Dr. Stack’s research interests include the evaluation of resource utilization and standardization of care in the ED. Her recent work has focused on the development and implementation of evidence based guidelines for care in the pediatric emergency department. She is an expert in quality improvement.
Research Background
Dr. Stack received her MD from Harvard Medical School. She completed residency in Pediatrics and fellowship in Pediatric Emergency Medicine at Boston Children’s Hospital. Dr. Stack has recently served as Co-Chair of the PEM Special Interest Group of the Academic Pediatric Association. She is currently Co-Chair of the Evidence-Based Guideline Committee of the Committee on Quality Transformation of the Section of PEM of the American Academy of Pediatrics. Dr. Stack joined the faculty of the Division of Emergency Medicine at Children’s Hospital in 1993.
Education
Medical School
Harvard Medical School
1988
Boston
MA
Internship
Boston Children's Hospital
1989
Boston
MA
Residency
Boston Children's Hospital
1991
Boston
MA
Fellowship
Pediatric Emergency Medicine
Boston Children's Hospital
1993
Boston
MA
Publications
Improving Timely Administration of Essential Outpatient Medications in a Pediatric ED. Pediatrics. 2024 Oct 01; 154(4). View Abstract
Improving Safety through a Virtual Learning Collaborative. Pediatr Qual Saf. 2024 Jul-Aug; 9(4):e740. View Abstract
Establishing a Pediatric Health Equity, Diversity, and Inclusion Research Review Process. Pediatrics. 2024 May 01; 153(5). View Abstract
Impact of a Bronchiolitis Clinical Pathway on Management Decisions by Preferred Language. Pediatr Qual Saf. 2024 Jan-Feb; 9(1):e714. View Abstract
Improving Discharge Safety in a Pediatric Emergency Department. Pediatrics. 2022 11 01; 150(5). View Abstract
Effect of a Multispecialty Faculty Handoff Initiative on Safety Culture and Handoff Quality. Pediatr Qual Saf. 2022 Mar-Apr; 7(2):e539. View Abstract
Safely Reducing Hospitalizations for Anaphylaxis in Children Through an Evidence-Based Guideline. Pediatrics. 2022 02 01; 149(2). View Abstract
Addressing gender inequities: Creation of a multi-institutional consortium of women physicians in academic emergency medicine. Acad Emerg Med. 2021 12; 28(12):1358-1367. View Abstract
Association of limited English proficiency and increased pediatric emergency department revisits. Acad Emerg Med. 2021 09; 28(9):1001-1011. View Abstract
Does Timing Matter?: Timing and Outcomes Among Early Unplanned PICU Transfers. Hosp Pediatr. 2021 08; 11(8):896-901. View Abstract
Quality Improvement in a Pandemic. Pediatr Qual Saf. 2020 Jul-Aug; 5(4):e321. View Abstract
Implementing receiver-driven handoffs to the emergency department to reduce miscommunication. BMJ Qual Saf. 2021 03; 30(3):208-215. View Abstract
Pediatric ICU Transfers Within 24 Hours of Admission From the Emergency Department: Rate of Transfer, Outcomes, and Clinical Characteristics. Hosp Pediatr. 2019 05; 9(5):393-397. View Abstract
Reducing the Cranial CT Rate for Pediatric Minor Head Trauma at Three Community Hospitals. Pediatr Qual Saf. 2019 Mar-Apr; 4(2):e147. View Abstract
A Framework for Maintenance and Scaling of an Evidence-based Guideline Program. Pediatr Qual Saf. 2019 Mar-Apr; 4(2):e153. View Abstract
Trends in Visits and Costs for Mental Health Emergencies in a Pediatric Emergency Department, 2010-2016. Acad Pediatr. 2019 May - Jun; 19(4):386-393. View Abstract
Identification of children with anaphylaxis at low risk of receiving acute inpatient therapies. PLoS One. 2019; 14(2):e0211949. View Abstract
Factors associated with boarding and length of stay for pediatric mental health emergency visits. Am J Emerg Med. 2019 10; 37(10):1829-1835. View Abstract
