Thomas B. Welch-Horan, MD

Personal Statement

Projects

Evolution of clinical event debriefs in a quaternary pediatric emergency department after utilization of a debriefing tool

Section of Emergency Medicine, Department of Pediatrics (09/2018 - 06/2021)

Qualitative research project to elucidate themes elicited during debriefing after resuscitations and other high-stakes events in a pediatric emergency department in the 6 years after implementation of a novel debriefing tool, with particular attention to the emergence of information around Crisis Resource Management.

DISCERN-SQI (Debriefing In Significant Clinical Events and Resuscitations Now for System-wide Quality Improvement)

Texas Children's Hospital Simulation Center and Sections of Emergency Medicine & Critical Care Medicine (05/2020 - present)

Co-lead QI/research effort, via the Education Subcommittee and Data Subcommittee of the hospital-wide CPR Committee, to build a process and an online tool that connects qualitative debriefing of resuscitations and other high-stakes clinical events to the systematic gathering of resuscitation data such as quantitative metrics of CPR quality.

DISCOVER-TooL for debriefing of COVID-19 events

Texas Children's Hospital Simulation Center & Emergency Center (03/2020 - 05/2021)

Implementation of "Debriefing In Suspected COVid-19 to Encourage Reflection & Team Learning" (DISCOVER-TooL). Quality improvement project implementing a clinical event debriefing tool to aid teamwork, organizational learning, and communication around care for patients with suspected or confirmed COVID-19 illness.

Education

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* Texas Children’s Hospital physicians’ licenses and credentials are reviewed prior to practicing at any of our facilities. Sections titled From the Doctor, Professional Organizations and Publications were provided by the physician’s office and were not verified by Texas Children’s Hospital.

Servotte JC, Welch-Horan TB, Mullan P, Piazza J, Ghuysen A, Szyld D "Development and implementation of an end-of-shift clinical debriefing method for emergency departments during COVID-19." Adv Simul (Lond). 2020; Pubmed PMID: 33292850

Welch-Horan TB, Lemke DS, Bastero P, et al. "Feedback, reflection and team learning for COVID-19: development of a novel clinical event debriefing tool." 2020 May 21;

Zinns LE, Welch-Horan TB, Moore TA, Ades A, Wolfe HA, Mullan PC "Implementation of an Innovative, Multiunit, Postevent Debriefing Program in a Children's Hospital." Pediatr Emerg Care. 2019 Jul; Pubmed PMID: 31335786

Boutis K, Cano S, Pecaric M, et al. "Interpretation difficulty of normal versus abnormal radiographs using a pediatric example." Can Med Educ J. 2016 Mar 31;7(1):e68-e77. Pubmed PMID: 27103955