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Simulation Center

The JHMSC is steadfast in its mission to push the boundaries of discovery and set the standard in excellence in medical research. Even prior to the construction of a dedicated simulation lab in 2008, Johns Hopkins faculty were publishing and presenting research on simulation as an investigative methodology and as an effective training methodology.

We have a strong research mentorship program, and benefit from the Johns Hopkins University’s research training initiatives and access to additional research support. Our research program also encompasses usability testing, human factors projects, product engineering and technology development.

The JHMSC is dedicated to advancing simulation technology, and has formally and informally worked with companies, biomedical engineering students, and independent engineers to develop, improve design, and market new and improved simulation products.

  • CPR COACH - Cpr Optimization and ACHievement

    Less than half of children who suffer an in-hospital cardiac arrest (IHCA) will survive to hospital discharge. Effective chest compression depth, rate and minimal interruptions are essential to improve outcomes following IHCA. Devices placed on the chest that provide visual feedback during cardiopulmonary resuscitation (CPR) can improve chest compression quality, but there is substantial room for improvement. Strategies are needed to help teams translate visual CPR feedback into optimized CPR delivery.

    Hunt et al are developing the CPR Coach “at the Bench”, i.e. in the simulation lab after recognizing Resuscitation Leaders cannot simultaneously manage high quality basic life support (BLS), pediatric advanced life support (PALS), diagnose and treat reversible causes and do all well. A CPR Coach will provide real time feedback to compressors to optimize compliance with American Heart Association (AHA) CPR guidelines and cognitively unload the Resuscitation Leader, enabling them to focus on the PALS algorithm and reversible causes. Hunt's previous research reports a significant increase in “excellent epochs” of CPR (22% to 45%; p<0.001) after integrating the CPR Coach into resuscitation teams using CPR feedback defibrillators as part of a resuscitation quality bundle at a single site. Cheng et al recently leveraged the INSPIRE network to conduct a multicenter, randomized controlled trial of simulated cardiac arrests, with significant improvement in excellent CPR for teams with a CPR Coach versus those without. The next step in translation from Bench to Bedside is assessment of scalability and generalizability, i.e. to roll out the simulation-based CPR Coach role curriculum at a clinical unit level across the PediRES-Q international resuscitation network, enrolling 14 sites with existing Data Use Agreements.   

    Study timeline

    Goals and Aims

    Our specific aims are to:

    1. Develop a simulation-based “CPR Coach Roll-out” curriculum for clinical units that employs the Rapid Cycle Deliberate Practice (RCDP) approach and on-line endurable educational materials.
    2. Perform a stepped wedge, cluster randomized trial across the PediRES-Q Network to assess whether implementation of the CPR Coach Roll-out is associated with increased compliance with AHA CPR guidelines for pediatric IHCA at the unit level
    3. Perform exploratory analyses to enable design of future studies regarding the relationship between the CPR Coach Roll-out and the a) Resuscitation Leader’s perceived workload and b) survival to discharge.

    The long-term objective of this project is to increase neurologically intact survival from IHCA for children. If successful, introducing the CPR Coach Roll-out curriculum will be associated with increased compliance with AHA CPR guidelines on a multi-center level and enable design of larger studies to evaluate the impact on survival. This project directly aligns with the INSPIRE mission to improve delivery of medical care (high quality CPR) to acute ill children (in cardiac arrest) and ultimately improve survival (our exploratory aim) in the pediatric population.

    Sites and Enrollment

    We are currently no longer accepting sites for enrollment Our current sites include:

    • Akron Children's Hospital
    • Boston Children's Hospital
    • Children's Healthcare of Atlanta
    • Cincinnati Children's Hospital Medical Center
    • Children's Hospital of Orange County
    • Children's Hospital of Philadelphia
    • Cohen Children's Medical Center 
    • Johns Hopkins All Children's Hospital 
    • Nationwide Children's Hospital
    • Riley Hospital of Children
    • Seattle Children's Hospital
    • Sick Kids of Toronto 
    • Stanford Children's Health
    • UT-Southwestern

    Please contact [email protected] with any questions.

  • Perretta, J. S., Salamone, C., King, D., Mann, S., Duval-Arnould, J., & Hunt, E. A. (2019). Pediatric Respiratory Therapists Lack a Standard Mental Model for Managing the Patient Who Is Difficult to Ventilate: A Video Review. Respiratory Care64(7), 801–808.

    Pfeiffer, S., Lauridsen, K. G., Wenger, J., Hunt, E. A., Haskell, S., Atkins, D. L., … Dewan, M. (2019). Code Team Structure and Training in the Pediatric Resuscitation Quality International Collaborative: Pediatric Emergency Care, 1.

    Kogutt, B. K., Sheffield, J. S., Whyne, D., Maragakis, L. L., Andonian, J., Flinn, J., … Garibaldi, B. T. (2019). Simulation of a Spontaneous Vaginal Delivery and Neonatal Resuscitation in a Biocontainment Unit. Health Security17(1), 18–26.

    Hunt, E. A., Jeffers, J., McNamara, L., Newton, H., Ford, K., Bernier, M., … Duval‐Arnould, J. (2018). Improved Cardiopulmonary Resuscitation Performance With CODE ACES 2 : A Resuscitation Quality Bundle. Journal of the American Heart Association7(24).

    Noje, C., Bembea, M. M., Nelson McMillan, K. L., Brunetti, M. A., Bernier, M. L., Costabile, P. M., … Shaffner, D. H. (2018). A National Survey on Interhospital Transport of Children in Cardiac Arrest: Pediatric Critical Care Medicine, 1.

    Leeper, W. R., Haut, E. R., Pandian, V., Nakka, S., Dodd-O, J., Bhatti, N., … Berkow, L. (2018). Multidisciplinary Difficult Airway Course: An Essential Educational Component of  a Hospital-Wide Difficult Airway Response Program. Journal of Surgical Education75(5), 1264–1275.

    Brown, L. L., Lin, Y., Tofil, N. M., Overly, F., Duff, J. P., Bhanji, F., … Cheng, A. (2018). Impact of a CPR feedback device on healthcare provider workload during simulated  cardiac arrest. Resuscitation130, 111–117.

