Lenora Olson

Lenora Olson
University of Utah | UOU · Department of Pediatrics

PhD University of Utah

About

156
Publications
16,548
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3,183
Citations
Introduction

Publications

Publications (156)
Article
Background: Pediatric palliative care (PPC) consultation is infrequent among children on extracorporeal membrane oxygenation (ECMO). Objective: Investigate intensive care unit (ICU) team members' perceptions of automatic PPC consultation for children on ECMO in an ICU in the United States. Methods: Cross-sectional survey assessing benefits, barrier...
Article
Objectives This article described parents' experience and identifies outcomes important to parents following their child's critical illness. Methods Semistructured interviews with 22 female and 4 male parents representing 26 critically ill children with predominately neurologic and respiratory diagnoses. Most children were younger than 5 years at d...
Article
Survey response is higher when the request comes from a familiar entity compared to an unknown sender. Little is known about how sender influences response to surveys of organizations. We assessed whether familiarity of the sender influences response outcomes in a survey of emergency medical services agencies. Emergency medical services agencies in...
Article
Pediatric palliative care (PPC) provides an extra layer of support for families caring for a child with complex heart disease as these patients often experience lifelong morbidities with frequent hospitalizations and risk of early mortality. PPC referral at the time of heart disease diagnosis provides early involvement in the disease trajectory, al...
Article
Objectives: Treating pediatric patients often invokes discomfort and anxiety among emergency medical service (EMS) personnel. As part of the process to improve pediatric care in the prehospital system, the Health Resources and Services Administration (HRSA) Emergency Services for Children (EMSC) Program implemented two prehospital performance measu...
Article
Importance The National Pediatric Readiness Project is a US initiative to improve emergency department (ED) readiness to care for acutely ill and injured children. However, it is unclear whether high ED pediatric readiness is associated with improved survival in US trauma centers. Objective To evaluate the association between ED pediatric readines...
Article
Objective Retrospectively apply criteria from Center to Advance Palliative Care to a cohort of children treated in a cardiac ICU and compare children who received a palliative care consultation to those who were eligible for but did not receive one. Methods Medical records of children admitted to a cardiac ICU between January 2014 and June 2017 we...
Article
Objectives: Assessing outcomes after pediatric critical illness is imperative to evaluate practice and improve recovery of patients and their families. We conducted a scoping review of the literature to identify domains and instruments previously used to evaluate these outcomes. Design: Scoping review. Setting: We queried PubMed, EMBASE, PsycI...
Article
Objective: Investigate clinical and system drivers of family satisfaction in the PICU. Design: Mixed methods qualitative and quantitative (observational) study. Qualitative interviews with families were performed as a pilot to inform modality of survey distribution based on family preferences. A validated pediatric satisfaction survey deployed t...
Article
Objectives: Describe pediatric palliative care consult in children with heart disease; retrospectively apply Center to Advance Palliative Care criteria for pediatric palliative care consults; determine the impact of pediatric palliative care on end of life. Design: A retrospective single-center study. Setting: A 16-bed cardiac ICU in a univers...
Article
Background Pediatric Intensive Care Unit (PICU) teams provide care for critically ill children with diverse and often complex medical and surgical conditions. Researchers often lack guidance on an approach to select the best outcomes when evaluating this critically ill population. Studies would be enhanced by incorporating multi-stakeholder prefere...
Article
Full-text available
Objectives The majority of US children do not have access to an emergency department (ED) with a pediatric mental health care policy in place. Our objective was to understand factors associated with whether US EDs have a pediatric mental health care policy. Methods We analyzed data from the National Pediatric Readiness Project, a nationally repres...
Article
Objective: To describe the relationship between statewide pediatric facility recognition (PFR) programs and pediatric readiness in emergency departments (EDs) in the US. Study design: Data were extracted from the 2013 National Pediatric Readiness Project assessment (4083 EDs). Pediatric readiness was assessed using the weighted pediatric readine...
