- Influenza Virus Research Studies
- Asthma and respiratory diseases
- Streptococcal Infections and Treatments
- Innovations in Medical Education
- Healthcare professionals’ stress and burnout
- Hematological disorders and diagnostics
- Antimicrobial Resistance in Staphylococcus
- Autoimmune and Inflammatory Disorders Research
- Respiratory viral infections research
- Neonatal and Maternal Infections
- Bacterial Identification and Susceptibility Testing
- Spondyloarthritis Studies and Treatments
- Drug-Induced Adverse Reactions
- Rheumatoid Arthritis Research and Therapies
- Diphtheria, Corynebacterium, and Tetanus
- Blood disorders and treatments
- Medical Education and Admissions
- Orthopedic Infections and Treatments
- Nursing education and management
- Bacterial Infections and Vaccines
- Diversity and Career in Medicine
- Radiology practices and education
- Bartonella species infections research
- Clinical Reasoning and Diagnostic Skills
- Family and Disability Support Research
Cleveland Clinic Lerner College of Medicine
2024
Cleveland Clinic
2021-2022
Texas Children's Hospital
2017-2021
Baylor College of Medicine
2018-2021
Case Western Reserve University
2021
Children with asthma are at increased risk of complications from influenza; hospitalization represents an important opportunity for vaccination. We aimed to increase the influenza vaccination rate among eligible hospitalized patients on pediatric hospital medicine (PHM) service 13% 80% over a 4-year period.Serial Plan-Do-Study-Act cycles were implemented improve rates children admitted status asthmaticus and included modifications electronic health record (EHR) provider family education....
The objective of this study was to describe the frequency invasive bacterial infections (IBIs) in young infants with skin and soft tissue (SSTIs) impact IBI evaluation on disposition, length stay (LOS), cost.This retrospective (2009-2014) cohort used data from 35 children's hospitals Pediatric Health Information System. We included younger than 60 days who presented an emergency department (ED) SSTI. Invasive infection defined as bacteremia/sepsis, bone/joint infection, or meningitis....
The incidence of staphylococcal scalded skin syndrome (SSSS) is rising, but current practice variation in diagnostic test use not well described. Our aim was to describe the children hospitalized with SSSS and determine associations patient outcomes.We performed a retrospective (2011-2016) cohort study aged 0 18 years from 35 children's hospitals Pediatric Health Information System database. Tests included blood culture, complete count, erythrocyte sedimentation rate, C-reactive protein...
OBJECTIVES: To describe variation in empirical antibiotic selection infants <60 days old who are hospitalized with skin and soft-tissue infections (SSTIs) to determine associations outcomes, including length of stay (LOS), 30-day returns (emergency department revisit or readmission), standardized cost. METHODS: Using the Pediatric Health Information System, we conducted a retrospective study SSTI from 2009 2014. We analyzed first 2 hospitalization categorized antibiotics as those...
A previously healthy 9-year-old immigrant girl from Mexico was evaluated in the emergency department (ED) with one week of fatigue, fevers, rhinorrhea, and cough. She initially presented to her primary pediatrician, where a complete blood count revealed neutropenia, prompting referral ED. In ED, she found be influenza A–positive. Because dehydration, received intravenous fluids admitted pediatric hospital medicine service. After 2 days, symptoms improved, oral intake increased. However,...
Burnout in medical trainees challenges their work effectiveness and impedes ability to learn. Teachers the clinical learning environment (CLE) are well situated identify burnout often responsible for learner assessment.
BACKGROUND Controversy exists regarding the optimal antibiotic regimen for use in hospitalized children with staphylococcal scalded skin syndrome (SSSS). Various regimens may confer toxin suppression and/or additional coverage methicillin‐susceptible Staphylococcus aureus (MSSA) or methicillin‐resistant S (MRSA). OBJECTIVES To describe SSSS and examine association between antistaphylococcal patient outcomes. DESIGN/METHODS Retrospective cohort study of using Pediatric Health Information...
The goal of this project is to improve the influenza immunization rate eligible asthmatics admitted Pediatric Hospital Medicine (PHM) service 80% by February 2015. Asthma patients were identified via ICD-9 codes, and charts manually reviewed determine status. Metrics included:
Objective: Annual influenza (flu) immunization is recommended for all children with asthma, and the inpatient setting represents a prime opportunity immunizing patients. Prior to project initiation, average rate in admitted asthma exacerbation at our institution was 13%. Our aim increase of eligible PHM patients 80% during 2015-2016 flu season. Design/Methods: This an ongoing three year QI project, …
Purpose: To describe the prevalence of invasive bacterial infections (IBI) in young infants with skin and soft tissue (SSTI) impact IBI evaluation on admission, length stay (LOS), cost. Methods: This retrospective (2009-2014) cohort study used data from 35 children’s hospitals Pediatric Health Information System. We included …