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 lifeA Comparison of State-Specific Pediatric Emergency Medical Facility Recognition Programs, 2020
Boggs K, Voligny E, Auerbach M, Espinola J, Samuels-Kalow M, Sullivan A, Camargo C. A Comparison of State-Specific Pediatric Emergency Medical Facility Recognition Programs, 2020. Pediatric Emergency Care 2024, 40: 141-146. PMID: 38295194, PMCID: PMC10832299, DOI: 10.1097/pec.0000000000003119.Peer-Reviewed Original ResearchConceptsPediatric emergency care coordinatorEmergency Medical Services for ChildrenProgram start dateEmergency departmentQuality of pediatric emergency carePediatric emergency careHigh emergency departmentRecognition programCare coordinationPediatric readinessEmergency careStart datePatient outcomesED areaProgram characteristicsProgram managersLevel of verificationProgramLevel of recognitionVerification requirementsCareVerificationParticipantsChildrenDepartmentThe 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 ResearchConceptsAdvanced 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
2023
Blueprint for community emergency department pediatric simulation
Kaur S, Lynders W, Goldman M, Bruno C, Morin J, Maruschock S, Auerbach M. Blueprint for community emergency department pediatric simulation. AEM Education And Training 2023, 7: e10925. PMID: 38046090, PMCID: PMC10688145, DOI: 10.1002/aet2.10925.Peer-Reviewed Original ResearchCommunity emergency departmentsAcademic medical centerSimulation Effectiveness Tool-ModifiedPediatric emergency carePercent of participantsRegional academic medical centerInfants/toddlersPediatric patientsEmergency departmentIll newbornsNewborn resuscitationLatent safety threatsMedical CenterEmergency carePediatric resuscitationInterprofessional teamPre-post surveyRetrospective pre-post surveyPediatric knowledgeCareNursing leadershipResuscitationNeeds assessmentSimulation sessionsEducation materialsAvailability of Pediatric Emergency Care Coordinators in US Emergency Departments in 2018
Boggs K, Espinola J, Sullivan A, Li J, Auerbach M, Hasegawa K, Samuels-Kalow M, Camargo C. Availability of Pediatric Emergency Care Coordinators in US Emergency Departments in 2018. Pediatric Emergency Care 2023, 39: 385-389. PMID: 37104702, DOI: 10.1097/pec.0000000000002953.Peer-Reviewed Original Research
2022
Pediatric Emergency Care Coordination in EMS Agencies: Findings of a Multistate Learning Collaborative
Tsao HS, Alter R, Kane E, Gross T, Browne LR, Auerbach M, Leonard JC, Ludwig L, Adelgais KM. Pediatric Emergency Care Coordination in EMS Agencies: Findings of a Multistate Learning Collaborative. Prehospital Emergency Care 2022, 27: 1004-1015. PMID: 36125189, DOI: 10.1080/10903127.2022.2126040.Peer-Reviewed Original ResearchConceptsPediatric emergency care coordinatorEmergency medical servicesEMS agenciesMaternal childLearning CollaborativePediatric emergency carePediatric-specific educationCare coordinationCare coordinatorsEmergency careHealth resourcesMedical servicesTwo daysAdditional recruitmentOutcomesStudy objectiveTrainer programChildren programPerson meetingsSubstantial numberLack of requirementMonthsLongitudinal qualitative interviewsPartnership grantSignificant barriersImproving Emergency Preparedness in Pediatric Primary Care Offices: A Simulation-Based Interventional Study
Yuknis ML, Abulebda K, Whitfill T, Pearson KJ, Montgomery EE, Auerbach MA, Simulation I. Improving Emergency Preparedness in Pediatric Primary Care Offices: A Simulation-Based Interventional Study. Academic Pediatrics 2022, 22: 1167-1174. PMID: 35367402, DOI: 10.1016/j.acap.2022.03.018.Peer-Reviewed Original ResearchConceptsPediatric primary care officeQuality of carePrimary care officesPrimary care practicesCare officesBaseline assessmentCare practicesPediatric primary care practicesSingle-center studyMonth intervention periodPediatrics policy statementEmergency preparednessSimulated settingRespiratory distressAAP guidelinesCenter studyProspective studyInterventional studyIntervention periodPediatric emergenciesEmergency carePreparedness scoreAmerican AcademyAssessment scoresCare
2021
Pediatric Rattlesnake Envenomation: A Simulation Scenario With Optional Health Equity, Virtual Facilitation, and Senior Learner Modifications
Joseph MN, Sanseau E, Thomas A, Brandehoff N, Augenstein J, Shuster M, Tiyyagura G, Auerbach M, Augenstein J. Pediatric Rattlesnake Envenomation: A Simulation Scenario With Optional Health Equity, Virtual Facilitation, and Senior Learner Modifications. Cureus 2021, 13: e18106. PMID: 34692317, PMCID: PMC8525906, DOI: 10.7759/cureus.18106.Peer-Reviewed Original ResearchImproving 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 carePatientsCareAdherenceKetoacidosisPreparedness for Pediatric Office Emergencies: A Multicenter, Simulation-Based Study