    Cheng, A., Duff, J. P., Kessler, D., Tofil, N. M., Davidson, J., Lin, Y., … Hunt, E. A. (2018). Optimizing CPR performance with CPR coaching for pediatric cardiac arrest: A randomized simulation-based clinical trial. Resuscitation132, 33–40.

    Nelson McMillan, K., Hibino, N., Brown, E. E., Wadia, R., Hunt, E. A., Marshall, C., … Vricella, L. A. (2018). HeartWare Ventricular Assist Device Implantation for Pediatric Heart Failure-A Single Center Approach. Artificial Organs.

    VanGraafeiland, B., Foronda, C., Vanderwagen, S., Allan, L., Bernier, M., Fishe, J., … Jeffers, J. M. (2018). Improving the handover and transport of critically ill pediatric patients. Journal of Clinical Nursing.

    Cheng, A., Nadkarni, V. M., Mancini, M. B., Hunt, E. A., Sinz, E. H., Merchant, R. M., … Bhanji, F. (2018). Resuscitation Education Science: Educational Strategies to Improve Outcomes From  Cardiac Arrest: A Scientific Statement From the American Heart Association. Circulation.

    Brown, K. M., Mudd, S. S., Hunt, E. A., Perretta, J. S., Shilkofski, N. A., Diddle, J. W., … Nelson McMillan, K. (2018). A Multi-Institutional Simulation Boot Camp for Pediatric Cardiac Critical Care Nurse Practitioners. Pediatric Critical Care Medicine : A Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies19(6), 564–571.

    Cheng, A., Auerbach, M., Calhoun, A., Mackinnon, R., Chang, T. P., Nadkarni, V., … Kessler, D. (2018). Building a Community of Practice for Researchers: The International Network for Simulation-Based Pediatric Innovation, Research and Education. Simulation in Healthcare : Journal of the Society for Simulation in Healthcare13(3S Suppl 1), S28–S34.

    Niles, D. E., Duval-Arnould, J., Skellett, S., Knight, L., Su, F., Raymond, T. T., … Nadkarni, V. M. (2018). Characterization of Pediatric In-Hospital Cardiopulmonary Resuscitation Quality Metrics Across an International Resuscitation Collaborative. Pediatric Critical Care Medicine : A Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies19(5), 421–432.

    Lautz, A. J., Martin, K. C., Nishisaki, A., Bonafide, C. P., Hales, R. L., Hunt, E. A., … Boyer, D. L. (2018). Focused Training for the Handover of Critical Patient Information During Simulated Pediatric Emergencies. Hospital Pediatrics8(4), 227–231.

    Romig, M., Duval-Arnould, J., Winters, B. D., Newton, H., & Sapirstein, A. (2018). Intensivist Presence at Code Events Is Associated with High Survival and Increased Documentation Rates. Critical Care Clinics34(2), 259–266.

    Parshuram, C. S., Dryden-Palmer, K., Farrell, C., Gottesman, R., Gray, M., Hutchison, J. S., … Tomlinson, G. A. (2018). Effect of a Pediatric Early Warning System on All-Cause Mortality in Hospitalized Pediatric Patients: The EPOCH Randomized Clinical Trial. JAMA319(10), 1002–1012.

    Shilkofski, N. A., Perretta, J. S., & Hunt, E. A. (2018). In Reply to Maloney et al. Academic Medicine : Journal of the Association of American Medical Colleges93(3), 343.

    Nelson McMillan, K., Rosen, M. A., Shilkofski, N. A., Bradshaw, J. H., Saliski, M., & Hunt, E. A. (2018). Cognitive Aids Do Not Prompt Initiation of Cardiopulmonary Resuscitation in Simulated Pediatric Cardiopulmonary Arrests. Simulation in Healthcare : Journal of the Society for Simulation in Healthcare13(1), 41–46.

    Atkins, D. L., de Caen, A. R., Berger, S., Samson, R. A., Schexnayder, S. M., Joyner, B. L. J., … Meaney, P. A. (2018). 2017 American Heart Association Focused Update on Pediatric Basic Life Support and Cardiopulmonary Resuscitation Quality: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation137(1), e1–e6.

    Cheng, A., Lin, Y., Nadkarni, V., Wan, B., Duff, J., Brown, L., … Hunt, E. A. (2018). The effect of step stool use and provider height on CPR quality during pediatric  cardiac arrest: A simulation-based multicentre study. CJEM20(1), 80–88.

    Jung, J., Franzen, D., Lawson, L., Manthey, D., Tews, M., Dubosh, N., … Hiller, K. (2018). The National Clinical Assessment Tool for Medical Students in the Emergency Department (NCAT-EM). The Western Journal of Emergency Medicine19(1), 66–74.

    Shilkofski, N., Crichlow, A., Rice, J., Cope, L., Kyaw, Y. M., Mon, T., … Jung, J. (2018). A Standardized Needs Assessment Tool to Inform the Curriculum Development Process for Pediatric Resuscitation Simulation-Based Education in Resource-Limited Settings. Frontiers in Pediatrics6, 37.

    Duval-Arnould, J. M., Newton, H. M., McNamara, L., Engorn, B. M., Jones, K., Bernier, M., … Hunt, E. A. (2018). Design and Deployment of a Pediatric Cardiac Arrest Surveillance System. Critical Care Research and Practice2018, 9187962.

    Hamrick, J. T., Hamrick, J. L., Bhalala, U., Armstrong, J. S., Lee, J.-H., Kulikowicz, E., … Shaffner, D. H. (2017). End-Tidal CO2-Guided Chest Compression Delivery Improves Survival in a Neonatal Asphyxial Cardiac Arrest Model. Pediatric Critical Care Medicine : A Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies18(11), e575–e584.

    Chime, N. O., & Hunt, E. A. (2017). The authors reply. Pediatric Critical Care Medicine : A Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies18(11), 1089–1090.

