2021
Improving 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 populationMonths
2019
Oral injuries in children less than 24 months of age in a pediatric emergency department
Woolf SM, Leventhal JM, Gaither JR, Hardikar P, Langhan ML, Bechtel K, Auerbach MA, Tiyyagura G. Oral injuries in children less than 24 months of age in a pediatric emergency department. Child Abuse & Neglect 2019, 89: 70-77. PMID: 30639971, DOI: 10.1016/j.chiabu.2019.01.006.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentOral injuriesChief complaintEmergency departmentAbuse evaluationsTertiary care pediatric emergency departmentMedical chief complaintsMonths old presentingPediatric emergency medicine physiciansProspective observational studyComplete oral examinationEmergency medicine physiciansMonths of ageYoung childrenOld presentingPatient demographicsInjury detailsChildren 12Children 0Observational studyOral examinationMedicine physiciansNon-mobile childrenInjuryPatients
2018
Feasibility of providing child restraint devices after a motor vehicle crash in a pediatric emergency department
Violano P, Aysseh N, Lucas M, Gawel M, Morrell P, Norway C, Alfano A, Bechtel K. Feasibility of providing child restraint devices after a motor vehicle crash in a pediatric emergency department. Traffic Injury Prevention 2018, 19: 844-848. PMID: 30657709, DOI: 10.1080/15389588.2018.1496243.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentMotor vehicle crashesChild restraint devicesEmergency departmentLevel 1 trauma centerRestraint devicesVehicle crashesBrief educational interventionTrauma centerChildhood morbidityMedical costsPED providersED personnelEducational interventionAppropriate ageUse statusAppropriate useChildrenPatientsSafety of childrenCaregiversCrash mechanismsGuidelinesEDDepartment
2014
Postpartum Depression Screening in the Pediatric Emergency Department
Emerson BL, Bradley ER, Riera A, Mayes L, Bechtel K. Postpartum Depression Screening in the Pediatric Emergency Department. Pediatric Emergency Care 2014, 30: 788-792. PMID: 25343740, DOI: 10.1097/pec.0000000000000260.Peer-Reviewed Original ResearchConceptsEdinburgh Postpartum Depression ScalePediatric emergency departmentPostpartum depressionMental health resourcesYoung infantsPED visitsEmergency departmentRisk mothersTertiary care pediatric emergency departmentTertiary care children's hospitalPrevalence of PPDHealth resourcesBaseline demographic characteristicsInitial ED presentationAdditional mental health needsConvenience samplePostpartum depression screeningPostpartum Depression ScaleNegative predictive valueMental health needsFirst-time mothersSocial work consultationED presentationsChildren's HospitalDepression screening
2013
Management Of Headache In The Pediatric Emergency Department.
Alfonzo MJ, Bechtel K, Babineau S. Management Of Headache In The Pediatric Emergency Department. Pediatric Emergency Medicine Practice 2013, 10: 1-25. PMID: 26505695.Peer-Reviewed Original ResearchPediatric emergency departmentEmergency departmentLife-threatening conditionSpectrum of pathologyManagement of headacheBroad differentialPediatric populationComplex patientsEmergency cliniciansCommon complaintAppropriate treatmentSecondary headachesCurrent evidenceEmergency careHeadacheHealthcare providersSchool absencePatientsHealthcare ResearchOne-thirdBest current practicePoor academic achievementChildrenLives of childrenCurrent practice
2009
Relationship of Serum S100B Levels and Intracranial Injury in Children With Closed Head Trauma
Bechtel K, Frasure S, Marshall C, Dziura J, Simpson C. Relationship of Serum S100B Levels and Intracranial Injury in Children With Closed Head Trauma. Pediatrics 2009, 124: e697-e704. PMID: 19786430, DOI: 10.1542/peds.2008-1493.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAge FactorsBiomarkersBrain InjuriesCase-Control StudiesChildChild, PreschoolEmergency Service, HospitalFemaleFollow-Up StudiesFractures, BoneGlasgow Coma ScaleHead Injuries, ClosedHumansInjury Severity ScoreMaleMultiple TraumaNerve Growth FactorsPredictive Value of TestsProbabilityRetrospective StudiesRisk AssessmentS100 Calcium Binding Protein beta SubunitS100 ProteinsSex FactorsSurvival AnalysisTomography, X-Ray ComputedConceptsLong bone fracturesTime of venipunctureSerum S100B measurementClosed head traumaIntracranial injurySerum S100B levelsS100B levelsS100B measurementHead traumaUrban pediatric emergency departmentMean S100B levelsLevels of S100BPediatric emergency departmentYears of ageReferral hospitalSerum levelsEmergency departmentCranial CTSkeletal injuriesAnalysis of covarianceBone fracturesInjuryNonwhite childrenVenipunctureChildren
2008
Impact of Sexual Assault Nurse Examiners on the Evaluation of Sexual Assault in a Pediatric Emergency Department
Bechtel K, Ryan E, Gallagher D. Impact of Sexual Assault Nurse Examiners on the Evaluation of Sexual Assault in a Pediatric Emergency Department. Pediatric Emergency Care 2008, 24: 442-447. PMID: 18580706, DOI: 10.1097/pec.0b013e31817de11d.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentMedical recordsMore patientsEmergency departmentGU examinationEligible patientsHepatitis BSexual assault nurse examinersSTI testingGU injuriesC. trachomatisAdolescent sexual assault victimsMedical careN. gonorrhoeaeUrban pediatric emergency departmentSignificant differencesPrescription of prophylaxisProvision of prophylaxisFisher's exact testMedical record documentationPregnancy prophylaxisNurse examinersHIV prophylaxisPatient groupNursing shifts