Publications by authors named "Elliot Schiff"
Objective: Pediatric tracheostomy is associated with high morbidity and mortality, yet clinician knowledge and quality of tracheostomy care may vary widely. In situ simulation is effective at detecting and mitigating related latent safety threats, but evaluation via retrospective video review has disadvantages (eg, delayed analysis, and potential data loss). We evaluated whether a novel mobile application is accurate and reliable for assessment of in situ tracheostomy emergency simulations.
View Article and Find Full Text PDFObjective: Although screening protocols for patients who present with asymmetric sensorineural hearing loss (ASNHL) exist, there are no clear guidelines to direct practitioners. In particular, various thresholds have been proposed for the degree of hearing loss that should prompt MRI studies, but the topic remains understudied. This project aims to compare protocols followed by practitioners to guide their imaging practices.
View Article and Find Full Text PDFArticle Synopsis
- - Tracheostomies have a high risk of complications, and effective management relies on well-functioning teams, yet many healthcare providers lack the necessary knowledge and resources for safe care.
- - A study conducted simulations of tracheostomy emergencies over nearly a year, revealing common human errors and latent safety threats (LSTs) related to communication, equipment, and infection control, with only half of teams successfully completing tasks in the time limit.
- - The findings highlighted significant knowledge gaps among providers, with a low median quiz score of 46%, suggesting the need for targeted training and interventions to improve tracheostomy care and safety.
Objective: Tracheostomy tube change is a multistep skill that must be performed rapidly and precisely. Despite the critical importance of this skill, there is wide variation in teaching protocols.
Methods: An innovative operant conditioning teaching methodology was employed and compared to traditional educational techniques.
Objective: To achieve consensus on critical steps and create an assessment tool for actual and simulated pediatric tracheostomy emergencies that incorporates human and systems factors along with tracheostomy-specific steps.
Methods: A modified Delphi method was used. Using REDCap software, an instrument comprising 29 potential items was circulated to 171 tracheostomy and simulation experts.
Introduction: To assess tumor control and survival in patients treated with stereotactic radiosurgery (SRS) for 10 or more metastatic brain tumors.
Methods: Patients were retrospectively identified. Clinical records were reviewed for follow-up data, and post-treatment MRI studies were used to assess tumor control.