A5005805119- Emergency and Acute Care Studies
- Child and Adolescent Health
- Obesity, Physical Activity, Diet
- Child Nutrition and Feeding Issues
- Healthcare Policy and Management
- Ethics and Legal Issues in Pediatric Healthcare
- Global Health and Surgery
- Global Health Workforce Issues
- Birth, Development, and Health
- Disaster Response and Management
- Cultural Competency in Health Care
- Healthcare Decision-Making and Restraints
- Racial and Ethnic Identity Research
- American Environmental and Regional History
- Geriatric Care and Nursing Homes
- Congenital Heart Disease Studies
- Adolescent and Pediatric Healthcare
- Migration, Health and Trauma
- Heart Failure Treatment and Management
- American History and Culture
- School Health and Nursing Education
- COVID-19 and Mental Health
- Cardiac Arrest and Resuscitation
- COVID-19 and healthcare impacts
- Breastfeeding Practices and Influences
Morgan Stanley Children's Hospital
2023-2025
Columbia University
2012-2025
Miami Children's Hospital
2024
Boston Medical Center
2019-2024
NewYork–Presbyterian Hospital
2024
Columbia University Irving Medical Center
2012-2023
Texas Health Dallas
2022-2023
Target (United States)
2022
Yale University
2020-2021
Hospital for Sick Children
2021
The medical community recognizes the importance of confronting structural racism and implicit bias to address health inequities. Several curricula aimed at teaching trainees about these issues are described in literature. However, few exist that engage faculty members as learners rather than teachers topics or target interdisciplinary audiences.We developed a longitudinal case conference curriculum called Health Equity Rounds (HER) discuss impact on patient care. engaged participants across...
Children seeking care in the emergency department (ED) for mental health conditions are at risk prolonged length of stay (LOS). A more contemporary description trends and visit characteristics associated with ED LOS national level is lacking literature. Our objectives were to (1) compare pediatric versus non-mental visits (2) explore patient-level visits.We conducted an observational analysis among children 6 17 years age using National Hospital Ambulatory Medical Care Survey (2005-2015). We...
OBJECTIVES To examine how outpatient mental health (MH) follow-up after a pediatric MH emergency department (ED) discharge varies by patient characteristics and to evaluate the association between timely return encounters. METHODS We conducted retrospective study of 28 551 children aged 6 17 years with ED discharges from January 2018 June 2019, using IBM Watson MarketScan Medicaid database. Odds nonemergent follow-up, adjusted for sociodemographic clinical characteristics, were estimated...
Importance Equity is an essential domain of health care quality. The Centers for Medicare & Medicaid Services (CMS) developed 2 Disparity Methods that together assess equity in clinical outcomes. Objectives To define a measure equitable readmissions; identify hospitals with readmissions by insurance (dual eligible vs non–dual eligible) or patient race (Black White); and compare without hospital characteristics performance on accountability measures (quality, cost, value). Design,...
This cross-sectional study evaluates racial disparities in physical restraint use US emergency departments.
Nia is a first-grade student with history of trauma who was brought in by ambulance to the pediatric emergency department for “out control behavior” at school. This first multiple presentations psychiatric evaluation, stabilization, and management throughout her elementary middle school years. Several visits resulted admission inpatient service, where she “boarded” while awaiting transfer an facility. At times, clinical teams used involuntary medications physical restraints, as well hospital...
To describe the proportion of pediatric mental health emergency department (MH-ED) visits across 5 COVID-19 waves in New York City (NYC) and to examine relationship between MH-ED visits, prevalence, societal restrictions.We conducted a time-series analysis among patients ages 17 years using INSIGHT Clinical Research Network, database from medical centers NYC January 1, 2016, June 12, 2022. We estimated seasonally adjusted changes visit rates during pandemic, compared with predicted...
Noah, an 18-month-old infant with trisomy 21, was brought to the emergency department for adenovirus bronchiolitis. He found meet criteria severe malnutrition, and his medical team called Child Protective Services (CPS) concern neglect. remained hospitalized 1 month while a safe discharge coordinated by CPS teams. Through this case, we explore racism as root cause of delays among children special health care needs who interact child welfare system. Our discussion delves into origins...
