2024
The 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 ResearchMeSH KeywordsAgedChildEmergency Medical ServicesEmergency Service, HospitalHospitalizationHumansPhysiciansRetrospective StudiesConceptsAdvanced 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
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 ResearchMeSH KeywordsChildComputersEmergency Service, HospitalHumansMass Casualty IncidentsPatient SimulationTriageConceptsPediatric 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 utilization
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 ResearchMeSH KeywordsChildCritical CareEmergency Service, HospitalEuropeHumansInfantIntensive Care Units, PediatricLength of StayProspective StudiesRetrospective StudiesConceptsPediatric 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 carePatientsMortalityCareOutcomesImproving Pediatric Administrative Disaster Preparedness Through Simulated Disaster Huddles
Gross IT, Goldberg SA, Whitfill T, Liebling S, Garcia A, Alfano A, Hasdianda A, Cicero MX. Improving Pediatric Administrative Disaster Preparedness Through Simulated Disaster Huddles. Disaster Medicine And Public Health Preparedness 2020, 15: 352-357. PMID: 32172716, DOI: 10.1017/dmp.2020.10.Peer-Reviewed Original ResearchMeSH KeywordsChildDisaster PlanningEmergency Service, HospitalHumansInservice TrainingMass Casualty IncidentsConceptsPediatric EDMass casualty incidentsEmergency department staffFunctional exercisePatient outcomesDisaster preparedness effortsDisaster preparednessDepartment staffFurther studiesDidactic sessionsCasualty incidentsOverall scoreAppropriate trainingPreparedness effortsHuddlesTraining paradigmPreparedness
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 ResearchMeSH KeywordsAdultEmergency Service, HospitalFemaleHumansHypnotics and SedativesLogistic ModelsMaleMiddle AgedOdds RatioProspective StudiesPsychomotor AgitationRestraint, PhysicalConceptsAgitated 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 ResearchMeSH KeywordsChecklistChildDiabetic KetoacidosisEmergency Service, HospitalHumansProspective StudiesResuscitationConceptsCommunity 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
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 ResearchMeSH KeywordsChecklistChildEmergency Service, HospitalHospitals, CommunityHumansInfantPediatricsQuality ImprovementSimulation TrainingSurveys and QuestionnairesConceptsPediatric readiness scoreSafety 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 ResearchMeSH KeywordsAdultAlcoholsBreath TestsDisinfectantsEmergency Service, HospitalHand DisinfectionHealth PersonnelHumansProspective StudiesWhat 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 ResearchMeSH KeywordsEmergency Service, HospitalHumansParentsPersonal SatisfactionSurveys and QuestionnairesConceptsPediatric 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