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2. Perspectives from the Society for Pediatric Research: advice on sustaining science and mentoring during COVID-19.

Author

Forster, Catherine S, Nguyen, Suong T, Powell, Weston T, Moore, Daniel J, Ho, Jacqueline, Heyman, Melvin B, Wenger, Tara L, Gonzalez, Fernando, Hostetter, Margaret, Nowalk, Andrew, Rassbach, Caroline E, Boyer, Debra, Weiss, Pnina, Blankenburg, Rebecca L, Orange, Jordan S, Ackerman, Kate G, Burns, Audrea M, and National Pediatric Physician-Scientist Collaborative Workgroup

Subjects
National Pediatric Physician-Scientist Collaborative Workgroup, Humans, Interpersonal Relations, Mental Health, Efficiency, Pediatrics, Biomedical Research, Career Mobility, Education, Medical, Graduate, Mentors, Societies, Medical, Pediatricians, COVID-19, Good Health and Well Being, Paediatrics and Reproductive Medicine, Public Health and Health Services
Abstract

The COVID-19 pandemic will leave an indelible mark on the careers of current medical trainees. Given the disruptions to medical education, economic impact on institutions, and the uncertainties around future job prospects, trainees are facing unprecedented challenges. This situation is especially concerning for futures of pediatric physician-scientist trainees, where concerns regarding maintaining the pipeline were well documented prior to the emergence of COVID-19. In this Perspectives article, we leverage the unique expertise of our workgroup to address concerns of physician-scientist trainees and to provide suggestions on how to navigate career trajectories in the post-COVID-19 era. We identified and addressed four major areas of concern: lack of in-person conferences and the associated decrease access to mentors and networking activities, decreased academic productivity, diminished job prospects, and mental health challenges. We also suggest actions for trainees, mentors and educational leaders, and institutions to help support trainees during the pandemic, with a goal of maintaining the pediatric physician-scientist pipeline.

Published
2021

3. Fixing the leaky pipeline: identifying solutions for improving pediatrician-scientist training during pediatric residency

Author

Burns, Audrea M., Ackerman, Kate G., Thammasitboon, Satid, Rassbach, Caroline E., Ward, Mark A., Blankenburg, Rebecca L., Forster, Catherine S., McPhillips, Heather A., Wenger, Tara L., Powell, Weston T., Heyman, Melvin B., Hogarty, Michael D., Boyer, Debra, Hostetter, Margaret, Weiss, Pnina, Nguyen, Suong T., Parsons, Donald Williams, Moore, Daniel J., Byrne, Bobbi J., French, Anthony R., and Orange, Jordan S.

Published
2020
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4. Integrating Research, Quality Improvement, and Medical Education for Better Handoffs and Safer Care: Disseminating, Adapting, and Implementing the I-PASS Program

