2024
State and National Estimates of the Cost of Emergency Department Pediatric Readiness and Lives Saved
Newgard C, Lin A, Goldhaber-Fiebert J, Remick K, Gausche-Hill M, Burd R, Malveau S, Cook J, Jenkins P, Ames S, Mann N, Glass N, Hewes H, Fallat M, Salvi A, Carr B, McConnell K, Stephens C, Ford R, Auerbach M, Babcock S, Kuppermann N. State and National Estimates of the Cost of Emergency Department Pediatric Readiness and Lives Saved. JAMA Network Open 2024, 7: e2442154. PMID: 39485354, PMCID: PMC11530936, DOI: 10.1001/jamanetworkopen.2024.42154.Peer-Reviewed Original ResearchConceptsPediatric readinessED readinessEmergency departmentWeighted pediatric readiness scorePediatric livesCohort studyPediatric readiness scoreEmergency servicesUS emergency departmentsHigh emergency departmentAnnual hospital expendituresDistrict of ColumbiaNational annual costEmergency careReadiness scoresMain OutcomesNational estimatesChild deathsEligible childrenAged 0Hospital expendituresNational costUS costsUS statesChild's lifeThe 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 childrenA Comparison of State-Specific Pediatric Emergency Medical Facility Recognition Programs, 2020
Boggs K, Voligny E, Auerbach M, Espinola J, Samuels-Kalow M, Sullivan A, Camargo C. A Comparison of State-Specific Pediatric Emergency Medical Facility Recognition Programs, 2020. Pediatric Emergency Care 2024, 40: 141-146. PMID: 38295194, PMCID: PMC10832299, DOI: 10.1097/pec.0000000000003119.Peer-Reviewed Original ResearchConceptsPediatric emergency care coordinatorEmergency Medical Services for ChildrenProgram start dateEmergency departmentQuality of pediatric emergency carePediatric emergency careHigh emergency departmentRecognition programCare coordinationPediatric readinessEmergency careStart datePatient outcomesED areaProgram characteristicsProgram managersLevel of verificationProgramLevel of recognitionVerification requirementsCareVerificationParticipantsChildrenDepartment
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
2022
Emergency Department Pediatric Readiness Among US Trauma Centers
Newgard C, Babcock S, Song X, Remick K, Gausche-Hill M, Lin A, Malveau S, Mann N, Nathens A, Cook J, Jenkins P, Burd R, Hewes H, Glass N, Jensen A, Fallat M, Ames S, Salvi A, McConnell K, Ford R, Auerbach M, Bailey J, Riddick T, Xin H, Kuppermann N, Group O. Emergency Department Pediatric Readiness Among US Trauma Centers. Annals Of Surgery 2022, 278: e580-e588. PMID: 36538639, PMCID: PMC10149578, DOI: 10.1097/sla.0000000000005741.Peer-Reviewed Original ResearchConceptsUS trauma centersEmergency Department Pediatric ReadinessED pediatric readinessTrauma centerPediatric readinessHospital survivalRetrospective cohort studyHospital-level variablesAmerican Hospital Association surveyLong-term survivalMental health careLife support coursePediatric survivalCohort studyPrimary outcomePatient assessmentPatient variablesPediatric triageRespiratory equipmentPotential predictorsHealth careReadiness componentsSurvivalSupport courseStrongest predictorImpact of individual components of emergency department pediatric readiness on pediatric mortality in US trauma centers
Remick K, Smith M, Newgard CD, Lin A, Hewes H, Jensen AR, Glass N, Ford R, Ames S, Cook J, Malveau S, Dai M, Auerbach M, Jenkins P, Gausche-Hill M, Fallat M, Kuppermann N, Mann NC. Impact of individual components of emergency department pediatric readiness on pediatric mortality in US trauma centers. Journal Of Trauma And Acute Care Surgery 2022, 94: 417-424. PMID: 36045493, PMCID: PMC9974586, DOI: 10.1097/ta.0000000000003779.Peer-Reviewed Original ResearchConceptsED pediatric readinessUS trauma centersEmergency Department Pediatric ReadinessTrauma centerPediatric readinessMortality ratioNational Pediatric Readiness Project assessmentLevel IIINational Trauma Data BankPediatric emergency care coordinatorTrauma center levelTrauma Data BankMultivariable linear regressionEvidence-based guidanceRisk-adjustment modelsPaediatric triage toolPediatric survivalCohort studyCritical airwayPediatric centersMultivariable analysisPediatric mortalityUnadjusted analysesResuscitation equipmentCare coordinators
2021
Improving Pediatric Readiness and Clinical Care in General Emergency Departments: A Multicenter Retrospective Cohort Study
Abulebda K, Whitfill T, Mustafa M, Montgomery EE, Lutfi R, Abu-Sultaneh S, Nitu ME, Auerbach MA, Simulation I. Improving Pediatric Readiness and Clinical Care in General Emergency Departments: A Multicenter Retrospective Cohort Study. The Journal Of Pediatrics 2021, 240: 241-248.e1. PMID: 34499944, DOI: 10.1016/j.jpeds.2021.08.084.Peer-Reviewed Original ResearchConceptsGeneral emergency departmentsRetrospective cohort studyEmergency departmentAcademic medical centerClinical careCohort studyPediatric readinessMedical CenterMulticenter retrospective cohort studyImplicit review instrumentMean total quality scoreEmergency care physiciansInitial treatment planPediatric academic medical centerProcess of careChart reviewED encountersCare physiciansIll childrenMultifaceted interventionsPediatric careReview InstrumentTreatment planLaboratory ordersWrong medication
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 interventionsImPACTS: A Collaborative Improvement Intervention Involving Children's Hospitals and General Hospitals Improves Pediatric Readiness.
