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 life
2021
Racial and Ethnic Disparities in Physical Restraint Use for Pediatric Patients in the Emergency Department
Nash KA, Tolliver DG, Taylor RA, Calhoun AJ, Auerbach MA, Venkatesh AK, Wong AH. Racial and Ethnic Disparities in Physical Restraint Use for Pediatric Patients in the Emergency Department. JAMA Pediatrics 2021, 175: 1283-1285. PMID: 34515764, PMCID: PMC8438617, DOI: 10.1001/jamapediatrics.2021.3348.Peer-Reviewed Original ResearchDevelopment and Validation of a Natural Language Processing Tool to Identify Injuries in Infants Associated With Abuse
Tiyyagura G, Asnes AG, Leventhal JM, Shapiro ED, Auerbach M, Teng W, Powers E, Thomas A, Lindberg DM, McClelland J, Kutryb C, Polzin T, Daughtridge K, Sevin V, Hsiao AL. Development and Validation of a Natural Language Processing Tool to Identify Injuries in Infants Associated With Abuse. Academic Pediatrics 2021, 22: 981-988. PMID: 34780997, PMCID: PMC9095755, DOI: 10.1016/j.acap.2021.11.004.Peer-Reviewed Original ResearchHealthcare 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 rangeACEP SimBox: A Pediatric Simulation-Based Training Innovation
Vora S, Li J, Kou M, Ng V, Price A, Claudius I, Kant S, Sanseau E, Madhok M, Auerbach M. ACEP SimBox: A Pediatric Simulation-Based Training Innovation. Annals Of Emergency Medicine 2021, 78: 346-354. PMID: 34154842, DOI: 10.1016/j.annemergmed.2021.03.040.Peer-Reviewed Original ResearchSimulation Training for Community Emergency Preparedness.
Abulebda K, Thomas A, Whitfill T, Montgomery EE, Auerbach MA. Simulation Training for Community Emergency Preparedness. Pediatric Annals 2021, 50: e19-e24. PMID: 33450035, DOI: 10.3928/19382359-20201212-01.Peer-Reviewed Original ResearchConceptsCommunity emergency preparednessPediatric patientsPediatric emergency careAcademic medical centerCommunity-based settingsEmergency preparednessMost infantsMedical CenterPediatric settingEmergency careHealth outcomesCommunity settingsPediatric preparednessPatientsSimulation-based programCareSimulation trainingSettingPreparednessInfants
2020
Identifying Maltreatment in Infants and Young Children Presenting With Fractures: Does Age Matter?
Mitchell IC, Norat BJ, Auerbach M, Bressler CJ, Como JJ, Escobar MA, Flynn‐O’Brien K, Lindberg DM, Nickoles T, Rosado N, Weeks K, Maguire S. Identifying Maltreatment in Infants and Young Children Presenting With Fractures: Does Age Matter? Academic Emergency Medicine 2020, 28: 5-18. PMID: 32888348, DOI: 10.1111/acem.14122.Peer-Reviewed Original ResearchConceptsFemoral fracturesRib fracturesSystematic reviewAbuse evaluationsMotor vehicle collisionsPercent of childrenLong bone fracturesPubMed/MEDLINEComparable age rangeChild abuse evaluationsChild abuse consultationsHumeral fracturesPediatric patientsCommon injuriesConsensus panelRoutine evaluationSignificant causeEvidence-based frameworkFinal analysisChild abuseAge rangePreverbal childrenMonthsVehicle collisionsYoung childrenChanges in pediatric emergency department visits for mental health during the COVID-19 pandemic: A cross-sectional study
Leff RA, Setzer E, Cicero MX, Auerbach M. Changes in pediatric emergency department visits for mental health during the COVID-19 pandemic: A cross-sectional study. Clinical Child Psychology And Psychiatry 2020, 26: 33-38. PMID: 33183097, DOI: 10.1177/1359104520972453.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentMental health disordersCross-sectional studyHealth disordersPatient demographicsEmergency departmentMental health-related diagnosisEarly COVID-19 pandemic periodMental healthCoordination of careHealth-related diagnosesBehavioral health disordersMental health conditionsMental health care provisionCOVID-19 pandemicElectronic medical recordsWarrants further studyMode of arrivalHealth care provisionDelayed PresentationED dispositionPre-pandemic periodInsurance statusPatient genderMedical recordsChild 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 interventionsConsultationCOVID-19
Isba R, Edge R, Auerbach M, Cicero MX, Jenner R, Setzer E, Broughton E, Keegan T. COVID-19. Pediatric Emergency Care 2020, 36: 10.1097/pec.0000000000002260. PMID: 32925702, PMCID: PMC7493767, DOI: 10.1097/pec.0000000000002260.Peer-Reviewed Original ResearchConceptsChildren's HospitalPaediatric emergency department attendancesYale-New Haven Children's HospitalRoyal Manchester Children's HospitalAcuity of illnessSARS-CoV-2/COVIDEmergency department attendancesOdds of admissionManchester Children's HospitalLikelihood of admissionCross-sectional studyDepartment attendancesOdds ratioWeek 13Week 1HospitalAdmissionAbsolute numberCOVID-19ChildrenAdolescentsAttendanceAttendance numbersAcuityIllnessPediatric 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
Early 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
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 Randomized Single-Blinded Simulation-Based Trial of a Novel Method for Fluid Administration to a Septic Infant
Kline M, Crispino L, Bhatnagar A, Panchal RA, Auerbach M. A Randomized Single-Blinded Simulation-Based Trial of a Novel Method for Fluid Administration to a Septic Infant. Pediatric Emergency Care 2018, 37: e313-e318. PMID: 30106868, DOI: 10.1097/pec.0000000000001583.Peer-Reviewed Original ResearchConceptsSingle-blinded randomized trialCritical Care Medicine guidelinesTrauma center emergency departmentCenter emergency departmentFluid administration rateRapid fluid resuscitationPressure bagSignificant differencesRapid fluid deliveryInitial resuscitationSeptic infantsFluid resuscitationPediatric patientsPrimary outcomeFluid administrationMedicine guidelinesRandomized trialsIntravenous fluidsEmergency departmentProvider variablesAdministration rateDecompensated shockSpace Administration Task Load Index scoresAmerican CollegeSpace Administration Task Load IndexA 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 comfortDepartmentProvidersSimulation-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 ResearchA 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 visitsScript Concordance Testing to Determine Infant Lumbar Puncture Practice Variation
Chime NO, Pusic MV, Auerbach M, Mehta R, Scherzer DJ, Van Ittersum W, McAninch B, Fein DM, Seelbach E, Zaveri P, Jackson JM, Kessler D, Chang TP. Script Concordance Testing to Determine Infant Lumbar Puncture Practice Variation. Pediatric Emergency Care 2018, 34: 84-92. PMID: 27668921, DOI: 10.1097/pec.0000000000000851.Peer-Reviewed Original Research