2024
State and National Estimates of the Cost of Emergency Department Pediatric Readiness and Lives Saved
Newgard C, Lin A, Goldhaber-Fiebert J, Remick K, Gausche-Hill M, Burd R, Malveau S, Cook J, Jenkins P, Ames S, Mann N, Glass N, Hewes H, Fallat M, Salvi A, Carr B, McConnell K, Stephens C, Ford R, Auerbach M, Babcock S, Kuppermann N. State and National Estimates of the Cost of Emergency Department Pediatric Readiness and Lives Saved. JAMA Network Open 2024, 7: e2442154. PMID: 39485354, PMCID: PMC11530936, DOI: 10.1001/jamanetworkopen.2024.42154.Peer-Reviewed Original ResearchConceptsPediatric readinessED readinessEmergency departmentWeighted pediatric readiness scorePediatric livesCohort studyPediatric readiness scoreEmergency servicesUS emergency departmentsHigh emergency departmentAnnual hospital expendituresDistrict of ColumbiaNational annual costEmergency careReadiness scoresMain OutcomesNational estimatesChild deathsEligible childrenAged 0Hospital expendituresNational costUS costsUS statesChild's lifeThe Effect of a Collaborative Pediatric Emergency Readiness Improvement Intervention on Patients’ Hospital Outcomes
Abu-Sultanah M, Lutfi R, Abu-Sultaneh S, Pearson K, Montgomery E, Whitfill T, Auerbach M, Abulebda K. The Effect of a Collaborative Pediatric Emergency Readiness Improvement Intervention on Patients’ Hospital Outcomes. Academic Pediatrics 2024, 24: 1203-1209. PMID: 38657901, DOI: 10.1016/j.acap.2024.04.006.Peer-Reviewed Original ResearchGeneral emergency departmentsPediatric readiness scoreHospital length of stayLength of stayReadiness scoresEmergency departmentPICU length of stayPatient outcomesHospital lengthPost-intervention periodPre-intervention periodPediatric emergency departmentPediatric readinessAssociated with significant improvementsOutcomes of critically ill childrenPatients' hospital outcomesImprovement interventionsPediatric intensive careCollaborative interventionDescriptive statisticsClinical resourcesFuture initiativesHospital outcomesBivariate analysisCritically ill childrenA Comparison of State-Specific Pediatric Emergency Medical Facility Recognition Programs, 2020
Boggs K, Voligny E, Auerbach M, Espinola J, Samuels-Kalow M, Sullivan A, Camargo C. A Comparison of State-Specific Pediatric Emergency Medical Facility Recognition Programs, 2020. Pediatric Emergency Care 2024, 40: 141-146. PMID: 38295194, PMCID: PMC10832299, DOI: 10.1097/pec.0000000000003119.Peer-Reviewed Original ResearchConceptsPediatric emergency care coordinatorEmergency Medical Services for ChildrenProgram start dateEmergency departmentQuality of pediatric emergency carePediatric emergency careHigh emergency departmentRecognition programCare coordinationPediatric readinessEmergency careStart datePatient outcomesED areaProgram characteristicsProgram managersLevel of verificationProgramLevel of recognitionVerification requirementsCareVerificationParticipantsChildrenDepartmentThe Role of Advanced Practice Providers in Pediatric Emergency Care Across Nine Emergency Departments
Iqbal A, Whitfill T, Tiyyagura G, Auerbach M. The Role of Advanced Practice Providers in Pediatric Emergency Care Across Nine Emergency Departments. Pediatric Emergency Care 2024, 40: 131-136. PMID: 38286004, DOI: 10.1097/pec.0000000000003120.Peer-Reviewed Original ResearchConceptsAdvanced practice providersPediatric emergency medicineLow acuity patientsPediatric emergency carePractice providersEmergency departmentAcuity patientsEmergency careImprove pediatric emergency careElectronic health recordsInternational Classification of DiseasesHigh-acuity patientsPediatric patient careClassification of DiseasesProvider typeHealth recordsEmergency medicinePatient encountersLength of stayPatient careInternational ClassificationProportion of pediatric patientsAcuity levelsPediatric patientsPatient factors
2023
Blueprint for community emergency department pediatric simulation
