2024
Hospital Readmissions Among Infants With Neonatal Opioid Withdrawal Syndrome
Gaither J, Drago M, Grossman M, Li Y, Shabanova V, Xu X, Leventhal J. Hospital Readmissions Among Infants With Neonatal Opioid Withdrawal Syndrome. JAMA Network Open 2024, 7: e2435074. PMID: 39316398, PMCID: PMC11423163, DOI: 10.1001/jamanetworkopen.2024.35074.Peer-Reviewed Original ResearchConceptsNeonatal opioid withdrawal syndromeOpioid withdrawal syndromeWithdrawal syndromeCohort studyHospital readmissionLow birth weightReadmission ratesRetrospective cohort studyIncreased risk of readmissionNationwide Readmissions DatabaseClinical Modification codesGestational ageOdds of readmissionMultiple gestationsFull-termInternational Classification of DiseasesRisk of readmissionHospital discharge recordsBirth weightSurvey-weighted logistic regressionType of insuranceIncreased 5-foldIncreased riskReadmissions DatabaseYear of birth
2022
Early Weight Loss Percentile Curves and Feeding Practices in Opioid-Exposed Infants.
Cheng FY, Shabanova V, Berkwitt AK, Grossman MR. Early Weight Loss Percentile Curves and Feeding Practices in Opioid-Exposed Infants. Hospital Pediatrics 2022, 12: 857-866. PMID: 36073203, DOI: 10.1542/hpeds.2021-006137.Peer-Reviewed Original ResearchConceptsNeonatal opioid withdrawal syndromeFeeding practicesWeight loss patternsBirth weightMedian percent weight lossWeight lossMean gestational ageOpioid withdrawal syndromeMean birth weightPercentile curvesRisk of morbidityHours of lifeHealth care useConfidence intervalsOptimal feeding methodNonpharmacologic treatmentsPharmacologic treatmentWithdrawal syndromeGestational agePercent weight lossSingle centerCare useInclusion criteriaInfantsDelivery typeStandardizing the Clinical Definition of Opioid Withdrawal in the Neonate.
Jilani SM, Jones HE, Grossman M, Jansson LM, Terplan M, Faherty LJ, Khodyakov D, Patrick SW, Davis JM. Standardizing the Clinical Definition of Opioid Withdrawal in the Neonate. The Journal Of Pediatrics 2022, 243: 33-39.e1. PMID: 34942181, DOI: 10.1016/j.jpeds.2021.12.021.Peer-Reviewed Original ResearchQuestioning Our Approach to Hyperbilirubinemia.
Grossman MR, Berkwitt AK, Osborn RR. Questioning Our Approach to Hyperbilirubinemia. Hospital Pediatrics 2022, 12: e137-e139. PMID: 35362053, DOI: 10.1542/hpeds.2021-006441.Peer-Reviewed Original ResearchDoes Maternal Incarceration Impact Infants with Neonatal Abstinence Syndrome?
Drago MJ, Shabanova V, Hochreiter D, Grossman M, Mercurio M. Does Maternal Incarceration Impact Infants with Neonatal Abstinence Syndrome? Maternal And Child Health Journal 2022, 26: 1095-1103. PMID: 35088297, DOI: 10.1007/s10995-021-03356-4.Peer-Reviewed Original ResearchConceptsNeonatal abstinence syndromeLength of stayNon-incarcerated womenLine agentsAbstinence syndromeBreast milkMean LOSLonger LOSIncarcerated womenRetrospective cohort studyFirst-line agentsMaternal-infant dyadsSecond-line agentsPrenatal substance exposurePrenatal alcohol useCare of infantsCohort studyFinnegan scoreInfant dischargeLonger hospitalizationSubstance exposureInfantsPoisson regressionMaternal incarcerationAlcohol useImproving Guidance and Maternal Knowledge Retention After Well-Newborn Unit Discharge.