Developing Standardized "Receiver-Driven" Handoffs Between Referring Providers and the Emergency Department: Results of a Multidisciplinary Needs Assessment. Jt Comm J Qual Patient Saf. 2018 12; 44(12):719-730. View Abstract
A method to identify pediatric high-risk diagnoses missed in the emergency department. Diagnosis (Berl). 2018 Jun 27; 5(2):63-69. View Abstract
Hospital-Level Factors Associated with Pediatric Emergency Department Return Visits. J Hosp Med. 2017 07; 12(7):536-543. View Abstract
Parental Language and Return Visits to the Emergency Department After Discharge. Pediatr Emerg Care. 2017 Jun; 33(6):402-404. View Abstract
Reducing Hospitalization Rates for Children With Anaphylaxis. Pediatrics. 2017 Jun; 139(6). View Abstract
An Intervention to Improve Caregiver Adherence to Oral Rehydration Therapy. Pediatr Qual Saf. 2017 May-Jun; 2(3):e020. View Abstract
Development of a Model to Measure Emergency Department Staffing Limitations. Pediatr Emerg Care. 2016 Sep; 32(9):599-602. View Abstract
A QI Initiative to Reduce Hospitalization for Children With Isolated Skull Fractures. Pediatrics. 2016 06; 137(6). View Abstract
Variation and Trends in Charges for Pediatric Care in Massachusetts Emergency Departments, 2000-2011. Acad Emerg Med. 2015 Oct; 22(10):1164-71. View Abstract
The development and evaluation of an evidence-based guideline programme to improve care in a paediatric emergency department. Emerg Med J. 2016 Feb; 33(2):109-17. View Abstract
Quality Improvement Effort to Reduce Cranial CTs for Children With Minor Blunt Head Trauma. Pediatrics. 2015 Jul; 136(1):e227-33. View Abstract
Prevalence and predictors of return visits to pediatric emergency departments. J Hosp Med. 2014 Dec; 9(12):779-87. View Abstract
Ultrasound assistance for central venous catheter placement in a pediatric emergency department improves placement success rates. Acad Emerg Med. 2014 Sep; 21(9):981-6. View Abstract
Variation in emergency department admission rates in US children's hospitals. Pediatrics. 2014 Sep; 134(3):539-45. View Abstract
Impact of a bronchiolitis guideline on ED resource use and cost: a segmented time-series analysis. Pediatrics. 2014 Jan; 133(1):e227-34. View Abstract
Development and evaluation of a program for the use of ultrasound for central venous catheter placement in a pediatric emergency department. Pediatr Emerg Care. 2013 Dec; 29(12):1245-8. View Abstract
Parental language and dosing errors after discharge from the pediatric emergency department. Pediatr Emerg Care. 2013 Sep; 29(9):982-7. View Abstract
April 15, 2013. Ann Intern Med. 2013 Jul 16; 159(2):146-7. View Abstract
Unscheduled return visits to the emergency department: the impact of language. Pediatr Emerg Care. 2013 May; 29(5):579-83. View Abstract
Predictors of parent satisfaction in pediatric laceration repair. Acad Emerg Med. 2012 Oct; 19(10):1166-72. View Abstract
Massachusetts emergency departments' resources and physicians' knowledge of management of traumatic dental injuries. Dent Traumatol. 2013 Aug; 29(4):272-9. View Abstract
Pediatric emergency department crowding is associated with a lower likelihood of hospital admission. Acad Emerg Med. 2012 Jul; 19(7):816-20. View Abstract
Insurance status and the care of adult patients 19 to 64 years of age visiting the emergency department. Acad Emerg Med. 2012 Jul; 19(7):808-15. View Abstract
Improving timeliness of antibiotic delivery for patients with fever and suspected neutropenia in a pediatric emergency department. Pediatrics. 2012 Jul; 130(1):e201-10. View Abstract
