2024
The 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 children
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
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 medicationImproving the Quality of Clinical Care of Children with Diabetic Ketoacidosis in General Emergency Departments Following a Collaborative Improvement Program with an Academic Medical Center
Alsaedi H, Lutfi R, Abu-Sultaneh S, Montgomery EE, Pearson KJ, Weinstein E, Whitfill T, Auerbach MA, Abulebda K. Improving the Quality of Clinical Care of Children with Diabetic Ketoacidosis in General Emergency Departments Following a Collaborative Improvement Program with an Academic Medical Center. The Journal Of Pediatrics 2021, 240: 235-240.e1. PMID: 34481806, DOI: 10.1016/j.jpeds.2021.08.081.Peer-Reviewed Original ResearchConceptsGeneral emergency departmentsAcademic medical centerDiabetic ketoacidosisPatients' clinical outcomesEmergency departmentClinical outcomesMedical CenterClinical carePediatric intensive care unitPediatric diabetic ketoacidosisRetrospective cohort studyIntensive care unitProcess of carePediatric emergency careCollaborative improvement programSignificant improvementCohort studyPediatric patientsCare unitMultifaceted interventionsEmergency carePatientsCareAdherenceKetoacidosis
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 interventionsClosing the Loop
Goldman MP, Query LA, Wong AH, Gross IT, Emerson BL, Auerbach MA, Tiyyagura GK. Closing the Loop. Pediatric Emergency Care 2020, 37: e1535-e1543. PMID: 33009320, PMCID: PMC8012401, DOI: 10.1097/pec.0000000000002108.Peer-Reviewed Original ResearchConceptsGeneral emergency departmentsPediatric emergency care coordinatorCare coordinationHospital liaisonBarriers to program implementationProgram implementationAnalyzed transcribed dataFacilitators of program implementationEmergency care settingsEmergency medicine providersConstant comparative methodFollow-upCare of childrenMedicolegal exposureCare settingsCare trendsMedicine providersSemistructured interviewsCommunity hospitalSuccessful disseminationEmergency departmentElectronic reportingTime burdenQuality improvementChildren's hospital
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 careNational Study of Self‐reported Pediatric Areas in United States General Emergency Departments
Camargo A, Boggs KM, Auerbach M, Freid RD, Sullivan AF, Espinola JA, Camargo CA. National Study of Self‐reported Pediatric Areas in United States General Emergency Departments. Academic Emergency Medicine 2018, 25: 1458-1462. PMID: 30311327, DOI: 10.1111/acem.13633.Peer-Reviewed Original ResearchConceptsPediatric emergency care coordinatorGeneral emergency departmentsU.S. emergency departmentsPediatric emergency departmentEmergency departmentPediatric areaType of EDPediatric emergency medicine physiciansEmergency medicine physiciansQuality improvement effortsPediatric bedsCare coordinatorsPatient outcomesPediatric careMedicine physiciansEmergency careVisit volumePEM physiciansStandardized definitionsCareFurther studiesNational surveyPrevalenceNational studyPhysiciansA Grounded Theory Qualitative Analysis of Interprofessional Providers' Perceptions on Caring for Critically Ill Infants and Children in Pediatric and General Emergency Departments
Gangadharan S, Tiyyagura G, Gawel M, Walsh BM, Brown LL, Lavoie M, Tay KY, Auerbach MA. A Grounded Theory Qualitative Analysis of Interprofessional Providers' Perceptions on Caring for Critically Ill Infants and Children in Pediatric and General Emergency Departments. Pediatric Emergency Care 2018, 34: 578-583. PMID: 27749805, DOI: 10.1097/pec.0000000000000906.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentIll infantsProviders' perceptionsEmergency departmentPediatric careGeneral emergency departmentsCritically Ill InfantsEmergency department providersPediatric-specific equipmentTeam of providersProvider discomfortProvider comfortIll childrenPED providersImprovement interventionsThematic saturationInfantsChildrenFacilitated debriefingCareIterative qualitative analysisOverall comfortDepartmentProviders
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
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