Article
“An International Meeting on Wolf‐Hirschhorn Syndrome (WHS)” was held at The University Hospital La Paz in Madrid, Spain (October 13–14, 2017). One hundred and twenty‐five people, including physicians, scientists and affected families, attended the meeting. Parent and patient advocates from the Spanish Association of WHS opened the meeting with a p...
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Full-text available
Background: Emergency departments (EDs) vary in their level of readiness to care for pediatric emergencies. We evaluated the effect of ED pediatric readiness on the mortality of critically ill children. Methods: We conducted a retrospective cohort study in Florida, Iowa, Massachusetts, Nebraska, and New York, focusing on patients aged 0 to 18 ye...
Chapter
Get practical and essential evidence-based guidelines and AAP references for evaluating and treating sentinel injuries, physical abuse, and sexual abuse. https://shop.aap.org/pediatric-collections-child-abuse-overview-and-evaluation-paperback/
Article
Background: Child abuse pediatricians (CAPs) are often consulted for injuries when child physical abuse is suspected or when the etiology of a serious injury is unclear. CAPs carefully evaluate the reported mechanism of the child's injury and the medical findings in the context of the child's family and social setting to identify possible risk and...
Article
Objectives: Pediatric patients represent a small proportion of emergency medical services (EMS) calls, challenging providers in maintaining skills in treating children. Having structural capacity to appropriately diagnose and treat pediatric patients is critical. Our study measured the availability of off-line and on-line medical direction and rec...
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Full-text available
Objective: Pediatric patients represent low frequency but potentially high-risk encounters for EMS providers. Scant information is available from EMS agencies on the frequency of pediatric skill evaluation and the presence of pediatric emergency care coordination, both which may help EMS systems optimize care for children. The objective of our stu...
Article
The Therapeutic Hypothermia After Pediatric Cardiac Arrest Out-of-Hospital (THAPCA-OH) Trial showed therapeutic hypothermia, versus normothermia, did not significantly improve 1-year survival with good neurobehavioral outcome. Our survey of pediatric critical care physicians, designed to assess the use of targeted temperature management (TTM) after...
Article
The web-push method has been shown to increase web response rates in general public surveys. Response rates from two waves of the Emergency Medical Services for Children Program’s Performance Measures Survey, a state-administered establishment survey, were compared to determine if the second wave's revised, centralized implementation strategy impro...
Article
Performance measurement is the process involving regular data collection and analysis to determine efficacy of programs and services. Whereas businesses have long measured performance success through profits, public agencies are focused on outcome-based performance given that they provide public services. In the United States, federal interest in p...
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Full-text available
Purpose Critical Access Hospitals (CAHs), often the first point of access for emergency care, see few children and are challenged to remain proficient in caring for pediatric patients. Our analysis provides guidance to facilitate increasing CAHs staffs’ ability to provide effective pediatric emergency care. Methods The National Pediatric Readiness...
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Full-text available
Seizures are present in over 90% of infants and children with Wolf-Hirschhorn syndrome (WHS). When present, they significantly affect quality of life. The goal of this study was to use caregiver reports to describe the comparative efficacies of commonly used antiepileptic medications in a large population of individuals with WHS. A web-based, confi...
Article
Children exposed to intimate partner violence (IPV) are at increased risk for health problems. The moment that a mother seeks services for or safety from IPV may be a window of opportunity to offer needed health care for her children. The objective of the study is to describe the perceptions of child health conditions and needs among mothers seekin...
Article
Objective: To determine the geographic accessibility of emergency departments (EDs) with high pediatric readiness by assessing the percentage of US children living within a 30-minute drive time of an ED with high pediatric readiness, as defined by collaboratively developed published guidelines. Study design: In this cross-sectional analysis, we...
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Full-text available
Background: The medical literature reports differential decision-making for children with suspected physical abuse based on race and socioeconomic status. Differential evaluation may be related to differences of risk indicators in these populations or differences in physicians' perceptions of abuse risk. Our objective was to understand the contrib...
Article
Background: Poor and minority children with injuries concerning for abuse are evaluated and diagnosed for abuse differentially. We hypothesized that 2 steps in the decision-making process would influence evaluation and diagnosis: social intuition from meeting the family and objective social information associated with child abuse risk. Methods:...
