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 ResearchMeSH KeywordsAdolescentChildChild, PreschoolCohort StudiesEmergency Service, HospitalFemaleHumansInfantInfant, NewbornMaleUnited StatesConceptsPediatric 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 life
2022
Comparison of a dichotomous versus trichotomous checklist for neonatal intubation
Johnston L, Sawyer T, Nishisaki A, Whitfill T, Ades A, French H, Glass K, Dadiz R, Bruno C, Levit O, Auerbach M. Comparison of a dichotomous versus trichotomous checklist for neonatal intubation. BMC Medical Education 2022, 22: 645. PMID: 36028871, PMCID: PMC9419414, DOI: 10.1186/s12909-022-03700-4.Peer-Reviewed Original Research
2021
Healthcare Provider Characteristics and Cardiopulmonary Resuscitation Quality During Infant Resuscitation
Khattab M, Frisell K, MacKinnon R, Chang T, Raymond T, Lofton L, Tofil N, Forrester K, Gohel C, Aitken D, Scalzo A, Moore-Clingenpeel M, Auerbach M, Innovation R. Healthcare Provider Characteristics and Cardiopulmonary Resuscitation Quality During Infant Resuscitation. Simulation In Healthcare The Journal Of The Society For Simulation In Healthcare 2021, 17: 88-95. PMID: 34468421, DOI: 10.1097/sih.0000000000000599.Peer-Reviewed Original ResearchConceptsProvider characteristicsHealthcare provider characteristicsChest compressionsAmerican Heart Association guidelinesCPR qualityInfant CPRAnthropometric characteristicsHeart Association guidelinesBody mass indexCardiopulmonary resuscitation qualityVentilation volumeShallower chest compressionsMultiple international sitesMass indexInfant resuscitationAssociation guidelinesCPR guidelinesInternational HospitalResuscitation qualityHealthcare providersMultivariate analysisSecondary aimDiverse cohortVentilation dataTarget range
2020
Child Protection Team Consultation for Injuries Potentially Due to Child Abuse in Community Emergency Departments
Tiyyagura G, Emerson B, Gaither JR, Bechtel K, Leventhal JM, Becker H, Della Guistina K, Balga T, Mackenzie B, Shum M, Shapiro ED, Auerbach M, McVaney C, Morrell P, Asnes AG. Child Protection Team Consultation for Injuries Potentially Due to Child Abuse in Community Emergency Departments. Academic Emergency Medicine 2020, 28: 70-81. PMID: 32931628, DOI: 10.1111/acem.14132.Peer-Reviewed Original ResearchConceptsCommunity emergency departmentsHigh-risk injuriesChild protection teamSkeletal surveyChild protective servicesEmergency departmentClinical pathway implementationHospital child protection teamInitiation of interventionsStudy-Act approachDetection of abuseChild abuse expertsAbusive injuriesPathway implementationProvider trainingEmergency careInjuryTeam consultationInfantsMonthsProtection teamStatistical process control chartsInterventionSuch interventionsConsultationStress as tool or toxin: physiologic markers and subjective report in neonatal simulation
Redmond B, Joseph M, Ray J, Shabanova V, Gross IT, Bruno C, McPadden J, Auerbach M, Johnston L. Stress as tool or toxin: physiologic markers and subjective report in neonatal simulation. Pediatric Research 2020, 88: 784-791. PMID: 32045934, DOI: 10.1038/s41390-020-0806-9.Peer-Reviewed Original ResearchComparison of Two Telemedicine Delivery Modes for Neonatal Resuscitation Support: A Simulation-Based Randomized Trial
Gross IT, Whitfill T, Redmond B, Couturier K, Bhatnagar A, Joseph M, Joseph D, Ray J, Wagner M, Auerbach M. Comparison of Two Telemedicine Delivery Modes for Neonatal Resuscitation Support: A Simulation-Based Randomized Trial. Neonatology 2020, 117: 159-166. PMID: 31905354, DOI: 10.1159/000504853.Peer-Reviewed Original ResearchConceptsDelivery modeRandomized trialsTelemedical interventionsNeonatal specialistsClinical impactNeonatal resuscitationResuscitative careSecondary aimPatient telemedicineOverall checklist scoreSimulation-based trialRemote specialistSignificant differencesNeonatesResuscitationRemote consultantsChecklist scoresPrimary aimMental demandsTrialsTeleconsultantsVideo reviewIndex toolTelemedicineProviders
