2019
Decreasing Time to Antibiotics for Patients with Sepsis in the Emergency Department
Emerson BL, Ciaburri R, Brophy C, Kandil SB. Decreasing Time to Antibiotics for Patients with Sepsis in the Emergency Department. Pediatric Quality And Safety 2019, 4: e173. PMID: 31579872, PMCID: PMC6594778, DOI: 10.1097/pq9.0000000000000173.Peer-Reviewed Original ResearchPediatric emergency departmentEmergency departmentMultidisciplinary teamBest practice alertEmergency department arrivalEfficiency of careNonsevere sepsisIntravenous antibioticsAntibiotic ordersAntibiotic administrationSeptic shockPractice alertBlood culturesPatient outcomesSepsisTimely careStaff educationSpectrum diseasePatientsSignificant causeSpecific interventionsAntibioticsBaseline dataCareMinutes
2018
An Initiative to Reduce Routine Viral Diagnostic Testing in Pediatric Patients Admitted with Bronchiolitis
Emerson BL, Tenore C, Grossman M. An Initiative to Reduce Routine Viral Diagnostic Testing in Pediatric Patients Admitted with Bronchiolitis. The Joint Commission Journal On Quality And Patient Safety 2018, 44: 751-756. PMID: 30197306, DOI: 10.1016/j.jcjq.2018.05.006.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentViral diagnostic testingViral lower respiratory tract infectionsDiagnostic testingLower respiratory tract infectionsNon-ICU patientsRespiratory tract infectionsSpecific viral pathogensQuality improvement projectLow-cost interventionAsthma exacerbationsTract infectionsPediatric patientsPediatric populationSignificant morbidityChildren's HospitalEmergency departmentOutpatient careCurrent guidelinesUnit settingBronchiolitisStaff educationPatientsVDT useNational ratesProviders' Perceptions of Caring for Pediatric Patients in Community Hospital Emergency Departments: A Mixed‐methods Analysis
Goldman MP, Wong AH, Bhatnagar A, Emerson BL, Brown LL, Auerbach MA. Providers' Perceptions of Caring for Pediatric Patients in Community Hospital Emergency Departments: A Mixed‐methods Analysis. Academic Emergency Medicine 2018, 25: 1385-1395. PMID: 29947453, DOI: 10.1111/acem.13509.Peer-Reviewed Original ResearchConceptsCommunity emergency departmentsPediatric readinessProviders' perceptionsProviders' perceptions of careEmergency departmentEmotional tollSick childrenCommunity hospital emergency departmentChildren's hospitalPerceptions of carePediatric emergency careQuality improvement workCommunity hospital providersSafety deficitsHospital emergency departmentSelf-reported comfortActual clinical eventsLocal children's hospitalInterprofessional teamPediatric QualityEmergency carePediatric resuscitationPediatric simulationHospital providersPediatric careAn Initiative to Decrease Time to Antibiotics for Patients With Fever and Neutropenia
Emerson BL, Prozora S, Jacob A, Clark K, Kotrady D, Edwards L, Ciaburri R, Riera A. An Initiative to Decrease Time to Antibiotics for Patients With Fever and Neutropenia. American Journal Of Medical Quality 2018, 34: 158-164. PMID: 30078347, DOI: 10.1177/1062860618792305.Peer-Reviewed Original ResearchConceptsMultidisciplinary teamRapid Plan-DoPediatric emergency departmentStudy-Act cyclesEfficiency of careAntibiotic administrationEmergency departmentVulnerable patientsPlan-DoPatientsNeutropeniaAverage timeFeverInterventionProcess control chartsData reviewDecrease timeAntibioticsSignificant improvementAdministrationA taxonomy and cultural analysis of intra‐hospital patient transfers
Rosenberg A, Britton M, Feder S, Minges K, Hodshon B, Chaudhry SI, Jenq GY, Emerson BL. A taxonomy and cultural analysis of intra‐hospital patient transfers. Research In Nursing & Health 2018, 41: 378-388. PMID: 29722043, PMCID: PMC8459627, DOI: 10.1002/nur.21875.Peer-Reviewed Original ResearchPatient transferMedical intensive care unitGeneral medicine floorsTertiary medical centerIntensive care unitIntra-hospital transferIntra-hospital patient transfersMedicine floorCare unitEmergency departmentPatient transitionsMedical CenterPatient assignmentRight floorHospital departmentsObservations of staffCategories of activitiesHospital culturePatientsStaffEmpty bedsDepartmentHospitalEmergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service
Lord K, Parwani V, Ulrich A, Finn EB, Rothenberg C, Emerson B, Rosenberg A, Venkatesh AK. Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service. The American Journal Of Emergency Medicine 2018, 36: 1246-1248. PMID: 29605480, DOI: 10.1016/j.ajem.2018.03.043.Peer-Reviewed Original ResearchConceptsAdverse hospitalization outcomesRapid response team activationGeneral medical servicesHospitalization outcomesEmergency departmentED boardingComposite outcomeCare escalationPrimary outcomeAdverse outcomesRRT activationPatient encountersConsecutive patient encountersGeneral medicine serviceInpatient hospital stayMedical servicesEmergency department boardingED departureHospital mortalityHospital deathHospital stayED admissionPatient demographicsHospital admissionIntensive careA Qualitative Study of Multidisciplinary Providers' Experiences With the Transfer Process for Injured Children and Ideas for Improvement
