Kajal Khanna

All Publications

• 2018 Academic Emergency Medicine Consensus Conference: A Workforce Development Research Agenda for Pediatric Care in the Emergency Department. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine Merritt, C., Dietrich, A. M., Bogie, A. L., Wu, F., Khanna, K., Ballasiotes, M. K., Gerardi, M., Ishimine, P. T., Denninghoff, K. R., Saidinejad, M. 2018

  Abstract

  Each year, more than 30 million children visit US emergency departments (EDs). Though the number of pediatric emergency medicine specialists continues to rise, the vast majority of children are cared for in general EDs outside of children's hospitals. The diverse workforce of care providers for children must possess the knowledge, experience, skills and systemic support necessary to deliver excellent pediatric emergency care. There is a crucial need to understand the factors that drive the professional development and support systems of this diverse workforce. Through the iterative process culminating with the 2018 Academic Emergency Medicine consensus conference, we have identified 5 key research themes and prioritized a specific research agenda. These themes represent critical gaps in our understanding of the development and maintenance of the pediatric emergency care workforce and allow for a prioritization of future research efforts. Only by more fully understanding the gaps in workforce needs, and the necessary steps to address these gaps, can outcomes be optimized for children in need of emergency care. This article is protected by copyright. All rights reserved.

  View details for PubMedID 30338608

• Identifying the Components of a Core Health Services Package from a Human Rights Perspective to Inform Progress Toward Universal Health Coverage HUMAN RIGHTS QUARTERLY Chapman, A. R., Forman, L., Lamprea, E., Khanna, K. 2018; 40 (2): 342–68

  View details for DOI 10.1353/hrq.2018.0018

  View details for Web of Science ID 000432961300006

• Acute Rheumatic Fever: An Evidence-Based Approach To Diagnosis And Initial Management. Pediatric emergency medicine practice Khanna, K., Liu, D. R. 2016; 13 (8): 1-23

  Abstract

  Acute rheumatic fever is an inflammatory reaction involving the joints, heart, and nervous system that occurs after a group A streptococcal infection. It typically presents as a febrile illness with clinical manifestations that could include arthritis, carditis, skin lesions, or abnormal movements. Of these, the cardiac manifestations of acute rheumatic fever are most concerning, as children may present in acute heart failure and may go on to develop valvular insufficiency or stenosis. Because this is a rare presentation to emergency departments in developed countries, it is crucial for clinicians to keep a broad differential when presented with clinical presentations suspicious for acute rheumatic fever. This issue focuses on the clinical evaluation and treatment of patients with acute rheumatic fever by offering a thorough review of the literature on diagnosis and recommendations on appropriate treatment.

  View details for PubMedID 27462838

• The Greater Good: How Supervising Physicians Make Entrustment Decisions in the Pediatric Emergency Department ACADEMIC PEDIATRICS Tiyyagura, G., Balmer, D., Chaudoin, L., Kessler, D., Khanna, K., Srivastava, G., Chang, T. P., Auerbach, M. 2014; 14 (6): 597-602

  View details for Web of Science ID 000344966800012

• Global Health and Emergency Care: A Postgraduate Medical Education Consensus-based Research Agenda ACADEMIC EMERGENCY MEDICINE Martin, I. B., Jacquet, G. A., Levine, A. C., Douglass, K., Pousson, A., Dunlop, S., Khanna, K., Bentley, S., Tupesis, J. P. 2013; 20 (12): 1233-1240

  Abstract

  Global emergency medicine (EM) is a rapidly growing field within EM, as evidenced by the increasing number of trainees and clinicians pursuing additional experiences in global health and emergency care. In particular, many trainees now desire opportunities at the postgraduate level by way of global EM fellowship programs. Despite this growing popularity, little is known of the effects of postgraduate training in global health and emergency care on learners and patients in the United States and abroad. During the 2013 Academic Emergency Medicine consensus conference on global health and emergency care, a group of leading educators at the postgraduate medical education level convened to generate a research agenda of pressing questions to be answered in this area. The consensus-based research agenda is presented in this article.

