A5057396859- Infant Development and Preterm Care
- Neonatal Respiratory Health Research
- Health Systems, Economic Evaluations, Quality of Life
- Health Policy Implementation Science
- Mobile Health and mHealth Applications
- Patient Safety and Medication Errors
- Maternal and Perinatal Health Interventions
- Prenatal Substance Exposure Effects
- Healthcare Quality and Management
- Emergency and Acute Care Studies
- Healthcare Policy and Management
- Family and Patient Care in Intensive Care Units
- Child and Adolescent Health
- Adolescent and Pediatric Healthcare
- Maternal and Neonatal Healthcare
- Global Maternal and Child Health
- Healthcare Operations and Scheduling Optimization
- Infant Nutrition and Health
- Family and Disability Support Research
- Neuroscience of respiration and sleep
- Health Literacy and Information Accessibility
- Neonatal and fetal brain pathology
- Clinical practice guidelines implementation
- Statistical Methods in Clinical Trials
- Trauma, Hemostasis, Coagulopathy, Resuscitation
University of Cincinnati Medical Center
2018-2025
Cincinnati Children's Hospital Medical Center
2016-2025
University of Cincinnati
2010-2023
New York University
2023
Case Western Reserve University
2023
Rainbow Babies & Children's Hospital
2023
The Ohio State University
2017-2023
National Institute of Nursing Research
2023
National Institutes of Health
2023
Perinatal Institute
2011-2022
Background Quality improvement (QI) efforts have become widespread in healthcare, however there is significant variability their success. Differences context are thought to be responsible for some of the seen. Objective To develop a conceptual model that can used by organisations and QI researchers understand optimise contextual factors affecting success project. Methods 10 experts were provided with results systematic literature review then participated two rounds opinion gathering identify...
Since its publication in 2008, SQUIRE (Standards for Quality Improvement Reporting Excellence) has contributed to the completeness and transparency of reporting quality improvement work, providing guidance authors reviewers reports on healthcare work. In interim, enormous growth occurred understanding factors that influence success, failure, efforts. Progress been particularly strong three areas: theoretical basis work; impact contextual outcomes; development methodologies studying...
We aimed to reduce late-onset bacterial infections in infants born at 22 29 weeks' gestation by using collaborative quality-improvement methods implement evidence-based catheter care. hypothesized that these would result a 50% reduction nosocomial infection.We conducted an interrupted time-series study among 24 Ohio NICUs. The intervention began September 2008 and continued through December 2009. Sites used the Institute for Healthcare Improvement Breakthrough Series model facilitate...
Experience suggests that differences in context produce variability the effectiveness of quality improvement (QI) interventions. However, little is known about which contextual factors affect success or how they exert influence.Using Model for Understanding Success Quality (MUSIQ), we perform exploratory quantitative tests role QI success.We used a cross-sectional design to survey individuals participating projects three settings: pediatric hospital, hospitals affiliated with state...
OBJECTIVES: Neonatal abstinence syndrome (NAS) after an infant’s in-utero exposure to opioids has increased dramatically in incidence. No treatment standards exist, leading substantial variations practice, degree of opioid exposure, and hospital length stay. METHODS: The Ohio Perinatal Quality Collaborative conducted extensive multi-modal quality improvement initiative with the goal (1) standardize identification, nonpharmacologic pharmacologic level-2 3 NICUs Ohio, (2) reduce use opioids,...
INTRODUCTION: Evidence about specific carbohydrate diet (SCD) for inflammatory bowel disease (IBD) is limited. We conducted 54 single-subject, double-crossover N-of-1 trials comparing SCD with a modified (MSCD) and each the participant's baseline, usual (UD). METHODS: Across 19 sites, we recruited patients aged 7–18 years IBD active inflammation. Following 2-week baseline (UD), were randomized to 1 of 2 sequences 4 alternating 8-week MSCD periods. Outcomes included fecal calprotectin...
Abstract Background Maternal health outcomes in the USA are far worse than peer nations. Increasing implementation research maternity care is critical to addressing quality gaps and unwarranted variations care. Implementation priorities have not yet been defined or well represented plans for maternal investments USA. Methods This descriptive study used a modified Delphi method solicit rank at intersection of science through two sequential web-based surveys. A purposeful, broad sample...
Background Interest in the use of social network analysis (SNA) healthcare research has increased, but there been little methodological on how to choose name generators that are often used collect primary data connection between individuals for SNA. Objective We sought determine a minimum set sufficient distinguish networks target population physicians active quality improvement (QI). Methods conducted pilot survey including 8 convenience sample 25 QI characterize their networks....
The importance of contextual factors in influencing quality improvement and implementation (QI&I) initiatives is broadly acknowledged. Existing treatments context have primarily viewed it as static distinct from interventions themselves. objective this study was to advance understanding the complex dynamic interaction between context, intervention, strategies. Using Model for Understanding Success Quality (MUSIQ), we aimed better understand roles of, inter-relationships between, within QI&I...
Background Flexible approaches to parenting training interventions in the neonatal intensive care unit (NICU), including family integrated (FICare) models, are urgently needed across globe. Many FICare trials inadvertently exclude parents with low resources who cannot commit daily infant (eg, 4-8 hours/day). Preemie Progress (PP) is a fully automated, video-based program that allows choose when and where they learn, without requiring parent bedside presence. Objective This study aims examine...
OBJECTIVE: To promote use of progestogen therapy to reduce premature births in Ohio by 10%. METHODS: The Perinatal Quality Collaborative initiated a quality improvement project 2014 working with clinics at 20 large maternity hospitals, Medicaid, Medicaid insurers, and service agencies methods identify eligible women remove treatment barriers. number for prophylaxis, the percent prescribed before 24 weeks gestation, barriers encountered were reported monthly. Clinics asked adopt protocols...
Changing health care delivery systems and processes of to improve quality is complex. What done (intervention) equally important as how it (implementation) where (context). Furthermore, has been consistently observed that among groups participating in multisite improvement (QI) efforts implementation studies, significant heterogeneity the improvements seen. Our objective provide a step-by-step guide assist both researchers practicing QI on frontlines addressing context planning,...
We examined and characterized variation among NICUs in the use of vitamin A supplementation for prevention bronchopulmonary dysplasia extremely low birth weight infants.An historical cohort study infants admitted within 7 days after to participating Pediatric Health Information System database, between January 1, 2005, March 31, 2008, was performed. NICU medical directors were surveyed determine attitudes decision-making regarding adoption supplementation. The proportion receiving at each...
Background Antenatal corticosteroids (ANCS) reduce complications of preterm birth; however, not all eligible women receive them. Many hospitals and providers do have the right processes conditions to enable ANCS administration with high reliability. The objective this study was understand that delivery reliability among participating in an Ohio Perinatal Quality Collaborative (OPQC) project. Methods We conducted focus groups semistructured interviews members OPQC project team (n=27) other...
Background Mobile health (mHealth) technology has the potential to support Chronic Care Model’s vision of closed feedback loops and patient-clinician partnerships. Objective This study aims evaluate feasibility, acceptability, short-term impact an electronic record–linked mHealth platform (Orchestra) supporting patient clinician collaboration through real-time, bidirectional data sharing. Methods We conducted a 6-month prospective, pre-post, proof-of-concept Orchestra among patients parents...