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Emergency Medicine

Significant Accomplishments

Research

The Division of Emergency Medicine exceeded funding goals by submitting 23 grants as a primary site and seven as a subrecipient and obtaining four more via new faculty and industry.  Cincinnati Children’s became a principal investigator within the national Pediatric Emergency Care Research Network (PECARN) along with partners St. Louis Children’s Hospital and Children’s Hospital of Wisconsin.  Research stakeholders led by Jacqueline Grupp-Phelan, MD, MPH, held a research retreat resulting in a mandate for an improved mentoring plan and restructuring of institutional investment.

In clinical research, Lynn Babcock, MD, MPH, and Scott Reeves, MD, were authors on the landmark PECARN study on  cervical spine injury, “Factors Associated with Cervical Spine Injury in Children after Blunt Trauma” (Annals of Emergency Medicine, Oct. 2010).  Benjamin Kerrey, MD, Matthew Mittiga, MD, and Andrea Rinderknecht, MD, presented innovative work on resuscitation procedures, while Babcock presented pioneering work on mild traumatic brain injury.  Gary Geis, MD, Derek Wheeler, MD, and Mary Patterson, MD, MEd, were funded by the Agency for Healthcare Research and Quality to develop expertise in sepsis identification through use of simulation.

In prevention research,a team directed by Grupp-Phelan led the division with funded grants and continues to publish important work in mental health screening, smoking prevention , cultural issues across ethnic groups and injury control.

In quality research, a team led by Evaline Alessandrini, MD, MSCE, and Reeves, presented work at the Pediatric Academic Societies conference, published in the first issue of Pediatrics devoted to quality (Iyer et al: “Use of quality improvement methods to improve timeliness of analgesic delivery”) and published two papers in the “Quality in Pediatric Emergency Medicine” issue of Clinical Pediatric Emergency Medicine (June 2011).  Two division members (Holly Brodzinski, MD, and Jennifer Reed, MD)  received Place Awards for institutional outcomes research.  The first paper on quality measures in pediatric emergency medicine from Alessandrini’s EMSC grant was published in the May issue of Academic Emergency Medicine.

In educational research, Javier Gonzalez del Rey, MD, MEd, received funding on two grants to expand the primary care residency and hand-offs by pediatric residents.  Faculty contributed to several excellent papers and to Fleisher and Ludwig’s5-Minute Pediatric Emergency Medicine Consult.

Clinical Program 

Joseph Luria, MD, led a newly assembled clinical leadership team of physicians and APNs through a year of leadership development along with Scott Steel from the Education and Learning Department.  This resulted in restructuring of administrators on call, improvements in clinical scheduling and new improvement teams, including a multidisciplinary team for patient experience.  Faculty trained in improvement science – Brodzinski  and Alessandrini  – completed projects in management of abscesses with sedation and timely administration of antibiotics to febrile neutropenic patients.  A multidisciplinary team focused on the care of acute pain significantly improved pain reassessment in acute fracture patients.  Srikant Iyer MD, MPH, led a team that increased efficiency and productivity of our fast-track area.  Our safety team has reduced the number of medication errors and there have been no serious safety events for 1,342 days through June 30, 2011.  This was accomplished while treating more than 146,000 patients at two emergency departments and three urgent care sites.  

Education and Faculty Development 

Through the leadership of Javier Gonzalez del Rey, MD, MEd, the division held two half-day faculty development workshops that trained faculty on improvement science, budget development, clinical communication skills and conflict prevention and resolution.