    Noje, C., Fishe, J. N., Costabile, P. M., Klein, B. L., Hunt, E. A., & Pronovost, P. J. (2017). Interhospital Transport of Children Undergoing Cardiopulmonary Resuscitation: A Practical and Ethical Dilemma. Pediatric Critical Care Medicine : A Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies18(10), e477–e481.

    Hunt, E. N., Martens, M. P., Wang, K. T., & Yan, G. C. (2017). Acculturative stress as a moderator for international student drinking behaviors  and alcohol use consequences. Journal of Ethnicity in Substance Abuse16(3), 263–275.

    Bhatti, N. I., Abid, M. A., Stewart, C. M., Fleishman, C., Jefferson, N., & Ishman, S. L. (2017). Development and Pilot Testing of an Objective Structured Clinical Examination for Obstructive Sleep Apnea. Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery157(3), 524–529.

    Chime, N. O., Riese, V. G., Scherzer, D. J., Perretta, J. S., McNamara, L., Rosen, M. A., & Hunt, E. A. (2017). Epinephrine Auto-Injector Versus Drawn Up Epinephrine for Anaphylaxis Management: A Scoping Review. Pediatric Critical Care Medicine : A Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies18(8), 764–769.

    Yang, C. P., Hunt, E. A., Shilkofski, N., Dudas, R., Egbuta, C., & Schwartz, J. M. (2017). Can Telemedicine Improve Adherence to Resuscitation Guidelines for Critically Ill Children at Community Hospitals? A Randomized Controlled Trial Using High-Fidelity Simulation. Pediatric Emergency Care33(7), 474–479.

    Heiser Rosenberg, C. E., Terhaar, M. F., Ascenzi, J. A., Walbert, A., Kokoszka, K. M., Perretta, J. S., & Miller, M. R. (2017). Becoming Parent and Nurse: High-Fidelity Simulation in Teaching Ambulatory Central Line Infection Prevention to Parents of Children with Cancer. Joint Commission Journal on Quality and Patient Safety43(5), 251–258.

    Hunt, Elizabeth A., Duval-Arnould, J. M., Chime, N. O., Jones, K., Rosen, M., Hollingsworth, M., … Perretta, J. S. (2017). Integration of in-hospital cardiac arrest contextual curriculum into a basic life support course: a randomized, controlled simulation study. Resuscitation114, 127–132.

    Coombs, C. M., Shields, R. Y., Hunt, E. A., Lum, Y. W., Sosnay, P. R., Perretta, J. S., … Shilkofski, N. A. (2017). Design, Implementation, and Evaluation of a Simulation-Based Clinical Correlation Curriculum as an Adjunctive Pedagogy in an Anatomy Course. Academic Medicine : Journal of the Association of American Medical Colleges92(4), 494–500.

    Scherzer, D. J., Chime, N. O., Tofil, N. M., Hamilton, M. F., Singh, K., Stanley, R. M., … Hunt, E. A. (2017). Survey of pediatric trainee knowledge: dose, concentration, and route of epinephrine. Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology118(4), 516–518.

    Simkin, D. J., Greene, J. A., Jung, J., Sacks, B. C., & Fessler, H. E. (2017). The Death of Animals in Medical School. The New England Journal of Medicine376(8), 713–715.

    Portnoy, D. S., Willis, S. C., Hunt, E., Swift, D. G., Gold, J. R., & Conway, K. W. (2017). Molecular phylogenetics of New World searobins (Triglidae; Prionotinae). Molecular Phylogenetics and Evolution107, 382–387.

    Bhanji, F., Topjian, A. A., Nadkarni, V. M., Praestgaard, A. H., Hunt, E. A., Cheng, A., … Berg, R. A. (2017). Survival Rates Following Pediatric In-Hospital Cardiac Arrests During Nights and  Weekends. JAMA Pediatrics171(1), 39–45.

    Hiller, K. M., Franzen, D., Lawson, L., Manthey, D., Fisher, J., Haughey, M., … Jung, J. (2017). Clinical Assessment of Medical Students in the Emergency Department, a National Consensus Conference. The Western Journal of Emergency Medicine18(1), 82–83.

    Cheng, A., Kessler, D., Mackinnon, R., Chang, T. P., Nadkarni, V. M., Hunt, E. A., … Auerbach, M. (2017). Conducting multicenter research in healthcare simulation: Lessons learned from the INSPIRE network. Advances in Simulation (London, England)2, 6.

    Lawson, L., Jung, J., Franzen, D., & Hiller, K. (2016). Clinical Assessment of Medical Students in Emergency Medicine Clerkships: A Survey of Current Practice. The Journal of Emergency Medicine51(6), 705–711.

    Regan, L., Jung, J., & Kelen, G. D. (2016). Educational Value Units: A Mission-Based Approach to Assigning and Monitoring Faculty Teaching Activities in an Academic Medical Department. Academic Medicine : Journal of the Association of American Medical Colleges91(12), 1642–1646.

    Jung, J., & Zaurova, M. (2016). Optimizing survival outcomes for adult patients with nontraumatic cardiac arrest  [digest]. Emergency Medicine Practice18(10 Suppl Points & Pearls), S1–S2.

    Jung, J. (2016). Optimizing Survival Outcomes For Adult Patients With Nontraumatic Cardiac Arrest. Emergency Medicine Practice18(10), 1–24.

    Shilkofski, N., & Shields, R. Y. (2016). Adapting to a US Medical Curriculum in Malaysia: A Qualitative Study on Cultural  Dissonance in International Education. Cureus8(8), e739.

    Cheng, A., Kessler, D., Mackinnon, R., Chang, T. P., Nadkarni, V. M., Hunt, E. A., … Auerbach, M. (2016a). Reporting Guidelines for Health Care Simulation Research: Extensions to the CONSORT and STROBE Statements. Simulation in Healthcare : Journal of the Society for Simulation in Healthcare11(4), 238–248.

    Rice, J., Crichlow, A., Baker, M., Regan, L., Dodson, A., Hsieh, Y.-H., & Omron, R. (2016). An Assessment Tool for the Placement of Ultrasound-Guided Peripheral Intravenous  Access. Journal of Graduate Medical Education8(2), 202–207.

