2021
A QI Partnership to Decrease CT Use for Pediatric Appendicitis in the Community Hospital Setting
Goldman MP, Lynders W, Crain M, Kelley M, Solomon DM, Bokhari SAJ, Tiyyagura G, Auerbach MA, Emerson BL. A QI Partnership to Decrease CT Use for Pediatric Appendicitis in the Community Hospital Setting. Pediatric Quality And Safety 2021, 6: e479. PMID: 34589653, PMCID: PMC8476057, DOI: 10.1097/pq9.0000000000000479.Peer-Reviewed Original ResearchCT scan rateQuality improvement initiativesEmergency medical servicesPediatric appendicitisHospital ratesComputerized tomographyUS ratesCommunity hospital settingCT scan useImprovement initiativesMedical servicesState Emergency Medical ServicesPrimary aimQuality improvement teamStandardization of practiceCT useClinical pathwayHospital settingMAIN OUTCOMECase auditPractice trendsUltrasound usePractice changeProcess measuresEmergency department systemsImproving Safety and Quality During Interhospital Transfer of Patients With Nontraumatic Intracranial Hemorrhage: A Simulation-Based Pilot Program
Ray JM, Wong AH, Finn EB, Sheth KN, Matouk CC, Sudikoff SN, Auerbach MA, Sather JE, Venkatesh AK. Improving Safety and Quality During Interhospital Transfer of Patients With Nontraumatic Intracranial Hemorrhage: A Simulation-Based Pilot Program. Journal Of Patient Safety 2021, 18: 77-87. PMID: 33852541, DOI: 10.1097/pts.0000000000000808.Peer-Reviewed Original ResearchConceptsInterhospital transferNontraumatic intracranial hemorrhageThematic analysisRates of interhospital transfersQuality improvement initiativesQuality improvement strategiesInterhospital transfer of patientsTransfer of patientsCare handoffsCenter staff membersData saturationComplex handoffsImprovement initiativesInterprofessional debriefingFocus groupsEmergency physiciansQualitative studyEmergency departmentQuality improvementIll populationStaff membersTertiary care centerCare centerCommunication ChecklistSpecialized neurocritical care
2020
Improving Pediatric Readiness in General Emergency Departments: A Prospective Interventional Study
Abulebda K, Whitfill T, Montgomery EE, Thomas A, Dudas RA, Leung JS, Scherzer DJ, Aebersold M, Van Ittersum WL, Kant S, Walls TA, Sessa AK, Janofsky S, Fenster DB, Kessler DO, Chatfield J, Okada P, Arteaga GM, Berg MD, Knight LJ, Keilman A, Makharashvili A, Good G, Bingham L, Mathias EJ, Nagy K, Hamilton MF, Vora S, Mathias K, Auerbach MA, Simulation I, Lutfi R, Abu-Sultaneh S, Berrens Z, Burns B, Reid J, Fenstermacher S, Lavoie M, Tay K. Improving Pediatric Readiness in General Emergency Departments: A Prospective Interventional Study. The Journal Of Pediatrics 2020, 230: 230-237.e1. PMID: 33137316, DOI: 10.1016/j.jpeds.2020.10.040.Peer-Reviewed Original ResearchConceptsGeneral emergency departmentsAcademic medical centerEmergency departmentPediatric readinessMedical CenterInterventional studyPediatric readiness scoreProspective interventional studyPediatric academic medical centerProcess of careQuality improvement initiativesStudy protocolMean improvementCollaborative intervention modelsImprovement interventionsIntervention phaseImprovement initiativesResource ToolkitCareReadiness scoresBaselineInterventionIntervention modelSignificant improvementReadiness interventions
2018
A 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