A5010704227- Neonatal Respiratory Health Research
- Infant Development and Preterm Care
- Respiratory Support and Mechanisms
- Congenital Diaphragmatic Hernia Studies
- Patient Safety and Medication Errors
- Airway Management and Intubation Techniques
- Cardiac Arrest and Resuscitation
- Healthcare Technology and Patient Monitoring
- Cardiac, Anesthesia and Surgical Outcomes
- Family and Patient Care in Intensive Care Units
- Hospital Admissions and Outcomes
- Congenital Anomalies and Fetal Surgery
- Intensive Care Unit Cognitive Disorders
- Healthcare Operations and Scheduling Optimization
- Esophageal and GI Pathology
- Genomics and Rare Diseases
- Healthcare Decision-Making and Restraints
- Healthcare professionals’ stress and burnout
- Disaster Response and Management
- Advanced Statistical Process Monitoring
- Anesthesia and Neurotoxicity Research
- Electronic Health Records Systems
- Craniofacial Disorders and Treatments
- Metabolism and Genetic Disorders
- Congenital Heart Disease Studies
Vanderbilt University Medical Center
2015-2024
Hatch (Canada)
2024
Monroe Carell Jr. Children's Hospital
2020-2023
Pediatrics and Genetics
2021
Vanderbilt University
2018
Stellwagen Bank National Marine Sanctuary
2009
National Marine Sanctuary Foundation
2009
University of Southern California
2008
Keck Hospital of USC
2008
MEPS Marine Ecology Progress Series Contact the journal Facebook Twitter RSS Mailing List Subscribe to our mailing list via Mailchimp HomeLatest VolumeAbout JournalEditorsTheme Sections 395:201-222 (2009) - DOI: https://doi.org/10.3354/meps08402 Acoustic masking in marine ecosystems: intuitions, analysis, and implication Christopher W. Clark1,*, William T. Ellison2, Brandon L. Southall3,4, Leila Hatch5, Sofie M. Van Parijs6, Adam Frankel2, Dimitri Ponirakis1 1Bioacoustics Research Program,...
Neonatal intubation is one of the most common procedures performed by neonatologists, however, procedure difficult and high risk. Neonates who endure often experience adverse events, including bradycardia severe oxygen desaturations. Because low first attempt success rates, neonates are subjected to multiple attempts before endotracheal tube successfully placed. These factors conspire make dangerous in neonatal medicine. In this commentary we review key elements journey improve safety. We...
In preterm infants, mechanical ventilation (MV) is associated with adverse pulmonary and neurodevelopmental outcomes. Multiple randomized clinical trials over the past 2 decades have shown effectiveness of early noninvasive (NIV) in decreasing use MV infants. The epidemiologic factors respiratory support US infants any temporal changes after these unknown.To evaluate infants.In a cohort design, large national data sets (Pediatrix Clinical Data Warehouse for National Inpatient Sample cohort)...
To improve patient safety in our NICU by decreasing the incidence of intubation-associated adverse events (AEs).We sequentially implemented and tested 3 interventions: standardized checklist for intubation, premedication algorithm, computerized provider order entry set intubation. We compared baseline data collected over 10 months (period 1) with a 10-month intervention sustainment period 2). Outcomes were percentage intubations containing any prospectively defined AE bradycardia or...
Unplanned extubations (UEs) in adult and pediatric populations are associated with poor clinical outcomes increased costs. In-hospital costs of UE the NICU not reported. Our objective was to determine association very-low-birth-weight infants.We performed a retrospective matched cohort study our level 4 from 2014 2016. Very-low-birth-weight infants without congenital anomalies admitted by 72 hours age, who received mechanical ventilation (MV), were included. Cases (+UE) 1:1 controls (-UE) on...