Kaur S, Lynders W, Goldman M, Bruno C, Morin J, Maruschock S, Auerbach M. Blueprint for community emergency department pediatric simulation. AEM Education And Training 2023, 7: e10925. PMID: 38046090, PMCID: PMC10688145, DOI: 10.1002/aet2.10925.Peer-Reviewed Original ResearchCommunity emergency departmentsAcademic medical centerSimulation Effectiveness Tool-ModifiedPediatric emergency carePercent of participantsRegional academic medical centerInfants/toddlersPediatric patientsEmergency departmentIll newbornsNewborn resuscitationLatent safety threatsMedical CenterEmergency carePediatric resuscitationInterprofessional teamPre-post surveyRetrospective pre-post surveyPediatric knowledgeCareNursing leadershipResuscitationNeeds assessmentSimulation sessionsEducation materialsEvaluation of Pediatric Readiness Using Simulation in General Emergency Departments in a Medically Underserved Region
Rutledge C, Waddell K, Gaither S, Whitfill T, Auerbach M, Tofil N. Evaluation of Pediatric Readiness Using Simulation in General Emergency Departments in a Medically Underserved Region. Pediatric Emergency Care 2023, 40: 335-340. PMID: 37973039, DOI: 10.1097/pec.0000000000003056.Peer-Reviewed Original ResearchPediatric readiness scoreGeneral emergency departmentsPediatric patient volumeComposite quality scorePediatric patientsPediatric emergenciesEmergency departmentHigher composite quality scorePatient volumeNational Pediatric Readiness ProjectIll pediatric patientsUnderserved areasClinical care processesEmergency medical servicesPediatric readinessSimulated paediatric emergencyPediatric carePatientsCare processesHospital locationPediatric resourcesED locationMedical servicesUnderserved regionsSignificant differencesAvailability of Pediatric Emergency Care Coordinators in US Emergency Departments in 2018
Boggs K, Espinola J, Sullivan A, Li J, Auerbach M, Hasegawa K, Samuels-Kalow M, Camargo C. Availability of Pediatric Emergency Care Coordinators in US Emergency Departments in 2018. Pediatric Emergency Care 2023, 39: 385-389. PMID: 37104702, DOI: 10.1097/pec.0000000000002953.Peer-Reviewed Original Research
2022
Pediatric mental health visits with prolonged length of stay in community emergency departments during COVID‐19
Janke A, Nash K, Goyal P, Auerbach M, Venkatesh A. Pediatric mental health visits with prolonged length of stay in community emergency departments during COVID‐19. Journal Of The American College Of Emergency Physicians Open 2022, 3: e12869. PMID: 36570374, PMCID: PMC9767857, DOI: 10.1002/emp2.12869.Peer-Reviewed Original ResearchPediatric mental health visitsLength of stayMental health visitsED LOSCommon diagnostic categoriesEmergency departmentHealth visitsIncident rate ratiosCOVID-19Diagnostic categoriesCommunity emergency departmentsVisit countsMental health syndromesMental health systemAvailable complete dataDepressive disorderData registrySecondary analysisHealth systemVisitsRate ratioComplete dataStayCountHoursFormative Assessments Promote Procedural Learning and Engagement for Senior Pediatric Residents on Rotation in the Pediatric Emergency Department
Goldman MP, Rudd AV, Baum SC, Nagler M, Weiss DL, Gross IT, Auerbach MA. Formative Assessments Promote Procedural Learning and Engagement for Senior Pediatric Residents on Rotation in the Pediatric Emergency Department. MedEdPORTAL 2022, 18: 11265. PMID: 35892044, PMCID: PMC9273678, DOI: 10.15766/mep_2374-8265.11265.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentLumbar punctureLaceration repairSenior pediatric residentsPediatric residentsEmergency departmentProportion of proceduresAssessment completion ratesInfant lumbar puncturePediatric residents' perceptionsPotential clinical impactSecondary outcomesClinical impactEmergency department rotationPuncturePilot periodCompletion ratesRepairAll clinical stressors are not created equal: Differential task stress in a simulated clinical environment