Hochreiter D, Kuruvilla D, Grossman M, Silberg J, Rodriguez A, Lary L, Panosky K, Loyal J. Improving Guidance and Maternal Knowledge Retention After Well-Newborn Unit Discharge. Hospital Pediatrics 2022, 12: 148-156. PMID: 35075487, DOI: 10.1542/hpeds.2021-006307.Peer-Reviewed Original Research
2021
The Effect of Sitting Versus Standing on Family Perceptions of Family-Centered Rounds
Osborn R, Grossman M, Berkwitt A. The Effect of Sitting Versus Standing on Family Perceptions of Family-Centered Rounds. Hospital Pediatrics 2021, 11: e313-e316. PMID: 34607885, DOI: 10.1542/hpeds.2021-005999.Peer-Reviewed Original ResearchNeonatal Abstinence Syndrome: Management Advances and Therapeutic Approaches
Cheng F, McMillan C, Morrison A, Berkwitt A, Grossman M. Neonatal Abstinence Syndrome: Management Advances and Therapeutic Approaches. Current Addiction Reports 2021, 8: 595-604. DOI: 10.1007/s40429-021-00387-3.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsNeonatal abstinence syndromeMaternal-infant dyadsNon-pharmacologic interventionsNumber of infantsDevelopment of NASOpioid crisisLong-term neurodevelopmental outcomesNon-pharmacologic careOpioid-exposed infantsProportion of infantsLength of stayPurpose of ReviewInBirth hospitalizationOutpatient managementInpatient managementNeurodevelopmental outcomesClinical presentationAbstinence syndromeVulnerable infantsPharmacologic agentsStrategy warrantsClinical pathwayTherapeutic approachesFunctional assessmentInfantsImproving Patient Experience Scores in a Pediatric Emergency Department
Emerson BL, Setzer E, Bechtel K, Grossman M. Improving Patient Experience Scores in a Pediatric Emergency Department. Pediatric Quality And Safety 2021, 6: e417. PMID: 34235347, PMCID: PMC8225380, DOI: 10.1097/pq9.0000000000000417.Peer-Reviewed Original ResearchPediatric emergency departmentPatient experienceEmergency departmentMultidisciplinary teamRigorous process evaluationExcellent patient-centred careKey driver diagramPE scoresPatient-centered carePatient experience scoresPositive health outcomesSustained improvementQuality improvement methodsHealth outcomesMedical careTeam huddlesDriver diagramExamination roomProcess evaluationCareExperience scoresPatientsScoresCritical populationMonthsParent Perspectives on the Eat, Sleep, Console Approach for the Care of Opioid-Exposed Infants
McRae K, Sebastian T, Grossman M, Loyal J. Parent Perspectives on the Eat, Sleep, Console Approach for the Care of Opioid-Exposed Infants. Hospital Pediatrics 2021, 11: 358-365. PMID: 33658244, DOI: 10.1542/hpeds.2020-002139.Peer-Reviewed Original ResearchConceptsNeonatal abstinence syndromeTreatment of infantsParents of infantsNonpharmacologic interventionsNewborn careAbstinence syndromeInfant HospitalMost infantsInpatient unitExpectant mothersInfantsFunction-based assessmentOverall positive experienceHospitalExperiences of parentsMost participantsCareFeelings of guiltSemistructured interviewsSleepParents' perspectivesEmotional supportInterventionEATHypothesis-driven approach
2020
A Quality Improvement Project to Improve First Case On-time Starts in the Pediatric Operating Room
Pashankar DS, Zhao AM, Bathrick R, Taylor C, Boules H, Cowles RA, Grossman M. A Quality Improvement Project to Improve First Case On-time Starts in the Pediatric Operating Room. Pediatric Quality And Safety 2020, 5: e305. PMID: 32766485, PMCID: PMC7339335, DOI: 10.1097/pq9.0000000000000305.Peer-Reviewed Original ResearchEvaluating the effect of hospital setting on outcomes for neonatal abstinence syndrome
Grossman MR, Berkwitt AK, Osborn RR, Citarella BV, Hochreiter D, Bizzarro MJ. Evaluating the effect of hospital setting on outcomes for neonatal abstinence syndrome. Journal Of Perinatology 2020, 40: 1483-1488. PMID: 32086436, DOI: 10.1038/s41372-020-0621-5.Peer-Reviewed Original ResearchConceptsNeonatal abstinence syndromeLength of stayAbstinence syndromeInpatient groupNICU groupCombination groupHospital costsInpatient unitGeneral inpatient floorEffect of hospitalImpact of hospitalDifferent hospital unitsMorphine treatmentSecondary outcomesPrimary outcomeBreastfeeding ratesRetrospective studyStudy designWeInpatient floorHospital unitsStayNICUSyndromeHospitalOutcomesRacial association and pharmacotherapy in neonatal opioid withdrawal syndrome: thinking beyond genetics
Grossman MR, Berkwitt AK, Osborn RR. Racial association and pharmacotherapy in neonatal opioid withdrawal syndrome: thinking beyond genetics. Journal Of Perinatology 2020, 40: 689-690. PMID: 32076112, DOI: 10.1038/s41372-020-0607-3.Peer-Reviewed Original Research
2019
Beware of Boxes.