    Jeffers, J., Eppich, W., Trainor, J., Mobley, B., & Adler, M. (2016). Development and Evaluation of a Learning Intervention Targeting First-Year Resident Defibrillation Skills. Pediatric Emergency Care32(4), 210–216.

    Dodson, A., & Stone, V. C. (2016). LEARNING BY DOING: Johns Hopkins expands sim center to meet growing demand. Health Facilities Management29(4), 29–32.

    McMillan, K. L. N., Hunt, E. A., & Shaffner, D. H. (2016). Understanding the Resuscitation of Children With a Single Ventricle, We Are Looking at the Tip of an Iceberg. Pediatric Critical Care Medicine : A Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies17(4), 365–366.

    Raymond, T. T., Bonafide, C. P., Praestgaard, A., Nadkarni, V. M., Berg, R. A., Parshuram, C. S., & Hunt, E. A. (2016). Pediatric Medical Emergency Team Events and Outcomes: A Report of 3647 Events From the American Heart Association’s Get With the Guidelines-Resuscitation Registry. Hospital Pediatrics6(2), 57–64.

    Cheng, A., Kessler, D., Mackinnon, R., Chang, T. P., Nadkarni, V. M., Hunt, E. A., … Auerbach, M. (2016b). Reporting guidelines for health care simulation research: extensions to the CONSORT and STROBE statements. Advances in Simulation (London, England)1, 25.

    Shilkofski, N., & Hunt, E. A. (2015). Identification of Barriers to Pediatric Care in Limited-Resource Settings: A Simulation Study. Pediatrics136(6), e1569-1575.

    Cheng, A., Hunt, E. A., Grant, D., Lin, Y., Grant, V., Duff, J. P., … Chime, N. (2015). Variability in quality of chest compressions provided during simulated cardiac arrest across nine pediatric institutions. Resuscitation97, 13–19.

    Atkins, D. L., Berger, S., Duff, J. P., Gonzales, J. C., Hunt, E. A., Joyner, B. L., … Schexnayder, S. M. (2015a). Part 11: Pediatric Basic Life Support and Cardiopulmonary Resuscitation Quality:  2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation132(18 Suppl 2), S519-525.

    Bord, S., Retezar, R., McCann, P., & Jung, J. (2015). Development of an Objective Structured Clinical Examination for Assessment of Clinical Skills in an Emergency Medicine Clerkship. The Western Journal of Emergency Medicine16(6), 866–870.

    Atkins, D. L., Berger, S., Duff, J. P., Gonzales, J. C., Hunt, E. A., Joyner, B. L., … Schexnayder, S. M. (2015b). Part 11: Pediatric Basic Life Support and Cardiopulmonary Resuscitation Quality:  2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care (Reprint). Pediatrics136 Suppl 2, S167-175.

    Eppich, W. J., Hunt, E. A., Duval-Arnould, J. M., Siddall, V. J., & Cheng, A. (2015). Structuring feedback and debriefing to achieve mastery learning goals. Academic Medicine : Journal of the Association of American Medical Colleges90(11), 1501–1508.

    Mangold, K. A., Jeffers, J. M., Burns, R. A., Trainor, J. L., Unti, S. M., Eppich, W., & Adler, M. D. (2015). An Objective Structured Clinical Examination to Improve Formative Assessment for  Senior Pediatrics Residents. Journal of Graduate Medical Education7(3), 470–474.

    Arnholt, A. M., Duval-Arnould, J. M., McNamara, L. M., Rosen, M. A., Singh, K., & Hunt, E. A. (2015). Comparatively Evaluating Medication Preparation Sequences for Treatment of Hyperkalemia in Pediatric Cardiac Arrest: A Prospective, Randomized, Simulation-Based Study. Pediatric Critical Care Medicine : A Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies16(7), e224-230.

    Cheng, A., Lockey, A., Bhanji, F., Lin, Y., Hunt, E. A., & Lang, E. (2015). The use of high-fidelity manikins for advanced life support training--A systematic review and meta-analysis. Resuscitation93, 142–149.

    Welsh, W. N., Lin, H.-J., Peters, R. H., Stahler, G. J., Lehman, W. E. K., Stein, L. A. R., … Frisman, L. K. (2015). Effects of a strategy to improve offender assessment practices: Staff perceptions of implementation outcomes. Drug and Alcohol Dependence152, 230–238.

    Bouchghoul, H., Hornez, E., Duval-Arnould, X., Philippe, H.-J., & Nizard, J. (2015). Humanitarian obstetric care for refugees of the Syrian war. The first 6 months of experience of Gynecologie Sans Frontieres in Zaatari Refugee Camp (Jordan). Acta Obstetricia et Gynecologica Scandinavica94(7), 755–759.

    Gedlu, E., Tadesse, A., Cayea, D., Doherty, M., Bekele, A., Mekasha, A., … Jung, J. (2015). INTRODUCTION OF SIMULATION BASED MEDICAL EDUCATION AT ADDIS ABABA UNIVERSITY COLLEGE OF HEALTH SCIENCES: EXPERIENCE AND CHALLENGE. Ethiopian Medical JournalSuppl 2, 1–8.

    Tackett, S., Shochet, R., Shilkofski, N. A., Colbert-Getz, J., Rampal, K., Abu Bakar, H., & Wright, S. (2015). Learning environment assessments of a single curriculum being taught at two medical schools 10,000 miles apart. BMC Medical Education15, 105.

    Parshuram, C. S., Dryden-Palmer, K., Farrell, C., Gottesman, R., Gray, M., Hutchison, J. S., … Willan, A. R. (2015). Evaluating processes of care and outcomes of children in hospital (EPOCH): study  protocol for a randomized controlled trial. Trials16, 245.

    Chime, N. O., Luo, X., McNamara, L., Nishisaki, A., & Hunt, E. A. (2015). A survey demonstrating lack of consensus on the sequence of medications for treatment of hyperkalemia among pediatric critical care providers. Pediatric Critical Care Medicine : A Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies16(5), 404–409.

