4387153466"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5051895165","display_name":"Stanley C. Thompson","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Stanley C. Thompson","raw_affiliation_strings":["TeamHealth Lifepoint Group, Nashville, Tennessee"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"TeamHealth Lifepoint Group, Nashville, Tennessee","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5012706756","display_name":"Christi Jen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]},{"id":"https://openalex.org/I4210125099","display_name":"Mayo Clinic in Arizona","ror":"https://ror.org/03jp40720","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723","https://openalex.org/I4210125099"]},{"id":"https://openalex.org/I4210127938","display_name":"Mayo Clinic Hospital","ror":"https://ror.org/03660jn93","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723","https://openalex.org/I4210125099","https://openalex.org/I4210127938"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christi Jen","raw_affiliation_strings":["Mayo Clinic, Department of Pharmacy, Phoenix, Arizona"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mayo Clinic, Department of Pharmacy, Phoenix, Arizona","institution_ids":["https://openalex.org/I1330342723","https://openalex.org/I4210125099","https://openalex.org/I4210127938"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5147341576","display_name":"William Ford","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799360765","display_name":"Thomas Jefferson University Hospital","ror":"https://ror.org/04zhhva53","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799360765","https://openalex.org/I4210114575"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"William Ford","raw_affiliation_strings":["Jefferson Health, Division of Hospital Medicine, Abington, Pennsylvania"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Jefferson Health, Division of Hospital Medicine, Abington, Pennsylvania","institution_ids":["https://openalex.org/I2799360765"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000297995","display_name":"James F. Neuenschwander","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I52357470","display_name":"The Ohio State University","ror":"https://ror.org/00rs6vg23","country_code":"US","type":"education","lineage":["https://openalex.org/I52357470"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"James F. Neuenschwander","raw_affiliation_strings":["Ohio State University, Department of Emergency Medicine, Columbus, Ohio"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ohio State University, Department of Emergency Medicine, Columbus, Ohio","institution_ids":["https://openalex.org/I52357470"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5044066079","display_name":"Edgardo Ordo\u00f1ez","orcid":"https://orcid.org/0000-0001-8467-7155","observed_orcids":["https://orcid.org/0000-0001-8467-7155"]},"institutions":[{"id":"https://openalex.org/I181547552","display_name":"Baylor College of Medicine","ror":"https://ror.org/02pttbw34","country_code":"US","type":"education","lineage":["https://openalex.org/I181547552","https://openalex.org/I2801539370"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Edgardo Ordonez","raw_affiliation_strings":["Baylor College of Medicine, Henry J. N. Taub Department of Emergency Medicine, Houston, Texas"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Baylor College of Medicine, Henry J. N. Taub Department of Emergency Medicine, Houston, Texas","institution_ids":["https://openalex.org/I181547552"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5147316791","display_name":"Alpesh N. Amin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I204250578","display_name":"University of California, Irvine","ror":"https://ror.org/04gyf1771","country_code":"US","type":"education","lineage":["https://openalex.org/I204250578"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Alpesh N. Amin","raw_affiliation_strings":["University of California, Irvine, Department of Medicine, Irvine, California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of California, Irvine, Department of Medicine, Irvine, California","institution_ids":["https://openalex.org/I204250578"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":9,"corresponding_author_ids":["https://openalex.org/A5083848966"],"corresponding_institution_ids":["https://openalex.org/I1283280774"],"apc_list":{"value":500,"currency":"USD","value_usd":500},"apc_paid":{"value":500,"currency":"USD","value_usd":500},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.54064827,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"27","issue":"5","first_page":"1411","last_page":"1419"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10337","display_name":"Liver Disease and