Scholars@Duke
Victoria Marie Parente

Victoria Marie Parente

Assistant Professor of Pediatrics
Pediatrics, Hospital Medicine

Selected Publications

Decreasing differences in first-line therapy for respiratory infections in urgent cares, results of a multi-institutional quality improvement collaborative.

Journal Article Infect Control Hosp Epidemiol · October 16, 2025 OBJECTIVE: We aimed to decrease the difference in first-line therapy (ΔFLT) for common acute respiratory infections (ARI) in pediatric urgent care clinics (PUCs) in relation to race, ethnicity, language, and insurance using quality improvement (QI) methodo ... Full text Link to item Cite

Qualitative study of Black and Latino (a/e) caregiver participation on family-centered rounds.

Journal Article Patient Educ Couns · October 2025 BACKGROUND: Family-centered rounds (FCR), multi-disciplinary rounds at bedside that involve the patient and family, has become the standard of care in pediatric hospitalizations. Caregiver participation on FCR improves shared-decision making and communicat ... Full text Link to item Cite

Children With Severe Neurologic Impairment and Their Families in the PICU: A Secondary Qualitative Analysis to Assess Clinician-Family Collaboration and Mutuality.

Journal Article Pediatr Crit Care Med · September 1, 2025 OBJECTIVES: In children with severe neurologic impairment (SNI) admitted to the PICU, a trauma-informed approach to care may mitigate the effect of traumatic events on both parents and the child. We aimed to characterize the themes that impacted the trauma ... Full text Link to item Cite

Sociodemographic differences in treatment of acute respiratory infections in pediatric urgent cares.

Journal Article Infect Control Hosp Epidemiol · December 3, 2024 OBJECTIVE: To determine whether differences exist in antibiotic prescribing for respiratory infections in pediatric urgent cares (PUCs) by patient race/ethnicity, insurance, and language. DESIGN: Multi-center cohort study. SETTING: Nine organizations (92 l ... Full text Link to item Cite

Biased Language in Simulated Handoffs and Clinician Recall and Attitudes.

Journal Article JAMA Netw Open · December 2, 2024 IMPORTANCE: Poor-quality handoffs can lead to medical errors when transitioning patient care. Biased language within handoffs may contribute to errors and lead to disparities in health care delivery. OBJECTIVE: To compare clinical information recall accura ... Full text Link to item Cite

Medical Team Practices and Interpreter Alterations on Family-Centered Rounds.

Journal Article Hosp Pediatr · November 1, 2024 BACKGROUND: Robust evidence demonstrates inequities in communication during family-centered rounds for families who use a language other than English (LOE) for health care. This study aimed to characterize the type of interpreter alterations occurring on f ... Full text Link to item Cite

Creation to Dissemination: A Roadmap for Health Equity Research.

Journal Article Hosp Pediatr · October 1, 2024 Health equity is the point at which all individuals have an equal opportunity to experience optimal health and thriving. The current state of health care is far from this ideal as numerous populations experience health disparities: differences in health or ... Full text Link to item Cite

The Association of Race and Ethnicity with Mortality in Pediatric Patients with Congenital Heart Disease: a Systematic Review.

Journal Article J Racial Ethn Health Disparities · August 2024 CONTEXT: Congenital heart disease (CHD) is a common condition with high morbidity and mortality and is subject to racial and ethnic health disparities. OBJECTIVE: To conduct a systematic review of the literature to identify differences in mortality in pedi ... Full text Link to item Cite

Discriminatory and valuing communication behaviors in cardiology encounters.

Journal Article Patient Educ Couns · June 2024 OBJECTIVE: Many have found racial differences in clinician-patient communication using validated codebooks that represent effective communication. No codebooks used for examining racial differences, however, have included patient input. In this paper, we d ... Full text Link to item Cite

Interfacility Transfer Outcomes Among Children With Complex Chronic Conditions: Associations Between Patient-Level and Hospital-Level Factors and Transfer Outcomes.

Journal Article Hosp Pediatr · February 1, 2024 OBJECTIVES: Determine patient- and referring hospital-level predictors of transfer outcomes among children with 1 or more complex chronic conditions (CCCs) transferred to a large academic medical center. METHODS: We conducted a retrospective chart review o ... Full text Link to item Cite

Development of a curriculum in cultural determinants of health and health disparities.

Journal Article J Natl Med Assoc · August 2023 INTRODUCTION: Current sociopolitical events coupled with requirement modifications by the Liaison Committee on Medical Education have reinvigorated a need for training in cultural awareness and health disparities in undergraduate medical education. Many in ... Full text Link to item Cite

Methicillin-resistant Staphylococcus aureus nasal colonization in children with cerebral palsy.

Journal Article Infect Control Hosp Epidemiol · June 2023 A retrospective cohort of children admitted to the pediatric intensive care unit (PICU) with cerebral palsy was matched 1:3 by age and admission year to determine odds of methicillin-resistant Staphylococcus aureus (MRSA) nasal colonization. Adjusted odds ... Full text Link to item Cite

Editorial Note: Language, Framing, and Equity.

Journal Article Hosp Pediatr · January 1, 2023 Full text Link to item Cite

Protective and Unequal? Caregiver Presence During Pediatric Hospitalizations.

Journal Article Hosp Pediatr · January 1, 2023 OBJECTIVES: Describe the association between caregiver presence on hospital day 1 and outcomes related to readmissions, pain, and adverse events (AE). METHODS: Caregiver presence during general pediatrics rounds on hospital day 1 was recorded, along with d ... Full text Link to item Cite

How and why might interprofessional patient- and family-centered rounds improve outcomes among healthcare teams and hospitalized patients? A conceptual framework informed by scoping and narrative literature review methods.

