Department of Pediatrics

Quality Improvement and Safety


Quality improvement (QI) touches every aspect of emergency department (ED) care. We are very fortunate at BCM/TCH that the Chief Quality Officer (Medicine) is a pediatric emergency medicine physician: Dr. Binita Patel has been spearheading QI efforts locally and nationally. Dr. Patel is a member of the American Academy of Pediatrics' Septic Shock Collaborative and the Committee for Quality Transformation, which has established several clinical algorithms for management of common conditions seen in the ED, including pneumonia and urinary tract infection. She is also a member of the  Improving Pediatric Sepsis Outcomes group of the Children's Hospital Association.  Her work has influenced the creation of the Choosing Wisely list of tests to avoid in the ED. Dr. Joan Shook is the Chief Safety Officer at Texas Children's and is the former division chief of PEM. She has participated in numerous guideline committees for the AAP.

Faculty with a research focus on quality and safety:

Callahan JM, Baldwin S, Bodnar C, Fuchs S, Krug S, Lightfoot C, Raskas M, Weinberg S; Committee on Pediatric Emergency Medicine (Shook JE); Council on Clinical Information Technology; Council on Children and Disasters; American College of Emergency Physicians, Pediatric Emergency Medicine Committee. Access to critical health information for children during emergencies: emergency information forms and beyondPediatrics. 2023. PMID 36807981.

Souganidis ES, Patel B, Sampayo EMPhysician-specific utilization of an electronic best-practice alter for pediatric sepsis in the emergency departmentPediatr Emerg Care. 2022. PMID 35696307.

Depinet H, Macias CG, Balamuth F, Lane RD, Luria J, Melendez E, Myers SR, Patel B, Richardson T, Zaniletti I, Paul R; American Academy of Pediatrics Pediatric Septic Shock Collaborative (PSSC) Investigators. Pediatric septic shock collaborative improves emergency department sepsis care in childrenPediatrics. 2022. PMID 35229124.

Yu YR, Mehl SC, Carberry KE, Ren H, Barclay C, Patel B, Nuchtern JG, Lopez ME. Lessons learned from value-based pediatric appendectomy care: a shared savings pilot modelAm J Surg. 2022. PMID 34364653.

Chladek MS, Doughty C, Patel B, Alade K, Rus M, Shook J, Little-Weinert KThe standardisation of handoffs in a large academic paediatric emergency department using i-PASSBMJ Open Qual. 2021. PMID 34244172.

Vonasek BJ, Mhango S, Crouse HL, Nyangulu T, Gaven W, Ciccone E, Kondwani A, Patel B, Fitzgerald E. Improving recognition and management of children with complicated severe acute malnutrition at a tertiary referral hospital in Malawi: a quality improvement initiative. Paediatr Int Child Health. 2021. PMID 34494509.

Abu-Ghname A, Davis MJ, Shook JE, Reece EM, Hollier LH Jr. Press Ganey: patient-centered communication drives provider and hospital revenue. Plast Reconstr Surg. 2021. PMID 33565840.