2022
Improving 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
2020
A National US Survey of Pediatric Emergency Department Coronavirus Pandemic Preparedness
Auerbach MA, Abulebda K, Bona AM, Falvo L, Hughes PG, Wagner M, Barach PR, Ahmed RA. A National US Survey of Pediatric Emergency Department Coronavirus Pandemic Preparedness. Pediatric Emergency Care 2020, 37: 48-53. PMID: 33394945, PMCID: PMC7780930, DOI: 10.1097/pec.0000000000002307.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentPersonal protective equipmentChildren's HospitalEmergency departmentAcademic children's hospitalAirway management protocolProspective multicenter surveyTraining modalitiesPediatric patients ageCardiac arrest managementPediatric emergency medicineResearch NetworkAppropriate donningAdult patientsPatient ageNational research networkPhysician staffingMulticenter surveyPreparedness effortsCOVID patientsClinical practicePandemic preparednessTriaging modelHospitalPatientsImproving 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 interventionsPediatric 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 carePatientsMortalityCareOutcomesStress
Oriot D, Trigolet M, Kessler DO, Auerbach MA, Ghazali DA. Stress. Pediatric Emergency Care 2020, 37: e1192-e1196. PMID: 31977780, DOI: 10.1097/pec.0000000000001962.Peer-Reviewed Original ResearchComparison of Two Telemedicine Delivery Modes for Neonatal Resuscitation Support: A Simulation-Based Randomized Trial
Gross IT, Whitfill T, Redmond B, Couturier K, Bhatnagar A, Joseph M, Joseph D, Ray J, Wagner M, Auerbach M. Comparison of Two Telemedicine Delivery Modes for Neonatal Resuscitation Support: A Simulation-Based Randomized Trial. Neonatology 2020, 117: 159-166. PMID: 31905354, DOI: 10.1159/000504853.Peer-Reviewed Original ResearchConceptsDelivery modeRandomized trialsTelemedical interventionsNeonatal specialistsClinical impactNeonatal resuscitationResuscitative careSecondary aimPatient telemedicineOverall checklist scoreSimulation-based trialRemote specialistSignificant differencesNeonatesResuscitationRemote consultantsChecklist scoresPrimary aimMental demandsTrialsTeleconsultantsVideo reviewIndex toolTelemedicineProviders
2019
Prevalence of Errors in Anaphylaxis in Kids (PEAK): A Multicenter Simulation-Based Study
Maa T, Scherzer DJ, Harwayne-Gidansky I, Capua T, Kessler DO, Trainor JL, Jani P, Damazo B, Abulebda K, Diaz MCG, Sharara-Chami R, Srinivasan S, Zurca AD, Deutsch ES, Hunt EA, Auerbach M, the PEAK investigators of the International Network for Simulation-based Pediatric Innovation R, Song J, Wing R, Teman S, Rodriguez-Nunez A, Schneider C, Mercurio D, Gutierrez C, Gaba M, Joyner B, Vukin E, Henricksen J, Knight L, Wood T, England R, Cochran C, Andler C, Muñoz-Pareja J, Lordemann A, Biddell E. Prevalence of Errors in Anaphylaxis in Kids (PEAK): A Multicenter Simulation-Based Study. The Journal Of Allergy And Clinical Immunology In Practice 2019, 8: 1239-1246.e3. PMID: 31770652, DOI: 10.1016/j.jaip.2019.11.013.Peer-Reviewed Original ResearchConceptsMedication errorsEpinephrine administrationEpinephrine autoinjectorsLatent safety threatsInternational practice variationHealth care teamHealth care providersUse of protocolsEpinephrine deliveryReal medicationsAnaphylaxis guidelinesMedian timePediatric anaphylaxisAnaphylaxis managementInstitutional protocolCare teamAdministration errorsMedication formulariesPractice variationCare providersHealth care institutionsAnaphylaxisNursing experienceDemographic dataCare institutionsEAST multicenter trial of simulation-based team training for pediatric trauma: Resuscitation task completion is highly variable during simulated traumatic brain injury resuscitation
