2023
Standardized Clinical Pathways Improve Management of Vaso-Occlusive Episodes in the Pediatric Emergency Department
Forward J, Thomas D, O'Malley S, Berkwitt A, Calhoun C, Krishnamurti L, Pashankar F. Standardized Clinical Pathways Improve Management of Vaso-Occlusive Episodes in the Pediatric Emergency Department. Blood 2023, 142: 2315. DOI: 10.1182/blood-2023-181285.Peer-Reviewed Original ResearchVaso-occlusive episodesSickle cell diseasePediatric emergency departmentMinutes of arrivalPain managementEmergency departmentClinical pathwayIntranasal fentanylYears post implementationHydromorphone PCAPain medicationPediatric patientsJune 30 thPain medication administrationVaso-occlusive painPercent of patientsPercentage of patientsQuality improvement projectOutcome one yearElectronic medical recordsPost implementationHealth care systemFirst analgesicED visitsED encounters
2018
Hospitalization costs and resource allocation in cholecystectomy with use of intravenous versus oral acetaminophen
Hansen RN, Pham AT, Böing EA, Lovelace B, Wan GJ, Thomas DA, Fontes ML. Hospitalization costs and resource allocation in cholecystectomy with use of intravenous versus oral acetaminophen. Current Medical Research And Opinion 2018, 34: 1549-1555. PMID: 29192528, DOI: 10.1080/03007995.2017.1412301.Peer-Reviewed Original ResearchConceptsNausea/vomitingCholecystectomy patientsRespiratory depressionHospitalization costsOral APAPAPAP useOpioid useShorter LOSOpioid-related adverse eventsDaily morphine equivalent doseAssociated hospital lengthMorphine equivalent doseClinical risk factorsPerioperative pain managementMultivariable logistic regressionLower hospitalization costsYears of ageAdjunctive analgesicsOral acetaminophenBowel obstructionHospital lengthIntravenous acetaminophenAdverse eventsPatient demographicsPain management