OPENPediatrics

In this World Shared Practice Forum Podcast, Drs. Luregn Schlapbach and Janet Kelly-Geyer discuss the implementation and impact of the Airway, Breathing, Circulation - Plan, Risk, Options (ABC-PRO) handover tool in the Pediatric Intensive Care Unit. They discuss how a structured, proactive risk assessment during clinical handovers can reduce cardiac arrest rates and improve patient outcomes. They share perspectives on enhancing team situational awareness by anticipating high-risk events, identifying management strategies, and encouraging multidisciplinary participation in anticipatory care. Lastly, they highlight how the ABC-PRO framework advances overall patient safety in critical care settings.

LEARNING OBJECTIVES
- Understand the ABC-PRO tool’s function in reducing cardiac arrests and enhancing safety
- Examine bedside team-based discussions around key patient risks during handovers using the ABC-PRO tool
- Recognize the significance of interdisciplinary collaboration in patient management
- Assess the potential for implementing similar handover improvements in diverse healthcare settings

AUTHORS
Luregn Schlapbach, MD, PhD
Professor in Pediatric Intensive Care,
Head of Department of Intensive Care and Neonatology,
University Children`s Hospital Zurich

Janet Kelly-Geyer, MBChB
Senior PICU Consultant
University Children's Hospital Zurich

Jeffrey Burns, MD, MPH
Emeritus Chief
Division of Critical Care Medicine
Department of Anesthesiology, Critical Care and Pain Medicine
Boston Children's Hospital
Professor of Anesthesia
Harvard Medical School

DATE
Initial publication date: March 24, 2026.

ARTICLES REFERENCED
- Catchpole KR, de Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. Paediatr Anaesth. 2007;17(5):470-478. doi:10.1111/j.1460-9592.2006.02239.x

- Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. N Engl J Med. 2014;371(19):1803-1812. doi:10.1056/NEJMsa1405556

- Riley CM, Diddle JW, Harlow A, et al. Shifting the Paradigm: A Quality Improvement Approach to Proactive Cardiac Arrest Reduction in the Pediatric Cardiac Intensive Care Unit. Pediatr Qual Saf. 2022;7(1):e525. Published 2022 Jan 21. doi:10.1097/pq9.0000000000000525

- Spaeder MC, Lee L, Miller C, Keim-Malpass J, Harmon WG, Kausch SL. Incidence of cardiac arrest following implementation of a predictive analytics display in a pediatric intensive care unit. Resusc Plus. 2025;21:100862. Published 2025 Jan 2. doi:10.1016/j.resplu.2024.100862

TRANSCRIPT
https://cdn.bfldr.com/D6LGWP8S/at/f7xr7vcxc6f4mhc9736tzpb/202603_WSP_Schlapbach___Kelly-Geyer_Transcript.pdf

Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access thus at no expense to the user. For further information on how to enroll, please email: [email protected]

CITATION
Schlapbach LJ, Kelly-Geyer JF, Burns JP. Reducing Cardiac Arrests in the PICU with ABC-PRO. 03/2026. OPENPediatrics. Online Podcast.

In this Complex Care Journal Club podcast episode, Drs. Astrida Kaugars and Jessica Schnell discuss a measure development and preliminary validation study of a Complex Care Program Family Impact Questionnaire. They describe the importance of capturing the value of complex care programs, the four domains of program impact that were identified (general satisfaction, caregiver well-being, family well-being, and medical care empowerment), and next steps from this work.

SPEAKERS
Astrida Kaugars, PhD
Professor, Psychology
Marquette University

Jessica L. Schnell, MD, MPH
Associate Professor of Pediatrics, Complex Care
Medical College of Wisconsin

HOST
Emily J. Goodwin, MD
Clinical Associate Professor of Pediatrics,
University of Missouri, Kansas City School of Medicine
Pediatrician, General Academic Pediatrics Beacon Program,
Children’s Mercy, Kansas City

DATE
Initial publication date: March 10, 2026.

JOURNAL CLUB ARTICLE
Kaugars AS, Bungert N, Lee KJ, Michlig J, Oswald DL, Paul MK, Quates SK, Schnell JL. Capturing caregivers' and families' experiences in a Complex Care Program: development of the Complex Care Program-Family Impact Questionnaire (CCP-FIQ). J Pediatr Psychol. 2025 Nov 16:jsaf096. doi: 10.1093/jpepsy/jsaf096. Epub ahead of print. PMID: 41241776; PMCID: PMC12826604.

