Shawn Rangel, MD, MSCE
Pediatric Surgeon, Department of Surgery; Senior Surgical Advisor for Quality & Safety; Weitzman Family Chair for the Advancement of Quality & Safety; Director, Health Services Research Fellowship in Pediatric
Professor of Surgery, Harvard Medical School
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Shawn Rangel, MD, MSCE
Pediatric Surgeon, Department of Surgery; Senior Surgical Advisor for Quality & Safety; Weitzman Family Chair for the Advancement of Quality & Safety; Director, Health Services Research Fellowship in Pediatric
Professor of Surgery, Harvard Medical School
Medical Services
Languages
English
Education
Undergraduate School
University of California, Irvine
Irvine
CA
Medical School
University of California, San Francisco
San Francisco
CA
Internship
General Surgery
Stanford University
Palo Alto
CA
Residency
General Surgery
Stanford University Hospital and Clinics
Palo Alto
CA
Fellowship
Pediatric Surgery
Cincinnati Children's Hospital
Cincinnati
OH
Fellowship
Research
Stanford University Department of Health, Research & Policy
Palo Alto
CA
Certifications
American Board of Surgery (General)
American Board of Surgery (Pediatric Surgery)
Publications
Invited Commentary. View Abstract
Antimicrobial Prophylaxis Use and Outcomes for Children Undergoing Cholecystectomy. View Abstract
Evaluating a virtual facilitation workshop with antimicrobial stewardship teams within a cluster randomized stepped-wedge trial. View Abstract
Promoting Child Health by Protecting the Patient-Clinician Relationship From Politics. View Abstract
Population-Based Intraoperative Disease Severity Criteria for Pediatric Appendicitis. View Abstract
Rethinking the Timetable for Spontaneous Closure of Pediatric Umbilical Hernia-Reply. View Abstract
Beyond ltrasound Readiness: A Needs Assessment for Improving Care in Children with Ovarian Torsion. View Abstract
Age and Probability of Spontaneous Umbilical Hernia Closure. View Abstract
Postoperative Antibiotics, Outcomes, and Resource Use in Children With Gangrenous Appendicitis. View Abstract
Disparities in Racial, Ethnic, and Payer Groups for Pediatric Safety Events in US Hospitals. View Abstract
Utility of a Benchmarking Report for Balancing Infection Prevention and Antimicrobial Stewardship in Children With Complicated Appendicitis. View Abstract
Disparities in Diagnostic Timeliness and Outcomes of Pediatric Appendicitis. View Abstract
Use of Antipseudomonal Antibiotics is Not Associated With Lower Rates of Postoperative Drainage Procedures or More Favorable Culture Profiles in Children With Complicated Appendicitis: Results From a Multicenter Regional Research Consortium. View Abstract
A Process Improvement Project to Increase Compliance With Cephalosporin-based Surgical Antimicrobial Prophylaxis in Children With Non-severe Penicillin Allergies. View Abstract
Association of Rural Residence With Surgical Outcomes Among Infants at US Children's Hospitals. View Abstract
Emergency Department Volume and Delayed Diagnosis of Pediatric Appendicitis: A Retrospective Cohort Study. View Abstract
Children's surgery verification and value-based care in pediatric surgery. View Abstract
Defining high-quality care in pediatric surgery: Implications for performance measurement and prioritization of quality and process improvement efforts. View Abstract
Preface - Contemporary topics in pediatric surgical quality. View Abstract
The past, present and future of ACS NSQIP-Pediatric: Evolution from a quality registry to a comparative quality performance platform. View Abstract
Contemporary Epidemiology of and Risk Factors Associated with Removal of a Pathologically Normal Appendix in Children with Suspected Appendicitis. View Abstract
Outcomes and Resource Utilization Associated with Use of Routine Pre-Discharge White Blood Cell Count for Clinical Decision-Making in Children with Complicated Appendicitis: A Multicenter Hospital-Level Analysis. View Abstract
Procedure-Level Misutilization of Antimicrobial Prophylaxis in Pediatric Surgery: Implications for Improved Stewardship and More Effective Infection Prevention. View Abstract
Validation of Automated Data Extraction From the Electronic Medical Record to Provide a Pediatric Risk Assessment Score. View Abstract
High pediatric post-surgical revisit rate. View Abstract
Predictive Value of Routine WBC Count Obtained Before Discharge for Organ Space Infection in Children with Complicated Appendicitis: Results from the Eastern Pediatric Surgery Network. View Abstract
Correlation Between Postoperative Antimicrobial Prophylaxis Use and Surgical Site Infection in Children Undergoing Nonemergent Surgery. View Abstract
Association Between Antibiotic Redosing Before Incision and Risk of Incisional Site Infection in Children With Appendicitis. View Abstract
Incidence and Relative Burden of Surgical Site Infections in Children Undergoing Nonemergent Surgery: Implications for Performance Benchmarking and Prioritization of Prevention Efforts. View Abstract