    McCrory, Michael C., Aboumatar, H. A., & Hunt, E. A. (2015). Communication at pediatric rapid response events: a survey of health care providers. Hospital Pediatrics5(6), 301–308.

    Tews, M. C., Ditz Wyte, C. M., Coltman, M., Hiller, K., Jung, J., Oyama, L. C., … Ander, D. S. (2015). Implementing a third-year emergency medicine medical student curriculum. The Journal of Emergency Medicine48(6), 732-743.e8.

    Hunt, E., Bornovalova, M. A., Kimonis, E. R., Lilienfeld, S. O., & Poythress, N. G. (2015). Psychopathy factor interactions and co-occurring psychopathology: Does measurement approach matter? Psychological Assessment27(2), 583–595.

    Hunt, E., Peters, R. H., & Kremling, J. (2015). Behavioral health treatment history among persons in the justice system: Findings from the Arrestee Drug Abuse Monitoring II Program. Psychiatric Rehabilitation Journal38(1), 7–15.

    Hunt, Elizabeth A., Heine, M., Shilkofski, N. S., Bradshaw, J. H., Nelson-McMillan, K., Duval-Arnould, J., & Elfenbein, R. (2015). Exploration of the impact of a voice activated decision support system (VADSS) with video on resuscitation performance by lay rescuers during simulated cardiopulmonary arrest. Emergency Medicine Journal : EMJ32(3), 189–194.

    Cheng, A., Brown, L. L., Duff, J. P., Davidson, J., Overly, F., Tofil, N. M., … Nadkarni, V. M. (2015). Improving cardiopulmonary resuscitation with a CPR feedback device and refresher  simulations (CPR CARES Study): a randomized clinical trial. JAMA Pediatrics169(2), 137–144.

    Schmidt, T. A., Hunt, E. O., Zive, D., Fromme, E., & Tolle, S. (2015). In response to letter to the editor. The Journal of Emergency Medicine48(2), 217–218.

    Cheng, A., Overly, F., Kessler, D., Nadkarni, V. M., Lin, Y., Doan, Q., … Brown, L. L. (2015). Perception of CPR quality: Influence of CPR feedback, Just-in-Time CPR training and provider role. Resuscitation87, 44–50.

    Hunt, Elizabeth A., Cruz-Eng, H., Bradshaw, J. H., Hodge, M., Bortner, T., Mulvey, C. L., … Sinz, E. H. (2015). A novel approach to life support training using “action-linked phrases”. Resuscitation86, 1–5.

    Sullivan, N. J., Duval-Arnould, J., Twilley, M., Smith, S. P., Aksamit, D., Boone-Guercio, P., … Hunt, E. A. (2015). Simulation exercise to improve retention of cardiopulmonary resuscitation priorities for in-hospital cardiac arrests: A randomized controlled trial. Resuscitation86, 6–13.

    Berg, K., Blatt, B., Lopreiato, J., Jung, J., Schaeffer, A., Heil, D., … Hojat, M. (2015). Standardized patient assessment of medical student empathy: ethnicity and gender  effects in a multi-institutional study. Academic Medicine : Journal of the Association of American Medical Colleges90(1), 105–111.

    Tackett, S., Bakar, H. A., Shilkofski, N. A., Coady, N., Rampal, K., & Wright, S. (2015). Profiling medical school learning environments in Malaysia: a validation study of the Johns Hopkins Learning Environment Scale. Journal of Educational Evaluation for Health Professions12, 39.

    Lee, J. K., Brady, K. M., Chung, S.-E., Jennings, J. M., Whitaker, E. E., Aganga, D., … Shaffner, D. H. (2014). A pilot study of cerebrovascular reactivity autoregulation after pediatric cardiac arrest. Resuscitation85(10), 1387–1393.

    Hunt, Elizabeth A., Duval-Arnould, J. M., Nelson-McMillan, K. L., Bradshaw, J. H., Diener-West, M., Perretta, J. S., & Shilkofski, N. A. (2014). Pediatric resident resuscitation skills improve after “rapid cycle deliberate practice” training. Resuscitation85(7), 945–951.

    Cheng, A., Auerbach, M., Hunt, E. A., Chang, T. P., Pusic, M., Nadkarni, V., & Kessler, D. (2014). Designing and conducting simulation-based research. Pediatrics133(6), 1091–1101.

    Edelson, D. P., Yuen, T. C., Mancini, M. E., Davis, D. P., Hunt, E. A., Miller, J. A., & Abella, B. S. (2014). Hospital cardiac arrest resuscitation practice in the United States: a nationally representative survey. Journal of Hospital Medicine9(6), 353–357.

    Bruch, J., Rehn, B., Duval-Arnould, G., Efskind, J., Roderer, G., & Sebastian, P. (2014). Toxicological investigations on the respirable fraction of silicon carbide grain  products by the in vitro vector model. Inhalation Toxicology26(5), 278–288.

    Murphy, D., Hunt, E., Luzon, O., & Greenberg, N. (2014). Exploring positive pathways to care for members of the UK Armed Forces receiving  treatment for PTSD: a qualitative study. European Journal of Psychotraumatology5.

    Hunt, E. J. F., Wessely, S., Jones, N., Rona, R. J., & Greenberg, N. (2014). The mental health of the UK Armed Forces: where facts meet fiction. European Journal of Psychotraumatology5.

    Aufderheide, T. P., Nolan, J. P., Jacobs, I. G., van Belle, G., Bobrow, B. J., Marshall, J., … Eng Hock Ong, M. (2013). Global health and emergency care: a resuscitation research agenda--part 1. Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine20(12), 1289–1296.

    Lou, J.-S., Dimitrova, D. M., Hammerschlag, R., Nutt, J., Hunt, E. A., Eaton, R. W., … Oken, B. S. (2013). Effect of expectancy and personality on cortical excitability in Parkinson’s disease. Movement Disorders : Official Journal of the Movement Disorder Society28(9), 1257–1262.

    Cummings, J. R., Bornovalova, M. A., Ojanen, T., Hunt, E., MacPherson, L., & Lejuez, C. (2013). Time doesn’t change everything: the longitudinal course of distress tolerance and its relationship with externalizing and internalizing symptoms during early adolescence. Journal of Abnormal Child Psychology41(5), 735–748.

