2021
Improving Patient Experience Scores in a Pediatric Emergency Department
Emerson BL, Setzer E, Bechtel K, Grossman M. Improving Patient Experience Scores in a Pediatric Emergency Department. Pediatric Quality And Safety 2021, 6: e417. PMID: 34235347, PMCID: PMC8225380, DOI: 10.1097/pq9.0000000000000417.Peer-Reviewed Original ResearchPediatric emergency departmentPatient experienceEmergency departmentMultidisciplinary teamRigorous process evaluationExcellent patient-centred careKey driver diagramPE scoresPatient-centered carePatient experience scoresPositive health outcomesSustained improvementQuality improvement methodsHealth outcomesMedical careTeam huddlesDriver diagramExamination roomProcess evaluationCareExperience scoresPatientsScoresCritical populationMonths
2019
Patients Presenting After Sexual Assault: Population Characteristics and Rates of Follow up [1D]
Choi J, Bechtel K, Pathy S. Patients Presenting After Sexual Assault: Population Characteristics and Rates of Follow up [1D]. Obstetrics And Gynecology 2019, 133: 42s-41s. DOI: 10.1097/01.aog.0000558959.60784.2f.Peer-Reviewed Original ResearchOutpatient clinicInclusion criteriaYale New Haven Health SystemRetrospective medical record reviewMedical record reviewICD-10 codesUrban hospital settingWomen's outpatient clinicMental health consequencesPatients 13Patient ageDecrease morbidityRecord reviewAcute careEmergency departmentPatient populationPrimary careHospital settingPatientsDischarge protocolHealth consequencesHealth systemCareOverall rateOne-thirdOral 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
Feasibility of providing child restraint devices after a motor vehicle crash in a pediatric emergency department
Violano P, Aysseh N, Lucas M, Gawel M, Morrell P, Norway C, Alfano A, Bechtel K. Feasibility of providing child restraint devices after a motor vehicle crash in a pediatric emergency department. Traffic Injury Prevention 2018, 19: 844-848. PMID: 30657709, DOI: 10.1080/15389588.2018.1496243.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentMotor vehicle crashesChild restraint devicesEmergency departmentLevel 1 trauma centerRestraint devicesVehicle crashesBrief educational interventionTrauma centerChildhood morbidityMedical costsPED providersED personnelEducational interventionAppropriate ageUse statusAppropriate useChildrenPatientsSafety of childrenCaregiversCrash mechanismsGuidelinesEDDepartment
2017
Nonaccidental Injury in Pediatric Patients: Detection, Evaluation, and Treatment
Tiyyagura G, Beucher M, Bechtel K. Nonaccidental Injury in Pediatric Patients: Detection, Evaluation, and Treatment. Pediatric Emergency Medicine Practice 2017, 14: 1-32. PMID: 28665574.Peer-Reviewed Original ResearchMeSH KeywordsBurnsChildChild AbuseChild, PreschoolContusionsCraniocerebral TraumaDiagnosis, DifferentialEmergency Medical ServicesEvidence-Based MedicineFemaleFractures, BoneGuidelines as TopicHumansInfantIntensive Care Units, PediatricMaleMandatory ReportingPhysical ExaminationPhysician's RolePractice Patterns, Physicians'Retinal HemorrhageUnited StatesWounds and Injuries
2016
Barriers and Facilitators to Recognition and Reporting of Child Abuse by Prehospital Providers
Tiyyagura GK, Gawel M, Alphonso A, Koziel J, Bilodeau K, Bechtel K. Barriers and Facilitators to Recognition and Reporting of Child Abuse by Prehospital Providers. Prehospital Emergency Care 2016, 21: 46-53. PMID: 27436455, DOI: 10.1080/10903127.2016.1204038.Peer-Reviewed Original ResearchConceptsPrehospital care providersCare providersChief complaintInfant abusive head traumaReal-time decision supportPresence of caregiversAbusive head traumaPediatric patientsHead traumaPatient's airwayProtective servicesRecognition of signsDecision supportHospital providersPatients' thoughtsPrehospital providersCaregiver reactionsThematic saturationChild protective servicesChild abuseFocused educationKey taskAirwayPatientsScene safety
2013
Management Of Headache In The Pediatric Emergency Department.
Alfonzo MJ, Bechtel K, Babineau S. Management Of Headache In The Pediatric Emergency Department. Pediatric Emergency Medicine Practice 2013, 10: 1-25. PMID: 26505695.Peer-Reviewed Original ResearchPediatric emergency departmentEmergency departmentLife-threatening conditionSpectrum of pathologyManagement of headacheBroad differentialPediatric populationComplex patientsEmergency cliniciansCommon complaintAppropriate treatmentSecondary headachesCurrent evidenceEmergency careHeadacheHealthcare providersSchool absencePatientsHealthcare ResearchOne-thirdBest current practicePoor academic achievementChildrenLives of childrenCurrent practice
2009
Utility of Hepatic Transaminases to Recognize Abuse in Children
Lindberg D, Makoroff K, Harper N, Laskey A, Bechtel K, Deye K, Shapiro R. Utility of Hepatic Transaminases to Recognize Abuse in Children. Pediatrics 2009, 124: 509-516. PMID: 19620197, DOI: 10.1542/peds.2008-2348.Peer-Reviewed Original ResearchMeSH KeywordsAbdominal InjuriesAlanine TransaminaseAspartate AminotransferasesChild AbuseChild, PreschoolEmergency Service, HospitalFemaleHumansInfantInfant, NewbornLiver Function TestsMagnetic Resonance ImagingMaleMass ScreeningPhysical ExaminationPredictive Value of TestsProspective StudiesReference ValuesReferral and ConsultationROC CurveTomography, X-Ray ComputedConceptsIU/LAbdominal injuriesAbdominal bruisingHepatic transaminasesPhysical abuseElevated transaminase levelsClinical examination findingsStandard of careChild abuse teamPopulation of childrenPossible physical abuseSubspecialty evaluationALT levelsTransaminase levelsClinical findingsExamination findingsObservational studyRoutine screeningAbdominal imagingImportant causeInjuryUniversal imagingTransaminaseChild physical abusePatients
2006
Inflicted Traumatic Brain Injury: Making the Diagnosis in the Emergency Department
Bechtel K, Berger R. Inflicted Traumatic Brain Injury: Making the Diagnosis in the Emergency Department. Clinical Pediatric Emergency Medicine 2006, 7: 138-142. DOI: 10.1016/j.cpem.2006.05.002.ChaptersTraumatic brain injuryBrain injuryEmergency departmentMinority of patientsSevere brain injuryRetinal hemorrhagesClinical findingsOminous symptomRib fracturesSubdural hemorrhageCommon causeMild formInjuryITBISerious injuriesHemorrhageYoung childrenSymptomsChildrenWide spectrumDepartmentVomitingMorbidityPatientsIrritability