Author

Landrigan, Christopher P., Spector, Nancy D., Starmer, Amy J., Sectish, Theodore C., Srivastava, Rajendu, West, Daniel C., Menon, Aravind Ajakumar, Ali, Arshia, Allair, Brenda K., Allen, April D., Almaddah, Nureddin, Alminde, Claire, Alvarado-Little, Wilma, Anson, Elizabeth, Ashland, Michele, Atsatt, Marisa, Aylor, Megan, Baird, Jennifer D., Bale, James F., Jr, Balmer, Dorene, Barber, Aisha, Barton, Kevin, Bates, Kimberly, Beck, Carolyn, Berchelmann, Kathleen, Bhan, Renuka, Bismilla, Zia, Blankenburg, Rebecca L., Boa-Hocbo, Aileen, Bordin-Wosk, Talya, Brooks, Michelle, Calaman, Sharon, Campe, Julie, Campos, Maria Lucia, Chandler, Debra, Cheung, Yvonne, Choudhary, Amanda, Christensen, Eileen, Clark, Katherine, Coffey, Maitreya, Coghlan-McDonald, Sally, Cohen, Ellen, Cole, F. Sessions, Corless, Elizabeth, Cray, Sharon, Da Silva, Roxi, Dahale, Devesh, Dalal, Anuj K., Destino, Lauren A., Doroshow, Jonathan, Dreyer, Benard, duPont, Katharine, Eagle, Steven, Edgar-Zarate, Courtney, Etzenhouser, Angie, Everhart, Jennifer L., Feraco, Angela M., Ferrer, Alexandra, Galardy, Paul, Garcia, Briana M., Gaspar-Oishi, Maria, Goldstein, Jenna, Good, Brian P., Graham, Dionne A, Growdon, Amanda S., Gubler, LeAnn, Guiot, Amy, Hanlon, Charin, Hanna-Attisha, Mona, Harris, Roben, Haskell, Helen, Hecht, Melvyn, Hehn, Rebecca S, Held, Justin, Hepps, Jennifer H., Hillier, Debra, Hiraoka, Mark, Howell, Eric, Hrach, Christine, Hughes, Helen, Huskins, Charles, Kaatz, Scott, Kanala, Vishnu, Kantrowitz, Michael, Kaplan, Peter, Kashiwagi, Deanne, Kaul, Rajat, Keohane, Carol A., Kern, Jeremy, Khan, Alisa, Khan, Nazia Naz S., Kitch, Barry, Kocolas, Irene, Kothari, Lara, Kruvand, Elizabeth, Kuzma, Nicholas, Lacy, Mary, Lane, Michele, Langrish, Kate, Ledford, Christy J.W., LeRoux, Laura, Lewis, Kheyandra, Lipsitz, Stuart, Litterer, Katherine P., Lopreiato, Joseph O., Lyons, Aimee, Mack, Avram, Mallouk, Meghan, Maloney, Christopher G., Mangan, Amanda, Mann, Keith, Markle, Peggy, Marrese, Christine, Marseille, David, Maynard, Greg, Mehta, Bijal, Mendoza, Fernando, Mercer, Alexandra N., Micalizzi, Dale, Mims, Lisa, Mittal, Vineeta, Mueller, Stephanie, Ngo, Thuy L., Nolan, Ann, Nyenpan, Christopher, Obermeyer, Maria, O'Donnell, Katherine, O'Toole, Jennifer K., Ottolini, Mary, Owolabi, Mobola, Patel, Aarti, Patel, Rajesh, Patel, Shilpa J., Perron, Catherine, Pickler, Rita, Popa, Alina, Reppert, Patrick, Riss, Robert, Roesch, Justin, Rogers, Jayne E., Rosenbluth, Glenn, Rothschild, Jeffrey M., Sanders, Lee, Sauder, Kimberly, Schnipper, Jeff, Schnock, Kumiko O, Scholtz, Amy, Seltz, Barry, Serra, Theresa, Serwint, Janet, Shah, Samir, Sharma, Meesha, Sheppard, Kathleen, Simpkin, Arabella, Sloan, Karin A, Solan, Lauren G., Southgate, Michael W, Spackman, Jaime Blank, Stevens, Scott M., Stevenson, Adam, Stevenson, Windy, Subramony, Anupama, Surkis, William, Thangarasu, Sudhagar, Thompson, E. Douglas, Toole, Cheryl, Trueman, Laura, Trujillo, Tanner, Tse, Lisa, Turmelle, Michael P., Vaniawala, Vishwas, Wagner, Tamara, Warnick, Cindy, Webster, John, Webster, Mary, Weinerman, Adina, Welch, Chelsea, White, Andrew J., Wien, Matthew F., Winn, Ariel S., Wintch, Stephanie, Yin, H. Shonna, Yoon, Catherine S., Yu, Clifton E., Zampino, Dominick, and Zigmont, Katherine R.

Published
2017
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7. National Pediatric Experience With Virtual Interviews: Lessons Learned and Future Recommendations

Author

Frohna, John G., primary, Waggoner-Fountain, Linda A., additional, Edwards, Jill, additional, Fussell, Jill J., additional, Wueste, Beth, additional, Gigante, Joseph, additional, Vinci, Robert J., additional, Heitkamp, Nicholas M., additional, Neelakantan, Mekala K., additional, Degnon, Laura E., additional, and Blankenburg, Rebecca L., additional

Published
2021
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10. Developing a Multi-departmental Residency Communication Coaching Program.

Author

Nassar, Aussama K., Sasnal, Marzena, Miller-Kuhlmann, Rebecca K., Jensen, Rachel M., Blankenburg, Rebecca L., Rassbach, Caroline E., Smith-Bentley, Mystique, Vyas, Alpa, Korndorffer, James R., and Gold, Carl A.