Joseph M, Ray JM, Chang J, Cramer LD, Bonz JW, Yang TJ, Wong AH, Auerbach MA, Evans LV. All clinical stressors are not created equal: Differential task stress in a simulated clinical environment. AEM Education And Training 2022, 6: e10726. PMID: 35368506, PMCID: PMC8923648, DOI: 10.1002/aet2.10726.Peer-Reviewed Original ResearchEM residentsEmergency medicineHeart rate variabilitySimulation-based medical educationSimulated patient encountersSimulated clinical environmentInterpersonal challengesClinical stressorsPatient encountersSimulated encountersIncreased distressEmergency departmentMedical educationMedical difficultiesMeasuring heart rate variabilityClinical environmentControlled trialsRate variabilityResponses of participantsState QuestionnaireStatistically significant differenceSmart shirtResidentsDistressParticipants
2021
Improving Capnography Use for Critically Ill Emergency Patients: An Implementation Study
Shah R, Streat DA, Auerbach M, Shabanova V, Langhan ML. Improving Capnography Use for Critically Ill Emergency Patients: An Implementation Study. Journal Of Patient Safety 2021, 18: e26-e32. PMID: 32175968, PMCID: PMC8719501, DOI: 10.1097/pts.0000000000000683.Peer-Reviewed Original ResearchRacial and Ethnic Disparities in Physical Restraint Use for Pediatric Patients in the Emergency Department
Nash KA, Tolliver DG, Taylor RA, Calhoun AJ, Auerbach MA, Venkatesh AK, Wong AH. Racial and Ethnic Disparities in Physical Restraint Use for Pediatric Patients in the Emergency Department. JAMA Pediatrics 2021, 175: 1283-1285. PMID: 34515764, PMCID: PMC8438617, DOI: 10.1001/jamapediatrics.2021.3348.Peer-Reviewed Original ResearchCreation of a standardized pediatric emergency medicine simulation curriculum for emergency medicine residents
Burns R, Madhok M, Bank I, Nguyen M, Falk M, Waseem M, Auerbach M. Creation of a standardized pediatric emergency medicine simulation curriculum for emergency medicine residents. AEM Education And Training 2021, 5: e10685. PMID: 34632245, PMCID: PMC8489268, DOI: 10.1002/aet2.10685.Peer-Reviewed Original ResearchIll pediatric patientsPediatric patientsEM residentsMajority of facilitatorsMajority of childrenEmergency departmentCare knowledgeEmergency medicine residentsResidency program graduatesResuscitation skillsMost facilitatorsMedicine residentsEmergency medicineSimulation-based curriculumEmergent assessmentMost participantsElectronic surveyPatientsEM traineesChildrenDelphi studyParticipantsSimulation curriculumFacilitatorsResidentsImproving Pediatric Readiness and Clinical Care in General Emergency Departments: A Multicenter Retrospective Cohort Study
Abulebda K, Whitfill T, Mustafa M, Montgomery EE, Lutfi R, Abu-Sultaneh S, Nitu ME, Auerbach MA, Simulation I. Improving Pediatric Readiness and Clinical Care in General Emergency Departments: A Multicenter Retrospective Cohort Study. The Journal Of Pediatrics 2021, 240: 241-248.e1. PMID: 34499944, DOI: 10.1016/j.jpeds.2021.08.084.Peer-Reviewed Original ResearchConceptsGeneral emergency departmentsRetrospective cohort studyEmergency departmentAcademic medical centerClinical careCohort studyPediatric readinessMedical CenterMulticenter retrospective cohort studyImplicit review instrumentMean total quality scoreEmergency care physiciansInitial treatment planPediatric academic medical centerProcess of careChart reviewED encountersCare physiciansIll childrenMultifaceted interventionsPediatric careReview InstrumentTreatment planLaboratory ordersWrong medicationImproving the Quality of Clinical Care of Children with Diabetic Ketoacidosis in General Emergency Departments Following a Collaborative Improvement Program with an Academic Medical Center
Alsaedi H, Lutfi R, Abu-Sultaneh S, Montgomery EE, Pearson KJ, Weinstein E, Whitfill T, Auerbach MA, Abulebda K. Improving the Quality of Clinical Care of Children with Diabetic Ketoacidosis in General Emergency Departments Following a Collaborative Improvement Program with an Academic Medical Center. The Journal Of Pediatrics 2021, 240: 235-240.e1. PMID: 34481806, DOI: 10.1016/j.jpeds.2021.08.081.Peer-Reviewed Original ResearchConceptsGeneral emergency departmentsAcademic medical centerDiabetic ketoacidosisPatients' clinical outcomesEmergency departmentClinical outcomesMedical CenterClinical carePediatric intensive care unitPediatric diabetic ketoacidosisRetrospective cohort studyIntensive care unitProcess of carePediatric emergency careCollaborative improvement programSignificant improvementCohort studyPediatric patientsCare unitMultifaceted interventionsEmergency carePatientsCareAdherenceKetoacidosisImplementing Family Presence During Pediatric Resuscitations in the Emergency Department: Family-Centered Care and Trauma-Informed Care Best Practices
