{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T07:48:16Z","timestamp":1791791296527,"version":"4.3.4"},"reference-count":22,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,9]],"date-time":"2026-08-09T00:00:00Z","timestamp":1786233600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,9]],"date-time":"2026-08-09T00:00:00Z","timestamp":1786233600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["U01HL159880"],"award-info":[{"award-number":["U01HL159880"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["shmpublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Hospital Medicine"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Continuous pulse oximetry (cSpO\n                    <jats:sub>2<\/jats:sub>\n                    ) monitoring for hospitalized children with bronchiolitis not requiring supplemental oxygen is an established form of medical overuse. We examined whether clinician team structure influences cSpO\n                    <jats:sub>2<\/jats:sub>\n                    overuse. In this secondary analysis of the Eliminating Monitor Overuse (EMO) Trial (NCT05132322), we compared overuse by frontline clinician type (resident physician vs. attending physician or advanced practice provider [APP]) during the active cSpO\n                    <jats:sub>2<\/jats:sub>\n                    deimplementation and sustainment phases using multivariable mixed\u2010effects logistic regression. Among 4167 inpatient observations in 36 hospitals, 61% had their frontline care provided by residents, 27% by attendings, and 10% by APPs. In adjusted analyses, the odds of overuse were 47% higher among patients with frontline care delivered by attendings compared with residents (adjusted odds ratio: 1.47 [95% confidence interval [CI]: 1.12\u20131.93],\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u2009.01), with no difference observed for APPs compared with residents. These findings suggest that cSpO\n                    <jats:sub>2<\/jats:sub>\n                    overuse may be attenuated when residents deliver frontline patient care rather than attendings alone.\n                  <\/jats:p>","DOI":"10.1002\/jhm.70420","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T01:33:54Z","timestamp":1786325634000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association between clinician team structure and continuous pulse oximetry overuse among infants hospitalized with bronchiolitis: An Eliminating Monitor Overuse Trial substudy"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0610-4292","authenticated-orcid":false,"given":"Andrew S.","family":"Kern\u2010Goldberger","sequence":"first","affiliation":[{"name":"Division of Pediatric Hospital Medicine Cleveland Clinic Children's Hospital  Cleveland Ohio USA"},{"name":"Cleveland Clinic Lerner College of Medicine at Case Western Reserve University  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer A.","family":"Faerber","sequence":"additional","affiliation":[{"name":"Data Science and Biostatistics Unit Children's Hospital of Philadelphia Research Institute  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"Xiao","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Spandana","family":"Makeneni","sequence":"additional","affiliation":[{"name":"Data Science and Biostatistics Unit Children's Hospital of Philadelphia Research Institute  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly","family":"Albanowski","sequence":"additional","affiliation":[{"name":"Section of Hospital Medicine Children's Hospital of Philadelphia  Philadelphia Pennsylvania USA"},{"name":"Clinical Futures Children's Hospital of Philadelphia Research Institute  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Canita R.","family":"Brent","sequence":"additional","affiliation":[{"name":"Section of Hospital Medicine Children's Hospital of Philadelphia  Philadelphia Pennsylvania USA"},{"name":"Clinical Futures Children's Hospital of Philadelphia Research Institute  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Halley","family":"Ruppel","sequence":"additional","affiliation":[{"name":"Clinical Futures Children's Hospital of Philadelphia Research Institute  Philadelphia Pennsylvania USA"},{"name":"Department of Family and Community Health University of Pennsylvania School of Nursing  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tina V.","family":"Halley","sequence":"additional","affiliation":[{"name":"Division of Hospital Medicine Children's National Hospital  Washington District Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaitlyn M.","family":"McQuistion","sequence":"additional","affiliation":[{"name":"Division of Hospital Medicine Medical College of Wisconsin  Milwaukee Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3757-641X","authenticated-orcid":false,"given":"Enrique F.","family":"Schisterman","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rinad S.","family":"Beidas","sequence":"additional","affiliation":[{"name":"Department of Medical Social Sciences, Feinberg School of Medicine Northwestern University  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher P.","family":"Bonafide","sequence":"additional","affiliation":[{"name":"Section of Hospital Medicine Children's Hospital of Philadelphia  Philadelphia Pennsylvania USA"},{"name":"Clinical Futures Children's Hospital of Philadelphia Research Institute  Philadelphia Pennsylvania USA"},{"name":"Department of Pediatrics, Perelman School of Medicine University of Pennsylvania  Philadelphia Pennsylvania USA"},{"name":"Penn Implementation Science Center (PISCE) University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"For the Pediatric Research in Inpatient Settings (PRIS) 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