Article
Objective The purpose of this study was to determine the feasibility of modifying the TACT program, originally designed to work on state highways, within a metropolitan area to reduce unsafe interactions and their related crashes between drivers of large trucks and passenger vehicles. Methods Using crash data, the driving behaviors most commonly as...
Article
Objective: Every year, emergency medical services agencies transport approximately 150,000 pediatric patients between hospitals. During these transitions of care, patient safety may be affected and contribute to adverse events when important clinical information is missing, incomplete, or inaccurate. Written interfacility transfer policies are one...
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Full-text available
http://sgo.sagepub.com/content/6/4/2158244016675015 Rape myth acceptance is an important determinant of sexual assault behaviors. This study explored country and gender differences in rape myth acceptance among undergraduate students in the United States, Japan, and India. Male and female college students (N = 637) in these three countries partici...
Article
Primary and mental health free clinics provide free or reduced fee primary care services to underserved populations. The purpose of this study is to describe health status and social characteristics among the uninsured utilizing a mental health free clinic. This study involved two parts: 1) a chart review for all new patients (N=157); and 2) a self...
Article
http://www.tandfonline.com/doi/full/10.1080/00224499.2016.1184605 http://www.ncbi.nlm.nih.gov/pubmed/27268768 College women are at a high risk of sexual assault. Although programs that aim to change bystander behaviors have been shown to be potentially effective in preventing sexual assault on campuses in the United States, little is known about b...
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Full-text available
Child Protective Services (CPS) identifies over 700,000 victims of child maltreatment in the United States annually. Research shows that risk factors for these children may persist despite CPS intervention. Mothers have unique and often untapped perspectives on the experiences and consequences of CPS intervention that may inform future practice. We...
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Full-text available
Violence against women is a global health issue that threatens the health and human rights of women. Intimate partner violence (IPV) and sexual violence are the most common forms of violence against women. While previous studies examined incidence of IPV and other forms of violence against women in the United States (US), little is known about vari...
Article
Introduction: In 2014, 45 Indian Health Service (IHS)/Tribal emergency departments serving American Indian and Alaskan Native communities treated approximately 650,000 patients of which, 185,000 (28%) were children and youth younger than 19 years. This study presents the results of the National Pediatric Readiness Project (NPRP) assessment of the...
Article
Violence and Gender, 2(3) http://online.liebertpub.com/doi/abs/10.1089/vio.2015.0004 While the prevalence of intimate partner violence (IPV) for U.S.-born women has been described, there is a paucity of information regarding IPV among immigrant women in the United States. The purpose of this study was to compare the physical and mental health, soc...
Article
We perform a needs assessment of pediatric readiness, using a novel scoring system in California emergency departments (EDs), and determine the effect of pediatric verification processes on pediatric readiness. ED nurse managers from all 335 acute care hospital EDs in California were sent a 60-question Web-based assessment. A weighted pediatric rea...
Article
Previous research has described variability in medical evaluation of suspected abuse. The objective of this study was to identify, through expert consensus, required and highly recommended elements of a child abuse pediatrics (CAP) evaluation for 3 common presentations of suspected physical abuse in children aged 0 to 60 months. Twenty-eight CAPs r...
Article
Statement of purpose Understand the parenting needs of women with young children who sought services to end intimate partner violence (IPV) at two different co-located service settings – shelter and community walk-in centre. Methods/approach Cross-sectional, self-administered survey of English and Spanish-speaking women with children younger than 1...
Article
Previous assessments of readiness of emergency departments (EDs) have not been comprehensive and have shown relatively poor pediatric readiness, with a reported weighted pediatric readiness score (WPRS) of 55. To assess US EDs for pediatric readiness based on compliance with the 2009 guidelines for care of children in EDs; to evaluate the effect of...
Article
Introduction The inquisitive nature of children and their interaction with the environment makes them prone to injuries. In school children are involved in many activities like play, sports, academics all of which can predispose them to injury if there is lack of supervision and preventive measures are not taken. The objective was to review types o...
