A5067467406- Respiratory viral infections research
- Emergency and Acute Care Studies
- Pneumonia and Respiratory Infections
- Clinical Reasoning and Diagnostic Skills
- Innovations in Medical Education
- Vaccine Coverage and Hesitancy
- Neonatal Respiratory Health Research
- Healthcare Systems and Technology
- Influenza Virus Research Studies
- Ultrasound in Clinical Applications
- Global Maternal and Child Health
- Child and Adolescent Health
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Child Nutrition and Water Access
- Simulation-Based Education in Healthcare
- Biochemical Analysis and Sensing Techniques
- Advanced Chemical Sensor Technologies
- Food Security and Health in Diverse Populations
- Parvovirus B19 Infection Studies
- Radiology practices and education
- Innovative Teaching Methods
- Clinical Nutrition and Gastroenterology
- Neonatal and Maternal Infections
- Patient Satisfaction in Healthcare
- Bacterial Infections and Vaccines
Children's Hospital of Philadelphia
2018-2024
University of Pennsylvania
2018-2024
Pennsylvania Hospital
2022
Center for Global Health
2022
Hospital of the University of Pennsylvania
2020
Brown University
2016
Hasbro Children's Hospital
2012
Providence College
2012
SARS-CoV-2 infection is diagnosed through detection of specific viral nucleic acid or antigens from respiratory samples. These techniques are relatively expensive, slow, and susceptible to false-negative results. A rapid noninvasive method detect would be highly advantageous. Compelling evidence canine biosensors studies adults with COVID-19 suggests that reproducibly alters human volatile organic compound (VOC) profiles. To determine whether pediatric associated VOC changes, we enrolled...
Acute gastroenteritis (AGE) is a common pediatric diagnosis in emergency medicine, accounting for 1.7 million visits annually. Little known about racial/ethnic differences care the setting of standardized models.We used quality improvement data children 6 months to 18 years presenting large, urban department (ED) treated via clinical pathway AGE/dehydration between 2011 and 2018. Race/ethnicity was evaluated as single variable (non-Hispanic [NH]-White, NH-Black, Hispanic, NH-other) related...
OBJECTIVES Diagnostic errors, termed “missed opportunities for improving diagnosis” (MOIDs), are known sources of harm in children but have not been well characterized pediatric hospital medicine. Our objectives were to systematically identify and describe MOIDs among general patients who experienced readmission, outline improvement opportunities, explore factors associated with increased risk MOID. PATIENTS AND METHODS retrospective cohort study included unplanned readmissions within 15...
Feeding problems are frequent in infants with congenital hyperinsulinism (HI) and may be exacerbated by continuous enteral nutrition (EN) used to maintain euglycemia. Our center’s HI team uses dextrose solution given continuously via gastric tube (intrasgastric dextrose, IGD) for not fully responsive conventional medical therapy or pancreatectomy. Here, we describe our practice as well growth, feeding, adverse events exposed IGD. <b><i>Methods:</i></b> This was a...
Objectives: Hospitalists are a new subgroup of pediatricians. However, data comparing quality care between hospitalists and nonhospitalists limited. Bronchiolitis, common cause pediatric hospital admission, is an appropriate condition for evaluating inpatient care. The goal this study was to identify indicators the evaluation treatment children hospitalized with bronchiolitis based on 2006 American Academy Pediatrics guidelines assess differences in adherence rates these hospitalist...
Abstract Background Globally, pneumonia is the leading cause of death among children. Few data exist regarding effect Haemophilus influenzae type b (Hib) vaccine and 13-valent pneumococcal conjugate (PCV-13) on burden childhood in African settings. Methods We collected children aged 1 to 59 months at 3 hospitals Botswana. Hib PCV-13 were introduced Botswana November 2010 July 2012, respectively. compared hospitalizations deaths prevaccine (January 2009 October 2010) with postvaccine 2013...
Subspecialty consultation is a frequent, consequential practice in the pediatric inpatient setting. Little known about factors affecting practices.To identify patient, physician, admission, and systems characteristics that are independently associated with subspecialty among hospitalists at patient-day level to describe variation utilization hospitalist physicians.This retrospective cohort study of hospitalized children used electronic health record data from October 1, 2015, through...
Pneumococcal conjugate vaccines reduce the burden of invasive pneumococcal disease, but sustained effect these can be diminished by an increase in disease caused non-vaccine serotypes. To describe serotype epidemiology Botswana following introduction 13-valent vaccine (PCV-13) July 2012, we performed molecular serotyping 268 strains isolated from 221 children between 2012 and 2017. The median (interquartile range) age included this analysis was 6 (3,12) months. Fifty-nine percent had...
SARS-CoV-2 infection is diagnosed through detection of specific viral nucleic acid or antigens from respiratory samples. These techniques are relatively expensive, slow, and susceptible to false-negative results. A rapid non-invasive method detect would be highly advantageous. Compelling evidence canine biosensors studies adults with COVID-19 suggests that reproducibly alters human volatile organic compounds (VOCs) profiles. To determine whether pediatric associated VOC changes, we enrolled...
Development of skills in diagnostic reasoning is paramount to the transition from novice expert clinicians. Efforts standardize approaches diagnosis and treatment using clinical pathways are increasingly common. The effects implementing into systems care during education practice among pediatric residents not well described.To characterize residents' perceptions tradeoffs between pathway use reasoning.We conducted a qualitative study May December 2019. Senior high-volume general inpatient...
Objectives A disproportionate number of neonatal deaths occur in low/middle-income countries, with sepsis a leading contributor mortality. In this study, we investigate risk factors for mortality cohort high-risk hospitalised neonates Botswana. Independent predictors infants experiencing either or non-sepsis-related death are described. Methods This is prospective observational study enrolled from July to October 2018 at the unit (NNU) Princess Marina Hospital (PMH) Gaborone, Data on...
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...
Abstract Background Advocacy regarding child health policy is a core tenet of pediatrics. Previous research has demonstrated that most pediatric providers believe collective advocacy and political involvement are essential aspects their profession, but less known about how engage with families issues impact health. The objectives this study were to examine providers’ perceptions practices regards discussing identify provider characteristics associated having these discussions. Methods In...
OBJECTIVES Best practices for content selection, mode of delivery, and timing pediatric clerkship readiness curricula medical students have, by large, not been established. Capitalizing on changes in structure the clinical clerkships during COVID-19 pandemic, we created an upfront curriculum, termed Pediatric Intersession (PI), to replace existing weekly lecture-based didactics. METHODS Our goal was develop interactive curriculum with innovative instructional design methodology intended...
Background: Diagnostic excellence is central to healthcare quality and safety. Prior literature identified a lack of psychological safety time as barriers diagnostic reasoning education. We performed needs assessment inform the development Methods: To evaluate existing educational programming identify opportunities for content delivery, surveys were emailed 155 interprofessional leaders 627 clinicians at our hospital. Educational learners invited participate in focus groups further explore...
Abstract Background Feedback reports summarizing clinician performance are effective tools for improving antibiotic use in the ambulatory setting, but effectiveness of feedback hospital setting is unknown. Methods Quasi-experimental study conducted between December 2021 and November 2023 within a pediatric health system measuring impact delivered by email reviewed monthly meeting on appropriate children hospitalized with community-acquired pneumonia (CAP). We used an interrupted time series...