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 carePatientsMortalityCareOutcomes
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 childrenA 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 ResearchSafety Threats During the Care of Infants with Hypoglycemic Seizures in the Emergency Department: A Multicenter, Simulation-Based Prospective Cohort Study
Walsh BM, Gangadharan S, Whitfill T, Gawel M, Kessler D, Dudas RA, Katznelson J, Lavoie M, Tay KY, Hamilton M, Brown LL, Nadkarni V, Auerbach M, investigators I. Safety Threats During the Care of Infants with Hypoglycemic Seizures in the Emergency Department: A Multicenter, Simulation-Based Prospective Cohort Study. Journal Of Emergency Medicine 2017, 53: 467-474.e7. PMID: 28843460, DOI: 10.1016/j.jemermed.2017.04.028.Peer-Reviewed Original Research
2016
Development of a Child Abuse Checklist to Evaluate Prehospital Provider Performance
Alphonso A, Auerbach M, Bechtel K, Bilodeau K, Gawel M, Koziel J, Whitfill T, Tiyyagura GK. Development of a Child Abuse Checklist to Evaluate Prehospital Provider Performance. Prehospital Emergency Care 2016, 21: 222-232. PMID: 27700209, DOI: 10.1080/10903127.2016.1229824.Peer-Reviewed Original ResearchConceptsInter-rater reliabilityClinical experiencePrehospital providersLight's kappaEmergency medical services (EMS) providersCronbach's alphaAuthors' clinical experienceOverall Cronbach's alphaOverall inter-rater reliabilityInternal consistencyChild abuseSubstantial inter-rater reliabilityDelphi review processStrong content validityMedical service providersSemi-structured qualitative interviewsFinal checklistSelf-reported confidenceProvider experienceParticipant characteristicsItem completionLevel of trainingDelphi reviewContent validityProvider performanceThe Correlation of Workplace Simulation-Based Assessments With Interns’ Infant Lumbar Puncture Success
Auerbach M, Fein DM, Chang TP, Gerard J, Zaveri P, Grossman D, Van Ittersum W, Rocker J, Whitfill T, Pusic M, Kessler DO. The Correlation of Workplace Simulation-Based Assessments With Interns’ Infant Lumbar Puncture Success. Simulation In Healthcare The Journal Of The Society For Simulation In Healthcare 2016, 11: 126-133. PMID: 27043098, DOI: 10.1097/sih.0000000000000135.Peer-Reviewed Original ResearchConceptsProcedural successPuncture successSuccess rateAcademic medical centerPrimary outcomeMedical CenterPatientsLarger studyRating ScaleClinical performanceProcedural readinessLittle dataGlobal rating scaleScale ratingsSimulation-based assessmentFirst procedureIncoming internsTotalWeak correlationAssessmentInterns
2015
Impact of Just-in-Time and Just-in-Place Simulation on Intern Success With Infant Lumbar Puncture
Kessler D, Pusic M, Chang TP, Fein DM, Grossman D, Mehta R, White M, Jang J, Whitfill T, Auerbach M. Impact of Just-in-Time and Just-in-Place Simulation on Intern Success With Infant Lumbar Puncture. Pediatrics 2015, 135: e1237-e1246. PMID: 25869377, DOI: 10.1542/peds.2014-1911.Peer-Reviewed Original ResearchConceptsInfant LPCohort BSuccess rateStylet removalFirst needle insertionUse of analgesiaProcess measuresLP success rateHigh-power fieldInfant lumbar punctureCohort A.LP successAnalgesia useRed blood cellsCohort AProspective studyLumbar punctureLower mean numberMAIN OUTCOMEPuncture successBlood cellsCoached practiceEmergency medicineMean numberTraining bundles