Subjects
HEALTH facilities, HOSPITAL medical staff, NEUROLOGY, EVALUATION of human services programs, OPERATIVE surgery, RESEARCH methodology, COMMUNICATIVE competence, STAKEHOLDER analysis, DEPARTMENTS, PEDIATRICS, INTERVIEWING, SATISFACTION, COLLEGE teacher attitudes, HUMAN services programs, INTERNSHIP programs, PSYCHOMETRICS, CRONBACH'S alpha, SCALE analysis (Psychology), CLINICAL competence, STUDENT attitudes, NEEDS assessment, PATIENT-professional relations, COMMUNICATION education, DIFFUSION of innovations, EDUCATIONAL outcomes
Abstract

Background: Local needs assessments in our institution's surgery and neurology residency programs identified barriers to effective communication, such as no shared communication framework and limited feedback on nontechnical clinical skills. Residents identified faculty-led coaching as a desired educational intervention to improve communication skills. Three university departments (Surgery, Neurology, and Pediatrics) and health-care system leaders collaborated closely to develop an innovative communication coaching initiative generalizable to other residency programs. Innovation: Coaching program development involved several layers of collaboration between health-care system leaders, faculty educators, and departmental communication champions. The efforts included: (1) creating and delivering communication skills training to faculty and residents; (2) hosting frequent meetings among various stakeholders to develop program strategy, discuss opportunities and learnings, and engage other medical educators interested in coaching; (3) obtaining funding to implement the coaching initiative; (4) selecting coaches and providing salary and training support. Evaluation: A multi-phased mixed-methods study utilized online surveys and virtual semi-structured interviews to assess the program's quality and impact on the communication culture and the satisfaction and communication skills of residents. Quantitative and qualitative data have been integrated during data collection and analysis using embedding, building, and merging strategies. Discussion and Implications: Establishing a multi-departmental coaching program may be feasible and can be adapted by other programs if similar resources and focus are present. We found that stakeholders' buy-in, financial support, protected faculty time, flexible approach, and rigorous evaluation are crucial factors in successfully implementing and sustaining such an initiative. [ABSTRACT FROM AUTHOR]

Published
2022
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11. Changes in Medical Errors after Implementation of a Handoff Program

Author

Starmer, Amy J., Spector, Nancy D., Srivastava, Rajendu, West, Daniel C., Rosenbluth, Glenn, Allen, April D., Noble, Elizabeth L., Tse, Lisa L., Dalal, Anuj K., Keohane, Carol A., Lipsitz, Stuart R., Rothschild, Jeffrey M., Wien, Matthew F., Yoon, Catherine S., Zigmont, Katherine R., Wilson, Karen M., O’Toole, Jennifer K., Solan, Lauren G., Aylor, Megan, Bismilla, Zia, Coffey, Maitreya, Mahant, Sanjay, Blankenburg, Rebecca L., Destino, Lauren A., Everhart, Jennifer L., Patel, Shilpa J., Bale, James F., Jr., Spackman, Jaime B., Stevenson, Adam T., Calaman, Sharon, Cole, Sessions F., Balmer, Dorene F., Hepps, Jennifer H., Lopreiato, Joseph O., Yu, Clifton E., Sectish, Theodore C., and Landrigan, Christopher P.

Published
2014
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16. Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study

Author

Khan, Alisa, primary, Spector, Nancy D, additional, Baird, Jennifer D, additional, Ashland, Michele, additional, Starmer, Amy J, additional, Rosenbluth, Glenn, additional, Garcia, Briana M, additional, Litterer, Katherine P, additional, Rogers, Jayne E, additional, Dalal, Anuj K, additional, Lipsitz, Stuart, additional, Yoon, Catherine S, additional, Zigmont, Katherine R, additional, Guiot, Amy, additional, O’Toole, Jennifer K, additional, Patel, Aarti, additional, Bismilla, Zia, additional, Coffey, Maitreya, additional, Langrish, Kate, additional, Blankenburg, Rebecca L, additional, Destino, Lauren A, additional, Everhart, Jennifer L, additional, Good, Brian P, additional, Kocolas, Irene, additional, Srivastava, Rajendu, additional, Calaman, Sharon, additional, Cray, Sharon, additional, Kuzma, Nicholas, additional, Lewis, Kheyandra, additional, Thompson, E Douglas, additional, Hepps, Jennifer H, additional, Lopreiato, Joseph O, additional, Yu, Clifton E, additional, Haskell, Helen, additional, Kruvand, Elizabeth, additional, Micalizzi, Dale A, additional, Alvarado-Little, Wilma, additional, Dreyer, Benard P, additional, Yin, H Shonna, additional, Subramony, Anupama, additional, Patel, Shilpa J, additional, Sectish, Theodore C, additional, West, Daniel C, additional, and Landrigan, Christopher P, additional