TRANSCRIPT
https://cdn.bfldr.com/D6LGWP8S/as/qkc6tx5crb2k4pp6fpbc4gf/Kaugars_and_Schnell_final_transcript

Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6.

Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access thus at no expense to the user.

For further information on how to enroll, please email: [email protected]

CITATION
Kaugars A, Schnell JL, Goodwin EJ. Measuring the Value of Complex Care Programs to Families, With Families. 3/2026. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/measuring-the-value-of-complex-care-programs-to-families-with-families.

In this World Shared Practice Forum Podcast, Dr. Robert Tasker, Editor-in-Chief of the journal Pediatric Critical Care Medicine, discusses strategies for successful scholarship in pediatric critical care with a lens towards fellows and junior faculty. In discussion with co-hosts, Drs. Ruth Riedl and Katherine Rosengard, Dr. Tasker reviews clinical reports, effective engagement with the literature, and the role of mentorship in academia. He shares insights on pivotal themes in pediatric critical care literature, encouraging clinicians to engage actively with published research and contribute to evidence-driven practice.

LEARNING OBJECTIVES
- Recognize the significance of structured clinical research reports in pediatric critical care
- Develop strategies for effective engagement with and utilization of medical literature
- Identify the role of mentorship in academic scholarship and career development
- Review the importance of the audience in academic projects and the implications for publication

AUTHORS
Robert Tasker, MBBS, MD
Editor-in-Chief, Pediatric Critical Care Medicine
Senior Associate in Critical Care Medicine, Department of Anesthesiology, Critical Care and Pain Medicine
Boston Children's Hospital
Professor of Anesthesia
Harvard Medical School
College Lecturer in Medicine and Graduate Tutor
Selwyn College, University of Cambridge

Ruth Riedl, MD
Chief Fellow, Pediatric Critical Care Medicine
Boston Children's Hospital

Katherine Rosengard, MD, MBA
Chief Fellow, Pediatric Critical Care Medicine
Boston Children's Hospital

Traci Wolbrink, MD, MPH‌
Senior Associate in Critical Care Medicine; Department of Anesthesiology, Critical Care and Pain Medicine
Boston Children's Hospital
Associate Professor of Anesthesia
Harvard Medical School

DATE
Initial publication date: February 24, 2026.

TRANSCRIPT
https://cdn.bfldr.com/D6LGWP8S/at/84nhn6mvprnkpqjm3cq57pm8/202602_WSP_Tasker_Transcript.pdf

Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access thus at no expense to the user. For further information on how to enroll, please email: [email protected]

CITATION
Tasker RC, Riedl R, Rosengard K, Wolbrink TA. Navigating Scholarly Writing and Academic Productivity. 02/2026. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/navigating-scholarly-writing-and-academic-productivity-by-rtaskeretal.

In this Complex Care Journal Club podcast episode, Drs. Kathleen Chiotos and Jeffrey Gerber discuss a post hoc time-series analysis of clinician feedback reports and antibiotic prescribing for community-acquired pneumonia in children with medical complexity (CMC). They describe why children with medical complexity are often excluded from guideline-based interventions, what the data suggest about antibiotic choice and duration in this population, and next steps to design studies that include all children.

SPEAKERS
Kathleen Chiotos, MD, MSCE
Associate Professor of Anesthesiology and Critical Care
University of Pennsylvania, Children's Hospital of Philadelphia

Jeffery Gerber, MD, PhD
Professor of Pediatrics and Epidemiology
University of Pennsylvania School of Medicine;
Children's Hospital of Philadelphia

HOST
Kristina Malik, MD
Assistant Professor of Pediatrics,
University of Colorado School of Medicine
Medical Director, KidStreet
Pediatrician, Special Care Clinic,
Children's Hospital Colorado

DATE
Initial publication date: February 17, 2026.

JOURNAL CLUB ARTICLE
Chiotos K, Dutcher L, Grundmeier RW, Szymczak JE, Lautenbach E, Neuhauser MM, Hicks LA, Hamilton KW, Li Y, Muller BM, Meyahnwi D, Congdon M, Kane E, Hart J, Utidjian L, Cressman L, Jaskowiak-Barr A, Gerber JS. Off-target Impact of Clinician Feedback Reports on Antibiotic Use in Children With Medical Complexity Hospitalized With Community-Acquired Pneumonia. J Pediatric Infect Dis Soc. 2025 Oct 2;14(10):piaf089. doi: 10.1093/jpids/piaf089. PMID: 41051365.

