Summaries of Independent Scientist (K) Awards

Slonim, Anthony

Institution: Children's Research Institute, Washington DC
Grant Title: Improving the Safety of Blood Product Transfusions in Children
Grant Number: K08 HS014009
Duration: 3 years (2003-2006)
Total Award: $375,760

Project Description: The purpose of this project is to improve the quality of care in blood product transfusion practices by reducing avoidable errors and considerable variation in practice. The investigator will perform a probabilistic risk assessment of blood product transfusion practices in children so that opportunities to reduce and improve safety for other low frequency, high-impact processes can be identified.

Career Goals: Dr. Slonim is a critical care physician and desires to develop the skills and experience necessary to conduct independent investigations with a specific focus on patient safety and healthcare quality.

Progress to Date: Dr. Slonim has made considerable progress related to both the training and publishing components of this award. Dr. Slonim completed his degree requirements and was awarded the Dr.P.H. degree in Health Policy from the George Washington University School of Public Health in August of 2005. His dissertation was entitled: "Medical Errors in Children Hospitalized at Academic Children's Hospitals: An Analysis Using Hierarchical Modeling". In addition, formal training in risk analysis, process simulation, and statistical methods have provided the background for Dr. Slonim to become an independent investigator in issues related to healthcare quality and patient safety and to provide opportunities for improving the safety and delivery of blood product transfusions to hospitalized children.

Future Plans: Dr. Slonim will follow his original research and career development plans. This includes regular meetings with his mentor, attending national professional meetings, and manuscript preparation.

Highlights and Specific Accomplishments:

• Academic Appointments:
  • Associate Professor, Pediatrics and Internal Medicine, The George Washington University School of Medicine.
• Editorial Boards:
  • Chest.
  • Critical Care Medicine.
  • Pediatric Critiacl Care Medicine.
  • Current Respiratory Medicine Reviews.
• Training:
  • The Advisory Board Company's Academy Fellowship Program, Executive Fellows Section, Washington DC.
  • Six Sigma Green Belt Training-Green Belt Certified.
  • System Reliability and Optimization Training.
  • Simulating Healthcare Systems.
  • The Advisory Board Company's Physician Leadership Academy, Washington DC.
• Professional Societies:
  • Elected to the Society for Pediatric Research.
  • American College of Physician Executives: Fellow.
  • American Board of Pediatrics-Certified in Pediatrics and Critical Care.
  • American Board of Internal Medicine-Certified in Internal Medicine and Critical Care.

K-Generated Publications:

• Peer Reviewed Publications:
  • Kanter DE, Turenne W, and Slonim, AD. Hospital Reported Medical Errors in Premature Neonates. Pediatric Critical Care 2004;5:119-23.
  • Chamberlain JM, Slonim AD, Joseph JG. Reducing Errors and Promoting Safety in Pediatric Emergency Care. Ambulatory Pediatrics 2004 Jan-Feb;4(1):55-63.
  • Slonim AD, Pollack MM. Integrating the Institute of Medicine's Six Quality Aims into Pediatric Critical Care: Relevance and Applications. Pediatric Critical Care 2005;6:264-9.
  • Holt AE, Turenne WM, Slonim AD. HIV and Respiratory Disease: A Contemporary Perspective. Current Respiratory Medicine Review 2005;1:307-16.
  • Stockwell DC, Pollack MM, Turenne WM, Slonim AD. Leadership and Management Training of Pediatric Intensivists: How Do We Gain Our Skills? Pediatric Critical Care Medicine 2005;6:665-70.
  • Chavanu KC, Newman K, Fried W, Daymont M, Slonim AD, et al. Transforming a Payer-Provider Relationship from Conflict to Collaboration. Journal for Healthcare Quality 2006;28:4-11.
  • Stockwell DC, Slonim AD. Quality and Safety in the Intensive Care Unit. Journal of Intensive Care 2006 (in press).
  • Maniscalco J, Ottolini M, Turenne W, Chavanu K, and Slonim AD. Outliers for Length of Stay During Pediatric Hospitalization. Journal of Clinical Outcomes Management 2006 (in press).
• Invited Manuscripts:
  • Stockwell DC, Slonim AD. Dissecting Sepsis Outcomes in Critically Ill Children. American Journal of Respiratory and Critical Care Medicine 171:297-98.
  • Stockwell DC, Slonim AD. Insurance and Risk Management Strategies for Physicians and Advisors. Ed: Marcinko DE. http://www.acpe.org/bookreview/index.htm.
  • Slonim AD. Managing Pain in the Critically Ill: A Measure of Quality. Legal Nurse Consultant Newspaper 2005;2:12-3.
  • Slonim AD. Managing Pain in the Critically Ill: A Measure of Quality. Critical Connections 2004;3:1.
  • Slonim AD. Healthcare Inequities in the PICU. Peds Crit Care Med 2006;7:86-7.
  • Hsu A, Slonim AD. Pediatric Trauma Prevention: The Role of the Critical Care Professional. Critical Connections 2006;2:10-1.
  • Stockwell DC, Slonim AD. Volume and Quality. Critical Care Medicine 2006;34 (in press).
  • Corriveau C, Slonim AD. Improving Access to Intensive Care: Is Insurance the Problem? Critical Care Medicine 2006;34 (in press).
• Textbooks Edited:
  • Fisher Owens SA, Slonim AD, Eds. Pediatric Practice Questions for Board Review. Medtext Publishing Company, Redondo Beach, CA. 2005.
• Book Chapters:
  • Gibson CL, Slonim AD: "Shock and Anaphylaxis" In: Czervinske MP and Barnhart SL, editors, Perinatal and Pediatric Respiratory Care, 3rd Edition, Philadelphia, W. B. Saunders Company 2006.
  • Stockwell DC, Slonim AD. Patient Safety in the Pediatric Intensive Care Unit. In: Wheeler D and Wong H. Pediatric Critical Care 2006 (in press).
  • Slonim AD, Pollack MM: "Evaluating pediatric critical care". In: Shoemaker WC, Ayres SM, Grenvik A, and Kochanek P, editors, Textbook of Critical Care, 5th Edition (in press).
  • Slonim AD, Marcin JP, and Pollack, MM: "Outcome Prediction in the Pediatric Intensive Care Unit". In: Fuhrman BP and Zimmerman J, editors, Pediatric Critical Care, 3rd Edition. Mosby and Company, 2005.

AHRQ Research Portfolios: Quality and Patient Safety; Training.
AHRQ Goals: Safety and Quality

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