Gawel M, Emerson B, Giuliano JS, Rosenberg A, Minges KE, Feder S, Violano P, Morrell P, Petersen J, Christison-Lagay E, Auerbach M. A Qualitative Study of Multidisciplinary Providers' Experiences With the Transfer Process for Injured Children and Ideas for Improvement. Pediatric Emergency Care 2018, 34: 125-131. PMID: 29346234, PMCID: PMC5792311, DOI: 10.1097/pec.0000000000001405.Peer-Reviewed Original ResearchConceptsPediatric trauma centerTrauma centerInjured childrenTransport teamLevel I pediatric trauma centerProvider experienceRegional pediatric trauma centerCommunity hospital emergency departmentHospital emergency departmentEmergency departmentCommunity hospitalEmergency providersInterprofessional providersProvider confidenceQualitative studyMultidisciplinary teamChildrenConstant comparative methodProvidersNew HavenParticipantsEnd-Tidal Carbon Dioxide Use for Tracheal Intubation
Langhan ML, Emerson BL, Nett S, Pinto M, Harwayne-Gidansky I, Rehder KJ, Krawiec C, Meyer K, Giuliano JS, Owen EB, Tarquinio KM, Sanders RC, Shepherd M, Bysani GK, Shenoi AN, Napolitano N, Gangadharan S, Parsons SJ, Simon DW, Nadkarni VM, Nishisaki A. End-Tidal Carbon Dioxide Use for Tracheal Intubation. Pediatric Critical Care Medicine 2018, 19: 98-105. PMID: 29140968, DOI: 10.1097/pcc.0000000000001372.Peer-Reviewed Original ResearchConceptsCapnography useTracheal intubationCardiac arrestEmergency departmentEsophageal intubationOxygen desaturationWaveform capnographyAdverse tracheal intubation-associated eventsMulticenter retrospective cohort studyNational Emergency Airway RegistryTracheal intubation-associated eventsEnd-tidal carbon dioxide measurementPrimary tracheal intubationsRetrospective cohort studyUse of capnographyTracheal intubation procedureQuality improvement initiativesAirway RegistryCohort studyProvider characteristicsSafety outcomesIntubationIntubation procedureCapnographyImprovement initiatives
2016
Effects of alcohol-based hand hygiene solutions on breath alcohol detection in the emergency department
Emerson BL, Whitfill T, Baum CR, Garlin-Kane K, Santucci K. Effects of alcohol-based hand hygiene solutions on breath alcohol detection in the emergency department. American Journal Of Infection Control 2016, 44: 1672-1674. PMID: 27614708, DOI: 10.1016/j.ajic.2016.05.036.Peer-Reviewed Original Research
2015
Technology-Enhanced Simulation Training for Pediatric Intubation
Emerson B, Shepherd M, Auerbach M. Technology-Enhanced Simulation Training for Pediatric Intubation. Clinical Pediatric Emergency Medicine 2015, 16: 203-212. DOI: 10.1016/j.cpem.2015.07.003.Chapters
2014
Postpartum Depression Screening in the Pediatric Emergency Department
Emerson BL, Bradley ER, Riera A, Mayes L, Bechtel K. Postpartum Depression Screening in the Pediatric Emergency Department. Pediatric Emergency Care 2014, 30: 788-792. PMID: 25343740, DOI: 10.1097/pec.0000000000000260.Peer-Reviewed Original ResearchConceptsEdinburgh Postpartum Depression ScalePediatric emergency departmentPostpartum depressionMental health resourcesYoung infantsPED visitsEmergency departmentRisk mothersTertiary care pediatric emergency departmentTertiary care children's hospitalPrevalence of PPDHealth resourcesBaseline demographic characteristicsInitial ED presentationAdditional mental health needsConvenience samplePostpartum depression screeningPostpartum Depression ScaleNegative predictive valueMental health needsFirst-time mothersSocial work consultationED presentationsChildren's HospitalDepression screeningHourly Rounding in the Pediatric Emergency Department: Patient and Family Safety and Satisfaction Rounds
Emerson BL, Chmura KB, Walker D. Hourly Rounding in the Pediatric Emergency Department: Patient and Family Safety and Satisfaction Rounds. Journal Of Emergency Medicine 2014, 47: 99-104. PMID: 24565884, DOI: 10.1016/j.jemermed.2013.11.098.Peer-Reviewed Original ResearchConceptsPatient satisfaction dataPatient satisfactionPostimplementation dataPediatric emergency department settingPediatric ED settingUrban pediatric EDPediatric emergency departmentEmergency department settingProvider-patient communicationPediatric EDED settingTertiary careEmergency departmentPatient scoringDepartment settingPediatric settingStaff educationPostintervention dataMedical careClinical settingSatisfaction dataFurther studiesPatientsCareMeasurable improvement
2013
Paediatric community-acquired septic shock: results from the REPEM network study
Van de Voorde P, Emerson B, Gomez B, Willems J, Yildizdas D, Iglowstein I, Kerkhof E, Mullen N, Pinto CR, Detaille T, Qureshi N, Naud J, De Dooy J, Van Lancker R, Dupont A, Boelsma N, Mor M, Walker D, Sabbe M, Hachimi-Idrissi S, Da Dalt L, Waisman H, Biarent D, Maconochie I, Moll H, Benito J. Paediatric community-acquired septic shock: results from the REPEM network study. European Journal Of Pediatrics 2013, 172: 667-674. PMID: 23354787, PMCID: PMC3631515, DOI: 10.1007/s00431-013-1930-x.Peer-Reviewed Original ResearchConceptsPediatric Overall Performance CategoryMechanical ventilationEmergency departmentEarly goal-directed therapyOverall Performance CategorySubsequent intensive careUse of dobutamineFuture prospective trialsGoal-directed therapyIntensive care admissionProspective observational trialLower base excessVasoactive medicationsCare admissionSevere sepsisSignificant comorbiditiesVasoactive supportProspective trialDisease courseOrgan dysfunctionOverall mortalitySeptic shockED consultationsObservational trialConcomitant treatment