2023
Increasing the use of anxiolysis and analgesia for paediatric procedures in a community emergency department network: a quality improvement initiative
Kelley M, Lynders W, Pelletier E, Petrucelli M, Emerson B, Tiyyagura G, Goldman M. Increasing the use of anxiolysis and analgesia for paediatric procedures in a community emergency department network: a quality improvement initiative. Emergency Medicine Journal 2023, 41: 116-122. PMID: 38050053, DOI: 10.1136/emermed-2023-213232.Peer-Reviewed Original ResearchYears of ageCommunity EDPediatric EDChildren's HospitalPractice patternsLaceration repairAnxiety-provoking proceduresCommunity hospital networkAcademic children's hospitalRegional children's hospitalForeign body removalKey driver diagramStudy-Act cyclesQuality improvement initiativesEmergency medical servicesQuality improvement methodologySmart aimED lengthED LOSProcedural dataMidazolam useBody removalPediatric proceduresGuideline developmentEmergency Department NetworkImplementation of a health system intervention to reduce time from presentation to surgical intervention for pediatric testicular torsion
Heckscher D, Jalfon M, Buck M, Abello A, Nguyen J, Casilla-Lennon M, Leapman M, Hittelman A, Teitelbaum J, Emerson B, Kenney P, Cavallo J, Lambert S. Implementation of a health system intervention to reduce time from presentation to surgical intervention for pediatric testicular torsion. Journal Of Pediatric Urology 2023, 20: 254.e1-254.e7. PMID: 38030428, DOI: 10.1016/j.jpurol.2023.10.042.Peer-Reviewed Original Research
2021
PD38-10 AN INITIATIVE TO REDUCE DOOR TO INCISION TIME FOR PATIENTS WITH TESTICULAR TORSION
Nguyen J, Buck M, Abello A, Lennon M, Leapman M, Hittelman A, Teitelbaum J, Emerson B, Cavallo J, Kenney P, Lambert S. PD38-10 AN INITIATIVE TO REDUCE DOOR TO INCISION TIME FOR PATIENTS WITH TESTICULAR TORSION. Journal Of Urology 2021, 206: e666-e666. DOI: 10.1097/ju.0000000000002048.10.Peer-Reviewed Original ResearchEvaluation of a Focused Cardiac Ultrasound Protocol in a Pediatric Emergency Department.
Riera A, Weeks B, Emerson BL, Chen L. Evaluation of a Focused Cardiac Ultrasound Protocol in a Pediatric Emergency Department. Pediatric Emergency Care 2021, 37: 191-198. PMID: 29746359, DOI: 10.1097/PEC.0000000000001495.Peer-Reviewed Original Research
2020
310: COVID-19 Impact on Pediatric Tracheal Intubation Practice in the Pediatric ICU
Pinto M, Polikoff L, Napolitano N, Li S, Rehder K, Nett S, Harwayne-Gidansky I, Culver K, McNally M, Jarvis D, Emerson B, Nadkarni V, Nishisaki A. 310: COVID-19 Impact on Pediatric Tracheal Intubation Practice in the Pediatric ICU. Critical Care Medicine 2020, 49: 142-142. DOI: 10.1097/01.ccm.0000727128.63101.2a.Peer-Reviewed Original Research1072: Differential Effect of Apneic Oxygenation During Pediatric Tracheal Intubation
Polikoff L, Napolitano N, Pinto M, Li S, Rehder K, Nett S, Harwayne-Gidansky I, Culver K, McNally M, Jarvis D, Emerson B, Nadkarni V, Nishisaki A. 1072: Differential Effect of Apneic Oxygenation During Pediatric Tracheal Intubation. Critical Care Medicine 2020, 49: 536-536. DOI: 10.1097/01.ccm.0000730176.70376.6a.Peer-Reviewed Original ResearchHarnessing Technology to Reduce Hospital Onset Sepsis
Vinhais-Luysterborghs N, Brester D, Vinchesi C, Ciaburri R, Emerson B, Murray T, Panisello J, Kandil S. Harnessing Technology to Reduce Hospital Onset Sepsis. Pediatric Quality And Safety 2020, 5: e325. PMCID: PMC7417151, DOI: 10.1097/pq9.0000000000000325.Peer-Reviewed Original ResearchPatient experience in a pediatric emergency department during COVID-19
Emerson B, Setzer E. Patient experience in a pediatric emergency department during COVID-19. Patient Experience Journal 2020, 7: 53-58. DOI: 10.35680/2372-0247.1507.Peer-Reviewed Original Research343: COMPARING INTUBATION PRACTICES AND OUTCOMES AMONG PEDIATRIC EMERGENCY AND CRITICAL CARE PROVIDERS
Capone C, Sweberg T, Emerson B, Polikoff L, Turner D, Adu- Darko M, Li S, Glater-Welt L, Howell J, Nadkarni V, Brown C, Donoghue A, Krawiec C, Nishisaki A. 343: COMPARING INTUBATION PRACTICES AND OUTCOMES AMONG PEDIATRIC EMERGENCY AND CRITICAL CARE PROVIDERS. Critical Care Medicine 2020, 48: 153-153. DOI: 10.1097/01.ccm.0000619724.68221.e6.Peer-Reviewed Original Research344: INTUBATION PRACTICES AND OUTCOMES OF CRITICALLY ILL CHILDREN IN PEDIATRIC EMERGENCY DEPARTMENTS
Emerson B, Capone C, Sweberg T, Polikoff L, Ikeyama T, Nuthall G, Taekema H, Glater-Welt L, Lee J, Brown C, Donoghue A, Shepherd M, Nadkarni V, Nishisaki A. 344: INTUBATION PRACTICES AND OUTCOMES OF CRITICALLY ILL CHILDREN IN PEDIATRIC EMERGENCY DEPARTMENTS. Critical Care Medicine 2020, 48: 154-154. DOI: 10.1097/01.ccm.0000619728.75845.41.Peer-Reviewed Original ResearchCritical Procedures in Children: Skills Training for Pediatric Emergency Medicine Providers
Langhan M, Tiyyagura G, Emerson B. Critical Procedures in Children: Skills Training for Pediatric Emergency Medicine Providers. MedEdPublish 2020, 9 DOI: 10.15694/mep.2020.000263.1.Peer-Reviewed Original Research
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
Reducing Unplanned Extubations Across a Children’s Hospital Using Quality Improvement Methods
Kandil SB, Emerson BL, Hooper M, Ciaburri R, Bruno CJ, Cummins N, DeFilippo V, Blazevich B, Loth A, Grossman M. Reducing Unplanned Extubations Across a Children’s Hospital Using Quality Improvement Methods. Pediatric Quality And Safety 2018, 3: e114. PMID: 31334446, PMCID: PMC6581473, DOI: 10.1097/pq9.0000000000000114.Peer-Reviewed Original ResearchRate of UEIntensive care unitUnplanned extubationVentilator daysQuality improvement methodologyNational benchmarksPediatric intensive care unitNeonatal intensive care unitStudy-Act cyclesSignificant patient harmUnintended dislodgementsCritical illnessCare unitChildren's HospitalEndotracheal tubeHigh-risk situationsPatient harmQuality improvement methodsImprovement methodologyET tubeStudy periodExtubationHospitalDaysSafety cultureAn 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