Bio

Clinical Focus


  • Hospital Medicine
  • Pediatrics

Academic Appointments


  • Clinical Assistant Professor, Pediatrics

Administrative Appointments


  • Associate Medical Director, Packard at El Camino (PEC) (2013 - Present)
  • Rotation Director, Packard at El Camino (PEC) Hospitalist Elective (2011 - Present)
  • Faculty Facilitator, Humanism Group (2013 - Present)
  • Site Director, Inpatient Pediatrics Clerkshp at Packard at El Camino (PEC) (2010 - Present)
  • Educators-4-Care (E4C) Associate, Stanford University School of Medicine (2014 - Present)

Honors & Awards


  • Letter of Teaching Distinction, Stanford University School of Medicine Pediatric Clerkship (October, 2012)
  • Teaching Honor Roll, Stanford University School of Medicine Pediatric Clerkship (October, 2012)
  • R4R Innovation Challenge Award Honorable Mention (co-recipient, I-PASS Study Group), AAMC (September, 2012)
  • The I-PASS Study Implementation Champion Award, The I-PASS Study Group Executive Council (May, 2013)
  • Teaching Honor Roll, Stanford University School of Medicine Pediatric Clerkship (2015)
  • Letter of Teaching Distinction, Stanford University School of Medicine Pediatric Clerkship (2015)

Boards, Advisory Committees, Professional Organizations


  • Co-Chair, PEC Quality Oversight Committee (2014 - Present)
  • Co-Chair, General Pediatrics and Medical Subspecialties Professional Practice Evaluation Committee (2012 - Present)
  • Member, Care Improvement Committee (2011 - Present)
  • Member, Handoff Executive Committee (2011 - Present)
  • Member, General Pediatrics and Medical Subspecialties Professional Practice Evaluation Committee (2010 - Present)
  • Member, PEC Quality Oversight Committee (2011 - Present)
  • Physician Team Leader, Acute Care Excellence Committee (2011 - Present)
  • Member, Intern Selection Committee (2011 - Present)
  • Member, Society of Hospital Medicine (2013 - Present)
  • Member, AAP Committee on Quality Improvement and Patient Safety (2013 - Present)
  • Member, Academic Pediatric Association (2012 - Present)
  • Member, AAP Section on Hospital Medicine (2010 - Present)
  • Fellow, American Academy of Pediatrics (2009 - Present)
  • Member, American Academy of Pediatrics (2005 - Present)

Professional Education


  • Residency:Children's Hospital of Orange County (2009) CA
  • Board Certification: Pediatrics, American Board of Pediatrics (2008)
  • Chief Residency, Children's Hospital of Orange County (2009)
  • Medical Education:Chicago Medical School (2005) IL
  • BS, University of California, San Diego, Biology (2001)

Research & Scholarship

Current Research and Scholarly Interests


Site Co-Investigator, "Bringing I-PASS to the Bedside: A Communication Bundle to Improve Patient Safety and Experience;" sponsored by Boston Children's Hospital, funded by the Patient-Centered Outcomes Research Institute (PCORI), 2013 - Present.

Site Co-Investigator, "Closing the Gap in Handoff Communication: Evaluating the Effects of an I-PASS Medical Student Handoff Bundle;" sponsored by Cincinnati Children's Hospital Medical Center, 2013 - Present. Member, Executive Council. Chair, Implementation Committee.

Site Co-Investigator, "Bundling effective resident handoff tools to improve patient safety: A multi-center pediatric residency quality improvement initiative;" sponsored by Boston Children's Hospital, funded by the U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, Grant Number R18AE000029, 2011 - 2013. Member, Education Executive Council. Member, Campaign Subcommittee.

Site Co-Investigator, "West Coast Kawasaki Disease Epidemiology Consortium;" sponsored by University of California San Diego, 2011 - 2014.

