A5003469777- Patient Safety and Medication Errors
- COVID-19 and Mental Health
- Child and Adolescent Psychosocial and Emotional Development
- Family and Patient Care in Intensive Care Units
- Gun Ownership and Violence Research
- Pediatric health and respiratory diseases
- Patient-Provider Communication in Healthcare
- Childhood Cancer Survivors' Quality of Life
- Respiratory Support and Mechanisms
- Infant Development and Preterm Care
- Child and Adolescent Health
- Psychosomatic Disorders and Their Treatments
- Emergency and Acute Care Studies
- Neonatal Respiratory Health Research
- Neonatal Health and Biochemistry
- Suicide and Self-Harm Studies
- Genital Health and Disease
- Pharmaceutical studies and practices
- Mental Health and Psychiatry
- Respiratory viral infections research
- Anesthesia and Sedative Agents
- Ethics and Legal Issues in Pediatric Healthcare
- Cardiac, Anesthesia and Surgical Outcomes
- Neonatal skin health care
- Injury Epidemiology and Prevention
University of Michigan
2017-2023
C. S. Mott Children's Hospital
2017-2023
Wayne State University
2023
Children's Hospital of Philadelphia
2022
Michigan Medicine
2018-2022
University of Northern Colorado
2021-2022
Pediatrics and Genetics
2020
Northwestern Memorial Hospital
2011-2012
Northwestern University
2011-2012
Lurie Children's Hospital
2011-2012
To determine if pediatric procedural sedation-provider medical specialty affects major complication rates when sedation-providers are part of an organized sedation service.The 38 self-selected members the Pediatric Sedation Research Consortium prospectively collected data under institutional review board approval. Demographic data, primary and coexisting illness, procedure, medications used, outcomes, airway interventions, provider specialty, adverse events were reported on a self-audited,...
Previous studies have demonstrated an increase in mental health emergencies among youth seen ambulatory and emergency room settings during the COVID-19 pandemic. This study investigates rates of health-related consultation markers illness severity since start pandemic.We evaluated all pediatric patients admitted to a single children's hospital from March 2019 2021 who received psychiatry and/or psychology consults. We report absolute number these patients, as well proportion site admissions...
Pediatric procedural sedation outside of the operating room is performed by a variety pediatric specialists. Using database from Sedation Research Consortium (PSRC), patient demographics, medications used, diagnoses, complications, and procedures involved when pediatricians provided in this cohort, were described. 'Pediatrician' was defined as general pediatrician, cardiologist, endocrinologist, gastroenterologist, hematologist/oncologist, neurologist, pulmonologist or hospitalist.Data...
OBJECTIVES: Firearm-related deaths remain a top cause of mortality in American children and adolescents. In 2012 policy statement, the Academy Pediatrics urged pediatricians to incorporate questions about availability firearms into their patient history taking. We aim evaluate frequency screening for home an academic tertiary-care hospital inpatient setting. METHODS: This retrospective chart review examined patients with following pediatric diagnoses admitted from 2006 2015: asthma,...
Methods of sustaining the deimplementation overused medical practices (i.e., not supported by evidence) are understudied. In pediatric hospital medicine, continuous pulse oximetry monitoring children with common viral respiratory illness bronchiolitis is recommended only under specific circumstances. Three national guidelines discourage its use for who receiving supplemental oxygen, but guideline-discordant practice overuse) remains prevalent. A 6-hospital pilot educational outreach audit...
Pediatric somatic symptom and related disorders (SSRDs) are common with high health care costs use because of lack standardized, evidence-based practice. Our hospital implemented a clinical pathway (CP) for SSRD evaluation management. study objective was to evaluate cost associated the organization's CP in emergency department (ED) inpatient settings hypothesizing lower group relative controls.We conducted retrospective analysis before after implementation CP. Data were collected from...
Lotus birth is the practice of leaving umbilical cord uncut until separation occurs naturally. Our case series report describes delivery characteristics, neonatal clinical course, and placenta management, maternal reasons for a lotus birth, desire future births. Between April 2014 January 2017, six births occurred. Mothers (four six) were contacted by phone after giving birth. A chart review was completed on each patient to evaluate if erythromycin ointment, hepatitis B vaccine, vitamin K...
<h3>Objective</h3> To identify patient safety factors in pre-hospital and hospital management of critically ill children dying a paediatric intensive care unit (PICU). <h3>Design</h3> Retrospective case notes review. <h3>Setting</h3> Single tertiary regional PICU London. <h3>Participants</h3> 47 patients (7%) who died from total 679 admitted during 2007 2008. Median age was 1.1 years median predicted mortality the Paediatric Index Mortality 2 score 39%. <h3>Main outcome measures</h3> Adverse...