Transplantation","score":0.9848999977111816,"subfield":{"id":"https://openalex.org/subfields/2721","display_name":"Hepatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10337","display_name":"Liver Disease and Transplantation","score":0.9848999977111816,"subfield":{"id":"https://openalex.org/subfields/2721","display_name":"Hepatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.004000000189989805,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10218","display_name":"Sepsis Diagnosis and Treatment","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hepatic-encephalopathy","display_name":"hepatic encephalopathy","score":1.0},{"id":"https://openalex.org/keywords/emergency-department-care","display_name":"emergency department care","score":0.906000018119812},{"id":"https://openalex.org/keywords/clinical-guidelines","display_name":"clinical guidelines","score":0.7080000042915344},{"id":"https://openalex.org/keywords/liver-disease","display_name":"liver disease","score":0.7699999809265137},{"id":"https://openalex.org/keywords/patient-disposition","display_name":"patient disposition","score":0.7760000228881836},{"id":"https://openalex.org/keywords/diagnosis-and-treatment","display_name":"diagnosis and treatment","score":0.4569999873638153},{"id":"https://openalex.org/keywords/expert-consensus","display_name":"expert consensus","score":0.3889999985694885}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8944000005722046},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.8407999873161316},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.6359999775886536},{"id":"https://openalex.org/C60641444","wikidata":"https://www.wikidata.org/wiki/Q841602","display_name":"Delphi method","level":2,"score":0.5490000247955322},{"id":"https://openalex.org/C2780325230","wikidata":"https://www.wikidata.org/wiki/Q642548","display_name":"Hepatic encephalopathy","level":3,"score":0.513700008392334},{"id":"https://openalex.org/C177212765","wikidata":"https://www.wikidata.org/wiki/Q627335","display_name":"Workflow","level":2,"score":0.4993000030517578},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.436599999666214},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.42570000886917114},{"id":"https://openalex.org/C2989236134","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Patient care","level":2,"score":0.391400009393692},{"id":"https://openalex.org/C22467394","wikidata":"https://www.wikidata.org/wiki/Q849359","display_name":"Multidisciplinary approach","level":2,"score":0.3671000003814697},{"id":"https://openalex.org/C2994511739","wikidata":"https://www.wikidata.org/wiki/Q336641","display_name":"Emergency physician","level":3,"score":0.34619998931884766},{"id":"https://openalex.org/C51915194","wikidata":"https://www.wikidata.org/wiki/Q17075487","display_name":"Point of care","level":2,"score":0.3366999924182892},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.2962999939918518},{"id":"https://openalex.org/C545288138","wikidata":"https://www.wikidata.org/wiki/Q860447","display_name":"Emergency medical services","level":2,"score":0.28380000591278076},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.2782999873161316},{"id":"https://openalex.org/C2779861157","wikidata":"https://www.wikidata.org/wiki/Q5154967","display_name":"Community hospital","level":2,"score":0.2750000059604645},{"id":"https://openalex.org/C2781433648","wikidata":"https://www.wikidata.org/wiki/Q2100278","display_name":"Panel discussion","level":2,"score":0.2732999920845032},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.2549999952316284},{"id":"https://openalex.org/C63527458","wikidata":"https://www.wikidata.org/wiki/Q5133829","display_name":"Clinical decision support system","level":3,"score":0.251800000667572}],"mesh":[{"descriptor_ui":"D003697","descriptor_name":"Delphi Technique","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D006501","descriptor_name":"Hepatic Encephalopathy","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D006501","descriptor_name":"Hepatic Encephalopathy","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":5,"locations":[{"id":"doi:10.5811/westjem.63064","doi":"https://doi.org/10.5811/westjem.63064","is_oa":true,"landing_page_url":"https://doi.org/10.5811/westjem.63064","pdf_url":null,"source":{"id":"https://openalex.org/S2738799989","display_name":"Western Journal of Emergency Medicine","issn_l":"1936-900X","issn":["1936-900X","1936-9018"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","medline","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320339","host_organization_name":"eScholarship Publishing, University of California","host_organization_lineage":["https://openalex.org/P4310320339"],"host_organization_lineage_names":["eScholarship Publishing, University of California"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Western