A5025025826- Emergency and Acute Care Studies
- Trauma and Emergency Care Studies
- Healthcare Policy and Management
- Child and Adolescent Health
- Cardiac Arrest and Resuscitation
- Nursing Roles and Practices
- Bacterial Identification and Susceptibility Testing
- Pediatric Urology and Nephrology Studies
- Simulation-Based Education in Healthcare
- Neutropenia and Cancer Infections
- Traumatic Brain Injury and Neurovascular Disturbances
- Patient Satisfaction in Healthcare
- Healthcare Systems and Technology
- Cardiac, Anesthesia and Surgical Outcomes
- Antibiotics Pharmacokinetics and Efficacy
- Traumatic Brain Injury Research
- Patient Safety and Medication Errors
- Hospital Admissions and Outcomes
- Pneumonia and Respiratory Infections
- Disaster Response and Management
- Pediatric Pain Management Techniques
- Emergency Medicine Education and Research
- COVID-19 and healthcare impacts
- Injury Epidemiology and Prevention
- Thermal Regulation in Medicine
Oregon Health & Science University
2014-2024
GTx (United States)
2019
Center For Policy Research
2016
Abstract Objective We estimate annual hospital expenditures to achieve high emergency department (ED) pediatric readiness (HPR), that is, weighted Pediatric Readiness Score (wPRS) ≥ 88 (0–100 scale) across EDs with different volumes of children, overall and after accounting for current levels readiness. Methods calculated the costs HPR based on two components: (1) ED equipment supplies (2) labor required a Emergency Care Coordinator (PECC) perform tasks. Data sources generate cost estimates...
Introduction: Approximately 25.5 million pediatric patients are treated in Emergency Departments around the United States annually. Roughly 7% of these transported by ambulance; these, approximately arrive ambulances running red lights and sirens (RLS). Compared to those transporting without RLS, emergency vehicles employing RLS involved more accidents associated with fatalities. Objective: To characterize use transports identify factors unnecessary RLS. Methods: As part Children's Safety...
Pediatric patients with any severity of traumatic intracranial hemorrhage (tICH) are often admitted to intensive care units (ICUs) for early detection secondary injury. We hypothesize that there is a subset these mild injury and tICH whom ICU unnecessary.To quantify frequency describe disposition identify at low risk inpatient critical intervention (CCI).We retrospectively reviewed aged 0 17 years single level I trauma center from 2008 2013. The CCI included mechanical ventilation, invasive...
Significant delays occur in providing adequate pain relief for patients who present to the emergency department (ED) with extremity fractures. The median time medication administration presenting our ED fractures was 72.5 minutes. We used a multidisciplinary approach implement three improvement cycles goal of reducing by 15% over an eight month period. First, we redesigned nursing triage and treatment processes. Second, improved documentation standardization ensure accurate tracking declined...
Febrile neutropenia is a potentially life-threatening complication of chemotherapy in pediatric oncology patients. Prompt initiation antibiotic therapy may minimize morbidity and mortality associated with this condition, time to (TTA) administration <60 minutes used as quality benchmark by many institutions. We implemented improvement initiative achieve TTA < 60 >80% eligible patients the emergency department.After collecting baseline data, we employed consecutive PDSA cycles (i) reduce...
Following the shooting at Sandy Hook Elementary School, Hartford Consensus produced Stop Bleed program to train bystanders in hemorrhage control. In our region, police bureau delivers critical incident training public schools, offering instruction responding violent or dangerous situations. Until now, widespread control has been lacking. Our group developed, implemented and evaluated a novel integrating into for school staff order blunt impact of mass casualty events on children.
Implementing a telephone follow-up system after patient's emergency department (ED) visit is challenging, but it may improve patient safety and care. This study's objective was to describe the development implementation of comprehensive ED over 9-year period. Discharged patients who received call within 48 hours their included all pediatric patients, those left without being seen by provider, any adult with "high-risk chief complaint," which defined as headache, visual problem, chest pain,...
When a patient is admitted to the hospital from emergency department (ED), ED clinician passes on relevant clinical information admitting team transition care, process known as hand-off and commonly referred ‘calling report’. This exchange between teams not only important for care continuity but also signifies of care. However, there are unique challenges in this given unpredictability busy environment, boarding discontinuity physician, nursing transportation workflows. These create...
In Thailand, there are few pediatric emergency medicine (PEM) fellowship-trained providers, and departments (EDs) staffed by pediatricians physicians. Our ED collaborated with Thailand's largest private hospital system to develop a training program designed improve care for children.
Pediatric fever is one of the most common presenting complaints to emergency departments (ED). While often due a viral illness, in young children without source bacterial infection pyelonephritis. For this reason, when no focal can be identified urinary specimen recommended. In who are unable urinate on demand, straight catheter required obtain sterile specimen. This generally benign procedure and performed frequently EDs. We report case girl underwent bladder catheterization was...
Abstract Background: Following the shooting at Sandy Hook Elementary School, Hartford Consensus produced Stop Bleed program to train bystanders in hemorrhage control. In our region, police bureau delivers critical incident training public schools, offering instruction responding violent or dangerous situations. Until now, widespread control has been lacking. Our group developed, implemented and evaluated a novel integrating into for school staff order blunt impact of mass casualty events on...
Introduction: The COVID-19 pandemic poses challenges in maintaining global medical education partnerships, with travel restrictions and infection control concerns forcing program adaptation. Pediatric Emergency Medicine Specialty Training Accelerated Review (PEM-STAR) is one such international collaboration which addresses training gaps emergency care for children within Thailand. As an assessment of PEM-STAR’s ability to deliver consistent outcomes despite constraints, we compared results...
Abstract Background Clinical evaluation alone is not effective in identifying serious bacterial infections (SBI) neonates presenting with suspected sepsis and fever. A clinical decision making tool to aide evaluating the pediatric emergency department (PED) uses urinalysis, absolute neutrophil count (ANC), procalcitonin (PCT) together has high negative predictive value (NPV) for SBI. Use may decrease invasive testing, antibiotic exposure, rates of admission. The was incorporated into...