Angela Statile, Assistant Professor of Clinical Pediatrics
Dr. Statile received the Faculty Teaching Award from the graduating senior resident class for her exceptional teaching ability and commitment to resident education. As an example, Dr. Statile developed a new resident conference series to address controversies in clinical care. This series incorporated innovative teaching techniques and included faculty content experts to discuss emerging evidence that residents could incorporate into their clinical decision-making.
Hospital Medicine Recipient of the 2013 Teaching Award
The Division of Hospital Medicine faculty and fellows received the prestigious Division Teaching Award from the graduating senior resident class for the Division’s excellence in and commitment to resident education.
Jennifer O'Toole, Assistant Professor of Clinical Pediatrics and Associate Director of the Combined Internal Medicine/Pediatrics Residency Program
Dr. O'Toole received the Cincinnati Children’s Educational Achievement Award. Dr. O’Toole’s research focuses on developing novel methods to improve physician communication in the hospital as a way to eliminate serious medical errors.
Jeff Simmons, Assistant Professor of Clinical Pediatrics and Andrew Beck, Assistant Professor of Clinical Pediatrics
Drs. Andrew Beck and Jeff Simmons were recognized by the journal Hospital Pediatrics for publishing the article most likely to impact practice, “Improved documentation and care planning with an asthma-specific history and physical.”
PHIS+: Augmenting the Pediatric Health Information System with Clinical Data
This $9 million project, funded by the Agency for Healthcare Research and Quality (AHRQ), links clinical data from six hospitals, including Cincinnati Children’s, to a common administrative database to conduct comparative effectiveness studies. The project creates a new national data infrastructure for efficiently conducting clinical research. Study leaders include Hospital Medicine physicians Samir S. Shah, Jeffrey M. Simmons, and Eric Kirkendall. Accomplishments in the past year include successful merging of laboratory data from 2007-2012 for all six hospitals with the Pediatric Health Information Systems (PHIS) database.
The study team is now using the database to address important questions to improve the outcomes of hospitalized children. Ongoing studies include examining the comparative effectiveness of different antibiotics, including ampicillin, cephalosporins, and macrolides, in treating children with community-acquired pneumonia. This multicenter study will include approximately 10,000 children hospitalized with pneumonia.
Pediatric IntraVenous Versus Oral antibiotic Therapy (PIVVOT) study
This $1.6 million grant, funded by the Patient-Centered Outcomes Research Institute (PCORI), will use data from 40 hospitals to determine whether oral antibiotics are a safe and effective alternative to prolonged intravenous (IV) antibiotic therapy for several common infections (complicated pneumonia, osteomyelitis, and complicated intra-abdominal infections). Leaders of this study include Dr. Samir S. Shah, Director of the Division of Hospital Medicine.
Infections are the most common reason for children to seek healthcare services. Several serious bacterial infections that require hospitalization may also require prolonged antibiotic treatment anywhere from one to six weeks. Intravenous (IV) administration of antibiotics is the most reliable method for achieving high concentrations of antibiotics in the blood and other body fluids. A special type of IV catheter called a PICC allows for IV therapy at home. However, PICCs are not risk-free. They require sedation for placement, x-ray radiation exposure to confirm proper placement, and ongoing home maintenance; 25% of children with a PICC experience complications (e.g., bloodstream infections, blood clots) or unplanned health service utilization (e.g., mechanical complications of the PICC). Administration of IV antibiotics at home also requires home delivery and maintenance of medical equipment such as portable IV poles, infusion pumps, heparin flush solutions, syringes, and IV antibiotic solutions. Prolonged oral antibiotic therapy for serious infections has become more widespread. However, the optimal approach to treatment is uncertain.
I-PASS: Accelerating Safer Sign-outs
Regulatory agencies estimate roughly two-thirds of sentinel events in hospitals involve miscommunication between caregivers during handoffs of patient care. As a result of more stringent duty hour requirements and intensifying clinical demands, handoffs are increasing in frequency in academic health centers. In response to these challenges, the I-PASS Study, with the support from a $3 million grant from the Department of Health and Human Services, was initiated in 2010 at 10 residency programs across North America, including Cincinnati Children’s, in order to study the effects of a novel resident handoff bundle on medical error rates and communication failures. Following the release of the study’s curricular materials in May of 2012 investigators received 592 requests for access to the materials, representing 48 US states and 17 countries outside the US. The study concluded in the spring of 2013 and final results will hopefully be available in the fall of 2013.
With groundwork already in place from the I-PASS resident study, in terms of curricular materials and evaluation tools, investigators aspired to expand the program to other learners along the medical education continuum. In 2012, I-PASS Study investigators, under the leadership of Drs. Jennifer O’Toole, Amy Guiot, and Lauren Solan from Cincinnati Children’s, began planning a modified study with 4th year medical students (pediatric sub-interns) at six study sites. This project will evaluate the implementation of an I-PASS medical student handoff bundle (MSHB) (including handoff and team communication training delivered either in-person or via a computer-based module, the I-PASS mnemonic, and a standardized handoff document) for pediatric sub-interns and compare the effectiveness of the delivery methods. Cincinnati Children’s is serving as lead study site for the project and data coordinating center assisted by an education innovation grant from the Council on Medical Student Education in Pediatrics (COMSEP).