Association of Gangrenous, Suppurative, and Exudative Findings With Outcomes and Resource Utilization in Children With Nonperforated Appendicitis. View Abstract
Quantifying Procedure-level Prophylaxis Misutilization in Pediatric Surgery: Implications for the Prioritization of Antimicrobial Stewardship Efforts. View Abstract
Frequency of Potentially Avoidable Surgical Referrals for Asymptomatic Umbilical Hernias in Children. View Abstract
Utilization and Performance Benchmarking for Postoperative Imaging in Children With Complicated Appendicitis: Results From a Multicenter Collaborative Cohort Study. View Abstract
Refining sonographic criteria for paediatric appendicitis: combined effects of age-based appendiceal size and secondary findings. View Abstract
Barriers and facilitators of CT scan reduction in the workup of pediatric appendicitis: A pediatric surgical quality collaborative qualitative study. View Abstract
Ceftriaxone Combined With Metronidazole is Superior to Cefoxitin Alone in the Management of Uncomplicated Appendicitis in Children: Results from a Multicenter Collaborative Comparative Effectiveness Study. View Abstract
Ceftriaxone with Metronidazole versus Piperacillin/Tazobactam in the management of complicated appendicitis in children: Results from a multicenter pediatric NSQIP analysis. View Abstract
Hospital Volumes of Inpatient Pediatric Surgery in the United States. View Abstract
Advances in the Diagnosis and Management of Appendicitis in Children. View Abstract
Does age affect the test performance of secondary sonographic findings for pediatric appendicitis? View Abstract
Safety Events in Children's Hospitals During the COVID-19 Pandemic. View Abstract
Influence of Oral Antibiotics Following Discharge on Organ Space Infections in Children With Complicated Appendicitis. View Abstract
A cluster randomized stepped-wedge trial to de-implement unnecessary post-operative antibiotics in children: the optimizing perioperative antibiotic in children (OPerAtiC) trial. View Abstract
Variability, outcomes and cost associated with the use of parenteral nutrition in children with complicated appendicitis: A hospital-level propensity matched analysis. View Abstract
Reply by Authors. View Abstract
Antireflux Surgery at National Surgical Quality Improvement Program-Pediatric Hospitals. View Abstract
Leveraging the Combined Predictive Value of Ultrasound and Laboratory Data to Reduce Radiation Exposure and Resource Utilization in Children with Suspected Appendicitis. View Abstract
Optimizing Duration of Empiric Management of Suspected Central Line-Associated Bloodstream Infections in Pediatric Patients with Intestinal Failure. View Abstract
Development and Implications of an Evidence-based and Public Health-relevant Definition of Complicated Appendicitis in Children. View Abstract
Influence of symptom duration and WBC profile on the negative predictive value of a nondiagnostic ultrasound in children with suspected appendicitis. View Abstract
Contemporary practice and perceptions surrounding the management of asymptomatic umbilical hernias in children: A survey of the American Pediatric Surgical Association. View Abstract
Leveraging the Incidence, Burden, and Fiscal Implications of Unplanned Hospital Revisits for the Prioritization of Prevention Efforts in Pediatric Surgery. View Abstract
Need for Consensus Guidelines in Pediatric Umbilical Hernia Repair. View Abstract
Trends in the use of surgical antibiotic prophylaxis in general pediatric surgery: Are we missing the mark for both stewardship and infection prevention? View Abstract
Implementation of a Plan-Do-Study-Act framework to reduce unindicated surgical antimicrobial prophylaxis. View Abstract
Development and Implementation of a Surgical Quality Improvement Pathway for Pediatric Intussusception Patients. View Abstract
Association of Sociodemographic Factors With Adherence to Age-Specific Guidelines for Asymptomatic Umbilical Hernia Repair in Children. View Abstract
Variation in surgical management of asymptomatic umbilical hernia at freestanding children's hospitals. View Abstract
Predicting Postoperative Physiologic Decline After Surgery. View Abstract
Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and mortality (M&M) conference. View Abstract
Patient- and Nurse-Controlled Analgesia: 22-Year Experience in a Pediatric Hospital. View Abstract
Pediatric Surgeon Perceptions of Participation in External Patient Safety Programs: impact on Patient Safety. View Abstract
Association of Intraoperative Findings With Outcomes and Resource Use in Children With Complicated Appendicitis. View Abstract
Surgical Safety Checklists in Children's Surgery: Surgeons' Attitudes and Review of the Literature. View Abstract
New anthropometric classification scheme of preoperative nutritional status in children: a retrospective observational cohort study. View Abstract
Overlapping Surgery in Pediatric Surgical Care: Is It a Safe and Cost-effective Practice? View Abstract