Abulebda K, Yuknis ML, Whitfill T, Montgomery EE, Pearson KJ, Rousseau R, Diaz MCG, Brown LL, Wing R, Tay KY, Good GL, Malik RN, Garrow AL, Zaveri PP, Thomas E, Makharashvili A, Burns RA, Lavoie M, Auerbach MA. Preparedness for Pediatric Office Emergencies: A Multicenter, Simulation-Based Study. Pediatrics 2021, 148: e2020038463. PMID: 34433688, DOI: 10.1542/peds.2020-038463.Peer-Reviewed Original ResearchConceptsEmergency medical servicesEmergency carePreparedness scorePediatric primary care officePrimary care officesPediatric office settingCase performance scoresMulticenter cohortMultivariable analysisRespiratory distressMulticenter studyPediatric guidelinesPercentage adherenceCare officesIndependent practiceNational cohortOffice preparednessPediatric emergenciesPediatric officesOffice emergenciesAmerican AcademyOffice settingEmergency preparednessUnweighted percentagesMedical servicesSimulation 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
Pediatric Emergency Medicine ECHO (Extension for Community Health Care Outcomes): Cultivating Connections to Improve Pediatric Emergency Care
Goldman MP, Auerbach MA, Garcia AM, Gross IT, Tiyyagura GK. Pediatric Emergency Medicine ECHO (Extension for Community Health Care Outcomes): Cultivating Connections to Improve Pediatric Emergency Care. AEM Education And Training 2020, 5: e10548. PMID: 34141996, PMCID: PMC8164662, DOI: 10.1002/aet2.10548.Peer-Reviewed Original ResearchCommunity emergency departmentsAcademic medical centerPediatric emergency medicineEmergency careCommunity Health care OutcomesCurrent best evidencePediatric emergency careHealth care outcomesKnowledge translation strategiesKnowledge translationEmergency departmentMedical CenterImprovement activitiesCare outcomesECHO participantsMost childrenPractice changeCareEmergency medicineImprovement initiativesGood evidenceChildrenSelf-reported perceptionsPEM knowledgeImproved perceptionChild 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 interventionsConsultationPediatric 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
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 Research
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 studyPhysiciansProviders' Perceptions of Caring for Pediatric Patients in Community Hospital Emergency Departments: A Mixed‐methods Analysis
Goldman MP, Wong AH, Bhatnagar A, Emerson BL, Brown LL, Auerbach MA. Providers' Perceptions of Caring for Pediatric Patients in Community Hospital Emergency Departments: A Mixed‐methods Analysis. Academic Emergency Medicine 2018, 25: 1385-1395. PMID: 29947453, DOI: 10.1111/acem.13509.Peer-Reviewed Original ResearchConceptsCommunity emergency departmentsPediatric readinessProviders' perceptionsProviders' perceptions of careEmergency departmentEmotional tollSick childrenCommunity hospital emergency departmentChildren's hospitalPerceptions of carePediatric emergency careQuality improvement workCommunity hospital providersSafety deficitsHospital emergency departmentSelf-reported comfortActual clinical eventsLocal children's hospitalInterprofessional teamPediatric QualityEmergency carePediatric resuscitationPediatric simulationHospital providersPediatric careAddressing Dual Patient and Staff Safety Through A Team-Based Standardized Patient Simulation for Agitation Management in the Emergency Department
Wong AH, Auerbach MA, Ruppel H, Crispino LJ, Rosenberg A, Iennaco JD, Vaca FE. Addressing Dual Patient and Staff Safety Through A Team-Based Standardized Patient Simulation for Agitation Management in the Emergency Department. Simulation In Healthcare The Journal Of The Society For Simulation In Healthcare 2018, 13: 154-162. PMID: 29613919, DOI: 10.1097/sih.0000000000000309.Peer-Reviewed Original ResearchConceptsAdvanced practice registered nursesStandardized patient simulationAgitation managementPatient simulatorPhysician assistantsEmergency carePatient encountersFocus groupsEmergency departmentSafety of staffPractice registered nursesInterprofessional focus groupsEmergency medicine residentsGrounded theory approachFear of physical harmRegistered nursesED nursesData saturationHealth workersInterprofessional educationImprove teamworkMedicine residentsEnhance teamworkHospital sitesMedical resuscitationEmergency 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