OTHER ARTICLES REFERENCED
Chiotos K, Dutcher L, Grundmeier RW, Meyahnwi D, Lautenbach E, Neuhauser MM, Hicks LA, Hamilton KW, Li Y, Szymczak JE, Muller BM, Congdon M, Kane E, Hart J, Utidjian L, Cressman L, Jaskowiak-Barr A, Gerber JS. Impact of Clinician Feedback Reports on Antibiotic Use in Children Hospitalized With Community-acquired Pneumonia. Clin Infect Dis. 2025 Feb 24;80(2):263-270. doi: 10.1093/cid/ciae593. PMID: 39656188; PMCID: PMC12120840.

Feudtner C, Feinstein JA, Zhong W, Hall M, Dai D. Pediatric complex chronic conditions classification system version 2: updated for ICD-10 and complex medical technology dependence and transplantation. BMC Pediatr. 2014 Aug 8;14:199. doi: 10.1186/1471-2431-14-199. PMID: 25102958; PMCID: PMC4134331.

TRANSCRIPT
https://cdn.bfldr.com/D6LGWP8S/as/bgxn4mqgk45zjxhxpxgxf3px/Chiotos_and_Gerber_podcast_2-13-26

Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6.

Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access thus at no expense to the user. For further information on how to enroll, please email: [email protected]

CITATION
Chiotos K, Gerber JS, Malik K. Evidence for Everyone: Studying Antibiotic Use for Pneumonia in Children With Medical Complexity. 2/2026. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/evidence-for-everyone-studying-antibiotic-use-for-pneumonia-in-children-with-medical-complexity.

This Physician World Shared Practice Forum Podcast explores two multicenter studies on extubation outcomes in neonates and children following congenital cardiac surgery. These studies incorporate integration of machine learning and risk analytics for extubation decision-making, and examine extubation readiness and extubation failure outcomes.

LEARNING OBJECTIVES
- Understand the key factors influencing extubation outcomes following congenital cardiac surgery
- Examine the use of machine learning and risk analytics in neonatal and pediatric extubation decisions
- Discuss how machine learning can improve clinical decision-making and patient safety

AUTHORS
Daniel Hames, MD, MPH
Assistant Professor of Pediatrics,
Cardiac Care Unit
Director of Quality and Safety
University of Nebraska Medical Center
Children's Nebraska

Jeffrey Burns, MD, MPH
Emeritus Chief
Division of Critical Care Medicine
Department of Anesthesiology, Critical Care and Pain Medicine
Boston Children's Hospital
Professor of Anesthesia
Harvard Medical School

DATE
Initial publication date: January 27, 2026.

ARTICLES REFERENCED
- Hames DL, Abbas Q, Asfari A, Borasino S, Diddle JW, Gazit AZ, Lipsitz S, Marshall A, Reise K, Guerineau LR, Wolovits JS, Salvin JW. Extubation Failure in Neonates Following Congenital Cardiac Surgery: Multicenter Retrospective Cohort, 2017-2020. Pediatr Crit Care Med. 2025 May 1;26(5):e590-e599. doi: 10.1097/PCC.0000000000003703. Epub 2025 Feb 10. PMID: 39927824.

- Hames DL, Abbas Q, Asfari A, et al. Clinical and Risk Analytics Associations With Extubation Failure in Children Following Congenital Cardiac Surgery: A Multicenter Retrospective Cohort Study, 2017-2020. Pediatr Crit Care Med. 2025;26(9):e1105-e1114. doi:10.1097/PCC.0000000000003793.

TRANSCRIPT
https://cdn.bfldr.com/D6LGWP8S/as/w7qqc97g6m9g5n5vrq5vkx6x/202601_WSP_Hames_Transcript.

Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access thus at no expense to the user. For further information on how to enroll, please email: [email protected]

CITATION
Hames DL, Burns JP. Integrating Risk Analytics in Post-Cardiac Surgery Extubation Readiness. 01/2026. OPENPediatrics. Online Podcast.