Jensen AR, Bullaro F, Falcone RA, Daugherty M, Young LC, McLaughlin C, Park C, Lane C, Prince JM, Scherzer DJ, Maa T, Dunn J, Wining L, Hess J, Santos MC, O'Neill J, Katz E, O'Bosky K, Young T, Christison-Lagay E, Ahmed O, Burd RS, Auerbach M. EAST multicenter trial of simulation-based team training for pediatric trauma: Resuscitation task completion is highly variable during simulated traumatic brain injury resuscitation. The American Journal Of Surgery 2019, 219: 1057-1064. PMID: 31421895, PMCID: PMC8805641, DOI: 10.1016/j.amjsurg.2019.07.037.Peer-Reviewed Original ResearchMeSH KeywordsBrain Injuries, TraumaticClinical CompetenceFeasibility StudiesHumansProspective StudiesResuscitationSimulation TrainingConceptsStandardized data collectionMulticenter implementationProspective multicenter observational cohortResuscitation teamMulticenter observational cohortTraumatic brain injuryTraining program characteristicsObservational cohortMulticenter trialPediatric traumaSimulation-based training programBrain injuryTrauma volumeSimulation-based team trainingSimulated resuscitationOperating roomProgram characteristicsSimulation-based trainingResuscitationWide variabilitySitu simulationTraining programTeam trainingData collectionCompletionImproving Simulated Pediatric Airway Management in Community Emergency Departments Using a Collaborative Program With a Pediatric Academic Medical Center.
Abu-Sultaneh S, Whitfill T, Rowan CM, Friedman ML, Pearson KJ, Berrens ZJ, Lutfi R, Auerbach MA, Abulebda K. Improving Simulated Pediatric Airway Management in Community Emergency Departments Using a Collaborative Program With a Pediatric Academic Medical Center. Respiratory Care 2019, 64: 1073-1081. PMID: 31015388, DOI: 10.4187/respcare.06750.Peer-Reviewed Original ResearchConceptsCommunity emergency departmentsPediatric academic medical centerPediatric airway managementAcademic medical centerAirway managementEmergency departmentMedical CenterAppropriate endotracheal tube sizeLow pediatric volumePre-intervention visitReadiness scoresPediatric emergency airway managementEmergency airway managementEndotracheal tube sizePost-intervention studyAirway management issuesPediatric-specific equipmentStates academic medical centersCollaborative improvement programPrimary outcomeSecondary outcomesPediatric patientsOverall adherencePediatric volumeSuction catheterImproving Pediatric Diabetic Ketoacidosis Management in Community Emergency Departments Using a Simulation-Based Collaborative Improvement Program
Abulebda K, Whitfill T, Montgomery EE, Kirby ML, Ahmed RA, Cooper DD, Nitu ME, Auerbach MA, Lutfi R, Abu-Sultaneh S. Improving Pediatric Diabetic Ketoacidosis Management in Community Emergency Departments Using a Simulation-Based Collaborative Improvement Program. Pediatric Emergency Care 2019, 37: 543-549. PMID: 30870337, DOI: 10.1097/pec.0000000000001751.Peer-Reviewed Original ResearchMeSH KeywordsChecklistChildDiabetic KetoacidosisEmergency Service, HospitalHumansProspective StudiesResuscitationConceptsCommunity emergency departmentsAcademic medical centerEmergency departmentCollaborative improvement programDiabetic ketoacidosisPediatric patientsPediatric volumePediatric resourcesComposite adherence scoreDiabetic ketoacidosis managementLow pediatric volumePediatric DKA patientsProspective interventional studyMixed linear regression modelsQuality of careDKA guidelinesPatients preimplementationDKA patientsInterventional studyOverall adherenceAdherence scoreIll childrenMedical CenterCritical action checklistMultiprofessional teamOral 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 childrenThe Impact of Telemedicine on Teamwork and Workload in Pediatric Resuscitation: A Simulation-Based, Randomized Controlled Study