Extended Versus Narrow-spectrum Antibiotics in the Management of Uncomplicated Appendicitis in Children: A Propensity-matched Comparative Effectiveness Study. View Abstract
Time to Appendectomy and Risk of Complicated Appendicitis and Adverse Outcomes in Children-Reply. View Abstract
Time to appendectomy for acute appendicitis: A systematic review. View Abstract
Influence of Time to Appendectomy and Operative Duration on Hospital Cost in Children with Uncomplicated Appendicitis. View Abstract
Safety culture among pediatric surgeons: A national survey of attitudes and perceptions of patient safety. View Abstract
Time to Appendectomy and Risk of Complicated Appendicitis and Adverse Outcomes in Children. View Abstract
Case Volume and Revisits in Children Undergoing Gastrostomy Tube Placement. View Abstract
Intravenous Versus Oral Antibiotics for the Prevention of Treatment Failure in Children With Complicated Appendicitis: Has the Abandonment of Peripherally Inserted Catheters Been Justified? View Abstract
The Threat of Diagnostic Uncertainty in the Medical Management of Uncomplicated Appendicitis. View Abstract
Do all-cause revisit rates reflect the quality of pediatric surgical care provided during index encounters? View Abstract
Pediatric Gastrostomy Tube Placement: Lessons Learned from High-performing Institutions through Structured Interviews. View Abstract
Quantifying the Burden of Interhospital Cost Variation in Pediatric Surgery: Implications for the Prioritization of Comparative Effectiveness Research. View Abstract
Moving the needle toward high-quality pediatric surgical care: How can we achieve this goal through prioritization, measurement and more effective collaboration? View Abstract
Autoamputation of the Appendix Presenting as a Calcified Abdominal Mass Following Necrotizing Enterocolitis. View Abstract
Intravenous Versus Oral Antibiotics for Postdischarge Treatment of Complicated Pneumonia. View Abstract
Variation in resource utilization in liver transplantation at freestanding children's hospitals. View Abstract
Surgical management of gastroesophageal reflux disease (GERD) in children: A systematic review. View Abstract
Development and Evaluation of the American College of Surgeons NSQIP Pediatric Surgical Risk Calculator. View Abstract
Beyond perforation: Influence of peritoneal contamination on clinical severity and resource utilization in children with perforated appendicitis. View Abstract
Extended- Versus Narrower-Spectrum Antibiotics for Appendicitis. View Abstract
Delaying Appendectomy Does Not Lead to Higher Rates of Surgical Site Infections: A Multi-institutional Analysis of Children With Appendicitis. View Abstract
Quality improvement in pediatric surgery. View Abstract
Regionalization of Pediatric Surgery: Trends Already Underway. View Abstract
National Variability and Appropriateness of Surgical Antibiotic Prophylaxis in US Children's Hospitals. View Abstract
Overview and diagnosis of acute appendicitis in children. View Abstract
Emergency Department Visits and Readmissions among Children after Gastrostomy Tube Placement. View Abstract
Autoamputation of the appendix presenting as a calcified abdominal mass following necrotizing enterocolitis. View Abstract
Rates and burden of surgical site infections associated with pediatric colorectal surgery: insight from the National Surgery Quality Improvement Program. View Abstract
Diagnostic imaging practices for children with suspected appendicitis evaluated at definitive care hospitals and their associated referral centers. View Abstract
Focusing Quality Improvement Initiatives in Pediatric Plastic Surgery: A Descriptive Study Using the Pediatric National Surgical Quality Improvement Program. View Abstract
Operating Room Clinicians' Attitudes and Perceptions of a Pediatric Surgical Safety Checklist at 1 Institution. View Abstract
Variation in pediatric surgical care. View Abstract
Improving Quality and Efficiency for Intussusception Management After Successful Enema Reduction. View Abstract
Effect of Reduction in the Use of Computed Tomography on Clinical Outcomes of Appendicitis. View Abstract
Contemporary practice among pediatric surgeons in the use of bowel preparation for elective colorectal surgery: A survey of the American Pediatric Surgical Association. View Abstract
Influence of hospital and patient location on early postoperative outcomes after appendectomy and pyloromyotomy. View Abstract
Identifying Antimicrobial Stewardship Targets for Pediatric Surgical Patients. View Abstract
Variation in bowel preparation among pediatric surgeons for elective colorectal surgery: A problem of equipoise or a knowledge gap of the available clinical evidence? View Abstract
Pediatric CT dose reduction for suspected appendicitis: a practice quality improvement project using artificial gaussian noise--part 2, clinical outcomes. View Abstract
Integration of ultrasound findings and a clinical score in the diagnostic evaluation of pediatric appendicitis. View Abstract