Conference Paper
Background: As children have unique medical needs, access to online medical direction, patient care protocols, and equipment for EMS personnel is essential in providing appropriate pediatric emergency care. Methods: In 2010-2011 and 2013-14, an online assessment was sent to EMS agency directors in 54 states and territories focusing on the availab...
Article
Purpose: Examine the prevalence of intimate partner violence (IPV) with physical and mental health indicators among free clinic patients. Methods: A cross-sectional study conducted via self-administered surveys. English and Spanish-speaking women and men aged 18 to 64 years responded to standardized questionnaires regarding IPV, physical and men...
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Full-text available
Objective: To compare results from high probability matched sets versus imputed matched sets across differing levels of linkage information. Methods: A series of linkages with varying amounts of available information were performed on two simulated datasets derived from multiyear motor vehicle crash (MVC) and hospital databases, where true match...
Article
In the USA, the emergency medical services (EMS) system is vital for American Indians and Alaska Natives, who are disproportionately burdened by injuries and diseases and often live in rural areas geographically far from hospitals. In rural areas, where significant health disparities exist, EMS is often a primary source of healthcare providing a sa...
Article
To describe parents' experience of organ donation decision making in the case of donation after circulatory determination of death. Qualitative exploratory analysis. Participants were recruited from the ICU of a single children's hospital located in the western United States. Thirteen parents, 11 families who consented to donate their child's organ...
Conference Paper
Background: Nationally, 25% of emergency department (ED) visits are for patients 18 and under, and 90% of those visits are to non-children's hospitals. Results from a 2003 published survey showed substantial variation in ED compliance with national guidelines for the emergency treatment of children. The median readiness score calculated from weight...
Article
Rural older adults are not often targeted for surveys, and little is known about survey response rates in this population. Because overall numbers of rural older adults are small, it is important to consider techniques to improve their survey response rates. The purpose of this study was to work with community partners to determine whether rural ol...
Article
Intimate partner violence (IPV) against women is a significant public health concern. This study examines the physical and mental health status and relationship to social support for women seeking services to end IPV at a walk-in community organization that serves the community at large, including a shelter for abused women. One hundred seventeen (...
Conference Paper
Purpose: To compare two recruitment strategies for an injury risk perceptions survey of older rural adults. Rationale: Older adults and rural residents are both considered vulnerable populations in regards to health status and injury risk. In general, rural areas have higher proportions of older adult residents who are often poorer and less educa...
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Full-text available
This cross sectional study assessed the physical and mental health, health literacy and social support of the uninsured utilizing a free clinic to develop intervention programs and research projects to improve the health of free clinic patients. Free clinics are nonprofit organizations that provide underserved and uninsured individuals access to a...
Article
This paper assesses the importance of adverse health shocks as triggers of bankruptcy filings. We view car crashes as a proxy for health shocks and draw on a large sample of police crash reports linked to hospital admission records and bankruptcy case files. We report two findings: (i) there is a strong positive correlation between an individual's...
Chapter
When a person is injured, timely treatment of the injury is needed to mitigate the impact. Trauma systems were developed to provide immediate and coordinated care of the injured patient. The premise underlying the development of state and regional trauma systems is that an organized system of trauma care ensures that critically injured patients are...
Conference Paper
Objective: Evaluate the Ticketing Aggressive Cars and Trucks (TACT) intervention implemented in Utah in 2011 by comparing public awareness, observed driving behavior, and number of citations issued pre- and post-intervention. Methods: The TACT intervention included concentrated media and enforcement focused on four targeted behaviors: following too...
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Full-text available
The suicide death rate in New Mexico is consistently higher than the national rate. Among adolescents, suicide is the 3rd leading cause of death nationally, but in New Mexico it is the 2nd leading cause of death. This study describes the pattern of child and adolescent suicide deaths in New Mexico. The authors conducted a retrospective review of al...
Article
Background The Violence Against Women Act created the U-visa to strengthen the ability of law enforcement to prosecute cases of domestic violence and other violent crimes committed against immigrants who are abused by a boyfriend or person who is not a spouse or who is not a US citizens or permanent resident. Objective Understand the development of...
