Apr 1, 2026

The surgical co-management program (Surgical Hospitalist Assisted REcovery, or SHARE Team) at Children's Hospital Colorado has become one of the flagship enterprises for this endeavor nationally. Patients with extreme medical complexity are admitted post-operatively to a Hospitalist service, where surgical and medical providers collaborate to optimize care. This system has increased nursing and patient satisfaction, augmented communication amongst clinical staff and improved overall outcomes. The IHQSE program was instrumental in creating SHARE Team. With its official roll-out in September 2022, the program has received national acclaim, with recent publication by CHCO providers Adriana Martin, Shannon Acker, Todd Hankinson and Jason Zamkoff highlighting SHARE Team.

Feb 1, 2026

In a new study by IHQSE faculty and QIWG participant, Dr. Michele Loi, featured in Critical Care Nurse, a multidisciplinary team demonstrated a 46.5% reduction in health care-associated conditions with a protocol of targeted pediatric intensive care unit rounds at Children's Hospital Colorado. The approach involved interprofessional teams focusing on patients at high risk for conditions such as central line-associated bloodstream infections and pressure injuries.

Jan 26, 2026

In a new study published in the Journal of General Internal Medicine, Drs. Michelle Knees and Katie Raffel (IHQSE faculty) and their co-authors found that diagnostic error risk varied by inpatient care team model among high-risk medical patients. While the causal mechanisms are unknown, this may be related to number of clinicians caring and thinking about a patient, or due to differences in workload. As hospitals rethink staffing approaches, these findings underscore the importance of considering how team design supports clinical reasoning and diagnostic safety!

Nov 5, 2025

Tonsillectomy is one of the most common pediatric surgical procedures performed with over 550,000 operations annually. Stratification of which children do not require overnight monitoring has major implications for healthcare value both financially and for the family experience. The American Academy of Otolaryngology/Head & Neck Surgery’s tonsillectomy clinical practice guideline recommends overnight observation for any child less than 3 years of age. Our most recent investigation of clinical outcomes for toddlers who underwent a tonsillectomy provided further evidence that children who were off oxygen with 3 hours of surgery and passed an asleep room air challenge (AsRAC) are good candidates for same day surgery. Over 80% of toddlers were off oxygen within 3 hours and only 1.3% (n=7) were briefly placed back on oxygen following passing an AsRAC. The tonsillectomy outcome research at CHCO will be at the forefront when the American Academy of Otolaryngology/Head&Neck Surgery revises the tonsillectomy clinical practice guidelines.