2024
The 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
2022
Comparison of a dichotomous versus trichotomous checklist for neonatal intubation
Johnston L, Sawyer T, Nishisaki A, Whitfill T, Ades A, French H, Glass K, Dadiz R, Bruno C, Levit O, Auerbach M. Comparison of a dichotomous versus trichotomous checklist for neonatal intubation. BMC Medical Education 2022, 22: 645. PMID: 36028871, PMCID: PMC9419414, DOI: 10.1186/s12909-022-03700-4.Peer-Reviewed Original ResearchSetting an Agenda
Gross I, Clapper T, Ramachandra G, Thomas A, Ades A, Walsh B, Kreuzer F, Elkin R, Wagner M, Whitfill T, Chang T, Duff J, Deutsch E, Loellgen R, Palaganas J, Fayyaz J, Kessler D, Calhoun A. Setting an Agenda. Simulation In Healthcare The Journal Of The Society For Simulation In Healthcare 2022, 18: 100-107. PMID: 36989108, DOI: 10.1097/sih.0000000000000663.Peer-Reviewed Original ResearchImproving Emergency Preparedness in Pediatric Primary Care Offices: A Simulation-Based Interventional Study
Yuknis ML, Abulebda K, Whitfill T, Pearson KJ, Montgomery EE, Auerbach MA, Simulation I. Improving Emergency Preparedness in Pediatric Primary Care Offices: A Simulation-Based Interventional Study. Academic Pediatrics 2022, 22: 1167-1174. PMID: 35367402, DOI: 10.1016/j.acap.2022.03.018.Peer-Reviewed Original ResearchConceptsPediatric primary care officeQuality of carePrimary care officesPrimary care practicesCare officesBaseline assessmentCare practicesPediatric primary care practicesSingle-center studyMonth intervention periodPediatrics policy statementEmergency preparednessSimulated settingRespiratory distressAAP guidelinesCenter studyProspective studyInterventional studyIntervention periodPediatric emergenciesEmergency carePreparedness scoreAmerican AcademyAssessment scoresCare
2021
Improving Pediatric Acute Care Through Simulation (ImPACTS): A Scalable Model for Academic-Community Collaboration
Auerbach M, Whitfill T, Abulebda K. Improving Pediatric Acute Care Through Simulation (ImPACTS): A Scalable Model for Academic-Community Collaboration. Academic Medicine 2021, 96: 1625-1625. PMID: 35134018, DOI: 10.1097/acm.0000000000004395.Peer-Reviewed Original ResearchEfficacy of Computer-Based Simulation as a Modality for Learning Pediatric Disaster Triage for Pediatric Emergency Nurses
Levy A, Khalil E, Chandramohan M, Whitfill T, Cicero M. Efficacy of Computer-Based Simulation as a Modality for Learning Pediatric Disaster Triage for Pediatric Emergency Nurses. Simulation In Healthcare The Journal Of The Society For Simulation In Healthcare 2021, 17: 329-335. PMID: 34652326, DOI: 10.1097/sih.0000000000000616.Peer-Reviewed Original ResearchConceptsPediatric emergency nursesPediatric disaster triageEmergency nursesTriage accuracyTertiary care emergency departmentProspective observational studyEmergency departmentPatient outcomesObservational studyEffective modalityNurse participantsNursing personnelDisaster triageHealthcare personnelScreen-based simulationMistriageEfficacy of computerNursesTriageEfficacyModalitiesSignificant improvementPoor resource utilization
2020
Pediatric Readiness in the Emergency Department and Its Association With Patient Outcomes in Critical Care: A Prospective Cohort Study.
Balmaks R, Whitfill TM, Ziemele B, Blumberga M, Upenieks R, Vegeris I, Grope I, Pavare J, Auerbach MA, Gross IT. Pediatric Readiness in the Emergency Department and Its Association With Patient Outcomes in Critical Care: A Prospective Cohort Study. Pediatric Critical Care Medicine 2020, 21: e213-e220. PMID: 32132503, DOI: 10.1097/pcc.0000000000002255.Peer-Reviewed Original ResearchConceptsPediatric readiness scoreProspective cohort studyEmergency departmentPediatric readinessPatient outcomesComposite quality scoreCohort studyReadiness scoresPediatric acute careProcess of carePediatric emergency careHospital lengthPediatric patientsQuality scoresAcute carePediatric mortalityPatient RegistryCritical careMixed-effects regressionPICUEmergency carePatientsMortalityCareOutcomesImproving Pediatric Administrative Disaster Preparedness Through Simulated Disaster Huddles
Gross IT, Goldberg SA, Whitfill T, Liebling S, Garcia A, Alfano A, Hasdianda A, Cicero MX. Improving Pediatric Administrative Disaster Preparedness Through Simulated Disaster Huddles. Disaster Medicine And Public Health Preparedness 2020, 15: 352-357. PMID: 32172716, DOI: 10.1017/dmp.2020.10.Peer-Reviewed Original ResearchConceptsPediatric EDMass casualty incidentsEmergency department staffFunctional exercisePatient outcomesDisaster preparedness effortsDisaster preparednessDepartment staffFurther studiesDidactic sessionsCasualty incidentsOverall scoreAppropriate trainingPreparedness effortsHuddlesTraining paradigmPreparedness
2019
Characteristics and Severity of Agitation Associated With Use of Sedatives and Restraints in the Emergency Department
Wong AH, Crispino L, Parker JB, McVaney C, Rosenberg A, Ray JM, Whitfill T, Iennaco JD, Bernstein SL. Characteristics and Severity of Agitation Associated With Use of Sedatives and Restraints in the Emergency Department. Journal Of Emergency Medicine 2019, 57: 611-619. PMID: 31594740, DOI: 10.1016/j.jemermed.2019.07.019.Peer-Reviewed Original ResearchConceptsAgitated patientsOvert Aggression Scale scoresUse of sedativesRestraint useEmergency departmentOvert Aggression ScaleAggression scale scoresAgitated Behavior ScaleAgitation ScaleScale scoreSedative useHigher oddsAggression ScaleBehavior ScaleBehavioral techniquesTriage chief complaintTertiary referral centerProspective observational studyAgitation severityAlcohol/drug useSeverity Scale scoreLevel of agitationLogistic regression modelsSeverity ScaleDetection of agitationRecoding the metagenome: microbiome engineering in situ
Whitfill T, Oh J. Recoding the metagenome: microbiome engineering in situ. Current Opinion In Microbiology 2019, 50: 28-34. PMID: 31622928, DOI: 10.1016/j.mib.2019.09.005.Peer-Reviewed Original ResearchImproving Simulated Pediatric Airway Management in Community Emergency Departments Using a Collaborative Program With a Pediatric Academic Medical Center.
