A5027610406- Clinical Reasoning and Diagnostic Skills
- Emergency and Acute Care Studies
- Innovations in Medical Education
- Medical Malpractice and Liability Issues
- Hospital Admissions and Outcomes
- Dental Education, Practice, Research
- Medical Education and Admissions
- Patient Safety and Medication Errors
- Diversity and Career in Medicine
- Facial Trauma and Fracture Management
- Service-Learning and Community Engagement
- Library Collection Development and Digital Resources
- Sepsis Diagnosis and Treatment
- Tree-ring climate responses
- Patient Satisfaction in Healthcare
- Healthcare cost, quality, practices
- Urban Green Space and Health
- Digital Imaging in Medicine
- Medical Coding and Health Information
- Health Systems, Economic Evaluations, Quality of Life
- Health Policy Implementation Science
- Childhood Cancer Survivors' Quality of Life
- Urban Heat Island Mitigation
- Health Literacy and Information Accessibility
- Respiratory Support and Mechanisms
Nationwide Children's Hospital
2018-2025
The Ohio State University
2020-2024
Weatherford College
2023
Cree (China)
2023
University of Leicester
2021
National Centre for Earth Observation
2021
Loyola University Medical Center
2020
Northwick Park Hospital
2017
Partners In Care
2010
Lake Research Partners
2004
OBJECTIVES Pediatric hospitalists have increasingly been relied on to care for hospitalized patients. While hospitalist models shown many benefits, studies examining the transition from subspecialist hospitalist-led teams are lacking. This study aimed monitor impact of transitioning an inpatient pediatric neurology service a model several key outcome measures, with hypothesis that these measures would be unaffected by transition. METHODS In July 2019, at freestanding academic center...
This article highlights the often underestimated influence of context in improving quality inpatient pediatric care. Context includes environmental, social, cultural, and systemic factors that surround health care service delivery intervention outcomes. Underappreciation for can be responsible lack success patient outcomes lead to differences when initiatives are replicated or spread across settings. We draw from field implementation science (IS) highlight essential concepts measuring...
Sleep is an essential part of the recovery process, yet inpatient sleep quality poor. Patients and families report that vital signs are most bothersome overnight disruption. Obtaining every 4 hours (Q4H) not evidence-based frequently ordered indiscriminately. We aimed to decrease percentage patient nights with sign checks between 12 am 6 in a low-risk population from 98% 70% within months minimize disruptions improve sleep.We conducted improvement project on 3 pediatric hospital medicine...
The small number of minorities in the field dentistry is a serious concern. While United States as whole has become more diverse with making up 25 percent total U.S. population, only handful (14 percent) are currently practicing dentistry, and 11 entering dental schools underrepresented minorities. Pipeline, Profession, & Practice: Community‐Based Dental Education national foundation‐sponsored program designed to address this issue education. To understand reasons why attracts so few...
Delays in hospital discharge can negatively impact patient care, bed availability, and satisfaction. There are limited studies examining how the electronic health record (EHR) be used to improve timeliness. This study aimed implement an EHR optimization tool (DOT) successfully achieve a before noon (DBN) percentage of 25%.We conducted single-center quality improvement patients discharged from 3 pediatric medicine teaching service teams at quaternary care academic children's hospital. The...
BACKGROUND AND OBJECTIVE Late preterm (LPT) and low birth weight (LBW) infants are populations at increased risk for NICU admission, partly due to feeding-related conditions. This study was aimed increase the percentage of LPT LBW receiving exclusive nursery care using quality improvement methodologies. METHODS A multidisciplinary team implemented interventions a single academic center. Included were 35 36 weeks gestational age term with weights <2500 g admitted from delivery room...
Pediatric abdominal pain is challenging to diagnose and often results in unscheduled return visits the emergency department. External pressures diagnostic momentum can impair physicians from thoughtful reflection on differential diagnosis (DDx). We implemented a time-out intervention created scoring tool improve quality documentation rates of DDx. The specific aim this improvement (QI) project was increase frequency resident attending physician DDx pediatric patients admitted with by 25%...
Excessive inpatient administrative tasks can lead to adverse consequences for residents and their patients. Furthermore, this burden has been linked depersonalization, a major component of physician burnout.To describe the development, implementation, feasibility, acceptability, early outcomes Resident Team Assistant (RTA) programs.Three large academic medical centers created RTA programs in which assistants are incorporated into teams. First steps included needs assessment driver diagram...
Autonomy is necessary for resident professional development and well-being. A recent focus on patient safety has increased supervision decreased trainee autonomy. Few validated interventions exist to improve We aimed use quality improvement methods increase our autonomy metric, the Resident Score (RAS), by 25% within 1 year sustain 6 months.
Introduction: Emergency transfers are associated with increased inpatient pediatric mortality. Therefore, interventions to improve system-level situational awareness were utilized decrease a subset of emergency that occurred within four hours admission an medical-surgical unit called very rapid (VRET). Specifically, we aimed increase the days between VRET from non-ICU units every 10 25 over 1 year. Methods: Using Model for Improvement, developed interdisciplinary team reduce VRET. The key...
Diversity, equity, and inclusion (DEI) training is essential to graduate medical education, but it lacks standardization. Although the impact of providers' biases cultural competency on patient outcomes well documented, value satisfaction with DEI curricula in Pediatrics residency programs not studied. This study aimed complete a cross-sectional evaluation current curriculum at large Pediatrics-focused academic institution identify areas perceived deficiency among trainees.
Background: The use of personality-based assessments has become common practice across industries outside medicine. Although widely used in the corporate arena, personality testing medicine is comparatively unexplored. objective this study was to investigate prevalence assessment tools by orthopaedic residency programs. Methods: Survey invitations were sent 154 program directors from around United States. survey queried each program. Participants also asked their sentiments regarding...
<h3>Background</h3> Diagnostic errors (DE) in healthcare are a widespread, but underappreciated, problem. Investigators report that everyone will experience at least one DE their lifetime. <h3>Objectives</h3> After the occurrence of six serious adverse events related to first months 2015, we chartered QI team 2016 decrease DE. <h3>Methods</h3> The used methodology, established specific aim and key driver diagram (figure 1), developed diagnostic error index (DEI 1.0) measure impact...
Research Article| April 01 2015 The Supremacy of the Word: Alma’s Mission to Zoramites and Conversion Lamanites Michael F. Perry is a graduate Brigham Young University Harvard Law School. He currently works as federal criminal prosecutor in Syracuse, New York, where he lives with his wife four children. views expressed this article do not necessarily represent U.S. Attorney’s Office for Northern District York or United States. Search other by author on: This Site Google Journal Book Mormon...
Teach Back (TB) is recommended to assess and ensure patient understanding, thereby promoting safety, quality, equity. There are many TB trainings, typically lacking assessment tools with validity evidence. We used a pediatric resident competency-based communication curriculum develop initial evidence refinement recommendations for Teach-back Observation Tool (T-BOT).