A5089031133- Tracheal and airway disorders
- Antibiotics Pharmacokinetics and Efficacy
- Poisoning and overdose treatments
- Acute Kidney Injury Research
- Airway Management and Intubation Techniques
- Healthcare Policy and Management
- Emergency and Acute Care Studies
- Pharmaceutical studies and practices
- Renal function and acid-base balance
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac Arrest and Resuscitation
- Burn Injury Management and Outcomes
- Childhood Cancer Survivors' Quality of Life
- Respiratory Support and Mechanisms
- Child and Adolescent Health
- Neutropenia and Cancer Infections
- Cardiac Structural Anomalies and Repair
- Injury Epidemiology and Prevention
- Analytical Methods in Pharmaceuticals
- Dysphagia Assessment and Management
- Family and Patient Care in Intensive Care Units
- Pericarditis and Cardiac Tamponade
- Pharmacological Effects and Toxicity Studies
- Vitamin K Research Studies
- Sepsis Diagnosis and Treatment
Nationwide Children's Hospital
2014-2025
The Ohio State University
2012-2024
University of Minnesota
2021
Objectives: To test the ability of palliative care screening criteria to improve access services in PICU and examine association between team involvement ICU hospital length stay. Design: Prospective interventional quality improvement study. Setting: at a quaternary academic medical center. Patients: All patients admitted who met for referral over 9-month period. Intervention: Consensus consultation were created by pediatric critical medicine providers, was encouraged all meeting criteria....
In several states, payers penalize hospitals when an inpatient readmission follows stay. Observation stays are typically excluded from calculations. Previous studies suggest inconsistent use of observation designations across hospitals. We sought to describe variation in and examine the impact inclusion on metrics.We conducted a retrospective cohort study hospitalizations at 50 contributing Pediatric Health Information System database January 1, 2018, December 31, 2018. examined prevalence...
To characterize the impact of public health interventions on volume and characteristics admissions to PICU.Multicenter retrospective cohort study.Six U.S. referral PICUs during February 15, 2020-May 14, 2020, compared with same months 2017-2019 (baseline).PICU excluding for illnesses due severe acute respiratory syndrome coronavirus 2 readmissions hospitalization.None.Primary outcome was admission volumes period stay-at-home orders (March 2020) baseline. Secondary outcomes were...
Introduction: Emerging evidence supports the use of alternative dosing weights for medications in patients with obesity. Pediatric obesity presents a particular challenge because most are dosed based on patient weight. Additionally, building system-wide pediatric safeguards is difficult due to definitions body mass index-percentile-for-age via Center Disease Control growth charts. We describe quality initiative increase appropriate medication inpatients The specific aim was 7 high-risk ≥2...
Abstract Background There is a paucity of information around whether hospital length stay and readmission rates differ based upon type for adolescents young adults (AYA) with complex chronic diseases (CCDs). Objective To measure the association between index admission LOS among AYA CCDs. Methods We performed retrospective cross‐sectional study 2017 Healthcare Cost Utilization Project State Inpatient Databases, including patients 12–25 years old cystic fibrosis (CF), sickle cell disease...
1The Ohio State University Medical Center, Columbus, OH 2Nationwide Children’s Hospital,
Poeppelman, Rachel1; Lutmer, Jeffrey1; Heater, Tom2; Coles, Mary1; Vohsing, Luke1; Maa, Tensing1 Author Information
High-cost medication administration, despite lacking evidence for use, results in poor healthcare value. This work aimed to reduce dornase-alfa utilization critically ill mechanically ventilated children.The project employed an observational pre-post design develop a value-based clinical pathway guide provider choice mucolytic quaternary pediatric intensive care unit. was designed continue using low-cost aerosols (hypertonic saline, N-acetylcysteine) but decrease new starts and total doses...
Prothrombin complex concentrates (PCCs) are used to manage bleeding in critically ill children. We performed a repeat cross-sectional study using the Pediatric Health Information System registry describe PCC utilization U.S. children's hospitals over time and determine relationship between use specific risk factors for bleeding. included children < 18 years who received three-factor or four-factor during hospital admission January 2015 December 2020 association therapy, anticoagulation...
Critical Care Medicine: December 2015 - Volume 43 Issue 12 p 52 doi: 10.1097/01.ccm.0000474031.57975.89
Copyright © by 2015 the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved.
Lutmer, Jeffrey; Kurtovic, Kelli; Kempton, Tanya Maria; Humphrey, Lisa Author Information
Introduction: Acute kidney injury (AKI) occurs in approximately 25% of critically ill children and is independently associated with worse clinical outcomes including chronic renal sequelae up to an eightfold increase mortality PICU patients severe AKI. risk multi-factorial often includes exposure certain medications. Our utilized a Nephrotoxic AKI (NAKI) quality improvement project modeled after multi-center project, Injury Negated by Just-in-time Action (NINJA), develop interventions...
Introduction: Aminoglycoside-associated nephrotoxicity (AAN) is a frequent complication in critically ill children. Hypothesis: Implementation of therapeutic drug monitoring (TDM) strategy using CPOE dosing guidelines and automatic pharmacy consultation will decrease AAN rates our PICU. Methods: All patients receiving aminoglycosides (AG) were included the TDM protocol. Clinicians ordered AG empiric based on real-time creatinine clearance estimates. Clinical was for all AGs. We compared PICU...