Butler L, Whitfill T, Wong AH, Gawel M, Crispino L, Auerbach M. The Impact of Telemedicine on Teamwork and Workload in Pediatric Resuscitation: A Simulation-Based, Randomized Controlled Study. Telemedicine Journal And E-Health 2018, 25: 205-212. PMID: 29957150, DOI: 10.1089/tmj.2018.0017.Peer-Reviewed Original ResearchConceptsSimulation Team Assessment ToolProcesses of critical careImpact of telemedicineUsual carePediatric resuscitationProcess of care metricsCritical careSimulated pediatric resuscitationProcesses of careTime to defibrillationTeamwork scoresCare metricsSpecialty careTelemedicine groupNASA Task Load IndexTask Load IndexCareAssessment toolTelemedicineTeam workloadInfant resuscitationTeamworkRandomized Controlled StudyProcess of careTeam leadersA 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 staffingHospitalThe Development and Validation of a Concise Instrument for Formative Assessment of Team Leader Performance During Simulated Pediatric Resuscitations
Nadkarni LD, Roskind CG, Auerbach MA, Calhoun AW, Adler MD, Kessler DO. The Development and Validation of a Concise Instrument for Formative Assessment of Team Leader Performance During Simulated Pediatric Resuscitations. Simulation In Healthcare The Journal Of The Society For Simulation In Healthcare 2018, 13: 77-82. PMID: 29117092, DOI: 10.1097/sih.0000000000000267.Peer-Reviewed Original ResearchMeSH KeywordsChecklistEmergency Medical ServicesFormative FeedbackLeadershipPediatricsProspective StudiesResuscitationSimulation TrainingConceptsPediatric resuscitationSimulated pediatric resuscitationProspective validation studyPediatric emergency medicinePediatric resuscitation scenariosInternal structure validityExpert consensusHigh interrater reliabilityResuscitation teamResuscitationStudy designConcise instrumentEmergency medicineReliable assessment instrumentStructure validityResuscitation scenariosInterrater reliabilityContent validityTeam leader performance
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
Pediatric Disaster Triage: Multiple Simulation Curriculum Improves Prehospital Care Providers' Assessment Skills
Cicero MX, Whitfill T, Overly F, Baird J, Walsh B, Yarzebski J, Riera A, Adelgais K, Meckler GD, Baum C, Cone DC, Auerbach M. Pediatric Disaster Triage: Multiple Simulation Curriculum Improves Prehospital Care Providers' Assessment Skills. Prehospital Emergency Care 2016, 21: 201-208. PMID: 27749145, DOI: 10.1080/10903127.2016.1235239.Peer-Reviewed Original ResearchDifferences 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 scoresThe Correlation of Workplace Simulation-Based Assessments With Interns’ Infant Lumbar Puncture Success
Auerbach M, Fein DM, Chang TP, Gerard J, Zaveri P, Grossman D, Van Ittersum W, Rocker J, Whitfill T, Pusic M, Kessler DO. The Correlation of Workplace Simulation-Based Assessments With Interns’ Infant Lumbar Puncture Success. Simulation In Healthcare The Journal Of The Society For Simulation In Healthcare 2016, 11: 126-133. PMID: 27043098, DOI: 10.1097/sih.0000000000000135.Peer-Reviewed Original ResearchMeSH KeywordsClinical CompetenceEducational MeasurementHumansInfantInternship and ResidencyProspective StudiesSimulation TrainingSpinal PunctureWorkplaceConceptsProcedural successPuncture successSuccess rateAcademic medical centerPrimary outcomeMedical CenterPatientsLarger studyRating ScaleClinical performanceProcedural readinessLittle dataGlobal rating scaleScale ratingsSimulation-based assessmentFirst procedureIncoming internsTotalWeak correlationAssessmentInternsComparing 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 ResearchMeSH KeywordsCross-Sectional StudiesEmergency Medical ServicesFemaleHumansMaleMass Casualty IncidentsPatient SimulationPediatricsProspective StudiesTriageConceptsTriage strategiesBlack patientsTriage levelRed patientsProspective cohort studyBetter patient outcomesEmergency medical services (EMS) providersCross-sectional analysisCohort studyPatient outcomesTriage outcomesMedical service providersPatientsTriageSignificant differencesTriage accuracyTriage resultsOutcomesPDT strategyParticipants