In the neonatal intensive care unit (NICU), predefined acuity-based team models are restricted to core roles and neglect interactions with providers outside of team, such as that transpire via electronic health record (EHR) systems. These unaccounted may be related efficiency resource allocation, information flow, communication, thus impact patient outcomes. This study applied network analysis methods EHR audit logs model beyond their better understand interaction patterns teams...
Objective To quantify the daily risk of unplanned extubation (UE) in newborns based on developmental and anatomical factors. Methods Prospective cohort ventilated over an 18-month period a level IV neonatal intensive care unit (NICU). We captured UEs through four data streams. generated multivariable logistic regression models to assess association UE with chronological age, birth weight, postmenstrual age. Results During study, 718 infants were for 5,611 patient days 117 81 infants. The had...
This article summarizes qualitative and quantitative literature specific to family involvement in children's residential treatment, highlighting the lack of types or methods therapy/interventions that might provide efficacious outcomes with this population. An overview Family-Directed Structural Therapy (FDST) corresponding assessment tools is presented, offering a means by which begin address gap practice knowledge. Finally, an interview Executive Director treatment facility successfully...
Objective: This study explored the association between workload and level of burnout reported by clinicians in our neonatal intensive care unit (NICU). A qualitative analysis was used to identify specific factors that contributed modulated clinician NICU. Study Design: We conducted a utilizing postshift surveys explore 42 NICU advanced practice providers physicians over 6-month period. multinomial logistic regression models determine associations burnout. descriptive design with an inductive...
OBJECTIVES: To report temporal trends in venovenous extracorporeal membrane oxygenation (ECMO) use for neonatal respiratory failure U.S. centers before and after functional cannula shortage due to withdrawal of one dual lumen from the market 2018. DESIGN: Retrospective cohort study. SETTING: ECMO registry Extracorporeal Life Support Organization. PATIENTS: Infants who received (cannulated prior 29 d age) at a center had record available January 1, 2010 July 20, 2021. INTERVENTIONS: None....
Evidence-based ventilation strategies for infants with severe bronchopulmonary dysplasia (BPD) remain unknown. Determining whether contemporary approaches cluster as specific BPD may better characterize care and enhance the design of clinical trials. The objective this study was to test hypothesis that unsupervised, multifactorial clustering analysis point prevalence ventilator setting data would classify a discrete number physiology-based mechanical in multicenter cohort BPD. We performed...
Quality improvement (QI) methods have been widely adopted in health care. Although theoretical frameworks and models for organizing successful QI programs described, few reports provided practical examples to link existing theory building a unit-based program. The purpose of this report is describe the authors' experience infrastructure large neonatal ICU (NICU).A program was developed with goal fostering growth high-functioning teams. This based on six pillars: shared vision QI, team...
Objective The aim of the study was to determine incidence, type, severity, preventability, and contributing factors nonroutine events (NREs)— perceived by care providers or skilled observers as a deviations from optimal based on clinical situation —in perioperative (i.e., preoperative, operative, postoperative) surgical neonates in neonatal intensive unit operating room. Methods A prospective observational noncardiac neonates, who received preoperative postoperative care, conducted at an...
For critically ill congenital diaphragmatic hernia (CDH) patients on high frequency oscillatory ventilation (HFOV), extracorporeal membrane oxygenation (ECMO), and/or inhaled nitric oxide (iNO), operative repair in the neonatal intensive care unit (NICU) has been proposed to avoid complications during transport an operating room (OR). This study compared neonates with CDH who received herniorrhaphy NICU or OR, a subgroup analysis considering only supported ECMO.Patients admitted first 2...
Objectives/Hypothesis To evaluate costs associated with perioperative gastrostomy tube (G‐tube) placement for neonates Robin sequence (PRS) that undergo mandibular distraction osteogenesis (MDO). Methods Retrospective chart review was performed to examine the medical records of RS who received treatment at our institution between 2012 and 2021. Patients under 6 months age underwent MDO were included. Billing hospital over a 2‐year period analyzed. Results The study included 26 total patients...