2019
Eye-tracking during simulation-based neonatal airway management
Wagner M, Gröpel P, Bibl K, Olischar M, Auerbach MA, Gross IT. Eye-tracking during simulation-based neonatal airway management. Pediatric Research 2019, 87: 518-522. PMID: 31499516, DOI: 10.1038/s41390-019-0571-9.Peer-Reviewed Original ResearchConceptsEye-tracking glassesAirway managementNeonatal airway managementUmbilical vein catheterMain outcome measuresAirway providersMedical tasksVein catheterNeonatal resuscitationOutcome measuresMethodsThis studySimulation-based studyProvider behaviorUsabilityGaze behaviorSignificant differencesReal situationIdeal useFuture studiesProvidersParticipantsTeam membersTime of interestManagementCatheterEarly Involvement of the Child Protection Team in the Care of Injured Infants in a Pediatric Emergency Department
Powers E, Tiyyagura G, Asnes AG, Leventhal JM, Moles R, Christison-Lagay E, Groisberg S, Auerbach M. Early Involvement of the Child Protection Team in the Care of Injured Infants in a Pediatric Emergency Department. Journal Of Emergency Medicine 2019, 56: 592-600. PMID: 30879856, DOI: 10.1016/j.jemermed.2019.01.030.Peer-Reviewed Original ResearchConceptsChild protection teamPediatric emergency departmentEmergency departmentClinical pathwayProtection teamEvaluation of infantsEarly involvementMonths of ageInfant morbidityAbusive injuriesSignificant causeDiagnostic testingInjuryInfantsPrivate insuranceSocioeconomic disparitiesChild protective servicesEarly detectionDiagnostic studiesConsultationPhysical abuseMonthsAbuseProtective servicesInvolvementOral 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
Neonatal Intubation Competency Assessment Tool: Development and Validation
Johnston L, Sawyer T, Nishisaki A, Whitfill T, Ades A, French H, Glass K, Dadiz R, Bruno C, Levit O, Gangadharan S, Scherzer D, Moussa A, Auerbach M, Network I. Neonatal Intubation Competency Assessment Tool: Development and Validation. Academic Pediatrics 2018, 19: 157-164. PMID: 30103050, DOI: 10.1016/j.acap.2018.07.008.Peer-Reviewed Original ResearchConceptsCompetency assessment toolNeonatal tracheal intubationsGlobal skills assessmentEPA levelsChecklist scoresCormack-Lehane scoreAssessment toolHealth care providersImportant clinical skillTracheal intubationGlottic exposureNeonatal simulatorCare providersGood internal consistencyPatient harmBlinded reviewersDelphi processActivity levelsSimulation-based trainingClinical skillsScoresInternal consistencyChecklist itemsFinal toolSkills assessmentSimulation-based research to improve infant health outcomes: Using the infant simulator to prevent infant shaking
Bechtel K, Bhatnagar A, Auerbach M. Simulation-based research to improve infant health outcomes: Using the infant simulator to prevent infant shaking. Infant Behavior And Development 2018, 56: 101263. PMID: 29903429, DOI: 10.1016/j.infbeh.2018.05.006.Peer-Reviewed Original ResearchMeSH KeywordsFemaleHumansInfantInfant HealthInfant, NewbornLearningParent-Child RelationsParentsResearchShaken Baby SyndromeEmergency 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
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 ResearchThe association of nonaccidental trauma with historical factors, examination findings, and diagnostic testing during the initial trauma evaluation
Escobar MA, Flynn-O'Brien K, Auerbach M, Tiyyagura G, Borgman MA, Duffy SJ, Falcone KS, Burke RV, Cox JM, Maguire SA. The association of nonaccidental trauma with historical factors, examination findings, and diagnostic testing during the initial trauma evaluation. Journal Of Trauma And Acute Care Surgery 2017, 82: 1147-1157. PMID: 28520688, DOI: 10.1097/ta.0000000000001441.Peer-Reviewed Original ResearchParents' Perspective on Trainees Performing Invasive Procedures: A Qualitative Evaluation.