Published
2018
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17. Families as Partners in Hospital Error and Adverse Event Surveillance

Author

Khan, Alisa, Coffey, Maitreya, Litterer, Katherine P, Baird, Jennifer D, Furtak, Stephannie L, Garcia, Briana M, Ashland, Michele A, Calaman, Sharon, Kuzma, Nicholas C, O'Toole, Jennifer K, Patel, Aarti, Rosenbluth, Glenn, Destino, Lauren A, Everhart, Jennifer L, Good, Brian P, Hepps, Jennifer H, Dalal, Anuj K, Lipsitz, Stuart R, Yoon, Catherine S, Zigmont, Katherine R, Srivastava, Rajendu, Starmer, Amy J, Sectish, Theodore C, Spector, Nancy D, West, Daniel C, Landrigan, Christopher P, the Patient and Family Centered I-PASS Study Group, Allair, Brenda K, Alminde, Claire, Alvarado-Little, Wilma, Atsatt, Marisa, Aylor, Megan E, Bale, James F, Balmer, Dorene, Barton, Kevin T, Beck, Carolyn, Bismilla, Zia, Blankenburg, Rebecca L, Chandler, Debra, Choudhary, Amanda, Christensen, Eileen, Coghlan-McDonald, Sally, Cole, F Sessions, Corless, Elizabeth, Cray, Sharon, Da Silva, Roxi, Dahale, Devesh, Dreyer, Benard, Growdon, Amanda S, Gubler, LeAnn, Guiot, Amy, Harris, Roben, Haskell, Helen, Kocolas, Irene, Kruvand, Elizabeth, Lane, Michele Marie, Langrish, Kathleen, Ledford, Christy JW, Lewis, Kheyandra, Lopreiato, Joseph O, Maloney, Christopher G, Mangan, Amanda, Markle, Peggy, Mendoza, Fernando, Micalizzi, Dale Ann, Mittal, Vineeta, Obermeyer, Maria, O'Donnell, Katherine A, Ottolini, Mary, Patel, Shilpa J, Pickler, Rita, Rogers, Jayne Elizabeth, Sanders, Lee M, Sauder, Kimberly, Shah, Samir S, Sharma, Meesha, Simpkin, Arabella, Subramony, Anupama, Thompson, E Douglas, Trueman, Laura, Trujillo, Tanner, Turmelle, Michael P, Warnick, Cindy, Welch, Chelsea, White, Andrew J, Wien, Matthew F, Winn, Ariel S, Wintch, Stephanie, Wolf, Michael, Yin, H Shonna, and Yu, Clifton E

Subjects
Adult, Pediatric, Male, Medical Errors, Clinical Trials and Supportive Activities, Hospitalized, Pediatrics, Hospitals, United States, Cohort Studies, Paediatrics and Reproductive Medicine, Good Health and Well Being, Clinical Research, Humans, Family, Female, Prospective Studies, Patient Safety, the Patient and Family Centered I-PASS Study Group, Child
Abstract

