A5084910251- Emergency and Acute Care Studies
- Child and Adolescent Health
- Suicide and Self-Harm Studies
- Gun Ownership and Violence Research
- Child and Adolescent Psychosocial and Emotional Development
- Adolescent and Pediatric Healthcare
- Healthcare Decision-Making and Restraints
- Healthcare Policy and Management
- Injury Epidemiology and Prevention
- Cardiac Arrest and Resuscitation
- Homelessness and Social Issues
- Restraint-Related Deaths
- Disaster Response and Management
- Ultrasound in Clinical Applications
- Radiation Dose and Imaging
- Migration, Health and Trauma
- Appendicitis Diagnosis and Management
- Traumatic Ocular and Foreign Body Injuries
- Reproductive Health and Contraception
- Family and Patient Care in Intensive Care Units
- LGBTQ Health, Identity, and Policy
- Mechanical Circulatory Support Devices
- Ethics and Legal Issues in Pediatric Healthcare
- Patient Safety and Medication Errors
- Homicide, Infanticide, and Child Abuse
Lurie Children's Hospital
2020-2025
Northwestern University
2020-2025
Office of Patient Care Services
2023
Griffith University
2023
American College of Emergency Physicians
2023
E Ink (South Korea)
2023
Agency for Healthcare Research and Quality
2023
Janssen (Switzerland)
2023
Janssen (United States)
2023
Boston Children's Hospital
2016-2019
Suicide is the second leading cause of death among US adolescents. Workforce shortages mental health professionals in are widespread, but association between workforce and youth suicides not well understood.To assess suicide rates professional at county level, adjusting for demographic socioeconomic characteristics.This retrospective cross-sectional study included all counties used data youlth from January 2015, through December 31, 2016. Data were analyzed July 1, 2021, 20, 2021.County...
Background: Among hospitalized children, episodes of aggressive patient behavior place healthcare staff at risk for serious injuries. By implementing a behavioral response team children’s hospital, we aimed to reduce monthly employee injuries related from 3.4 2.4 per 1,000 acute care visits during 12 months. Methods: At multidisciplinary used quality improvement methodology implement that provided proactive and reactive support caring children behavior. Full-scale implementation occurred in...
<h3>Importance</h3> Suicide is the second leading cause of death among youths aged 10 to 19 years in United States, with rates nearly doubling during past decade. Youths impoverished communities are at increased risk for negative health outcomes; however, association between pediatric suicide and poverty not well understood. <h3>Objective</h3> To assess county-level concentration. <h3>Design, Setting, Participants</h3> This retrospective, cross-sectional study examined suicides US 5 from...
Youth firearm-related deaths are a public health crisis in the US. The association between county-level poverty and risk of among youth is unknown, however.
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...
Emergency department (ED) crowding has been and continues to be a national concern. ED is defined as situation in which the identified need for emergency services outstrips available resources ED. Crowding associated with higher morbidity mortality, delayed pain control, time administration of antibiotics, increased medical errors, less-than-optimal health care. impedes hospital's ability achieve quality patient safety goals, diminishes effectiveness care net, limits capacity hospitals...
The Child Opportunity Index measures the structural neighborhood context that may influence a child’s healthy development. We examined relationships between and emergency department utilization. BACKGROUND AND OBJECTIVES (COI) is multidimensional measure of Our objective was to determine if COI associated with children’s (ED) utilization using national sample. METHODS This retrospective cohort study Pediatric Health Information Systems, database from 49 United States hospitals. analyzed...
BACKGROUND AND OBJECTIVES Pediatric mental health emergency department (ED) visits are rising in the United States, with more involving medication for acute agitation. Timely, standardized implementation of behavioral strategies and medications may reduce need physical restraint. Our objective was to standardize agitation management a pediatric ED time restraints. METHODS A multidisciplinary team conducted quality improvement initiative from September 2020 August 2021, followed by 6-month...
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...
Emergency department (ED) utilization by children with mental and behavioral health (MBH) conditions is increasing. During these visits, pharmacologic restraint may be used to manage acute agitation. Factors associated use are not well described.This was a retrospective cohort study of ED visits from the Pediatric Health Information System database, 2010-2020. We included 3-21 years primary MBH diagnosis identified restraint. Regression models were analyze association between patient-...
Mental and behavioral health (MBH) visits of children youth to emergency departments are increasing in the United States. Reasons for these range from suicidal ideation, self-harm, eating substance use disorders outbursts, aggression, psychosis. Despite increase prevalence conditions, capacity care system screen, diagnose, manage patients continues decline. Several social determinants also contribute great disparities child adolescent (youth) health, which affect MBH outcomes. In addition,...
The COVID-19 pandemic adversely affected children's mental health (MH) and changed patterns of MH emergency department (ED) utilization. Our objective was to assess how pediatric ED visits during the differed from expected prepandemic trends.
Importance Suicide is a leading cause of death among US youths, and mental health disorders are known factor associated with increased suicide risk. Knowledge about potential sociodemographic differences in documented diagnoses may guide prevention efforts. Objective To examine the association diagnosis (1) clinical characteristics, (2) precipitating circumstances, (3) mechanism youth decedents. Design, Setting, Participants This retrospective, cross-sectional study decedents aged 10 to 24...
Abstract Objective Gender‐minority youth, whose gender identity differs from their sex assigned at birth, have elevated suicide risk compared to cisgender yet few studies examine in the emergency department (ED). Our objectives were determine prevalence of and assess protective factors associated with prior attempt (SA) recent ideation (SI) among gender‐minority adolescents ED. Methods We conducted a secondary analysis Emergency Department Screening for Teens Risk Suicide (ED‐STARS)...
Abstract Background Around 40% of US households with children have a firearm kept in the home. This study sought to describe storage practices and locking device preferences among caregivers presenting pediatric emergency department (ED). Methods We conducted cross-sectional survey ED who endorsed having home from August 2023 May 2024. A self-administered electronic inquired about current preferences. Caregivers any unsafe practice (i.e., stored unlocked, loaded, and/or ammunition) were...