Auerbach M, Bhatnagar A, Abulebda K, Montgomery E, Whitfill T, Sessa A, Walls T, Landry K, Dudas B, Kant S, Fenster D, Janofsky S, Walsh B, Leung J, Van Ittersum W, Scherzer D, Thomas A, arteaga G, vora S, Abersol M. ImPACTS: A Collaborative Improvement Intervention Involving Children's Hospitals and General Hospitals Improves Pediatric Readiness. Pediatrics 2020, 146: 203-204. DOI: 10.1542/peds.146.1ma3.203.Peer-Reviewed Original ResearchPediatric 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 ResearchA tabletop school bus rollover: Connecticut-wide drills to build pediatric disaster preparedness and promote a novel hospital disaster readiness checklist.
Cicero MX, Golloshi K, Gawel M, Parker J, Auerbach M, Violano P. A tabletop school bus rollover: Connecticut-wide drills to build pediatric disaster preparedness and promote a novel hospital disaster readiness checklist. American Journal Of Disaster Medicine 2019, 14: 75-87. PMID: 31637688, DOI: 10.5055/ajdm.2019.0318.Peer-Reviewed Original ResearchConceptsPediatric disaster preparednessEmergency medical servicesSurge capacityPediatric disaster responseAlternate care siteTabletop exerciseHospital disaster plansPublic health officialsPrehospital organizationsPediatric bedsPediatric guidelinesPediatric readinessHealthcare workersCare sitesNational guidelinesPrehospital responseHospital checklistsEMS personnelInpatient capacityConnecticut CoalitionHospitalHealth officialsDisaster preparednessMedical servicesComplete survey responses
2018
A Research Agenda to Advance Pediatric Emergency Care Through Enhanced Collaboration Across Emergency Departments
Barata I, Auerbach M, Badaki‐Makun O, Benjamin L, Joseph MM, Lee MO, Mears K, Petrack E, Wallin D, Ishimine P, Denninghoff KR. A Research Agenda to Advance Pediatric Emergency Care Through Enhanced Collaboration Across Emergency Departments. Academic Emergency Medicine 2018, 25: 1415-1426. PMID: 30353946, DOI: 10.1111/acem.13642.Peer-Reviewed Original ResearchConceptsEmergency departmentEmergency medicinePediatric careConsensus conferenceAcademic Emergency MedicineHealth Outcome GapsGeneral emergency departmentsPatient care guidelinesOutcome gapPediatric emergency careAcademic pediatric centersImplementation of evidenceJournal Academic Emergency MedicineSafe medical careSystems of carePediatric emergency medicineQuality improvement expertsAcademic Emergency Medicine consensus conferenceCare of childrenPediatric centersPediatric patientsED settingCare guidelinesPediatric readinessEmergency careProviders' Perceptions of Caring for Pediatric Patients in Community Hospital Emergency Departments: A Mixed‐methods Analysis
Goldman MP, Wong AH, Bhatnagar A, Emerson BL, Brown LL, Auerbach MA. Providers' Perceptions of Caring for Pediatric Patients in Community Hospital Emergency Departments: A Mixed‐methods Analysis. Academic Emergency Medicine 2018, 25: 1385-1395. PMID: 29947453, DOI: 10.1111/acem.13509.Peer-Reviewed Original ResearchConceptsCommunity emergency departmentsPediatric readinessProviders' perceptionsProviders' perceptions of careEmergency departmentEmotional tollSick childrenCommunity hospital emergency departmentChildren's hospitalPerceptions of carePediatric emergency careQuality improvement workCommunity hospital providersSafety deficitsHospital emergency departmentSelf-reported comfortActual clinical eventsLocal children's hospitalInterprofessional teamPediatric QualityEmergency carePediatric resuscitationPediatric simulationHospital providersPediatric careA 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