2024
Comparing Leadership Skills of Senior Emergency Medicine Residents in 3-Year Versus 4-Year Programs During Simulated Pediatric Resuscitation
Schoppel K, Keilman A, Fayyaz J, Padlipsky P, Diaz M, Wing R, Hughes M, Franco M, Swinger N, Whitfill T, Walsh B, Simulation I. Comparing Leadership Skills of Senior Emergency Medicine Residents in 3-Year Versus 4-Year Programs During Simulated Pediatric Resuscitation. Pediatric Emergency Care 2024, 40: 591-597. PMID: 38809592, DOI: 10.1097/pec.0000000000003216.Peer-Reviewed Original ResearchSimulated pediatric resuscitationPediatric resuscitationEM residentsEmergency medicinePilot studyLeadership scoresExposure to pediatric patientsGeneral emergency departmentsEmergency medicine residentsSelf-efficacy scoresEM resident physiciansCardiac arrest casesSenior emergency medicine residentsEM residency programsLeadership assessment toolsCohort pilot studyPediatric patientsMedicine residentsParticipating residentsResident physiciansCohort projectArrest casesEmergency departmentResident cohortSelf-efficacyThe Effect of a Collaborative Pediatric Emergency Readiness Improvement Intervention on Patients’ Hospital Outcomes
Abu-Sultanah M, Lutfi R, Abu-Sultaneh S, Pearson K, Montgomery E, Whitfill T, Auerbach M, Abulebda K. The Effect of a Collaborative Pediatric Emergency Readiness Improvement Intervention on Patients’ Hospital Outcomes. Academic Pediatrics 2024, 24: 1203-1209. PMID: 38657901, DOI: 10.1016/j.acap.2024.04.006.Peer-Reviewed Original ResearchGeneral emergency departmentsPediatric readiness scoreHospital length of stayLength of stayReadiness scoresEmergency departmentPICU length of stayPatient outcomesHospital lengthPost-intervention periodPre-intervention periodPediatric emergency departmentPediatric readinessAssociated with significant improvementsOutcomes of critically ill childrenPatients' hospital outcomesImprovement interventionsPediatric intensive careCollaborative interventionDescriptive statisticsClinical resourcesFuture initiativesHospital outcomesBivariate analysisCritically ill childrenThe 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
2023
Evaluation of Pediatric Readiness Using Simulation in General Emergency Departments in a Medically Underserved Region
Rutledge C, Waddell K, Gaither S, Whitfill T, Auerbach M, Tofil N. Evaluation of Pediatric Readiness Using Simulation in General Emergency Departments in a Medically Underserved Region. Pediatric Emergency Care 2023, 40: 335-340. PMID: 37973039, DOI: 10.1097/pec.0000000000003056.Peer-Reviewed Original ResearchPediatric readiness scoreGeneral emergency departmentsPediatric patient volumeComposite quality scorePediatric patientsPediatric emergenciesEmergency departmentHigher composite quality scorePatient volumeNational Pediatric Readiness ProjectIll pediatric patientsUnderserved areasClinical care processesEmergency medical servicesPediatric readinessSimulated paediatric emergencyPediatric carePatientsCare processesHospital locationPediatric resourcesED locationMedical servicesUnderserved regionsSignificant differences
2021
Efficacy 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 utilization49156 Effects of Race and Demographics on Use of Physical Restraints in the Emergency Department
Wong A, Whitfill T, Ohuabunwa E, Ray J, Dziura J, Bernstein S, Taylor R. 49156 Effects of Race and Demographics on Use of Physical Restraints in the Emergency Department. Journal Of Clinical And Translational Science 2021, 5: 121-122. PMCID: PMC8827920, DOI: 10.1017/cts.2021.710.Peer-Reviewed Original ResearchEmergency departmentAlcohol useAfrican AmericansHealth systemED visitsEffects of raceIllicit drug useOdds ratioPhysical restraintSignificant oddsUse of physical restraintsPrivate insuranceLack of private insuranceRegional health systemAssociated with significant oddsNon-Hispanic ethnicityPrevent self-harmTotal ED visitsAssociated with oddsRetrospective cohort analysisAssociated with safety risksAfrican American raceStatistically significant oddsTertiary health systemSignificant demographic factors
2020
4123 Characterization of Physical Restraint and Sedative Use for Treatment of Agitation in the Emergency Department
Wong A, Crispino L, Parker J, McVaney C, Rosenberg A, Ray J, Whitfill T, Iennaco J, Bernstein S. 4123 Characterization of Physical Restraint and Sedative Use for Treatment of Agitation in the Emergency Department. Journal Of Clinical And Translational Science 2020, 4: 125-125. PMCID: PMC8823616, DOI: 10.1017/cts.2020.374.Peer-Reviewed Original ResearchLogistic regression modelsRestraint useSedative useEmergency departmentOvert Aggression Scale scoresPhysical restraintOvert Aggression ScaleAggression scale scoresTreatment of agitationAgitated Behavior ScaleSeverity ScaleHigher oddsAgitation ScaleScale scoreLogistic regression models of factorsAssociated with significantly higher oddsTertiary care referral centerUrban tertiary care referral centerProspective cohort study of adult patientsFrequent chief complaintProspective cohort studySignificantly higher oddsAlcohol/drug useCohort study of adult patientsSeverity Scale scorePediatric 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
2019
Statewide Pediatric Facility Recognition Programs and Their Association with Pediatric Readiness in Emergency Departments in the United States
Whitfill TM, Remick KE, Olson LM, Richards R, Brown KM, Auerbach MA, Gausche-Hill M. Statewide Pediatric Facility Recognition Programs and Their Association with Pediatric Readiness in Emergency Departments in the United States. The Journal Of Pediatrics 2019, 218: 210-216.e2. PMID: 31757472, DOI: 10.1016/j.jpeds.2019.10.017.Peer-Reviewed Original ResearchCharacteristics 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 agitationImproving 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 catheterImproving 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
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
2017
Safety 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
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 scoresEffects of alcohol-based hand hygiene solutions on breath alcohol detection in the emergency department
Emerson BL, Whitfill T, Baum CR, Garlin-Kane K, Santucci K. Effects of alcohol-based hand hygiene solutions on breath alcohol detection in the emergency department. American Journal Of Infection Control 2016, 44: 1672-1674. PMID: 27614708, DOI: 10.1016/j.ajic.2016.05.036.Peer-Reviewed Original ResearchWhat Parents Want: Does Provider Knowledge of Written Parental Expectations Improve Satisfaction in the Emergency Department?
Zoltowski KS, Mistry RD, Brousseau DC, Whitfill T, Aronson PL. What Parents Want: Does Provider Knowledge of Written Parental Expectations Improve Satisfaction in the Emergency Department? Academic Pediatrics 2016, 16: 343-349. PMID: 26854207, PMCID: PMC6915063, DOI: 10.1016/j.acap.2016.01.020.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentEmergency departmentProportion of parentsED visitsOverall careIntervention groupClinicians' knowledgeStaff sensitivityTertiary care pediatric emergency departmentParental satisfactionPediatric ED visitsNonurgent ED visitsExpectations SurveyChi-square testED dispositionNonurgent visitsSecondary outcomesPrimary outcomeNonurgent conditionsParents of childrenProvider knowledgeControl groupCare qualityBaseline groupVisits
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