A5103240102- Tracheal and airway disorders
- Patient Safety and Medication Errors
- Clinical Reasoning and Diagnostic Skills
- Congenital Diaphragmatic Hernia Studies
- Cardiac Arrest and Resuscitation
- Family and Patient Care in Intensive Care Units
- Simulation-Based Education in Healthcare
- Airway Management and Intubation Techniques
- Esophageal and GI Pathology
- Healthcare Technology and Patient Monitoring
- Disaster Response and Management
- Child and Adolescent Health
- Anesthesia and Sedative Agents
- Innovations in Medical Education
- Cardiac, Anesthesia and Surgical Outcomes
- Homelessness and Social Issues
- Anesthesia and Neurotoxicity Research
- ECG Monitoring and Analysis
- Non-Invasive Vital Sign Monitoring
- Health disparities and outcomes
- Pharmaceutical Practices and Patient Outcomes
- Optimism, Hope, and Well-being
- Patient Dignity and Privacy
- Electronic Health Records Systems
- Health Literacy and Information Accessibility
Texas Children's Hospital
2014-2025
Baylor College of Medicine
2012-2025
Acorde (Spain)
2024
University of California, Irvine
2018-2019
University of Illinois Chicago
2019
Yahoo (United Kingdom)
2018
University of Maryland, College Park
2005-2017
Amgen (United States)
2014
Boston Children's Hospital
2011
Long Island Jewish Medical Center
2010
Using both surveys and the experience sampling method (ESM), community violence exposure, social support factors, depressive anxiety symptoms were assessed longitudinally among inner-city African American adolescents. Moderator models tested to determine protective factors for youth exposed violence. Several emerged as protective-stabilizing forces witnesses of cross-sectionally longitudinally, including maternal closeness, time spent with family, support, daily (ESM). Contrary hypotheses,...
In this study, we explore the process of negotiation between mothers and fathers to secure, restrict, define men’s roles in their children’s lives. Field notes life history interview data were collected with 40 incarcerated men a work-release program Midwestern metropolitan community. Partnering relationships marked by confusion conflict due incarceration, deteriorating commitments, stresses low-income family life. Half participants described mothers’ efforts discourage involvement, while...
Diagnostic errors are common and harmful, but difficult to define measure. Measurement of diagnostic often depends on retrospective medical record reviews, frequently resulting in reviewer disagreement. We aimed test the accuracy an instrument help detect presence or absence error through reviews. gathered questions from several previously used instruments for measurement, then developed refined our instrument. tested against a sample patient records (n = 389), with without identified 129 n...
To determine whether the Safer Dx Instrument, a structured tool for finding diagnostic errors in primary care, can be used to reliably detect patients admitted PICU.The Instrument consists of 11 questions evaluate process and final question if error occurred. We instrument analyze four "high-risk" patient cohorts PICU between June 2013 December 2013.High-risk were defined as cohort 1: who autopsied; 2: seen outpatients within 2 weeks prior admission; 3: transferred unexpectedly from an acute...
Objective: To determine the frequency of cardiopulmonary resuscitation education using high-fidelity patient simulators during pediatric residency training. Design: Randomized controlled trial. Setting: Suburban tertiary care children's hospital training program. Subjects: Twenty-four second year residents. Interventions: residents were randomized into two study groups, 12 in each. Both groups completed a formal course utilizing lectures, skill stations, and six scenarios on stimulators....
Our study objectives were to explore moral distress among pediatric team clinicians within the context of resuscitation experiences, and determine whether there any distinctively ethical perspectives on that could be conceptualized as challenges professional integrity, rather than previously described psychological responses clinicians.Descriptive, exploratory qualitative study.A large tertiary academic hospital in Houston, TX.Twenty-five PICU interviewed from December 2012 April...
Multivariate statistical process monitoring (MSPM) is becoming increasingly utilized to further enhance in the biopharmaceutical industry. MSPM can play a critical role when there are many measurements and these highly correlated, as typical for operations. Specifically, processes such cleaning-in-place (CIP) steaming-in-place (SIP, also known sterilization-in-place), control systems typically oversee execution of cycles, verification outcome based on offline assays. These assays add delays...
