Growing up with a chronic disease (type 1 diabetes), I learned early-on the difference a great medical team can make in the life of a child and their family. I was drawn to pediatric hospital medicine 15 years before it became a specialty. I love working to support children and families during particularly difficult times. The resilience of children inspires me — it’s amazing to see a child, who just two days earlier was quite ill, smiling and laughing as they prepare to go home.
I believe that hospitalized children require more than a skilled physician. They need a team of health experts that communicate, collaborate and precisely follow systems for care. Our team aims to leverage the broad expertise of patients and families, doctors and nurses, and the vast data of the electronic health records to predict, prevent and treat the clinical deterioration of hospitalized children.
My research focuses broadly on designing, testing and evaluating evidence-based interventions to improve the quality and safety of hospital care. I have applied situation awareness and a high reliability strategy to develop, test and implement standardized communication and huddles (short, structured briefings between nurses and physicians) to discuss high-risk patients. These interventions have led to a significant and sustained reduction in unrecognized clinical deterioration and serious safety events among hospitalized children at Cincinnati Children’s.
I am a professor of pediatrics in the Division of Hospital Medicine within the University of Cincinnati Department of Pediatrics at Cincinnati Children’s. I have fellowship training in clinical research and improvement science. I also serve as the division co-director for the Division of Hospital Medicine.
I am honored to serve on the executive committee of the Pediatric Research in Inpatient Setting (PRIS) national network, which works to improve healthcare delivery to hospitalized children, and as associate editor for Hospital Pediatrics. I am also honored to have received the following rewards and recognition:
My research is supported by the Agency for Healthcare Research and Quality (AHRQ) and the National Institutes of Health (NIH). My work in Ohio is broadened through participation in the Children’s Hospitals’ Solutions for Patient Safety collaborative, whose aim is to reduce medical errors and adverse events across all children’s hospitals.
MD: Washington University in St. Louis, St. Louis, MO, 2003.
Residency: Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
MSc: University of Cincinnati Department of Epidemiology and Biostatistics.
Fellowship: Pediatric Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Complex care; hospital to home transitions; patient safety; situation awareness; clinical deterioration; value; patient and family-centered care; diagnostic quality and safety
Comparative effectiveness research; co-production with patient and families; designing and evaluating complex interventions; clinical trials; hospital at home for children
Mass spectrometry combined with machine learning identifies novel protein signatures as demonstrated with multisystem inflammatory syndrome in children. Scientific Reports. 2025; 15:36843.
Evolving Characteristics of Children and Youth With COVID-19 or MIS-C in US Children’s Hospitals. 2025.
Clinician Preferences for Oseltamivir Use in Children With Influenza in the Outpatient Setting. Pediatrics. 2025; 156:e2025071193.
Reducing Racial Disparities in Caregiver Presence During Family-Centered Rounds. Pediatrics. 2025; 156:e2024068947.
Refining a Machine Learning Model for Predicting Infant Sepsis: A Multidisciplinary Team Supported by Human-Centered Design Methods. Applied Clinical Informatics - ACI. 2025; 16:1332-1340.
Novel Use of a Simulation in Pediatric Type 1 Diabetes Sick-Day Education for Patients and Caregivers. Diabetes spectrum : a publication of the American Diabetes Association. 2025; 38:171-179.
Variability of Clinician Recommendations for Oseltamivir in Children Hospitalized With Influenza. Pediatrics. 2025; 155:e2024069111.
Variability in Treatment of UTIs in Children With Genitourinary Anomalies in Children's Hospitals. Hospital Pediatrics. 2025; 15:309-317.
Outcomes Associated With Remote Patient Monitoring for Poor Weight Gain. Hospital Pediatrics. 2025; 15:e102-e104.
Accuracy of Screening Tests for the Diagnosis of Urinary Tract Infections in Young Children. Pediatrics. 2024; 154:e2024066600.
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