Scholars@Duke
Heather Seabury McLean

Heather Seabury McLean

Professor of Pediatrics
Pediatrics, Hospital Medicine
heather.mclean@duke.edu
DUMC Box 102376, Durham, NC 27710
2301 Erwin Rd., DUMC Box 102376, Durham, NC 27710

Selected Publications

Design and Evaluation of an Interprofessional Preceptor Development Mini-Fellowship Program.

Journal Article J Contin Educ Health Prof · October 1, 2024 INTRODUCTION: Health professions preceptors require skills and knowledge to effectively meet the educational needs of interprofessional students in clinical environments. We implemented a mini-fellowship program to enhance the knowledge, skills, and self-e ... Full text Link to item Cite

Differences in Safety Report Event Types Submitted by Graduate Medical Education Trainees Compared With Other Healthcare Team Members.

Journal Article J Patient Saf · December 1, 2021 OBJECTIVES: Graduate medical education (GME) trainees have a unique perspective from which to identify and report patient safety concerns. However, it is not known how safety reports submitted by GME trainees differ from those submitted by other clinical s ... Full text Open Access Link to item Cite

Reliability, Resilience, and Developing a Problem-Solving Culture

Chapter · February 6, 2021 This text uses a case-based approach to share knowledge and techniques on how to operationalize much of the theoretical underpinnings of hospital quality and safety. ... Link to item Cite

Initial Modified Pulmonary Index Score Predicts Hospital Length of Stay for Asthma Subjects Admitted to the Pediatric Intensive Care Unit.

Journal Article Respir Care · September 2020 BACKGROUND: Scoring systems are frequently used to assess the severity of pediatric asthma exacerbations. The modified pulmonary index score (MPIS) has been found to be highly correlated with length of stay (LOS) in the pediatric intensive care unit (PICU) ... Full text Link to item Cite

A Respiratory Therapist-Driven Asthma Pathway Reduced Hospital Length of Stay in the Pediatric Intensive Care Unit.

Journal Article Respir Care · November 2019 BACKGROUND: Asthma is a common reason for admissions to the pediatric intensive care unit (PICU). Since June 2014, our institution has used a pediatric asthma clinical pathway for all patients, including those in PICU. The pathway promotes respiratory ther ... Full text Open Access Link to item Cite

Good to Great: Quality-Improvement Initiative Increases and Sustains Pediatric Health Care Worker Hand Hygiene Compliance.

Journal Article Hosp Pediatr · April 2017 OBJECTIVE: The Joint Commission, the Centers for Disease Control and Prevention, and the World Health Organization challenge hospitals to achieve and sustain compliance with effective hand hygiene (HH) practice; however, many inpatient units fail to achiev ... Full text Open Access Link to item Cite

Improving the Efficiency of Care for Pediatric Patients Hospitalized With Asthma.

Journal Article Hosp Pediatr · January 2017 BACKGROUND: Asthma exacerbations are a leading cause of hospitalization among children. Despite the existence of national pediatric asthma guidelines, significant variation in care persists. At Duke Children's Hospital, we determined that our average lengt ... Full text Open Access Link to item Cite

Choosing wisely in pediatric hospital medicine: five opportunities for improved healthcare value.

Journal Article J Hosp Med · September 2013 BACKGROUND: Despite estimates that waste constitutes up to 20% of healthcare expenditures in the United States, overuse of tests and therapies is significantly under-recognized in medicine, particularly in pediatrics. The American Board of Internal Medicin ... Full text Open Access Link to item Cite

Use of ketamine during procedural sedation: indications, controversies, and side effects.

Journal Article J Infus Nurs · 2012 Ketamine is a well-described anesthetic and analgesic, unique in its ability to preserve laryngeal reflexes and airway protection, and offered to a wide range of patients, although not necessarily widely used. Because it is considered an anesthetic, widesp ... Full text Open Access Link to item Cite

Failure to thrive

Chapter · 2011 Nelson Textbook of Pediatrics has been the world's most trusted pediatrics resource for nearly 75 years. Drs. Robert Kliegman, Bonita Stanton, Richard Behrman, and two new editors-Drs. ... Cite

Pediatric Procedural Sedation and Analgesia

Chapter · June 15, 2006 With FREE PDA download of the whole book Ultra-concentrated, high-yield, and loaded with “pearls” Two-part format reviews differential diagnosis and symptom management, then covers therapeutic approaches to specific diseases Practical ... ... Cite

Bromodeoxyuridine-mediated radiosensitization in human glioma: the effect of concentration, duration, and fluoropyrimidine modulation.

Journal Article Int J Radiat Oncol Biol Phys · October 15, 1994 PURPOSE: To define the relative influence of duration of exposure, concentration, and modulation by fluorodeoxyuridines (FdUrd) on the incorporation of 5-bromo-2-deoxyuridine (BrdUrd) into DNA of a human malignant glioma line (D-54) in vitro and in vivo. I ... Full text Link to item Cite

Halogenated pyrimidine sensitization of low dose rate irradiation in human malignant glioma.

Journal Article Int J Radiat Oncol Biol Phys · July 15, 1993 PURPOSE: To determine the potential advantage of combining halogenated pyrimidine radiosensitization and continuous low dose rate irradiation in human malignant glioma. METHODS AND MATERIALS: An established glioma line (U-251) was incubated with 5-bromo-2- ... Full text Link to item Cite