Journal Article Front Med (Lausanne) · 2023 Poor communication within healthcare contributes to inefficiencies, medical errors, conflict, and other adverse outcomes. A promising model to improve outcomes resulting from poor communication in the inpatient hospital setting is Interprofessional Patient ... Full text Link to item Cite

Examining the relationship between clinician communication and patient participatory behaviors in cardiology encounters.

Journal Article Patient Educ Couns · December 2022 OBJECTIVES: Examine the association of coder ratings of cardiologist behaviors and global scores of cardiologist communication style with patient participation in clinic encounters. METHODS: We coded transcripts of clinic encounters for patient participato ... Full text Link to item Cite

Racial and Ethnic Differences in Communication Quality During Family-Centered Rounds.

Journal Article Pediatrics · December 1, 2022 OBJECTIVES: To evaluate racial and ethnic differences in communication quality during family centered rounds. METHODS: We conducted an observational study of family-centered rounds on hospital day 1. All enrolled caregivers completed a survey following rou ... Full text Link to item Cite

Association of Patient and Family Reports of Hospital Safety Climate With Language Proficiency in the US.

Journal Article JAMA Pediatr · August 1, 2022 IMPORTANCE: Patients with language barriers have a higher risk of experiencing hospital safety events. This study hypothesized that language barriers would be associated with poorer perceptions of hospital safety climate relating to communication openness. ... Full text Link to item Cite

Caregiver Inclusivity and Empowerment During Family-Centered Rounds.

Journal Article Hosp Pediatr · February 1, 2022 OBJECTIVE: Despite widespread adoption of family-centered rounds, few have investigated differences in the experience of family-centered rounds by family race and ethnicity. The purpose of this study was to explore racial and ethnic differences in caregive ... Full text Link to item Cite

Sustained Impact of a Pediatric Resident-Led Patient Safety Council.

Journal Article J Patient Saf · December 1, 2021 OBJECTIVES: The aim of the study was to evaluate the impact of a resident-led patient safety council. This study measured change in resident perceptions and knowledge of safety issues for 3 years, as well as behavioral choices to participate in patient saf ... 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

Point-of-Care Complexity Screening Algorithm to Identify Children With Medical Complexity.

Journal Article Hosp Pediatr · January 2021 OBJECTIVES: For pediatric complex care programs to target enhanced care coordination services to the highest-risk patients, it is critical to accurately identify children with medical complexity (CMC); however, no gold standard definition exists. The aim o ... Full text Link to item Cite

A Survey of Pediatric Professionals Before and After Racial Equity Training

Conference JOURNAL OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS · 2021 Link to item Cite

A Survey of Pediatric Professionals Before and After Racial Equity Training

Conference JOURNAL OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS · 2021 Cite

Health Disparities in the Hospitalized Child.

Journal Article Hosp Pediatr · May 2019 Health care disparities exist along the continuum of care for children admitted to the hospital; they start before admission, impact hospital course, and continue after discharge. During an acute illness, risk of admission, length of stay, hospital costs, ... Full text Link to item Cite

Success of a Resident-Led Safety Council: A Model for Satisfying CLER Pathways to Excellence Patient Safety Goals.

Journal Article J Grad Med Educ · April 2019 BACKGROUND: The Accreditation Council for Graduate Medical Education (ACGME) Clinical Learning Environment Review (CLER) program focuses on aspects of the graduate medical education learning environment, such as patient safety. Data from CLER site visits r ... Full text Open Access Link to item Cite

Mobile Complex Care Plans to Enhance Parental Engagement for Children With Medical Complexity.

Journal Article Clin Pediatr (Phila) · January 2019 Care plans can reduce care fragmentation for children with medical complexity (CMC); however, implementation is challenging. Mobile health innovations could improve implementation. This mixed methods study's objectives were to (1) evaluate feasibility of m ... Full text Open Access Link to item Cite

Pediatric providers and radiology examinations: knowledge and comfort levels regarding ionizing radiation and potential complications of imaging.

Journal Article Pediatr Radiol · December 2017 BACKGROUND: Pediatric providers should understand the basic risks of the diagnostic imaging tests they order and comfortably discuss those risks with parents. Appreciating providers' level of understanding is important to guide discussions and enhance rela ... Full text Link to item Cite

Children with Cough and Fever: Up-to-date Imaging Evaluation and Management.

Journal Article Radiol Clin North Am · July 2017 Cough and fever in infants and children are frequent but nonspecific symptoms. Several usual differential diagnoses are under consideration and imaging is often necessary to help arrive at an accurate diagnosis and ensure proper management. A broad spectru ... Full text Link to item Cite

Risk factors for group B streptococcal disease in neonates of mothers with negative antenatal testing.

Journal Article J Perinatol · February 2017 OBJECTIVE: The aim of this study was to identify risk factors for early-onset group B Streptococcus (EOGBS) disease in neonates of mothers with negative antenatal screening. STUDY DESIGN: We performed a retrospective cohort study of neonates born to mother ... Full text 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

Fibrinogen may mediate the association between long sleep duration and coronary heart disease.

Journal Article J Sleep Res · June 2013 Long sleep duration has been associated with increased risk of cardiovascular disease (CVD) and all-cause mortality. Inflammation and coagulation have been hypothesized as possible physiological pathways to explain this association, although specific bioma ... Full text Link to item Cite

Association between breast cancer and allostatic load by race: National Health and Nutrition Examination Survey 1999-2008.

Journal Article Psychooncology · March 2013 BACKGROUND: Breast cancer and its treatment introduce numerous physiologic, psychological, social, and economic stressors to a woman with the diagnosis. Allostatic load, a composite score of biomarkers representing physiologic dysregulation, may serve as a ... Full text Link to item Cite