Conference Paper
Background: The federal Emergency Medical Services for Children (EMSC) Program was established to ensure that children receive appropriate medical care in emergencies. To assess its goals, the EMSC Program gathers data from EMS agencies and hospitals nationwide regarding selected measures of performance in pediatric emergency care. Methods: EMS age...
Conference Paper
Background. Accessing readily available and current Emergency Medical Services (EMS) data still remains somewhat difficult for researchers and other health organizations. EMS for Children (EMSC) grantees are required to collect statewide EMS data on federal performance measures on a regular basis. This study evaluates a Five Contact Survey Response...
Conference Paper
Purpose. Evaluate the capability of Indian Health Service (IHS) affiliated tribal EMS agencies to care for pediatric patients. Methods. Survey sent to 75 tribal agency directors. Results. Sixty-one agencies (81%) responded. Most agencies are stand-alone and operate Basic Life Support (BLS) ambulances. Pre-hospital runs for pediatric patients consti...
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Full-text available
Suicide is a significant health problem, yet many questions regarding suicide remain unanswered. One of the most frequently asked questions is related to motive: "Why did that person complete suicide?" We explored motivations for completing suicide, especially with regard to cultural differences, by analyzing suicide notes written by Native America...
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Full-text available
To determine the association between the frequencies of pharmaceutical exposures reported to a poison control center (PCC) and those seen in the emergency department (ED). A statewide population-based retrospective comparison of frequencies of ED pharmaceutical poisonings with frequencies of pharmaceutical exposures reported to a regional PCC. ED p...
Article
To evaluate the Click It or Ticket (CIOT) intervention conducted in Utah by comparing changes in safety belt use using observational safety belt surveys pre- and post-intervention. Observational surveys of safety belt use for drivers and front seat passengers (collectively referred to as front seat occupants) were conducted before and after the med...
Conference Paper
Introduction: Motorcycle crashes can result in significant morbidity and mortality. Helmets have been shown to reduce the risk of injuries and death. Universal helmet laws, requiring all motorcyclists to wear approved helmets, are one approach to increase helmet use. Objective: Compare the medical and hospital charge outcomes between motorcyclists...
Conference Paper
Objective: To better understand the consequences of crashes involving commercial vehicles (CVs) by comparing injury severity and citations issued to drivers in CV-passenger vehicle (PV), PV only, and CV only crashes. Methods: 2008 Utah police-reported crash records were used to produce counts and percents. Results: There were 2,867 CV-PV cras...
Article
To determine which mode of completing a survey yields the highest response rate among emergency medical services (EMS) providers, examine rural and urban differences, and determine the completeness of questions by mode of response. A random sample of EMS providers was mailed one of the following: 1) a paper survey, with instructions to return it vi...
Article
This study compared violent death information reported in state-wide newspaper articles to the medical examiner reports collected for a state public health surveillance system-the National Violent Death Reporting System (NVDRS). While suicides accounted for 83% of deaths in the NVDRS database, more than three-quarters (79%) of violent deaths report...
Article
We examined the association between driver restraint use and child emergency department (ED) evaluation following a motor vehicle crash (MVC). This cohort study included child passengers aged 0-12 years riding with an adult driver aged 21 years or older involved in a MVC in Utah from 1999 to 2004. The 6 years of Utah MVC records were probabilistica...
Conference Paper
Objectives: Determine whether an educational intervention for Emergency Department (ED) physicians and nurses results in increase of knowledge and attitude regarding EMS provider's scope of practice. Methods. Three hospitals paired with an EMS agency in their hospital service area were randomized to no intervention, partial intervention and full in...
Conference Paper
Objective: The purpose of this study was to compare the effect of the national seat belt enforcement campaign Click It or Ticket (CIOT) on safety belt use in 2009 in Utah. The CIOT primary audience is males aged 18-34 years. This is late-breaking because data collection was ongoing during the main abstract deadline. Methods: Observational safety...
Article
The objective was to determine whether an educational intervention for health care providers would result in improved documentation of cases of possible physical child abuse in children <36 months old treated in the emergency department (ED) setting. This study had a statewide group-randomized prospective trial design. Participating EDs were random...