ImportanceMedical errors and adverse events (AEs) are common among hospitalized children. While clinician reports are the foundation of operational hospital safety surveillance and a key component of multifaceted research surveillance, patient and family reports are not routinely gathered. We hypothesized that a novel family-reporting mechanism would improve incident detection.ObjectiveTo compare error and AE rates (1) gathered systematically with vs without family reporting, (2) reported by families vs clinicians, and (3) reported by families vs hospital incident reports.Design, setting, and participantsWe conducted a prospective cohort study including the parents/caregivers of 989 hospitalized patients 17 years and younger (total 3902 patient-days) and their clinicians from December 2014 to July 2015 in 4 US pediatric centers. Clinician abstractors identified potential errors and AEs by reviewing medical records, hospital incident reports, and clinician reports as well as weekly and discharge Family Safety Interviews (FSIs). Two physicians reviewed and independently categorized all incidents, rating severity and preventability (agreement, 68%-90%; κ, 0.50-0.68). Discordant categorizations were reconciled. Rates were generated using Poisson regression estimated via generalized estimating equations to account for repeated measures on the same patient.Main outcomes and measuresError and AE rates.ResultsOverall, 746 parents/caregivers consented for the study. Of these, 717 completed FSIs. Their median (interquartile range) age was 32.5 (26-40) years; 380 (53.0%) were nonwhite, 566 (78.9%) were female, 603 (84.1%) were English speaking, and 380 (53.0%) had attended college. Of 717 parents/caregivers completing FSIs, 185 (25.8%) reported a total of 255 incidents, which were classified as 132 safety concerns (51.8%), 102 nonsafety-related quality concerns (40.0%), and 21 other concerns (8.2%). These included 22 preventable AEs (8.6%), 17 nonharmful medical errors (6.7%), and 11 nonpreventable AEs (4.3%) on the study unit. In total, 179 errors and 113 AEs were identified from all sources. Family reports included 8 otherwise unidentified AEs, including 7 preventable AEs. Error rates with family reporting (45.9 per 1000 patient-days) were 1.2-fold (95% CI, 1.1-1.2) higher than rates without family reporting (39.7 per 1000 patient-days). Adverse event rates with family reporting (28.7 per 1000 patient-days) were 1.1-fold (95% CI, 1.0-1.2; P = .006) higher than rates without (26.1 per 1000 patient-days). Families and clinicians reported similar rates of errors (10.0 vs 12.8 per 1000 patient-days; relative rate, 0.8; 95% CI, .5-1.2) and AEs (8.5 vs 6.2 per 1000 patient-days; relative rate, 1.4; 95% CI, 0.8-2.2). Family-reported error rates were 5.0-fold (95% CI, 1.9-13.0) higher and AE rates 2.9-fold (95% CI, 1.2-6.7) higher than hospital incident report rates.Conclusions and relevanceFamilies provide unique information about hospital safety and should be included in hospital safety surveillance in order to facilitate better design and assessment of interventions to improve safety.

Published
2017

18. Integrating Research, Quality Improvement, and Medical Education for Better Handoffs and Safer Care: Disseminating, Adapting, and Implementing the I-PASS Program