Objectives/Goals: Our objective is to examine patient and community perspectives on hospital actions that signify accountability healthcare equity; part of our overall goal identify equity measure concepts representative priorities for future programs. Methods/Study Population: We conducted a qualitative thematic analysis secondary data – 32 focus group transcripts from hospital’s Community Health Needs Assessment (CHNA). A tri-annual CHNA required nonprofit hospitals maintain tax exemption....
Sequential Organ Failure Assessment (SOFA) score predicts probability of in-hospital mortality. Many crisis standards care suggest the use SOFA scores to allocate medical resources during COVID-19 pandemic.Are elevated among Non-Hispanic Black and Hispanic patients hospitalized with COVID-19, compared White patients?Retrospective cohort study conducted in Yale New Haven Health System, including 5 hospitals total 2681 beds. Study population drawn from consecutive aged ≥18 admitted March 29th...
Audible alarms are a ubiquitous feature of all high-paced, high-risk domains such as aviation and nuclear power where operators control complex systems. In settings, missed alarm can have disastrous consequences. It is conventional wisdom that for to be heard, "louder better," so levels in operational environments routinely exceed ambient noise levels. Through robust experimental paradigm an anechoic environment study human response audible alerting stimuli cognitively demanding setting,...
Background The COVID-19 pandemic has had a devastating impact in the United States, particularly for Black populations, and heavily burdened healthcare system. Hospitals have created protocols to allocate limited resources, but there is concern that these will exacerbate disparities. sequential organ failure assessment (SOFA) score tool often used triage protocols. In protocols, patients with higher SOFA scores are denied resources based on assumption they worse clinical outcomes. purpose of...
Abstract Objective The primary objective was to determine the association between public health preventive measures and children’s outdoor time, sleep duration, screen time during COVID-19. Methods A cohort study using repeated of exposures outcomes conducted in healthy children (0 10 years) through Applied Research Group for Kids (TARGet Kids!) COVID-19 Study Children Families Toronto, Canada, April 14 July 15, 2020. Parents were asked complete questionnaires about adherence behaviours....
The emergence of the Omicron variant was accompanied by an acute increase in COVID-19 cases and hospitalizations New York City. An increased incidence COVID-19-associated croup children during wave has been recognized, suggesting that there may be other changes clinical symptoms severity. To better understand outcomes health care utilization infected with SARS-CoV-2 wave, we performed a cross-sectional study pediatric patients aged ≤18 years who were tested for emergency departments within...
SUMMARY Background An inverse relationship between healthcare utilization and distance to care has been previously described. The purpose of this study was evaluate effect related emergency essential surgical in central Haiti. Methods We conducted a retrospective review operative logbooks from the Clinique Bon Sauveur Cange, Haiti, 2008 2010. used Geographic Information Systems map home locations all patients. Spearman's correlation determine distance, multivariate linear regression model...
This study evaluated the impact of three interventions on uptake guaiac faecal occult blood test (gFOBT) in Greater London. The were designed to improve awareness and understanding NHS Bowel Cancer Screening Programme (BCSP) assist stool sampling. Logistic regression analysis BCSP London data (<mml:math xmlns:mml="http://www.w3.org/1998/Math/MathML" id="M1"><mml:mi>N</mml:mi><mml:mo>=</mml:mo><mml:mn>205,541</mml:mn></mml:math>invitees aged 60–74) compared at 12 weeks between intervention...
To characterize trends in pediatric mental health visit counts, including visits for prolonged length of stay (LOS), a sample emergency departments (EDs) from 29 states during COVID-19.We performed secondary analysis the Clinical Emergency Data Registry January 2020 through December 2021. We reported counts overall and those with ED LOS. incident rate ratios (IRRs) monthly compared to 2020. Among LOS >24 hours, we on most common diagnostic categories.There were 107 EDs available complete...
Disaggregating performance metrics by patients' race, ethnicity, and language (REaL) can identify health care disparities. However, electronic record (EHR) data are often inaccurate not representative of self-identified REaL, the gold standard.1–3 We assessed REaL validity in our pediatric emergency department (ED) comparing EHR-documented to survey-reported data.As part a quality improvement project, we surveyed convenience sample 92 patients ED between December 2022 April 2023. excluded...
This cross-sectional study assesses US pediatric inpatient psychiatric capacity and identifies state-level variation in access to beds.