    Cheng, A., Hunt, E. A., Donoghue, A., Nelson-McMillan, K., Nishisaki, A., Leflore, J., … Nadkarni, V. M. (2013). Examining pediatric resuscitation education using simulation and scripted debriefing: a multicenter randomized trial. JAMA Pediatrics167(6), 528–536.

    Hunt, E. (2013). Promoting fluid intake. Nursing Standard (Royal College of Nursing (Great Britain) : 1987)27(34), 57.

    Hunt, E. A. K., Jain, N. G., & Somers, M. J. G. (2013). Apheresis therapy in children: an overview of key technical aspects and a review  of experience in pediatric renal disease. Journal of Clinical Apheresis28(1), 36–47.

    Colbert-Getz, J. M., Fleishman, C., Jung, J., & Shilkofski, N. (2013). How do gender and anxiety affect students’ self-assessment and actual performance on a high-stakes clinical skills examination? Academic Medicine : Journal of the Association of American Medical Colleges88(1), 44–48.

    Deiorio, N. M., Fitch, M. T., Jung, J., Promes, S. B., Thibodeau, L. G., Woolley, W. L., … Gruppen, L. D. (2012). Evaluating educational interventions in emergency medicine. Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine19(12), 1442–1453.

    Meaney, P. A., Sutton, R. M., Tsima, B., Steenhoff, A. P., Shilkofski, N., Boulet, J. R., … Nadkarni, V. M. (2012). Training hospital providers in basic CPR skills in Botswana: acquisition, retention and impact of novel training techniques. Resuscitation83(12), 1484–1490.

    Cunningham, N. J., Weiland, T. J., van Dijk, J., Paddle, P., Shilkofski, N., & Cunningham, N. Y. (2012). Telephone referrals by junior doctors: a randomised controlled trial assessing the impact of SBAR in a simulated setting. Postgraduate Medical Journal88(1045), 619–626.

    Soong, T. R., Jung, J. J., Kelen, G. D., Rothman, R. E., Burah, A., Shahan, J. B., & Hsieh, Y.-H. (2012). Is inadequate human immunodeficiency virus care associated with increased ED and  hospital utilization? A prospective study in human immunodeficiency virus-positive ED patients. The American Journal of Emergency Medicine30(8), 1466–1473.

    Hunt, E., Gee, S., & Ranjith, G. (2012). Vitamin prescription for the prevention and treatment of Wernicke’s encephalopathy. QJM : Monthly Journal of the Association of Physicians105(10), 1033.

    Hunt, E. (2012). Atrial fibrillation. Nursing Standard (Royal College of Nursing (Great Britain) : 1987)27(1), 59–60.

    Bembea, M. M., Rapan Parbuoni, K. A., Zimmer, K. P., Veltri, M. A., Shilkofski, N. A., McMillan-Nelson, K., … Hunt, E. A. (2012). Characteristics of medication use during pediatric medical emergency team events  and the role of a pharmacist-provided medication supply. The Journal of Pediatric Pharmacology and Therapeutics : JPPT : The Official Journal of PPAG17(3), 236–245.

    McCrory, Michael Conor, Aboumatar, H., Custer, J. W., Yang, C. P., & Hunt, E. A. (2012). “ABC-SBAR” training improves simulated critical patient hand-off by pediatric interns. Pediatric Emergency Care28(6), 538–543.

    Bornovalova, M. A., Gratz, K. L., Daughters, S. B., Hunt, E. D., & Lejuez, C. W. (2012). Initial RCT of a distress tolerance treatment for individuals with substance use  disorders. Drug and Alcohol Dependence122(1–2), 70–76.

    Lucio, R., Hunt, E., & Bornovalova, M. (2012). Identifying the necessary and sufficient number of risk factors for predicting academic failure. Developmental Psychology48(2), 422–428.

    Schuster, R., Bornovalova, M., & Hunt, E. (2012). The influence of depression on the progression of HIV: direct and indirect effects. Behavior Modification36(2), 123–145.

    Duval-Arnould, J., Mathews, S. C., Weeks, K., Colantuoni, E., Mukherjee, A., Nundy, S., … Berenholtz, S. M. (2012). Using the Opportunity Estimator tool to improve engagement in a quality and safety intervention. Joint Commission Journal on Quality and Patient Safety38(1), 41–47, 1.

    Rosen, M. A., Hunt, E. A., Pronovost, P. J., Federowicz, M. A., & Weaver, S. J. (2012). In situ simulation in continuing education for the health care professions: a systematic review. The Journal of Continuing Education in the Health Professions32(4), 243–254.

    Jung, J. (2012). Trends in medical education: simulation. Maryland Medicine : MM : A Publication of MEDCHI, the Maryland State Medical Society13(1), 21–22.

    Clever, S. L., Dudas, R. A., Solomon, B. S., Yeh, H. C., Levine, D., Bertram, A., … Cofrancesco, J. J. (2011). Medical student and faculty perceptions of volunteer outpatients versus simulated patients in communication skills training. Academic Medicine : Journal of the Association of American Medical Colleges86(11), 1437–1442.

    Watson, C. M., Duval-Arnould, J. M., McCrory, M. C., Froz, S., Connors, C., Perl, T. M., & Hunt, E. A. (2011). Simulated pediatric resuscitation use for personal protective equipment adherence measurement and training during the 2009 influenza (H1N1) pandemic. Joint Commission Journal on Quality and Patient Safety37(11), 515–523.

    Cheng, A., Nadkarni, V., Hunt, E. A., & Qayumi, K. (2011). A multifunctional online research portal for facilitation of simulation-based research: a report from the EXPRESS pediatric simulation research collaborative. Simulation in Healthcare : Journal of the Society for Simulation in Healthcare6(4), 239–243.

    Hsieh, Y.-H., Jung, J. J., Shahan, J. B., Pollack, H. A., Hairston, H. S., Moring-Parris, D., … Rothman, R. E. (2011). Outcomes and cost analysis of 3 operational models for rapid HIV testing services in an academic inner-city emergency department. Annals of Emergency Medicine58(1 Suppl 1), S133-139.

