Publications by authors named "Thomas B Brazelton"

Designing health IT aimed at supporting team-based care and improving patient safety is difficult. This requires a work system (i.e.

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Background: Spinal muscular atrophy (SMA) is a neurodegenerative disease that results in progressive muscular atrophy and weakness. The primary cause of morbidity and mortality in these children is pulmonary disease due to poor airway clearance that leads to acute respiratory failure. There is a paucity of literature on the treatment of children with SMA and acute respiratory failure.

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We need to design technologies that support the work of health care teams; designing such solutions should integrate different clinical roles. However, we know little about the actual collaboration that occurs in the design process for a team-based care solution. This study examines how multiple perspectives were managed in the design of a team health IT solution aimed at supporting clinician information needs during pediatric trauma care transitions.

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Article Synopsis
  • * It describes a human-centered design (HCD) process specifically developed for a team health IT tool aimed at aiding pediatric trauma care teams during critical transitions, outlining seven steps across three phases of analysis and design.
  • * The results indicate that involving various clinical perspectives led to a set of design requirements and principles, resulting in a highly usable technology to support pediatric trauma care transitions, suggesting that further research should continue exploring HFE-based design in health IT.
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Article Synopsis
  • * It emphasizes essential practices for managing hemorrhagic shock in children, such as controlling bleeding sources and quickly administering blood products.
  • * A 20-month-old boy who suffered an agricultural accident was stabilized by emergency services, including the use of a tourniquet and prehospital administration of blood products and tranexamic acid, leading to a successful recovery.
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Background: Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder typically diagnosed after the second year of life; however, differences in brain structure and function associated with ASD have been ascertained in early infancy. Identifying behavioural markers of ASD risk in early infancy has the potential to facilitate early detection and intervention.

Objectives: We examined associations between infant behaviour and adolescent behaviours associated with ASD.

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Pediatric trauma is one of the leading causes of morbidity and mortality in children in the USA. Every year, nearly 10 million children are evaluated in emergency departments (EDs) for traumatic injuries, resulting in 250,000 hospital admissions and 10,000 deaths. Pediatric trauma care in hospitals is distributed across time and space, and particularly complex with involvement of large and fluid care teams.

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Objective: To estimate the impact of patient type on costs incurred during a pediatric intensive care unit (PICU) hospitalization.

Patients And Methods: Retrospective cohort study at an academic PICU located in the United States that examined 850 patients admitted to the PICU from January 1 to December 31, 2009. Forty-eight patients were excluded due to lack of financial data.

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Objective: To estimate the impact of severity of illness and length of stay on costs incurred during a pediatric intensive care unit (PICU) hospitalization.

Study Design: This is a retrospective cohort study at an academic PICU located in the U.S.

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Ameloblastoma is an infrequent tumor of the jaw with peak incidence generally in the third and fourth decade of life. Treatment commonly involves resection although recurrence rates remain high despite this modality. We present a unique case of a 6.

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