Patients receiving pediatric tracheostomy have significant risk for mortality due to compromised airway. Timely management of airway emergencies in children with tracheostomies is an important clinical skill pediatricians. We developed this curriculum improve residents' self-efficacy management.We collected baseline data on 67 residents from two hospitals while creating a blended video-based instruction routine change and team emergency. Forty enrolled the curriculum. During ICU rotation,...
Sign-out of patient data at change shifts is vulnerable to errors that impact safety. Although sign-outs are complex in intensive care units (ICU), a paucity studies exists evaluating optimal ICU sign-out. Our prospective interventional study investigated the use standard verbal template Pediatric improve sign-out process. We designed and validated survey tool measure 10 items The analysis information exchanged was performed pre- postintervention. Forty-eight clinicians participated, with...
To describe provider characteristics, knowledge acquisition, perceived relevance, and instruction quality of the Society Critical Care Medicine's Pediatric Fundamentals Support course pilot implementation in Botswana.Observational, single center.Academic, upper middle-income country.Healthcare providers Botswana.A cohort healthcare completed standard 2-day qualitative survey during course. Cognitive was assessed prior to immediately following training using multiple choice questionnaires....
ε-Aminocaproic acid is routinely used in cardiac surgery to prevent excess bleeding. It rarely associated with thrombotic events. This case report illustrates the formation of intracardiac thrombi leading massive pulmonary embolism during a coronary artery bypass graft surgery, secondary administration ε-aminocaproic as confirmed by intraoperative transesophageal echocardiogram. After failure resolution high-dose heparin, tissue plasminogen activator was successfully reverse patient's...
Background: Ensuring that learners acquire diagnostic competence in a timely fashion is critical to providing high quality and safe patient care. Resident trainees typically gain experience by undertaking repetitive clinical encounters receiving feedback from supervising faculty. By critically engaging with the process, encapsulate medical knowledge into discrete memories are able be recollected refined subsequent encounters. In setting of exponentially increasing complexity current duty...
Background: Nuisance and false alarms distract clinicians from urgent alerts, raising patient safety risks. Local Problem: High alarm rates in a pediatric progressive care unit resulted experiencing 180-250 per day or 1 every 3 to 4 minutes clinician. Methods: Through Plan-Do-Study-Act cycles, environmental, policy, technology changes were implemented decrease the average alarms/day/bed percentage of time alarm. Interventions: Alarm settings tailored needs using features embedded within...
ABSTRACT Background Children with cancer face a high risk of complications including prolonged mechanical ventilation requiring tracheostomies. While tracheostomies have been demonstrated to be generally safe procedure, there remain significant rare and paucity literature addressing outcomes specifically for pediatric patients cancer. The objective this study was characterize who underwent describe their indications length stay, decannulation, complications. Procedures At single large volume...
Santa Ana, California has the highest teenage birth rate in Orange County, USA, at 28.2 per 1,000 women aged 15–19 as compared to 12.0 1000 of similar age elsewhere county. In light this disparity, University Irvine medical students surveyed a convenience sample 9th grade (aged 14–15 years) Ana assess efficacy student-led sex education programme. Nine 50-minute lessons were conducted over 2-week period, with pre- and post-tests evaluate knowledge retention. A total 301 pre-tests 295...
Afonso, Natasha; Cox, Megan; Kloeck, Dave; Mazhani, Loeto; Daman, Tlamelo; Mysore, Mohan; Roy, Kevin; Meaney, Peter
THOMAS, TESSY; Thammasitboon, Satid; Arnold, Jennifer; Roy, Kevin; Balmer, Dorene; McCullough, Larry Author Information
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Roy, Kevin; Rauch, Melissa; Stein, Fernando; Williams, Eric; Rafie, Kimia; Gagne, Vincent; Fauss, Emma