    Kecojevic, A., Lindsell, C. J., Lyons, M. S., Holtgrave, D., Torres, G., Heffelfinger, J., … Rothman, R. E. (2011). Public health and clinical impact of increasing emergency department-based HIV testing: perspectives from the 2007 conference of the National Emergency Department HIV Testing Consortium. Annals of Emergency Medicine58(1 Suppl 1), S151-159.e1.

    Ramathal, C., Wang, W., Hunt, E., Bagchi, I. C., & Bagchi, M. K. (2011). Transcription factor CCAAT enhancer-binding protein beta (C/EBPbeta) regulates the formation of a unique extracellular matrix that controls uterine stromal differentiation and embryo implantation. The Journal of Biological Chemistry286(22), 19860–19871.

    Duval-Arnould, X., Lopes, P., & Philippe, H.-J. (2011). [Residentship in obstetrics and gynaecology in Nantes]. Gynecologie, obstetrique & fertilite39(6), 402.

    Cheng, A., Hunt, E. A., Donoghue, A., Nelson, K., Leflore, J., Anderson, J., … Nadkarni, V. (2011). EXPRESS--Examining Pediatric Resuscitation Education Using Simulation and Scripting. The birth of an international pediatric simulation research collaborative--from concept to reality. Simulation in Healthcare : Journal of the Society for Simulation in Healthcare6(1), 34–41.

    Frazier, A., Hunt, E. A., & Holmes, K. (2011). Pediatric cardiac emergencies: Children are not small adults. Journal of Emergencies, Trauma, and Shock4(1), 89–96.

    Yang, C. P., Leung, J., Hunt, E. A., Serwint, J., Norvell, M., Keene, E. A., & Romer, L. H. (2011). Pediatric residents do not feel prepared for the most unsettling situations they  face in the pediatric intensive care unit. Journal of Palliative Medicine14(1), 25–30.

    Bhanji, F., Mancini, M. E., Sinz, E., Rodgers, D. L., McNeil, M. A., Hoadley, T. A., … Hazinski, M. F. (2010). Part 16: education, implementation, and teams: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation122(18 Suppl 3), S920-933.

    Goeschel, C. A., Holzmueller, C. G., Berenholtz, S. M., Marsteller, J. A., Murphy, D. J., Sawyer, M., … Pronovost, P. J. (2010). Executive/Senior Leader Checklist to improve culture and reduce central line-associated bloodstream infections. Joint Commission Journal on Quality and Patient Safety36(11), 519–524.

    Bembea, M. M., Nadkarni, V. M., Diener-West, M., Venugopal, V., Carey, S. M., Berg, R. A., & Hunt, E. A. (2010). Temperature patterns in the early postresuscitation period after pediatric inhospital cardiac arrest. Pediatric Critical Care Medicine : A Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies11(6), 723–730.

    Chen, T.-H., Kutty, P., Lowe, L. E., Hunt, E. A., Blostein, J., Espinoza, R., … Ostroff, S. M. (2010). Measles outbreak associated with an international youth sporting event in the United States, 2007. The Pediatric Infectious Disease Journal29(9), 794–800.

    Eppich, W. J., Zonfrillo, M. R., Nelson, K. L., & Hunt, E. A. (2010). Residents’ mental model of bag-mask ventilation. Pediatric Emergency Care26(9), 646–652.

    Liao, S. C., Hunt, E. A., & Chen, W. (2010). Comparison between inter-rater reliability and inter-rater agreement in performance assessment. Annals of the Academy of Medicine, Singapore39(8), 613–618.

    Sawyer, M., Weeks, K., Goeschel, C. A., Thompson, D. A., Berenholtz, S. M., Marsteller, J. A., … Pronovost, P. J. (2010). Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections. Critical Care Medicine38(8 Suppl), S292-298.

    DeVita, M. A., Smith, G. B., Adam, S. K., Adams-Pizarro, I., Buist, M., Bellomo, R., … Winters, B. (2010). “Identifying the hospitalised patient in crisis”--a consensus conference on the afferent limb of rapid response systems. Resuscitation81(4), 375–382.

    Frazier, J. L., Bova, G. S., Jockovic, K., Hunt, E. A., Lee, B., & Ahn, E. S. (2010). Disseminated intravascular coagulation associated with ventriculoperitoneal shunt surgery. Journal of Neurosurgery. Pediatrics5(3), 306–309.

    Hsieh, Y.-H., Jung, J. J., Shahan, J. B., Moring-Parris, D., Kelen, G. D., & Rothman, R. E. (2009). Emergency medicine resident attitudes and perceptions of HIV testing before and after a focused training program and testing implementation. Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine16(11), 1165–1173.

    Hunt, Elizabeth A., Vera, K., Diener-West, M., Haggerty, J. A., Nelson, K. L., Shaffner, D. H., & Pronovost, P. J. (2009). Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents during simulated cardiopulmonary arrests. Resuscitation80(7), 819–825.

    Hunt, E. A., Brunetti, M., Nelson, K. L., Shilkofski, N. A., & Peddy, S. B. (2009). Recognition and initial management of cardiac emergencies in children. Minerva Pediatrica61(2), 141–162.

    Nishisaki, A., Hales, R., Biagas, K., Cheifetz, I., Corriveau, C., Garber, N., … Nadkarni, V. (2009). A multi-institutional high-fidelity simulation “boot camp” orientation and training program for first year pediatric critical care fellows. Pediatric Critical Care Medicine : A Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies10(2), 157–162.

    Hunt, Elizabeth A., Patel, S., Vera, K., Shaffner, D. H., & Pronovost, P. J. (2009). Survey of pediatric resident experiences with resuscitation training and attendance at actual cardiopulmonary arrests. Pediatric Critical Care Medicine : A Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies10(1), 96–105.

    Hunt, Elizabeth A., Mancini, M. E., Smyth, M., & Truitt, T. L. (2009). Using the American Heart Association’s National Registry of Cardiopulmonary Resuscitation for performance improvement. Joint Commission Journal on Quality and Patient Safety35(1), 13–20.

