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
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 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
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 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
2018
Correlation Between Paramedic Disaster Triage Accuracy in Screen-Based Simulations and Immersive Simulations
Cicero MX, Whitfill T, Walsh B, Diaz MCG, Arteaga GM, Scherzer DJ, Goldberg SA, Madhok M, Bowen A, Paesano G, Redlener M, Munjal K, Auerbach M. Correlation Between Paramedic Disaster Triage Accuracy in Screen-Based Simulations and Immersive Simulations. Prehospital Emergency Care 2018, 23: 83-89. PMID: 30130424, DOI: 10.1080/10903127.2018.1475530.Peer-Reviewed Original ResearchConceptsEmergency medical techniciansTriage accuracyEmergency medical services personnelEducational interventionMedical services personnelEvaluation of outcomesCohort studyMore patientsStudy completionCohort dataMedical techniciansMean numberSimilar improvementsPrevious studiesSignificant increaseAmount of improvementInterventionDisaster triageParticipants
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
2016
Screening residents for infant lumbar puncture readiness with just-in-time simulation-based assessments
Kessler DO, Chang TP, Auerbach M, Fein DM, Lavoie ME, Trainor J, Lee MO, Gerard JM, Grossman D, Whitfill T, Pusic M. Screening residents for infant lumbar puncture readiness with just-in-time simulation-based assessments. BMJ Simulation & Technology Enhanced Learning 2016, 3: 17. PMID: 35515095, PMCID: PMC8990194, DOI: 10.1136/bmjstel-2016-000130.Peer-Reviewed Original ResearchFirst-year residentsYear residentsOverall procedural successProspective cohort studyNumber of attemptsGreat clinical successAnalgesia usageCohort studyProcedural successTopical analgesiaAcademic hospitalClinical successCare fashionPatient safetyReadiness assessmentProcess measuresGreater useResidentsAssessmentAnalgesiaHospitalInfantsPunctureSimulation-based assessmentDifferences 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 scoresComparing the Accuracy of Three Pediatric Disaster Triage Strategies: A Simulation-Based Investigation
Cicero MX, Overly F, Brown L, Yarzebski J, Walsh B, Shabanova V, Auerbach M, Riera A, Adelgais K, Meckler G, Cone DC, Baum CR. Comparing the Accuracy of Three Pediatric Disaster Triage Strategies: A Simulation-Based Investigation. Disaster Medicine And Public Health Preparedness 2016, 10: 253-260. PMID: 26744228, DOI: 10.1017/dmp.2015.171.Peer-Reviewed Original ResearchConceptsTriage strategiesBlack patientsTriage levelRed patientsProspective cohort studyBetter patient outcomesEmergency medical services (EMS) providersCross-sectional analysisCohort studyPatient outcomesTriage outcomesMedical service providersPatientsTriageSignificant differencesTriage accuracyTriage resultsOutcomesPDT strategyParticipants