Abu-Sultaneh S, Whitfill T, Rowan CM, Friedman ML, Pearson KJ, Berrens ZJ, Lutfi R, Auerbach MA, Abulebda K. Improving Simulated Pediatric Airway Management in Community Emergency Departments Using a Collaborative Program With a Pediatric Academic Medical Center. Respiratory Care 2019, 64: 1073-1081. PMID: 31015388, DOI: 10.4187/respcare.06750.Peer-Reviewed Original ResearchConceptsCommunity emergency departmentsPediatric academic medical centerPediatric airway managementAcademic medical centerAirway managementEmergency departmentMedical CenterAppropriate endotracheal tube sizeLow pediatric volumePre-intervention visitReadiness scoresPediatric emergency airway managementEmergency airway managementEndotracheal tube sizePost-intervention studyAirway management issuesPediatric-specific equipmentStates academic medical centersCollaborative improvement programPrimary outcomeSecondary outcomesPediatric patientsOverall adherencePediatric volumeSuction catheterThe effect of an International competitive leaderboard on self-motivated simulation-based CPR practice among healthcare professionals: A randomized control trial
Chang TP, Raymond T, Dewan M, MacKinnon R, Whitfill T, Harwayne-Gidansky I, Doughty C, Frisell K, Kessler D, Wolfe H, Auerbach M, Rutledge C, Mitchell D, Jani P, Walsh CM, Investigators O. The effect of an International competitive leaderboard on self-motivated simulation-based CPR practice among healthcare professionals: A randomized control trial. Resuscitation 2019, 138: 273-281. PMID: 30946919, DOI: 10.1016/j.resuscitation.2019.02.050.Peer-Reviewed Original ResearchImproving 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 ResearchConceptsCommunity 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
Use of sedatives and restraints for treatment of agitation in the emergency department
Wong AH, Crispino L, Parker J, McVaney C, Rosenberg A, Ray JM, Whitfill T, Iennaco JD, Bernstein SL. Use of sedatives and restraints for treatment of agitation in the emergency department. The American Journal Of Emergency Medicine 2018, 37: 1376-1379. PMID: 30598374, DOI: 10.1016/j.ajem.2018.12.027.Peer-Reviewed Original ResearchAdherence 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 childrenNeonatal Intubation Competency Assessment Tool: Development and Validation
Johnston L, Sawyer T, Nishisaki A, Whitfill T, Ades A, French H, Glass K, Dadiz R, Bruno C, Levit O, Gangadharan S, Scherzer D, Moussa A, Auerbach M, Network I. Neonatal Intubation Competency Assessment Tool: Development and Validation. Academic Pediatrics 2018, 19: 157-164. PMID: 30103050, DOI: 10.1016/j.acap.2018.07.008.Peer-Reviewed Original ResearchConceptsCompetency assessment toolNeonatal tracheal intubationsGlobal skills assessmentEPA levelsChecklist scoresCormack-Lehane scoreAssessment toolHealth care providersImportant clinical skillTracheal intubationGlottic exposureNeonatal simulatorCare providersGood internal consistencyPatient harmBlinded reviewersDelphi processActivity levelsSimulation-based trainingClinical skillsScoresInternal consistencyChecklist itemsFinal toolSkills assessmentThe 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 staffingHospitalEmergency Care for Children in the United States: Epidemiology and Trends Over Time
Whitfill T, Auerbach M, Scherzer DJ, Shi J, Xiang H, Stanley RM. Emergency Care for Children in the United States: Epidemiology and Trends Over Time. Journal Of Emergency Medicine 2018, 55: 423-434. PMID: 29793812, DOI: 10.1016/j.jemermed.2018.04.019.Peer-Reviewed Original ResearchConceptsLower-volume EDsPediatric ED visitsED visitsPediatric visitsEmergency careInterhospital transferPediatric volumeUtilization Project Nationwide Emergency Department SampleNationwide Emergency Department SampleSelf-pay insuranceEmergency Department SampleHigh-volume EDsEmergency care systemLower mortality rateMajority of childrenEmergency department volumeMedicaid insuranceHospital characteristicsGastrointestinal diseasesPediatric careEpidemiological trendsRespiratory diseaseCommon reasonMortality rateTotal visits
2017
A Collaborative In Situ Simulation‐based Pediatric Readiness Improvement Program for Community Emergency Departments
Abulebda K, Lutfi R, Whitfill T, Abu‐Sultaneh S, Leeper KJ, Weinstein E, Auerbach MA. A Collaborative In Situ Simulation‐based Pediatric Readiness Improvement Program for Community Emergency Departments. Academic Emergency Medicine 2017, 25: 177-185. PMID: 28977717, DOI: 10.1111/acem.13329.Peer-Reviewed Original Research