Auerbach M, Butler L, Myers SR, Donoghue A, Kassam-Adams N. Implementing Family Presence During Pediatric Resuscitations in the Emergency Department: Family-Centered Care and Trauma-Informed Care Best Practices. Journal Of Emergency Nursing 2021, 47: 689-692. PMID: 34530971, DOI: 10.1016/j.jen.2021.07.003.Peer-Reviewed Original ResearchA Regional Intervention to Appoint Pediatric Emergency Care Coordinators in New England Emergency Departments
Li J, Petrack EM, Boggs KM, Auerbach M, Foster AA, Sullivan AF, Camargo CA. A Regional Intervention to Appoint Pediatric Emergency Care Coordinators in New England Emergency Departments. Pediatric Emergency Care 2021, 38: 75-78. PMID: 35100744, DOI: 10.1097/pec.0000000000002456.Peer-Reviewed Original ResearchConceptsPediatric emergency care coordinatorEmergency departmentCare coordinatorsED characteristicsNew England Emergency DepartmentsState Emergency Medical ServicesEmergency medical servicesIndividual outreachSurvey response rateAmerican CollegeResponse rateIndividual EDsED leadershipMedical servicesEDInterventionAppointmentsDepartmentNew England statesState chaptersImproving Safety and Quality During Interhospital Transfer of Patients With Nontraumatic Intracranial Hemorrhage: A Simulation-Based Pilot Program
Ray JM, Wong AH, Finn EB, Sheth KN, Matouk CC, Sudikoff SN, Auerbach MA, Sather JE, Venkatesh AK. Improving Safety and Quality During Interhospital Transfer of Patients With Nontraumatic Intracranial Hemorrhage: A Simulation-Based Pilot Program. Journal Of Patient Safety 2021, 18: 77-87. PMID: 33852541, DOI: 10.1097/pts.0000000000000808.Peer-Reviewed Original ResearchConceptsInterhospital transferNontraumatic intracranial hemorrhageThematic analysisRates of interhospital transfersQuality improvement initiativesQuality improvement strategiesInterhospital transfer of patientsTransfer of patientsCare handoffsCenter staff membersData saturationComplex handoffsImprovement initiativesInterprofessional debriefingFocus groupsEmergency physiciansQualitative studyEmergency departmentQuality improvementIll populationStaff membersTertiary care centerCare centerCommunication ChecklistSpecialized neurocritical careDevelopment and Implementation of a Pediatric Telesimulation Intervention for Nurses in Community Emergency Departments
Montgomery EE, Thomas A, Abulebda K, Sanseau E, Pearson K, Chipman M, Chapman JH, Kou M, Auerbach MA. Development and Implementation of a Pediatric Telesimulation Intervention for Nurses in Community Emergency Departments. Journal Of Emergency Nursing 2021, 47: 818-823.e1. PMID: 33785197, PMCID: PMC8526161, DOI: 10.1016/j.jen.2021.01.013.Peer-Reviewed Original ResearchConceptsCore topic areasInter-professional teamNurse learnersVirtual educationKern's frameworkLearner satisfactionNurse educatorsPerson educationCurriculumEmergency departmentEducationNursing staffTopic areasParticular needsStaffCommunity emergency departmentsCoronavirus disease (COVID-19) pandemicRapid developmentSocial distancing measuresStatus epilepticusEducatorsImplementationLearnersNursing assessmentPediatric assessmentAvailability of Pediatric Emergency Care Coordinators in United States Emergency Departments
Boggs KM, Espinola JA, Sullivan AF, Freid RD, Auerbach M, Hasegawa K, Samuels-Kalow ME, Camargo CA. Availability of Pediatric Emergency Care Coordinators in United States Emergency Departments. The Journal Of Pediatrics 2021, 235: 163-169.e1. PMID: 33577802, DOI: 10.1016/j.jpeds.2021.02.014.Peer-Reviewed Original ResearchConceptsPediatric emergency care coordinatorUS emergency departmentsEmergency departmentCare coordinatorsUnited States emergency departmentsStates emergency departmentsNational Emergency Department Inventory-USAED visit volumeMultivariable logistic regressionVisit volumeLogistic regressionED areaDescriptive statisticsLarge proportionDepartment