McCarthy ML, Chaudoin LT, Mercurio MR, O'Brien EGJ, Bhargava S, Cohen SY, Auerbach M, Tiyyagura G. Parents' Perspective on Trainees Performing Invasive Procedures: A Qualitative Evaluation. Pediatric Emergency Care 2017, Publish Ahead of Print: e66-e71. PMID: 28376068, DOI: 10.1097/pec.0000000000001139.Peer-Reviewed Original Research
2016
Qualitative Study Exploring Implementation of a Point-of-Care Competency-Based Lumbar Puncture Program Across Institutions
Pasternack JR, Dadiz R, McBeth R, Gerard JM, Scherzer D, Tiyyagura G, Zaveri P, Chang TP, Auerbach M, Kessler D. Qualitative Study Exploring Implementation of a Point-of-Care Competency-Based Lumbar Puncture Program Across Institutions. Academic Pediatrics 2016, 16: 621-629. PMID: 27154006, DOI: 10.1016/j.acap.2016.04.010.Peer-Reviewed Original ResearchConceptsCompetency-based education programsEducation programsGraduate medical trainingAbility of SDSEducational cultureTeaching paradigmClinician educatorsEducational initiativesInstitutional cultureInterns' readinessMedical trainingTask trainerEducationEmergent themesAcademic medicineTrainee educationCommunication logisticsFocus groupsQualitative studyPatient careMain themesSuccessful implementationPediatric InnovationReadinessCommon goal
2014
Script Concordance Testing
Chang TP, Kessler D, McAninch B, Fein DM, Scherzer DJ, Seelbach E, Zaveri P, Jackson JM, Auerbach M, Mehta R, Van Ittersum W, Pusic MV. Script Concordance Testing. Academic Medicine 2014, 89: 128-135. PMID: 24280838, DOI: 10.1097/acm.0000000000000059.Peer-Reviewed Original Research
2013
Neonatal intubation performance: Room for improvement in tertiary neonatal intensive care units
Haubner LY, Barry JS, Johnston LC, Soghier L, Tatum PM, Kessler D, Downes K, Auerbach M. Neonatal intubation performance: Room for improvement in tertiary neonatal intensive care units. Resuscitation 2013, 84: 1359-1364. PMID: 23562374, DOI: 10.1016/j.resuscitation.2013.03.014.Peer-Reviewed Original ResearchConceptsNeonatal intensive care unitIntensive care unitCare unitPatient factorsSuccess rateTI attemptsVocal cordsLevel III neonatal intensive care unitTertiary neonatal intensive care unitProcedural success rateProcedure success rateProspective descriptive studyStandardized data collection instrumentTI successTracheal intubation performanceRespiratory failureMedian durationCommon indicationPrimary outcomeHigh success rateNeonatal fellowsCommon reasonPatient decompensationLow success rateIntubation performance
2012
Respiratory Failure Caused by a Suspicious White Powder
Siew LT, Auerbach M, Baum CR, Pavlovic L, Leventhal JM. Respiratory Failure Caused by a Suspicious White Powder. Pediatric Emergency Care 2012, 28: 918-920. PMID: 22940893, DOI: 10.1097/pec.0b013e318267ec36.Peer-Reviewed Original ResearchMeSH KeywordsChild AbuseHumansInfantInfant, NewbornMaleMethadoneNarcoticsNeonatal Abstinence SyndromeRespiratory InsufficiencyConceptsMethadone ingestionRespiratory failureNarcotic dependencyNeonatal abstinence syndrome treatmentNeonatal abstinence syndromeTreatment of toxicityFamily-centered educationMethadone administrationAbstinence syndromeSyndrome treatmentMale infantPediatric providersUnintentional ingestionMore prevalenceAnticipatory guidanceInfantsIngestionMethadoneSymptomsTreatmentSuspicious white powdersMothersFailureSyndromePrevalence
2011
A Randomized Trial of Simulation-Based Deliberate Practice for Infant Lumbar Puncture Skills
Kessler DO, Auerbach M, Pusic M, Tunik MG, Foltin JC. A Randomized Trial of Simulation-Based Deliberate Practice for Infant Lumbar Puncture Skills. Simulation In Healthcare The Journal Of The Society For Simulation In Healthcare 2011, 6: 197-203. PMID: 21527870, DOI: 10.1097/sih.0b013e318216bfc1.Peer-Reviewed Original ResearchConceptsSimulation-based trainingInfant lumbar punctureAudiovisual trainingDeliberate practice sessionsClinical examination performanceLumbar puncture skillsGraduate Medical EducationHigh-stakes environmentLumbar punctureApprenticeship modelMedical educationBrief quizExamination performanceSkill developmentDeliberate practiceAccreditation CouncilSkillsControl groupCurrent trainingPractice sessionsRandomized trialsSimulation trainingSafe environmentIntervention groupAV training