Journal of Emergency Medicine","raw_type":"journal-article"},{"id":"pmid:42900941","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42900941","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The western journal of emergency medicine","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13660559","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13660559/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"West J Emerg Med","raw_type":"Text"},{"id":"pmh:oai:escholarship.org:ark:/13030/qt1534n0n0","doi":null,"is_oa":true,"landing_page_url":"https://escholarship.org/uc/item/1534n0n0","pdf_url":"https://escholarship.org/content/qt1534n0n0/qt1534n0n0.pdf","source":{"id":"https://openalex.org/S4306400115","display_name":"eScholarship (California Digital Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I2801248553","host_organization_name":"California Digital Library","host_organization_lineage":["https://openalex.org/I2801248553"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, vol 27, iss 5","raw_type":"article"},{"id":"pmh:oai:doaj.org/article:6ea5d5cdc3cd484db0d43450508d5c3e","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/6ea5d5cdc3cd484db0d43450508d5c3e","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Western Journal of Emergency Medicine, Vol 27, Iss 5, Pp 1411-1419 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.5811/westjem.63064","doi":"https://doi.org/10.5811/westjem.63064","is_oa":true,"landing_page_url":"https://doi.org/10.5811/westjem.63064","pdf_url":null,"source":{"id":"https://openalex.org/S2738799989","display_name":"Western Journal of Emergency Medicine","issn_l":"1936-900X","issn":["1936-900X","1936-9018"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","medline","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320339","host_organization_name":"eScholarship Publishing, University of California","host_organization_lineage":["https://openalex.org/P4310320339"],"host_organization_lineage_names":["eScholarship Publishing, University of California"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Western Journal of Emergency Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.98580002784729,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320308347","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7203652522.pdf","grobid_xml":"https://content.openalex.org/works/W7203652522.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4413884064","https://openalex.org/W2592541035","https://openalex.org/W2166375070","https://openalex.org/W2610839937","https://openalex.org/W4366753198","https://openalex.org/W4367396910","https://openalex.org/W7167839046","https://openalex.org/W2801009346","https://openalex.org/W4293206078","https://openalex.org/W8862589"],"abstract_inverted_index":{"INTRODUCTION:":[0],"Patients":[1],"with":[2,57],"hepatic":[3,61,137],"encephalopathy":[4,62],"frequently":[5],"visit":[6],"the":[7,18,30,51,93,102,127,134,161],"emergency":[8,44,89,148],"department,":[9],"and":[10,40,49,63,76,87,129,152,159,166],"these":[11],"visits":[12],"are":[13],"expected":[14],"to":[15,22,36,46,117,156],"rise":[16],"in":[17,29,120,126],"coming":[19],"years":[20],"due":[21],"an":[23,82,147],"increased":[24],"prevalence":[25],"of":[26,54,85,96,131,136,163],"liver":[27],"disease":[28],"United":[31],"States.":[32],"Accordingly,":[33],"we":[34],"sought":[35],"define":[37],"a":[38,72,77,113,164],"comprehensive":[39,153],"efficient":[41],"approach":[42],"for":[43],"physicians":[45,90],"evaluate,":[47],"treat,":[48,105],"determine":[50],"optimal":[52],"disposition":[53,109],"patients":[55,132],"presenting":[56],"possible":[58],"or":[59],"confirmed":[60],"its":[64],"complications.":[65],"METHODS:":[66],"We":[67,100],"reached":[68],"consensus":[69],"recommendations":[70],"through":[71],"structured":[73],"literature":[74],"review":[75],"modified":[78],"Delphi":[79],"technique,":[80],"informing":[81],"expert":[83,142],"panel":[84,143],"academic":[86],"community":[88],"convened":[91],"by":[92],"American":[94],"College":[95],"Emergency":[97],"Physicians.":[98],"RESULTS:":[99],"created":[101],"assess,":[103],"look,":[104],"evaluate":[106],"risk,":[107],"reassess,":[108],"(ALTERD)":[110],"framework":[111],"as":[112],"digital":[114,154],"point-of-care":[115],"tool":[116,155],"support":[118],"clinicians":[119],"guiding":[121],"key":[122],"bedside":[123],"steps":[124],"involved":[125],"diagnosis":[128],"care":[130,162],"across":[133],"spectrum":[135],"encephalopathy.":[138],"CONCLUSION:":[139],"A":[140],"collaborative":[141],"process":[144],"can":[145],"create":[146],"department-focused,":[149],"easily":[150],"accessible,":[151],"complement":[157],"workflows":[158],"improve":[160],"vulnerable":[165],"growing":[167],"patient":[168],"population.":[169]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-08-18T00:00:00"}