Author

Starmer, Amy J., primary, Spector, Nancy D., additional, West, Daniel C., additional, Srivastava, Rajendu, additional, Sectish, Theodore C., additional, Landrigan, Christopher P., additional, Starmer, Amy J., additional, Menon, Aravind Ajakumar, additional, Ali, Arshia, additional, Allair, Brenda K., additional, Allen, April D., additional, Almaddah, Nureddin, additional, Alminde, Claire, additional, Alvarado-Little, Wilma, additional, Anson, Elizabeth, additional, Ashland, Michele, additional, Atsatt, Marisa, additional, Aylor, Megan, additional, Baird, Jennifer D., additional, Bale, James F., additional, Balmer, Dorene, additional, Barber, Aisha, additional, Barton, Kevin, additional, Bates, Kimberly, additional, Beck, Carolyn, additional, Berchelmann, Kathleen, additional, Bhan, Renuka, additional, Bismilla, Zia, additional, Blankenburg, Rebecca L., additional, Boa-Hocbo, Aileen, additional, Bordin-Wosk, Talya, additional, Brooks, Michelle, additional, Calaman, Sharon, additional, Campe, Julie, additional, Campos, Maria Lucia, additional, Chandler, Debra, additional, Cheung, Yvonne, additional, Choudhary, Amanda, additional, Christensen, Eileen, additional, Clark, Katherine, additional, Coffey, Maitreya, additional, Coghlan-McDonald, Sally, additional, Cohen, Ellen, additional, Cole, F. Sessions, additional, Corless, Elizabeth, additional, Cray, Sharon, additional, Da Silva, Roxi, additional, Dahale, Devesh, additional, Dalal, Anuj K., additional, Destino, Lauren A., additional, Doroshow, Jonathan, additional, Dreyer, Benard, additional, duPont, Katharine, additional, Eagle, Steven, additional, Edgar-Zarate, Courtney, additional, Etzenhouser, Angie, additional, Everhart, Jennifer L., additional, Feraco, Angela M., additional, Ferrer, Alexandra, additional, Galardy, Paul, additional, Garcia, Briana M., additional, Gaspar-Oishi, Maria, additional, Goldstein, Jenna, additional, Good, Brian P., additional, Graham, Dionne A, additional, Growdon, Amanda S., additional, Gubler, LeAnn, additional, Guiot, Amy, additional, Hanlon, Charin, additional, Hanna-Attisha, Mona, additional, Harris, Roben, additional, Haskell, Helen, additional, Hecht, Melvyn, additional, Hehn, Rebecca S, additional, Held, Justin, additional, Hepps, Jennifer H., additional, Hillier, Debra, additional, Hiraoka, Mark, additional, Howell, Eric, additional, Hrach, Christine, additional, Hughes, Helen, additional, Huskins, Charles, additional, Kaatz, Scott, additional, Kanala, Vishnu, additional, Kantrowitz, Michael, additional, Kaplan, Peter, additional, Kashiwagi, Deanne, additional, Kaul, Rajat, additional, Keohane, Carol A., additional, Kern, Jeremy, additional, Khan, Alisa, additional, Khan, Nazia Naz S., additional, Kitch, Barry, additional, Kocolas, Irene, additional, Kothari, Lara, additional, Kruvand, Elizabeth, additional, Kuzma, Nicholas, additional, Lacy, Mary, additional, Lane, Michele, additional, Langrish, Kate, additional, Ledford, Christy J.W., additional, LeRoux, Laura, additional, Lewis, Kheyandra, additional, Lipsitz, Stuart, additional, Litterer, Katherine P., additional, Lopreiato, Joseph O., additional, Lyons, Aimee, additional, Mack, Avram, additional, Mallouk, Meghan, additional, Maloney, Christopher G., additional, Mangan, Amanda, additional, Mann, Keith, additional, Markle, Peggy, additional, Marrese, Christine, additional, Marseille, David, additional, Maynard, Greg, additional, Mehta, Bijal, additional, Mendoza, Fernando, additional, Mercer, Alexandra N., additional, Micalizzi, Dale, additional, Mims, Lisa, additional, Mittal, Vineeta, additional, Mueller, Stephanie, additional, Ngo, Thuy L., additional, Nolan, Ann, additional, Nyenpan, Christopher, additional, Obermeyer, Maria, additional, O'Donnell, Katherine, additional, O'Toole, Jennifer K., additional, Ottolini, Mary, additional, Owolabi, Mobola, additional, Patel, Aarti, additional, Patel, Rajesh, additional, Patel, Shilpa J., additional, Perron, Catherine, additional, Pickler, Rita, additional, Popa, Alina, additional, Reppert, Patrick, additional, Riss, Robert, additional, Roesch, Justin, additional, Rogers, Jayne E., additional, Rosenbluth, Glenn, additional, Rothschild, Jeffrey M., additional, Sanders, Lee, additional, Sauder, Kimberly, additional, Schnipper, Jeff, additional, Schnock, Kumiko O, additional, Scholtz, Amy, additional, Seltz, Barry, additional, Serra, Theresa, additional, Serwint, Janet, additional, Shah, Samir, additional, Sharma, Meesha, additional, Sheppard, Kathleen, additional, Simpkin, Arabella, additional, Sloan, Karin A, additional, Solan, Lauren G., additional, Southgate, Michael W, additional, Spackman, Jaime Blank, additional, Stevens, Scott M., additional, Stevenson, Adam, additional, Stevenson, Windy, additional, Subramony, Anupama, additional, Surkis, William, additional, Thangarasu, Sudhagar, additional, Thompson, E. Douglas, additional, Toole, Cheryl, additional, Trueman, Laura, additional, Trujillo, Tanner, additional, Tse, Lisa, additional, Turmelle, Michael P., additional, Vaniawala, Vishwas, additional, Wagner, Tamara, additional, Warnick, Cindy, additional, Webster, John, additional, Webster, Mary, additional, Weinerman, Adina, additional, Welch, Chelsea, additional, White, Andrew J., additional, Wien, Matthew F., additional, Winn, Ariel S., additional, Wintch, Stephanie, additional, Yin, H. Shonna, additional, Yoon, Catherine S., additional, Yu, Clifton E., additional, Zampino, Dominick, additional, and Zigmont, Katherine R., additional

Published
2017
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19. Resident Experiences With Implementation of the I-PASS Handoff Bundle

Author

Coffey, Maitreya, primary, Thomson, Kelly, additional, Li, Shelly-Anne, additional, Bismilla, Zia, additional, Starmer, Amy J., additional, O'Toole, Jennifer K., additional, Blankenburg, Rebecca L., additional, Rosenbluth, Glenn, additional, Cole, F. Sessions, additional, Yu, Clifton E., additional, Hepps, Jennifer H., additional, Sectish, Theodore C., additional, Spector, Nancy D., additional, Srivastava, Rajendu, additional, Allen, April D., additional, Mahant, Sanjay, additional, and Landrigan, Christopher P., additional

