Amanda Warniment

Children From Families Speaking Languages Other Than English or Spanish, Medical Complexity and PICU Utilization: Single-Center Retrospective Study, 2015–2022

Zachary Pitkowsky, Amanda Warniment, Joelle Kane, Andrew F. Beck et autres

OBJECTIVES: Children with medical complexity (CMC) account for a disproportionate share of PICU utilization. Children from families speaking languages other than English (LOE) face barriers that may influence critical-care needs. We sought to evaluate the intersection of language and PICU utilization of …

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Pediatric Intensive Care Utilization Amongst Medically Complex Children: A Scoping Review

Joanna Thomson, Zach Pitkowsky, Amanda Warniment, Carlie Myers et autres

Improving Airway Clearance for Children With Neurologic Impairment Hospitalized With Pneumonia

Amanda Warniment, Anita Arnsperger, Michael Rafferty, Lauren Shannon et autres

BACKGROUND AND OBJECTIVE: A national multidisciplinary expert panel recently developed care recommendations for children with neurologic impairment (CNI) hospitalized with pneumonia. We aimed to increase the percentage of CNI hospitalized with pneumonia to Pulmonary and Hospital Medicine services who received admission airway …

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Family-Reported Posthospitalization Outcomes for Children With Complex Chronic Disease

Patrick W. Brady, Marie A. Pfarr, Barbara K. Giambra, Lisa Loechtenfeldt et autres

BACKGROUND AND OBJECTIVE: Children with complex chronic disease (CCD) are at high risk for poor hospital-to-home transition and unplanned urgent health care use. Existing measures of transition effectiveness have rarely included families of children with CCD in their development and validation. We …

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Neighborhood Socioeconomic Deprivation and Length of Stay in Children With Medical Complexity

Amanda Warniment, Yin Zhang, Bin Huang, Joanna Thomson et autres

OBJECTIVE: Children with medical complexity (CMC) often experience long hospital length of stay (LOS). Many families of CMC experience financial and social hardships, which impact arrangement of the home supports necessary for discharge. Understanding neighborhood context in which CMC live is one …

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333: ASSOCIATION BETWEEN LANGUAGE, MEDICAL COMPLEXITY, AND PICU ADMISSION IN ACUTE RESPIRATORY ILLNESS

Zachary Pitkowsky, Amanda Warniment, Andrew F. Beck, Carlie Myers

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Effects of airway clearance in hospitalized children with neurologic impairment

Amanda Warniment, Matt Hall, Jay G. Berry, Emilie Korn et autres

Airway clearance therapies (ACT) are often used to optimize respiratory function for children with neurologic impairment (CNI) hospitalized with acute respiratory infections (ARI). In a five-center retrospective cohort study of CNI aged 1-18 years hospitalized between 2013 and 2015 with ARI, we …

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Closer to Home: A Quality Improvement Initiative to Optimize Satellite Site Bed Capacity

Lisa E. Herrmann, Brittany Hubbell, Abigail Taylor, Elena M. Duma et autres

BACKGROUND: The coronavirus disease 2019 pandemic resulted in the underutilization of inpatient beds at our satellite location. A lack of clarity and standardized admission criteria for the satellite led to frequent transfers to the main campus, resulting in patients traveling larger distances …

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Complex Decision-Making for Gastroesophageal Reflux in Children With Neurologic Impairment

Amanda Warniment, Joanna Thomson

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Implementation of a Children’s Hospital Acute Care Behavior Response Team

Angela M. Statile, Michael Schweer, Lisa E. Herrmann, Amanda Warniment et autres

BACKGROUND: Pediatric patients with behavioral needs are frequently admitted to the hospital for medical care; when behavioral crises occur, patients and staff are at risk for injury. Our aim was to implement a behavior response team (BRT) to increase the days between …

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Implementing Care Recommendations for Children With Neurologic Impairment Hospitalized With Pneumonia

Anita Arnsperger, Michael Rafferty, Amanda Warniment, Amanda Waits et autres

Background: Children with neurologic impairment (NI) hospitalized for pneumonia. Neurologic dysfunction and frequent comorbidities (ie, impaired cough, trach) in peds with NI contribute to increased risk of infection, altered epidemiology, and different treatment needs than peds without NI. Variation in pneumonia management …

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Garnering effective telehealth to help optimize multidisciplinary team engagement (GET2HOME) for children with medical complexity: Protocol for a pragmatic randomized control trial

Amanda Warniment, Hadley S. Sauers‐Ford, Patrick W. Brady, Andrew F. Beck et autres

BACKGROUND: Children and young adults with medical complexity (CMC) experience high rates of healthcare reutilization following hospital discharge. Prior studies have identified common hospital-to-home transition failures that may increase the risk for reutilization, including medication, technology and equipment issues, financial concerns, and …

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