OBJECTIVES: The diagnostic category of somatic symptom and related disorders (SSRDs), although common, is often poorly recognized suboptimally managed in inpatient pediatric care. Little literature exists to address SSRDs the setting. purpose study was characterize current SSRD practice, identify problem areas workflow, develop a standardized approach evaluation management at tertiary care academic children’s hospital. METHODS: A multidisciplinary group identified patients with admitted...
In this single-site, retrospective, descriptive chart review and survey, we investigated changes in pediatric behavioral health needs during the COVID-19 pandemic relationship between virtual schooling hospitalized children’s mental health. Subjects included patients aged 6 18 years 2015 to 2019 2020 2021 school who received inpatient care. Parents of admitted were surveyed regarding their child’s schooling. We additionally described compared subjects using data, including proxies for...
Introduction: The benefits of the Family-Centered Rounding (FCR) model are well established and attending physician's role in FCR has been demonstrated to be important its implementation. purpose this study is evaluate background, training, preparedness perceived pediatric physicians with regards FCR.Methods: An online survey was administered via Pediatric Research Inpatient Settings (PRIS) listserv. It included 25 multiple-choice questions regarding agreement adherence published guidelines,...
OBJECTIVES: In 2015, the American Academy of Pediatrics (AAP) published an updated consensus statement containing 17 discharge recommendations for healthy term newborn infants. this study, we identify whether AAP criteria were met before at a tertiary care academic children’s hospital. METHODS: A stratified random sample charts from newborns who discharged between June 1, and May 31, 2016, was reviewed. Of 531 reviewed, 433 included in study. review each chart performed, data collected....
OBJECTIVES: Poor communication is a major contributor to sentinel events in hospitals. Suboptimal between physicians and nurses may be due poor understanding of team members’ roles. We sought evaluate the impact shadowing experience on nurse–resident interprofessional collaboration, bidirectional communication, role perceptions. METHODS: This mixed-methods study took place at 2 large academic children’s hospitals with pediatric residency programs during 2018–2019 year. First-year residents...
Through the use of a survey, from June to October 2021, with closed and open-ended questions, we analyzed providers’ (n = 54) personal professional opinions how their organizations responded COVID-19. Results Spearman’s Rho indicate moderate positive associations between initial current: concerns for older adults, impact CDC recommendations providing care satisfaction these recommendations. The present study demonstrates that pandemic had both negative on service providers some outcomes in...
OBJECTIVE Management guidelines for bronchiolitis advocate supportive care and exclude those with high-risk conditions. We aim to describe compare the management of standard-risk patients bronchiolitis. METHODS This retrospective study examined &lt;2 years age admitted general pediatric ward an International Classification Diseases, 10th Revision discharge diagnosis code or viral syndrome evidence lower respiratory tract involvement. Patients were defined as either standard- on basis...
BACKGROUND AND OBJECTIVES Standardized review of mortalities may identify potential system improvements. We designed a hospitalwide identification, review, and notification for inpatient pediatric mortalities. METHODS Key stakeholders constructed future state process map identification deaths. An online mortality form was modified through series Plan-Do-Study-Act cycles spread to all services in January 2019. Mortalities occurring within 30 days discharge were added December Our primary...
e24093 Background: Head and neck cancer (HNC) its treatment sequelae result in substantial disfigurement, depression, isolation. Though up to 7 out of 10 patients lean on prayer or other forms spirituality for support, little is known about the significance religious communities with HNC. There also a dearth literature role clergy as spiritual support In this qualitative study, we explore coping barriers community engagement both from patient perspective. Methods: We purposively sampled ten...
Umbilical cord nonseverance (UCNS) is the practice of leaving umbilical attached to placenta after delivery. Limited case reports exist revealing adverse outcomes UCNS. We report a neonatal omphalitis associated with Escherichia coli bacteremia and urinary tract infection
OBJECTIVES To evaluate whether admission on weekends affects the length of stay (LOS) for patients hospitalized with somatic symptom and related disorders (SSRDs). METHODS Data from 2012–2018 was obtained all aged 4 to 21 years (N = 5459) a primary discharge diagnosis SSRDs 52 tertiary care pediatric hospitals in United States. We patient demographics, date and/or time, LOS, procedure count, comorbid conditions. defined weekend as 3 pm Friday Sunday. The Wilcoxon rank test used unadjusted...
Background: The Gomco Clamp is an instrument that has been used for over 60 years to perform newborn circumcisions. number of minutes the clamp remains tightened bell in this procedure referred as “clamp time”. During time a crush injury occurring, which provides hemostasis. varied based upon provider and institution, no clear current guidelines exist. …