2019
Improving Pediatric Diabetic Ketoacidosis Management in Community Emergency Departments Using a Simulation-Based Collaborative Improvement Program
Abulebda K, Whitfill T, Montgomery EE, Kirby ML, Ahmed RA, Cooper DD, Nitu ME, Auerbach MA, Lutfi R, Abu-Sultaneh S. Improving Pediatric Diabetic Ketoacidosis Management in Community Emergency Departments Using a Simulation-Based Collaborative Improvement Program. Pediatric Emergency Care 2019, 37: 543-549. PMID: 30870337, DOI: 10.1097/pec.0000000000001751.Peer-Reviewed Original ResearchMeSH KeywordsChecklistChildDiabetic KetoacidosisEmergency Service, HospitalHumansProspective StudiesResuscitationConceptsCommunity emergency departmentsAcademic medical centerEmergency departmentCollaborative improvement programDiabetic ketoacidosisPediatric patientsPediatric volumePediatric resourcesComposite adherence scoreDiabetic ketoacidosis managementLow pediatric volumePediatric DKA patientsProspective interventional studyMixed linear regression modelsQuality of careDKA guidelinesPatients preimplementationDKA patientsInterventional studyOverall adherenceAdherence scoreIll childrenMedical CenterCritical action checklistMultiprofessional team
2018
Adherence to Pediatric Cardiac Arrest Guidelines Across a Spectrum of Fifty Emergency Departments: A Prospective, In Situ, Simulation‐based Study
Auerbach M, Brown L, Whitfill T, Baird J, Abulebda K, Bhatnagar A, Lutfi R, Gawel M, Walsh B, Tay KY, Lavoie M, Nadkarni V, Dudas R, Kessler D, Katznelson J, Ganghadaran S, Hamilton MF. Adherence to Pediatric Cardiac Arrest Guidelines Across a Spectrum of Fifty Emergency Departments: A Prospective, In Situ, Simulation‐based Study. Academic Emergency Medicine 2018, 25: 1396-1408. PMID: 30194902, DOI: 10.1111/acem.13564.Peer-Reviewed Original ResearchConceptsPulseless electrical activityCardiac arrest guidelinesBasic life supportLower-volume EDsPediatric patient volumePatient volumeCardiac arrestPediatric volumeAdherence scoreVentricular fibrillationVolume groupHospital cardiac arrest survival outcomesProvider experiencePediatric Advanced Life Support trainingAdvanced life support trainingBetter guideline adherenceLow pediatric volumeTotal adherence scoreHigh-volume hospitalsHospital-level characteristicsTrauma center designationMore providersLower mortality rateHospital-level dataCare of childrenThe Impact of Telemedicine on Teamwork and Workload in Pediatric Resuscitation: A Simulation-Based, Randomized Controlled Study
Butler L, Whitfill T, Wong AH, Gawel M, Crispino L, Auerbach M. The Impact of Telemedicine on Teamwork and Workload in Pediatric Resuscitation: A Simulation-Based, Randomized Controlled Study. Telemedicine Journal And E-Health 2018, 25: 205-212. PMID: 29957150, DOI: 10.1089/tmj.2018.0017.Peer-Reviewed Original ResearchConceptsSimulation Team Assessment ToolProcesses of critical careImpact of telemedicineUsual carePediatric resuscitationProcess of care metricsCritical careSimulated pediatric resuscitationProcesses of careTime to defibrillationTeamwork scoresCare metricsSpecialty careTelemedicine groupNASA Task Load IndexTask Load IndexCareAssessment toolTelemedicineTeam workloadInfant resuscitationTeamworkRandomized Controlled StudyProcess of careTeam leadersA Simulation-Based Quality Improvement Initiative Improves Pediatric Readiness in Community Hospitals
Whitfill T, Gawel M, Auerbach M. A Simulation-Based Quality Improvement Initiative Improves Pediatric Readiness in Community Hospitals. Pediatric Emergency Care 2018, 34: 431-435. PMID: 28719479, DOI: 10.1097/pec.0000000000001233.Peer-Reviewed Original ResearchConceptsPediatric patient careEmergency departmentPediatric readinessPatient safety initiativesQuality improvement activitiesPediatric equipmentConnecticut hospitalsHospital teamPatient carePRS scoresReadiness scoresCardiac arrest guidelinesCommunity emergency departmentsUS emergency departmentsQuality improvement initiativesSafety initiativesQuality Improvement ProgramSepsis guidelinesPrimary outcomeComposite quality scoreCommunity hospitalResuscitative careResuscitation bayNurse staffingHospital
2016
Differences in the Quality of Pediatric Resuscitative Care Across a Spectrum of Emergency Departments
Auerbach M, Whitfill T, Gawel M, Kessler D, Walsh B, Gangadharan S, Hamilton MF, Schultz B, Nishisaki A, Tay KY, Lavoie M, Katznelson J, Dudas R, Baird J, Nadkarni V, Brown L. Differences in the Quality of Pediatric Resuscitative Care Across a Spectrum of Emergency Departments. JAMA Pediatrics 2016, 170: 987-994. PMID: 27570926, DOI: 10.1001/jamapediatrics.2016.1550.Peer-Reviewed Original ResearchConceptsHigher composite quality scorePediatric patient volumeEmergency departmentComposite quality scoreResuscitative carePatient volumePED statusProspective multicenter cohort studyCardiac arrest guidelinesMulticenter cohort studyPRS scoresIndividual domain scoresSepsis guidelinesCohort studyPediatric patientsIll patientsMulticenter studyCardiac arrestReal patient careMultivariable modelResuscitation bayMAIN OUTCOMEDomain scoresPatient careSurvey scores
2015
Disparities in Adherence to Pediatric Sepsis Guidelines across a Spectrum of Emergency Departments: A Multicenter, Cross-Sectional Observational In Situ Simulation Study
Kessler DO, Walsh B, Whitfill T, Dudas RA, Gangadharan S, Gawel M, Brown L, Auerbach M. Disparities in Adherence to Pediatric Sepsis Guidelines across a Spectrum of Emergency Departments: A Multicenter, Cross-Sectional Observational In Situ Simulation Study. Journal Of Emergency Medicine 2015, 50: 403-415.e3. PMID: 26499775, DOI: 10.1016/j.jemermed.2015.08.004.Peer-Reviewed Original ResearchConceptsPediatric sepsis guidelinesEmergency departmentSepsis guidelinesPediatric EDGeneral EDsSeptic shockProviders' perceptionsGreater adherenceMulti-center observational studyImproved guideline adherenceGeneral emergency departmentsMultivariable logistic regressionPediatric emergency departmentCross-sectional observationalMultivariable regression modelsEmergency medical servicesSepsis scoreGuideline adherencePediatric patientsPrimary outcomeOverall adherenceObservational studyLogistic regressionInterprofessional teamAdherence