Published
2017
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21. Pediatric Abdominal Trauma

Author

Wang, N. Ewen, Blankenburg, Rebecca L., Stafford, Perry W., and Wood, Robert

Subjects
Abdomen -- Injuries, Abdomen -- Diagnosis, Abdomen -- Care and treatment, Abdomen -- Risk factors, Children -- Injuries, Children -- Diagnosis, Children -- Care and treatment, Children -- Risk factors, Health, Health care industry
Abstract

Pediatric Abdominal Trauma Authors: N. Ewen Wang, MD, Assistant Professor, Division of Emergency Medicine, Stanford University School of Medicine, Palo Alto, CA; and Rebecca L. Blankenburg, MD, MPH, Clinical Instructor, [...]

Published
2007

25. Patient safety after implementation of a coproduced family centered communication programme : multicenter before and after intervention study

Author

Patient and Family Centered I-PASS Study Group, Khan, Alisa, Spector, Nancy D, Baird, Jennifer D, Ashland, Michele, Starmer, Amy J, Rosenbluth, Glenn, Garcia, Briana M, Litterer, Katherine P, Rogers, Jayne E, Dalal, Anuj K, Lipsitz, Stuart, Yoon, Catherine S, Zigmont, Katherine R, Guiot, Amy, O’Toole, Jennifer K, Patel, Aarti, Bismilla, Zia, Coffey, Maitreya, Langrish, Kate, Blankenburg, Rebecca L, Destino, Lauren A, Everhart, Jennifer L, Good, Brian P, Kocolas, Irene, Srivastava, Rajendu, Calaman, Sharon, Cray, Sharon, Kuzma, Nicholas, Lewis, Kheyandra, Thompson, E Douglas, Hepps, Jennifer H, Lopreiato, Joseph O, Yu, Clifton E, Haskell, Helen, Kruvand, Elizabeth, Micalizzi, Dale A, Alvarado-Little, Wilma, Dreyer, Benard P, Yin, H Shonna, Subramony, Anupama, Patel, Shilpa J, Sectish, Theodore C, West, Daniel C, and Landrigan, Christopher P

26. Developing a multi-departmental residency communication coaching program.

Author

Nassar AK, Sasnal M, Miller-Kuhlmann RK, Jensen RM, Blankenburg RL, Rassbach CE, Smith-Bentley M, Vyas A, Korndorffer JR, and Gold CA

Subjects
Humans, Child, Clinical Competence, Communication, Faculty, Mentoring, Internship and Residency
Abstract

Background: Local needs assessments in our institution's surgery and neurology residency programs identified barriers to effective communication, such as no shared communication framework and limited feedback on nontechnical clinical skills. Residents identified faculty-led coaching as a desired educational intervention to improve communication skills. Three university departments (Surgery, Neurology, and Pediatrics) and health-care system leaders collaborated closely to develop an innovative communication coaching initiative generalizable to other residency programs., Innovation: Coaching program development involved several layers of collaboration between health-care system leaders, faculty educators, and departmental communication champions. The efforts included: (1) creating and delivering communication skills training to faculty and residents; (2) hosting frequent meetings among various stakeholders to develop program strategy, discuss opportunities and learnings, and engage other medical educators interested in coaching; (3) obtaining funding to implement the coaching initiative; (4) selecting coaches and providing salary and training support., Evaluation: A multi-phased mixed-methods study utilized online surveys and virtual semi-structured interviews to assess the program's quality and impact on the communication culture and the satisfaction and communication skills of residents. Quantitative and qualitative data have been integrated during data collection and analysis using embedding, building, and merging strategies., Discussion and Implications: Establishing a multi-departmental coaching program may be feasible and can be adapted by other programs if similar resources and focus are present. We found that stakeholders' buy-in, financial support, protected faculty time, flexible approach, and rigorous evaluation are crucial factors in successfully implementing and sustaining such an initiative., Competing Interests: None

Published
2022
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27. Families as Partners in Hospital Error and Adverse Event Surveillance.