Insurance status and the care of children in the emergency department. J Pediatr. 2012 Sep; 161(3):536-541.e3. View Abstract
Detecting unapproved abbreviations in the electronic medical record. Jt Comm J Qual Patient Saf. 2012 Apr; 38(4):178-83. View Abstract
Effective discharge communication in the emergency department. Ann Emerg Med. 2012 Aug; 60(2):152-9. View Abstract
Pediatric alternate site of care during the 2009 H1N1 pandemic. Pediatr Emerg Care. 2011 Jun; 27(6):519-26. View Abstract
Improving parent-provider communication in the pediatric emergency department: results from the clear and concise communication campaign. Pediatr Emerg Care. 2011 Feb; 27(2):75-80. View Abstract
The effect of hospital bed occupancy on throughput in the pediatric emergency department. Ann Emerg Med. 2009 Jun; 53(6):767-76.e3. View Abstract
"Left without being seen": a national profile of children who leave the emergency department before evaluation. Ann Emerg Med. 2008 Dec; 52(6):599-605. View Abstract
Human monoclonal antibodies directed against toxins A and B prevent Clostridium difficile-induced mortality in hamsters. Infect Immun. 2006 Nov; 74(11):6339-47. View Abstract
Getting the data right: information accuracy in pediatric emergency medicine. Qual Saf Health Care. 2006 Aug; 15(4):296-301. View Abstract
Development of a model of focal pneumococcal pneumonia in young rats. J Immune Based Ther Vaccines. 2004 Jan 23; 2(1):2. View Abstract
Intranasal immunization with killed unencapsulated whole cells prevents colonization and invasive disease by capsulated pneumococci. Infect Immun. 2001 Aug; 69(8):4870-3. View Abstract
Role of interferon gamma in the pathogenesis of primary respiratory syncytial virus infection in BALB/c mice. J Med Virol. 2000 Oct; 62(2):257-66. View Abstract
Primary respiratory syncytial virus infection: pathology, immune response, and evaluation of vaccine challenge strains in a new mouse model. Vaccine. 2000 Jan 31; 18(14):1412-8. View Abstract
Heterotrimeric G proteins physically associated with the lipopolysaccharide receptor CD14 modulate both in vivo and in vitro responses to lipopolysaccharide. J Clin Invest. 1998 Dec 01; 102(11):2019-27. View Abstract
Anticapsular polysaccharide antibodies and nasopharyngeal colonization with Streptococcus pneumoniae in infant rats. J Infect Dis. 1998 Sep; 178(3):878-82. View Abstract
Minimum protective serum concentrations of pneumococcal anti-capsular antibodies in infant rats. J Infect Dis. 1998 Apr; 177(4):986-90. View Abstract
Activated protein C concentrate for the treatment of meningococcal endotoxin shock in rabbits. Shock. 1998 Feb; 9(2):138-42. View Abstract
Development of a model of low-inoculum Streptococcus pneumoniae intrapulmonary infection in infant rats. Infect Immun. 1997 Nov; 65(11):4701-4. View Abstract
Incidence of bacteremia in infants and children with fever and petechiae. J Pediatr. 1997 Sep; 131(3):398-404. View Abstract
A comparison of bactericidal/permeability-increasing protein variant versus recombinant endotoxin-neutralizing protein for the treatment of Escherichia coli sepsis in rats . Crit Care Med. 1997 Jan; 25(1):101-5. View Abstract
Radiological case of the month. Penetrating chest trauma in children. Arch Pediatr Adolesc Med. 1996 Jul; 150(7):759-60. View Abstract
High-dose recombinant endotoxin neutralizing protein improves survival in rabbits, with Escherichia coli sepsis. Crit Care Med. 1996 Jul; 24(7):1203-7. View Abstract
Failure of prophylactic and therapeutic use of a murine anti-tumor necrosis factor monoclonal antibody in Escherichia coli sepsis in the rabbit. Crit Care Med. 1995 Sep; 23(9):1512-8. View Abstract