2019
Decreasing Time to Antibiotics for Patients with Sepsis in the Emergency Department
Emerson BL, Ciaburri R, Brophy C, Kandil SB. Decreasing Time to Antibiotics for Patients with Sepsis in the Emergency Department. Pediatric Quality And Safety 2019, 4: e173. PMID: 31579872, PMCID: PMC6594778, DOI: 10.1097/pq9.0000000000000173.Peer-Reviewed Original ResearchPediatric emergency departmentEmergency departmentMultidisciplinary teamBest practice alertEmergency department arrivalEfficiency of careNonsevere sepsisIntravenous antibioticsAntibiotic ordersAntibiotic administrationSeptic shockPractice alertBlood culturesPatient outcomesSepsisTimely careStaff educationSpectrum diseasePatientsSignificant causeSpecific interventionsAntibioticsBaseline dataCareMinutes
2018
An Initiative to Reduce Routine Viral Diagnostic Testing in Pediatric Patients Admitted with Bronchiolitis
Emerson BL, Tenore C, Grossman M. An Initiative to Reduce Routine Viral Diagnostic Testing in Pediatric Patients Admitted with Bronchiolitis. The Joint Commission Journal On Quality And Patient Safety 2018, 44: 751-756. PMID: 30197306, DOI: 10.1016/j.jcjq.2018.05.006.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentViral diagnostic testingViral lower respiratory tract infectionsDiagnostic testingLower respiratory tract infectionsNon-ICU patientsRespiratory tract infectionsSpecific viral pathogensQuality improvement projectLow-cost interventionAsthma exacerbationsTract infectionsPediatric patientsPediatric populationSignificant morbidityChildren's HospitalEmergency departmentOutpatient careCurrent guidelinesUnit settingBronchiolitisStaff educationPatientsVDT useNational ratesAn Initiative to Decrease Time to Antibiotics for Patients With Fever and Neutropenia
Emerson BL, Prozora S, Jacob A, Clark K, Kotrady D, Edwards L, Ciaburri R, Riera A. An Initiative to Decrease Time to Antibiotics for Patients With Fever and Neutropenia. American Journal Of Medical Quality 2018, 34: 158-164. PMID: 30078347, DOI: 10.1177/1062860618792305.Peer-Reviewed Original ResearchConceptsMultidisciplinary teamRapid Plan-DoPediatric emergency departmentStudy-Act cyclesEfficiency of careAntibiotic administrationEmergency departmentVulnerable patientsPlan-DoPatientsNeutropeniaAverage timeFeverInterventionProcess control chartsData reviewDecrease timeAntibioticsSignificant improvementAdministrationA taxonomy and cultural analysis of intra‐hospital patient transfers
Rosenberg A, Britton M, Feder S, Minges K, Hodshon B, Chaudhry SI, Jenq GY, Emerson BL. A taxonomy and cultural analysis of intra‐hospital patient transfers. Research In Nursing & Health 2018, 41: 378-388. PMID: 29722043, PMCID: PMC8459627, DOI: 10.1002/nur.21875.Peer-Reviewed Original ResearchPatient transferMedical intensive care unitGeneral medicine floorsTertiary medical centerIntensive care unitIntra-hospital transferIntra-hospital patient transfersMedicine floorCare unitEmergency departmentPatient transitionsMedical CenterPatient assignmentRight floorHospital departmentsObservations of staffCategories of activitiesHospital culturePatientsStaffEmpty bedsDepartmentHospital
2014
Hourly Rounding in the Pediatric Emergency Department: Patient and Family Safety and Satisfaction Rounds
Emerson BL, Chmura KB, Walker D. Hourly Rounding in the Pediatric Emergency Department: Patient and Family Safety and Satisfaction Rounds. Journal Of Emergency Medicine 2014, 47: 99-104. PMID: 24565884, DOI: 10.1016/j.jemermed.2013.11.098.Peer-Reviewed Original ResearchConceptsPatient satisfaction dataPatient satisfactionPostimplementation dataPediatric emergency department settingPediatric ED settingUrban pediatric EDPediatric emergency departmentEmergency department settingProvider-patient communicationPediatric EDED settingTertiary careEmergency departmentPatient scoringDepartment settingPediatric settingStaff educationPostintervention dataMedical careClinical settingSatisfaction dataFurther studiesPatientsCareMeasurable improvement