Publications

All Publications


  • Changes in Medical Errors after Implementation of a Handoff Program NEW ENGLAND JOURNAL OF MEDICINE Starmer, A. J., Spector, N. D., Srivastava, R., West, D. C., Rosenbluth, G., Allen, A. D., NOBLE, E. L., Tse, L. L., Dalal, A. K., Keohane, C. A., Lipsitz, S. R., Rothschild, J. M., Wien, M. F., Yoon, C. S., Zigmont, K. R., Wilson, K. M., O'Toole, J. K., Solan, L. G., Aylor, M., Bismilla, Z., Coffey, M., Mahant, S., Blankenburg, R. L., Destino, L. A., EVERHART, J. L., Patel, S. J., Bale, J. F., Spackman, J. B., Stevenson, A. T., Calaman, S., Cole, F. S., Balmer, D. F., Hepps, J. H., Lopreiato, J. O., Yu, C. E., Sectish, T. C., Landrigan, C. P. 2014; 371 (19): 1803-1812
  • Changes in medical errors after implementation of a handoff program. New England journal of medicine Starmer, A. J., Spector, N. D., Srivastava, R., West, D. C., Rosenbluth, G., Allen, A. D., Noble, E. L., Tse, L. L., Dalal, A. K., Keohane, C. A., Lipsitz, S. R., Rothschild, J. M., Wien, M. F., Yoon, C. S., Zigmont, K. R., Wilson, K. M., O'Toole, J. K., Solan, L. G., Aylor, M., Bismilla, Z., Coffey, M., Mahant, S., Blankenburg, R. L., Destino, L. A., Everhart, J. L., Patel, S. J., Bale, J. F., Spackman, J. B., Stevenson, A. T., Calaman, S., Cole, F. S., Balmer, D. F., Hepps, J. H., Lopreiato, J. O., Yu, C. E., Sectish, T. C., Landrigan, C. P. 2014; 371 (19): 1803-1812

    Abstract

    Miscommunications are a leading cause of serious medical errors. Data from multicenter studies assessing programs designed to improve handoff of information about patient care are lacking.We conducted a prospective intervention study of a resident handoff-improvement program in nine hospitals, measuring rates of medical errors, preventable adverse events, and miscommunications, as well as resident workflow. The intervention included a mnemonic to standardize oral and written handoffs, handoff and communication training, a faculty development and observation program, and a sustainability campaign. Error rates were measured through active surveillance. Handoffs were assessed by means of evaluation of printed handoff documents and audio recordings. Workflow was assessed through time-motion observations. The primary outcome had two components: medical errors and preventable adverse events.In 10,740 patient admissions, the medical-error rate decreased by 23% from the preintervention period to the postintervention period (24.5 vs. 18.8 per 100 admissions, P<0.001), and the rate of preventable adverse events decreased by 30% (4.7 vs. 3.3 events per 100 admissions, P<0.001). The rate of nonpreventable adverse events did not change significantly (3.0 and 2.8 events per 100 admissions, P=0.79). Site-level analyses showed significant error reductions at six of nine sites. Across sites, significant increases were observed in the inclusion of all prespecified key elements in written documents and oral communication during handoff (nine written and five oral elements; P<0.001 for all 14 comparisons). There were no significant changes from the preintervention period to the postintervention period in the duration of oral handoffs (2.4 and 2.5 minutes per patient, respectively; P=0.55) or in resident workflow, including patient-family contact and computer time.Implementation of the handoff program was associated with reductions in medical errors and in preventable adverse events and with improvements in communication, without a negative effect on workflow. (Funded by the Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services, and others.).

    View details for DOI 10.1056/NEJMsa1405556

    View details for PubMedID 25372088

  • I-PASS Handoff Curriculum: Core Resident Workshop MedEdPORTAL Spector N, Starner A, Allen A, Bale J, Bismilla Z, Calaman S, Coffey M, Cole F, Destino L, Everhart J, Hepps J, Kahana M, Lopreiato J, McGregor R, O'Toole J, Patel S, Rosenbluth G, Srivastava R, Stevenson A, Tse L, Yu C, West D, Sectish T, Landrigan C 2013
  • I-PASS Handoff Curriculum: Campaign Toolkit MedEdPORTAL Spector N, Rosenbluth G, Patel S, Destino L, O’Toole J, Everhart J, Stevenson A, Yu C, Calaman S, Allen A, Starmer A, Landrigan C, Sectish T 2013
  • I-PASS, a Mnemonic to Standardize Verbal Handoffs PEDIATRICS Starmer, A. J., Spector, N. D., Srivastava, R., Allen, A. D., Landrigan, C. P., Sectish, T. C. 2012; 129 (2): 201-204

    View details for DOI 10.1542/peds.2011-2966

    View details for Web of Science ID 000300395100040

    View details for PubMedID 22232313

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