Author

Khan A, Coffey M, Litterer KP, Baird JD, Furtak SL, Garcia BM, Ashland MA, Calaman S, Kuzma NC, O'Toole JK, Patel A, Rosenbluth G, Destino LA, Everhart JL, Good BP, Hepps JH, Dalal AK, Lipsitz SR, Yoon CS, Zigmont KR, Srivastava R, Starmer AJ, Sectish TC, Spector ND, West DC, Landrigan CP, Allair BK, Alminde C, Alvarado-Little W, Atsatt M, Aylor ME, Bale JF Jr, Balmer D, Barton KT, Beck C, Bismilla Z, Blankenburg RL, Chandler D, Choudhary A, Christensen E, Coghlan-McDonald S, Cole FS, Corless E, Cray S, Da Silva R, Dahale D, Dreyer B, Growdon AS, Gubler L, Guiot A, Harris R, Haskell H, Kocolas I, Kruvand E, Lane MM, Langrish K, Ledford CJW, Lewis K, Lopreiato JO, Maloney CG, Mangan A, Markle P, Mendoza F, Micalizzi DA, Mittal V, Obermeyer M, O'Donnell KA, Ottolini M, Patel SJ, Pickler R, Rogers JE, Sanders LM, Sauder K, Shah SS, Sharma M, Simpkin A, Subramony A, Thompson ED Jr, Trueman L, Trujillo T, Turmelle MP, Warnick C, Welch C, White AJ, Wien MF, Winn AS, Wintch S, Wolf M, Yin HS, and Yu CE

Subjects
Adult, Child, Cohort Studies, Family, Female, Humans, Male, Prospective Studies, United States, Child, Hospitalized statistics & numerical data, Hospitals, Pediatric statistics & numerical data, Medical Errors statistics & numerical data
Abstract

Importance: Medical errors and adverse events (AEs) are common among hospitalized children. While clinician reports are the foundation of operational hospital safety surveillance and a key component of multifaceted research surveillance, patient and family reports are not routinely gathered. We hypothesized that a novel family-reporting mechanism would improve incident detection., Objective: To compare error and AE rates (1) gathered systematically with vs without family reporting, (2) reported by families vs clinicians, and (3) reported by families vs hospital incident reports., Design, Setting, and Participants: We conducted a prospective cohort study including the parents/caregivers of 989 hospitalized patients 17 years and younger (total 3902 patient-days) and their clinicians from December 2014 to July 2015 in 4 US pediatric centers. Clinician abstractors identified potential errors and AEs by reviewing medical records, hospital incident reports, and clinician reports as well as weekly and discharge Family Safety Interviews (FSIs). Two physicians reviewed and independently categorized all incidents, rating severity and preventability (agreement, 68%-90%; κ, 0.50-0.68). Discordant categorizations were reconciled. Rates were generated using Poisson regression estimated via generalized estimating equations to account for repeated measures on the same patient., Main Outcomes and Measures: Error and AE rates., Results: Overall, 746 parents/caregivers consented for the study. Of these, 717 completed FSIs. Their median (interquartile range) age was 32.5 (26-40) years; 380 (53.0%) were nonwhite, 566 (78.9%) were female, 603 (84.1%) were English speaking, and 380 (53.0%) had attended college. Of 717 parents/caregivers completing FSIs, 185 (25.8%) reported a total of 255 incidents, which were classified as 132 safety concerns (51.8%), 102 nonsafety-related quality concerns (40.0%), and 21 other concerns (8.2%). These included 22 preventable AEs (8.6%), 17 nonharmful medical errors (6.7%), and 11 nonpreventable AEs (4.3%) on the study unit. In total, 179 errors and 113 AEs were identified from all sources. Family reports included 8 otherwise unidentified AEs, including 7 preventable AEs. Error rates with family reporting (45.9 per 1000 patient-days) were 1.2-fold (95% CI, 1.1-1.2) higher than rates without family reporting (39.7 per 1000 patient-days). Adverse event rates with family reporting (28.7 per 1000 patient-days) were 1.1-fold (95% CI, 1.0-1.2; P = .006) higher than rates without (26.1 per 1000 patient-days). Families and clinicians reported similar rates of errors (10.0 vs 12.8 per 1000 patient-days; relative rate, 0.8; 95% CI, .5-1.2) and AEs (8.5 vs 6.2 per 1000 patient-days; relative rate, 1.4; 95% CI, 0.8-2.2). Family-reported error rates were 5.0-fold (95% CI, 1.9-13.0) higher and AE rates 2.9-fold (95% CI, 1.2-6.7) higher than hospital incident report rates., Conclusions and Relevance: Families provide unique information about hospital safety and should be included in hospital safety surveillance in order to facilitate better design and assessment of interventions to improve safety.

Published
2017
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