Grossman MR. Beware of Boxes. Hospital Pediatrics 2019, 9: 649-650. PMID: 31315890, DOI: 10.1542/hpeds.2019-0100.Peer-Reviewed Original ResearchImproving Care for Sickle Cell Pain Crisis Using a Multidisciplinary Approach
Balsamo L, Shabanova V, Carbonella J, Szondy MV, Kalbfeld K, Thomas DA, Santucci K, Grossman M, Pashankar F. Improving Care for Sickle Cell Pain Crisis Using a Multidisciplinary Approach. Pediatrics 2019, 143: e20182218. PMID: 30944154, DOI: 10.1542/peds.2018-2218.Peer-Reviewed Original ResearchConceptsVaso-occlusive crisisHospital daysReadmission ratesHospital costsSickle cell disease vaso-occlusive crisisMultidisciplinary quality improvement projectSickle cell pain crisisThirty-day readmission ratesDedicated team effortSCD pediatric patientsPatients ages 0Direct hospital costsLength of stayHigh usersStudy-Act methodologyQuality improvement projectMental health providersHigh-use groupPain planPain crisisFrequent hospitalizationsRisk patientsPediatric patientsPreintervention periodEmergency departmentNeonatal abstinence syndrome
Grossman M, Berkwitt A. Neonatal abstinence syndrome. Seminars In Perinatology 2019, 43: 173-186. PMID: 30773241, DOI: 10.1053/j.semperi.2019.01.007.Peer-Reviewed Original ResearchConceptsNeonatal abstinence syndromeAbstinence syndromeIncidence of NASScoring toolNon-pharmacologic interventionsDoses of medicationLong-term outcomesCare of infantsHospital stayMedication usageWithdrawal signsHealthcare systemSyndromeInfantsIncidenceCareScreening approachMedicationsOpioidsRoomingNeonatesStayPathophysiologyDoses
2018
Reducing Radiation Exposure in Cardiac Catheterizations for Congenital Heart Disease
Patel C, Grossman M, Shabanova V, Asnes J. Reducing Radiation Exposure in Cardiac Catheterizations for Congenital Heart Disease. Pediatric Cardiology 2018, 40: 638-649. PMID: 30542920, DOI: 10.1007/s00246-018-2039-9.Peer-Reviewed Original ResearchConceptsCatheterization labRadiation exposureCardiac catheterizationYale-New Haven Children's HospitalDAP/Patent ductus arteriosusAtrial septal defectCongenital heart diseaseDose area productSystems-based interventionsCardiac catheterization labCongenital cardiac catheterizationTotal air kermaPost-intervention dataRadiation dose reductionAir kermaQuality improvement strategiesDuctus arteriosusTranscatheter pulmonaryChildren's HospitalDA dosesSeptal defectHeart diseaseLow fluoroscopyProcedure typeReducing 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 cultureIs It Time to Stop Classifying Febrile Infants With Positive Urinalyses as High-Risk for Meningitis?
Berkwitt AK, Grossman MR, Aronson PL. Is It Time to Stop Classifying Febrile Infants With Positive Urinalyses as High-Risk for Meningitis? Hospital Pediatrics 2018, 8: 506-508. PMID: 29987128, PMCID: PMC6057487, DOI: 10.1542/hpeds.2018-0064.Peer-Reviewed Original ResearchReducing the Use of Routine Viral Testing in Pediatric Patients Admitted with Bronchiolitis
Emerson B, Tenore C, Osborn R, Grossman M. Reducing the Use of Routine Viral Testing in Pediatric Patients Admitted with Bronchiolitis. Pediatrics 2018, 142: 369-369. DOI: 10.1542/peds.142.1ma4.369.Peer-Reviewed Original Research