A5027093070- Innovations in Medical Education
- Augmented Reality Applications
- Health Systems, Economic Evaluations, Quality of Life
- Pediatric Urology and Nephrology Studies
- Urinary Tract Infections Management
- Neonatal Health and Biochemistry
- Childhood Cancer Survivors' Quality of Life
- Kidney Stones and Urolithiasis Treatments
- Patient Safety and Medication Errors
- Simulation-Based Education in Healthcare
- Infant Development and Preterm Care
- Family and Patient Care in Intensive Care Units
- Acute Kidney Injury Research
- Central Venous Catheters and Hemodialysis
- Ergonomics and Human Factors
- Nausea and vomiting management
- Healthcare cost, quality, practices
- Pediatric Pain Management Techniques
- Ethics in Clinical Research
- Medical Malpractice and Liability Issues
- Clinical Reasoning and Diagnostic Skills
- Surgical Simulation and Training
- Health Education and Validation
- Human-Automation Interaction and Safety
- Renal Diseases and Glomerulopathies
Illinois College
2017-2025
Children's Hospital of Illinois
2019-2025
OSF HealthCare
2024
University of Illinois Chicago
2017-2022
Background Teaching the management of pediatric sedation-related airway concerns is challenging due to time-sensitive interventions required and their infrequent occurrence. Recognizing this educational gap in sedation experience, virtual reality (VR) was utilized prepare learners provide an immersive training experience a controlled environment. Methods We describe simulation-based using VR environment, Enduvo Inc., innovative software for medical trainees. This two-hour course creates...
Suggested therapeutic options for Multisystem Inflammatory Syndrome in Children (MIS-C) include intravenous immunoglobulins (IVIG) and steroids. Prior studies have shown the benefit of combination therapy with both agents on fever control or resolution organ dysfunction. The primary objective this study was to analyze impact IVIG steroids hospital ICU length stay (LOS) patients MIS-C associated Coronavirus Disease 2019 (COVID-19).This a retrospective 356 hospitalized from March 2020...
The purpose of this study was to ( a) determine the frequency diagnostic errors in pediatric cancer, b) categorize errors, and c) underscore themes associated with misdiagnosis. This is a retrospective cohort at tertiary children’s hospital 265 patients new oncologic diagnoses. error rate 28%. Compared those no error, whom there an were more likely have visits before diagnosis P < .001), not been seen acute care setting = .03), inappropriate treatment d) misinterpreted laboratory studies...
Family-centered rounds (FCR) are an important time to engage in high-value, cost-conscious care (HV3C) discussions. However, research suggests HV3C conversations occur a minority of FCRs. Best-practice support tools can improve provider performance, but no has evaluated whether HV3C-focused tool may increase pediatricians' FCR This study aimed assess if educational and practice-based Rounding Tool's introduction would providers' performance competence.
Objective: To examine our institutional experiences with ultrasound-guided peripherally inserted central catheter (US-PICC) placement by a dedicated US-PICC team under the umbrella of an existing pediatric sedation service. Methods: Retrospective review quality data examining 968 encounters over 5-year period from 2012 to 2016. Data for each encounter included line indications, success rate, dwelling time, need sedation, and incidence complications including venous thrombosis, infection,...
Introduction: Patient safety (PS) is one of the most important priorities in modern healthcare systems. Unfortunately, PS education limited many medical school curricula. Our objective was to implement an innovative curriculum introduce third-year students on their pediatric clerkship concepts and domains, provide a safe environment discuss lapses that they identified while caring for patients. Methods: At start clerkship, were introduced curriculum, instructed identify lapse PS, submit...
We explore relationships between barriers and facilitators experienced by users to understand dynamic interactions in sociotechnical systems improve a mobile phone-based augmented reality application that teaches about the contents of standardized pediatric code cart.
This is a case of 7-year-old boy with acute lymphoblastic leukemia presenting cholestasis and elevated transaminase levels. Acute the most common malignancy in children can have variable clinical manifestations. However, less commonly encountered pediatric population be diagnostic challenge. We present discovered to levels while undergoing an evaluation for motor tics, which subsequently progressed liver failure secondary leukemia. He demonstrated marked improvement after induction therapy...
An augmented reality (AR) mobile smartphone application was developed for clinicians to improve their knowledge about the contents and organisation of a standardised paediatric code cart, an important tool in safe, effective resuscitations. This study used focus groups interviews with 22 identify work system barriers facilitators use application. We identified twelve dimensions facilitators: convenience, device ownership, size type, gamification, interface design, movement/physical space,...
BACKGROUND AND OBJECTIVES The 2011 American Academy of Pediatrics guidelines recommended a renal and bladder ultrasound (RBUS) after the first febrile urinary tract infection (UTI) in infants. Abnormal RBUS findings may be due to inflammation from acute UTI or vesicoureteral reflux (VUR), which require voiding cystourethrogram (VCUG) diagnose, increasing health care costs. Our objective was evaluate effect timing imaging relative illness on abnormal dilation VCUG findings. METHODS...
Research institutions often lack policies addressing the risks and benefits of enrolling "invested parties" such as investigators, research staff, patient, caregiver, community representatives (groups most affected by a disease or intervention) in studies where they have direct involvement. Invested parties may both strong motivations to study condition intervention participate subjects. More guidance is needed promote appropriate access participation mitigate potential risks. This article...
Pediatric codes are rare events that require fast intervention from medical professionals to resuscitate a child. A pediatric code cart contains all medications and equipment immediately needed complete resuscitation, but not health care (HCPs) know what is located on the where. mobile, augmented reality (AR) application was created improve this knowledge. Ten participants performed timed search while wearing Tobii Pro eye tracking glasses before after exposure application. Also, survey...
A 15-year-old female with no significant past medical history presented to the emergency department 1 day of substernal and pleuritic chest pain, chills, cough, hematuria. She also had swelling face ankles that resolved by presentation. was found have elevated troponin brain natriuretic peptide during initial workup. Electrocardiogram normal, but there were pleural effusions on x-ray. strep positive blood pressure up 150/90, prompting admission for cardiac monitoring cardiology consultation....
Gadolinium-based compounds are frequently used in contrast-enhanced magnetic resonance imaging studies. Rarely, adverse events have been reported with administration of these compounds, which the most common nausea and vomiting. Although well established adult literature, effects less described pediatric population, who often need sedation to complete In this case series, we present 3 children experienced vomiting shortly after contrast while under propofol, is known antiemetic properties....
Harthan, A. A.; Nadiger, M.; Mcgarvey, J. S.; Hanson, K.; Gharpure, V. P.; Bjornstad, E. C.; Chiotos, Miller, Reikoff, R. Gajic, O.; Kumar, V.; Walkey, Kashyap, R.; Tripathi, S. Author Information
Background Voiding cystourethrography (VCUG) is used to diagnose vesicoureteral reflux (VUR); however, it an invasive procedure and can be psychologically distressing. Procedural sedation occasionally utilized alleviate anxiety during VCUG, some patient populations may get referred more readily for than others. Sedative medications also impact the results of test due their effects on smooth muscle. The goals this study were compare characteristics between those that procedural not VCUG...