A5008080635- Emergency and Acute Care Studies
- Patient Safety and Medication Errors
- Sepsis Diagnosis and Treatment
- Innovations in Medical Education
- Healthcare Policy and Management
- Clinical Reasoning and Diagnostic Skills
- Simulation-Based Education in Healthcare
- Ethics and Legal Issues in Pediatric Healthcare
- Disaster Response and Management
- Family and Patient Care in Intensive Care Units
- Child and Adolescent Health
- Global Health Care Issues
- Medication Adherence and Compliance
- Healthcare professionals’ stress and burnout
- Academic Writing and Publishing
- Palliative Care and End-of-Life Issues
- Abdominal Surgery and Complications
- Vaccine Coverage and Hesitancy
- Health Systems, Economic Evaluations, Quality of Life
- Travel-related health issues
- Clinical Nutrition and Gastroenterology
- Psychiatric care and mental health services
- Intensive Care Unit Cognitive Disorders
- Hip and Femur Fractures
- Pharmaceutical Practices and Patient Outcomes
University of Pennsylvania
2020-2024
Children's Hospital of Philadelphia
2018-2024
Philadelphia University
2022
National Patient Safety Foundation
2021
Scientific writing is a core component of academic hospital medicine, and yet finding time to engage in deeply focused difficult part due the highly clinical, 24/7 nature specialty that can limit opportunities for writing-focused collaboration mentorship.
OBJECTIVES Emergency transfers (ETs), deterioration events with late recognition requiring ICU interventions within 1 hour of transfer, are associated adverse outcomes. We leveraged electronic health record (EHR) data to assess the association between ETs and also evaluated intervention timing (urgency) METHODS conducted a propensity-score-matched study hospitalized children transfer 2015 2019 at single institution. The primary exposure was ET, automatically classified using Epic Clarity...
Children with medical complexity (CMC) have significant health care costs, but they also experience substantial unmet needs, hospitalizations, and errors. Their parents often report psychosocial stressors poor satisfaction. Complex programs can improve the for CMC. At our tertiary institution, we developed a consultative complex program to quality cost of CMC patients families.To address needs at Compass Care Program, across inpatient outpatient settings. Utilization data [hospital...
Event debriefing has established benefit, but its adoption is poorly characterized among pediatric ward providers. To improve patient safety, our hospital restructured process for deterioration events culminating in ICU transfer. The aim of this study was to describe process' implementation.In the process, multidisciplinary providers are expected debrief all transfers. We conducted a multimethod analysis using facilitative guides completed by participants. Monthly completion served as an...
Clinical event debriefing (CED) can improve patient care and outcomes, but little is known about CED across inpatient settings, participant experiences have not been well described. In this qualitative study, we sought to characterize compare staff with in 2 hospital units, a goal of generating recommendations for hospital-wide program.
Unrecognized clinical deterioration is a common and significant source of preventable harm to hospitalized children. Yet, unlike other sources harm, outside the ICU lacks clear, “gold standard” outcome guide prevention efforts. This gap limits multicenter learning, which crucial for identifying effective generalizable interventions prevention. In fact, date, no coordinated safety/quality initiative currently exists targeting from unrecognized in pediatric patients, startling given morbidity...
Abstract Background Late recognition of in‐hospital deterioration is a source preventable harm. Emergency transfers (ET), when hospitalized patients require intensive care unit (ICU) interventions within 1 h ICU transfer, are proximal measure late associated with increased mortality and length stay (LOS). Objective To apply diagnostic process improvement frameworks to identify missed opportunities for in diagnosis (MOID) ETs evaluate their association outcomes. Design, Settings, Participants...
Proactive surveillance by a critical care outreach team (CCOT) can promote early recognition of deterioration in hospitalized patients but is uncommon pediatric rapid response systems (RRSs). After our children's hospital introduced CCOT 2019, we aimed to characterize implementation outcomes. We hypothesized that rounding would identify additional children at risk for deterioration.
OBJECTIVES The facilitated discussion of events through clinical event debriefing (CED) can promote learning and wellbeing, but resident involvement is often limited. Although the graduate medical education field supports CED, interventions to are limited by poor insight into how residents experience CED. objective this study was characterize pediatric experiences with a specific focus on practice barriers facilitators. METHODS We conducted qualitative between November December 2020 at...
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Introduction: Unrecognized deterioration poses a significant risk of harm to hospitalized children. Clinician 'gut instinct' may enhance detection deterioration, but its predictive performance is unknown. After embedding pilot clinician concern (CC) process into our rapid response system (RRS) on 4 medical units, we hypothesized that CC would have >50% sensitivity and > 10% positive value (PPV) for deterioration. Methods: We performed retrospective study from 7/2022-7/2023. The asks bedside...
Introduction: Unrecognized deterioration poses significant risk of harm to hospitalized children. Proactive surveillance by a critical care outreach team (CCOT) can promote early recognition but is uncommon in pediatric rapid response systems (RRS). We deployed CCOT 2019 augment our RRS, which includes 'watcher' program; clinician concern warning score; medical emergency team; and code blue team. hypothesized that rounds enhances identification at-risk ward patients not detected other RRS...
Galligan, Meghan1; Wolfe, Heather1; Papili, Kelly2; Porter, Ezra1; O’Shea, Kelly1; Liu, Hongyan3; Colfer, Andrea1; Neiswender, Kristin1; Granahan, Craig, Nancy4; McGrath, Anne Marie1; Shaw, Kathy1; Sutton, Robert5 Author Information
Mehta, Sanjiv; Muthu, Naveen; Bonafide, Christopher; Galligan, Meghan; Favatella, Dana; Papili, Kelly; Porter, Ezra; Liu, Hongyan; Yehya, Nadir; Sutton, Robert Author Information
Mehta, Sanjiv; Galligan, Meghan; Haines, George; Lutts, Meaghan; Bonafide, Christopher; Sutton, Robert Author Information