    Heitmiller, E. S., Nelson, K. L., Hunt, E. A., Schwartz, J. M., Yaster, M., & Shaffner, D. H. (2008). A survey of anesthesiologists’ knowledge of American Heart Association Pediatric  Advanced Life Support Resuscitation Guidelines. Resuscitation79(3), 499–505.

    Schwartz, J. M., Nelson, K. L., Saliski, M., Hunt, E. A., & Pronovost, P. J. (2008). The daily goals communication sheet: a simple and novel tool for improved communication and care. Joint Commission Journal on Quality and Patient Safety34(10), 608–613, 561.

    Hunt, Elizabeth A., Fiedor-Hamilton, M., & Eppich, W. J. (2008). Resuscitation education: narrowing the gap between evidence-based resuscitation guidelines and performance using best educational practices. Pediatric Clinics of North America55(4), 1025–1050, xii.

    Eppich, W. J., Brannen, M., & Hunt, E. A. (2008). Team training: implications for emergency and critical care pediatrics. Current Opinion in Pediatrics20(3), 255–260.

    McCabe, M. E., Hunt, E. A., & Serwint, J. R. (2008). Pediatric residents’ clinical and educational experiences with end-of-life care. Pediatrics121(4), e731-737.

    Hunt, Elizabeth A., Zimmer, K. P., Rinke, M. L., Shilkofski, N. A., Matlin, C., Garger, C., … Miller, M. R. (2008). Transition from a traditional code team to a medical emergency team and categorization of cardiopulmonary arrests in a children’s center. Archives of Pediatrics & Adolescent Medicine162(2), 117–122.

    Hunt, Elizabeth A., Walker, A. R., Shaffner, D. H., Miller, M. R., & Pronovost, P. J. (2008). Simulation of in-hospital pediatric medical emergencies and cardiopulmonary arrests: highlighting the importance of the first 5 minutes. Pediatrics121(1), e34-43.

    Shilkofski, N. A., Nelson, K. L., & Hunt, E. A. (2008). Recognition and treatment of unstable supraventricular tachycardia by pediatric residents in a simulation scenario. Simulation in Healthcare : Journal of the Society for Simulation in Healthcare3(1), 4–9.

    Nelson, K. L., Shilkofski, N. A., Haggerty, J. A., Saliski, M., & Hunt, E. A. (2008). The use of cognitive AIDS during simulated pediatric cardiopulmonary arrests. Simulation in Healthcare : Journal of the Society for Simulation in Healthcare3(3), 138–145.

    Maher, E. N., Hansen, S. F., Heine, M., Meers, H., Yaster, M., & Hunt, E. A. (2007). Knowledge of procedural sedation and analgesia of emergency medicine physicians. Pediatric Emergency Care23(12), 869–876.

    Hunt, Elizabeth A., Heine, M., Hohenhaus, S. M., Luo, X., & Frush, K. S. (2007). Simulated pediatric trauma team management: assessment of an educational intervention. Pediatric Emergency Care23(11), 796–804.

    Ding, R., Jung, J. J., Kirsch, T. D., Levy, F., & McCarthy, M. L. (2007). Uncompleted emergency department care: patients who leave against medical advice. Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine14(10), 870–876.

    Nelson, K. L., Mills, W. J., Umbel, S., Crosson, J. E., Shaffner, D. H., & Hunt, E. A. (2007). Lightning, sudden cardiac death, simulation and an automated external defibrillator: the perfect storm. Resuscitation74(3), 567–571.

    Hunt, Elizabeth A., Shilkofski, N. A., Stavroudis, T. A., & Nelson, K. L. (2007). Simulation: translation to improved team performance. Anesthesiology Clinics25(2), 301–319.

    Winters, B. D., Pham, J. C., Hunt, E. A., Guallar, E., Berenholtz, S., & Pronovost, P. J. (2007). Rapid response systems: a systematic review. Critical Care Medicine35(5), 1238–1243.

    Shilkofski, N. A., & Hunt, E. A. (2007). A pediatric medical emergency team manages a complex child with hypoxia and worried parent. Joint Commission Journal on Quality and Patient Safety33(4), 236–241, 185.

    Ding, R., McCarthy, M. L., Li, G., Kirsch, T. D., Jung, J. J., & Kelen, G. D. (2006). Patients who leave without being seen: their characteristics and history of emergency department use. Annals of Emergency Medicine48(6), 686–693.

    Hunt, Elizabeth A., Nelson, K. L., & Shilkofski, N. A. (2006). Simulation in medicine: addressing patient safety and improving the interface between healthcare providers and medical technology. Biomedical Instrumentation & Technology40(5), 399–404.

    Pronovost, P. J., Berenholtz, S. M., Goeschel, C. A., Needham, D. M., Sexton, J. B., Thompson, D. A., … Hunt, E. (2006). Creating high reliability in health care organizations. Health Services Research41(4 Pt 2), 1599–1617.

    Yuan, C., Guo, Y., Ravi, R., Przyklenk, K., Shilkofski, N., Diez, R., … Murphy, A. M. (2006). Myosin binding protein C is differentially phosphorylated upon myocardial stunning in canine and rat hearts-- evidence for novel phosphorylation sites. Proteomics6(14), 4176–4186.

    Hunt, Elizabeth A., Hohenhaus, S. M., Luo, X., & Frush, K. S. (2006). Simulation of pediatric trauma stabilization in 35 North Carolina emergency departments: identification of targets for performance improvement. Pediatrics117(3), 641–648.

    Admire, A., Shanks, L., Danzl, N., Wang, M., Weier, U., Stevens, W., … Weinert, T. (2006). Cycles of chromosome instability are associated with a fragile site and are increased by defects in DNA replication and checkpoint controls in yeast. Genes & Development20(2), 159–173.

    Hunt, Elizabeth A., Schwartz, J. M., & Fackler, J. C. (2005). Surfactant and pediatric acute lung injury. JAMA294(8), 898–899; author reply 899.

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