Meet Our MCW Collaborative for Healthcare Delivery Science (CHDS) Scholars
Implementing a Penicillin De-Labeling Protocol in the Pediatric Emergency Department (PED)
David Vyles, DO, MS
Pediatrics-Emergency Medicine2019-2020 Scholar
Mentored by David Brousseau, MD, MS & Liliana Pezzin, PhD, JD
- Implemented a questionnaire to identify children at low-risk for true penicillin allergy based on previous research
- Low-risk children engaged in penicillin oral-challenge, and, if successful, could be de-labeled as penicillin allergic in the medical record
- Developed a new Best Practice Alert in EPIC to facilitate in updating changes to penicillin allergy
- Facilitated the oral-challenge model becoming standard of care in the PED rather than by research mechanism
- Expanding de-labeling protocol to primary care clinics
- Work featured in the New York Times
The Rothman Index (RI) and Physician Utilization of Early Clinical Warning Systems
![Erin Strong_CHDS](/-/media/MCW/Departments/Center-for-Advancing-Population-Science/CHDS/Erin-Strong_CHDS.jpg)
Erin Strong, MD, MBA, MPH General Surgery Resident
PGY4 Surgical Oncology
2019-2020 Scholar
Mentored by Kathlyn Fletcher, MD, MA; Sid Singh MD, MS, MBA; & Callisia Clarke, MD
- Developed a qualitative assessment of physician engagement with the RI
- Investigated the use of RI as a predictive tool for diagnosing postoperative pancreatic fistula after pancreatectomy in pancreatic cancer patients
Development of a Comprehensive Decision Support Model for Elderly Trauma Patients
![Rachel Morris_CHDS](/-/media/MCW/Departments/Center-for-Advancing-Population-Science/CHDS/Rachel-Morris_CHDS.PNG)
Rachel Morris, MS
Surgery Trauma & Critical Care2020-2021 Scholar
Mentored by Kathlyn Fletcher, MD, MA; Marc de Moya, MD: & Christopher Tignanelli, MD
- Developing a decision support model incorporating patient reported outcome measures to predict which treatments will optimize quality of life, minimize suffering, and limit non-beneficial treatments in geriatric trauma patients
- Implementation of model into the EHR at MCW
- Building on previous research creating a predictive algorithm for estimating in-hospital mortality in elderly patients with trauma based on readily available metrics
Understanding the Patient Perspective in Acute Gallstone Disease: Adapting the Acute Care Surgery Model to Achieve Care Important to Patients
![Patrick_Murphy_CHDS](/-/media/MCW/Departments/Center-for-Advancing-Population-Science/CHDS/Patrick_Murphy_CHDS.PNG)
Patrick Murphy, MD, MSc, MPH
Surgery, Trauma, & Critical Care2021-2022 Scholar
Mentored by Kathlyn Flynn, PhD; Heena Santry, MD, MS; & Kelly Vogt, MD, MSc
- Aim: to understand the patient perspective in acute gallstone disease and adapt the acute care surgery model to achieve care important to patients
- Use this data to further define high quality care in acute gallstone disease, and implement small changes to acute care surgery model at MCW and assess any changes in patient-reported outcomes in addition to traditional outcomes like mortality and length of stay