  View details for DOI 10.1111/acem.12258

  View details for Web of Science ID 000328566800004

  View details for PubMedID 24341578

• The Role of Graduate Medical Education in Global Health: Proceedings From the 2013 Academic Emergency Medicine Consensus Conference ACADEMIC EMERGENCY MEDICINE Tupesis, J. P., Jacquet, G. A., Hilbert, S., Pousson, A., Khanna, K., Ross, J., Butteris, S., Martin, I. B. 2013; 20 (12): 1216-1223

  Abstract

  The past 40 years have seen expanded development of emergency medicine (EM) postgraduate residency training programs worldwide. An important part of this educational experience is the ability of resident trainees to participate in experiences abroad. However, little is known about how these experiences shape trainees and the populations they serve. During the 2013 Academic Emergency Medicine consensus conference, a group of educators met to define and outline current trends in graduate medical education (GME) emergency care research. The authors discuss future research questions bridging the gap of GME and global health.

  View details for DOI 10.1111/acem.12260

  View details for Web of Science ID 000328566800002

  View details for PubMedID 24341576

• Qualitative Evaluation of Just-in-Time Simulation-Based Learning The Learners' Perspective SIMULATION IN HEALTHCARE-JOURNAL OF THE SOCIETY FOR SIMULATION IN HEALTHCARE Kamdar, G., Kessler, D. O., Tilt, L., Srivastava, G., Khanna, K., Chang, T. P., Balmer, D., Auerbach, M. 2013; 8 (1): 43-48

  Abstract

  Just-in-time training (JITT) is an educational strategy where training occurs in close temporal proximity to a clinical encounter. A multicenter study evaluated the impact of simulation-based JITT on interns' infant lumbar puncture (LP) success rates. Concurrent with this multicenter study, we conducted a qualitative evaluation to describe learner perceptions of this modality of skills training.Eleven interns from a single institution participated in a face-to-face semistructured interview exploring their JITT experience. Interviews were audio-recorded and transcribed. Two investigators reviewed the transcripts, assigned codes to the data, and categorized the codes. Categories were modified by 4 emergency physicians. As a means of data triangulation, we performed focus groups at a second institution.Benefits of JITT included review of anatomic landmarks, procedural rehearsal, and an opportunity to ask questions. These perceived benefits improved confidence with infant LP. Deficits of the training included lack of mannequin fidelity and unrealistic context when compared with an actual LP. An unexpected category, which emerged from our analysis, was that of barriers to JITT performance. Barriers included lack of time in a busy clinical setting and various instructor factors. The focus group findings confirmed and elaborated the benefits and deficits of JITT and the barriers to JITT performance.Just-in-time training improved procedural confidence with infant LP, but work place busyness and instructor lack of support or unawareness were barriers to JITT performance. Optimal LP JITT would occur with improved contextual fidelity. More research is needed to determine optimal training strategies that are effective for the learner and maximize clinical outcomes for the patient.

  View details for DOI 10.1097/SIH.0b013e31827861e8

  View details for Web of Science ID 000314807500008

  View details for PubMedID 23299050

• Epididymo-Orchitis Fleisher and Ludwig's 5-Minute Pediatric Emergency Medicine Consult Khanna, K., Liu, D. . Wolters Kluwer, Lippincott, Williams and Wilkings. 2011
• Emergency Department Surge: Models and Practical Implications National Summit on Pediatric Disaster and Emergency Services Nager, A. L., Khanna, K. LIPPINCOTT WILLIAMS & WILKINS. 2009: S96–S99

  Abstract

  Emergency Department crowding has long been described. Despite the daily challenges of managing emergency department volume and acuity; a surge response during a disaster entails even greater challenges including collaboration, intervention, and resourcefulness to effectively carry out pediatric disaster management. Understanding surge and how to respond with appropriate planning will lead to success. To achieve this, we sought to analyze models of surge; review regional and national data outlining surge challenges and factors that impact surge; and to outline potential solutions.We conducted a systemic review and included articles and documents that best described the theoretical and practical basis of surge response. We organized the systematic review according to the following questions: What are the elements and models that are delineated by the concept of surge? What is the basis for surge response based on regional and national published sources? What are the broad global solutions? What are the major lessons observed that will impact effective surge capacity?Multiple models of surge are described including public health, facility-based and community-based; a 6-tiered response system; and intrinsic or extrinsic surge capacity. In addition, essential components (4 S's of surge response) are described along with regional and national data outlining surge challenges, impacting factors, global solutions, and lesions observed.There are numerous shortcomings regionally and nationally affecting our ability to provide an effective and coordinated surge response. Planning, education, and training will lead to an effective pediatric disaster management response.

  View details for DOI 10.1097/TA.0b013e3181ad2aaa

  View details for Web of Science ID 000268898600009

  View details for PubMedID 19667863