Comparative effectiveness of intravenous vs oral antibiotics for postdischarge treatment of acute osteomyelitis in children. View Abstract
Use of White Blood Cell Count and Polymorphonuclear Leukocyte Differential to Improve the Predictive Value of Ultrasound for Suspected Appendicitis in Children. View Abstract
Does timing of neonatal inguinal hernia repair affect outcomes? View Abstract
Passing the baton: The pediatric surgical perspective on transition. View Abstract
Prevention of infectious complications after elective colorectal surgery in children: an American Pediatric Surgical Association Outcomes and Clinical Trials Committee comprehensive review. View Abstract
Identification of opportunities for quality improvement and outcome measurement in pediatric otolaryngology. View Abstract
Early versus delayed surgical correction of malrotation in children with critical congenital heart disease. View Abstract
Reducing mortality and infections after congenital heart surgery in the developing world. View Abstract
Variation in practice and resource utilization associated with the diagnosis and management of appendicitis at freestanding children's hospitals: implications for value-based comparative analysis. View Abstract
Use of mechanical bowel preparation and oral antibiotics for elective colorectal procedures in children: is current practice evidence-based? View Abstract
Morbidity of peripherally inserted central catheters in pediatric complicated appendicitis. View Abstract
Optimizing resources for the surgical care of children: an American Pediatric Surgical Association Outcomes and Clinical Trials Committee consensus statement. View Abstract
Assessing quality in pediatric surgery--the limited role of appendectomy as the optimal target. View Abstract
Enhancing NSQIP-Pediatric through integration with the Pediatric Health Information System. View Abstract
To fundo or not to fundo? View Abstract
Pediatric emergency and essential surgical care in Zambian hospitals: a nationwide study. View Abstract
Relationship between unplanned readmission and total treatment-related hospital days following management of complicated appendicitis at 31 children's hospitals. View Abstract
Variation in risk-adjusted hospital readmission after treatment of appendicitis at 38 children's hospitals: an opportunity for collaborative quality improvement. View Abstract
A novel multispecialty surgical risk score for children. View Abstract
Variation in practice patterns and resource utilization surrounding management of intussusception at freestanding Children's Hospitals. View Abstract
The diagnosis and management of empyema in children: a comprehensive review from the APSA Outcomes and Clinical Trials Committee. View Abstract
Hospital readmission after management of appendicitis at freestanding children's hospitals: contemporary trends and financial implications. View Abstract
Factors associated with imaging modality choice in children with appendicitis. View Abstract
Parenteral nutrition-associated cholestasis: an American Pediatric Surgical Association Outcomes and Clinical Trials Committee systematic review. View Abstract
The appendix as a conduit for antegrade continence enemas in patients with anorectal malformations: lessons learned from 163 cases treated over 18 years. View Abstract
Laparoscopic-assisted Malone appendicostomy in the management of fecal incontinence in children. View Abstract
Recent trends in the use of antibiotic prophylaxis in pediatric surgery. View Abstract
Results of a longitudinal study of rigorous manuscript submission guidelines designed to improve the quality of clinical research reporting in a peer-reviewed surgical journal. View Abstract
Implementing a pediatric surgical safety checklist in the OR and beyond. View Abstract
Analysis of adverse events in pediatric surgery using criteria validated from the adult population: justifying the need for pediatric-focused outcome measures. View Abstract
Advances in pediatric colorectal surgical techniques. View Abstract
Alarming trends in the improper use of motor vehicle restraints in children: implications for public policy and the development of race-based strategies for improving compliance. View Abstract
Outcomes after laparoscopic surgery in neonates with hypoplastic heart left heart syndrome. View Abstract
Implications of the high voltage induced variation on TL readings. View Abstract
Recent trends in the funding and utilization of NIH career development awards by surgical faculty. View Abstract
Critical analysis of clinical research reporting in pediatric surgery: justifying the need for a new standard. View Abstract
Small evidence for small incisions: pediatric laparoscopy and the need for more rigorous evaluation of novel surgical therapies. View Abstract
Primary reversed gastric tube reconstruction in long gap esophageal atresia. View Abstract
Development of a quality assessment scale for retrospective clinical studies in pediatric surgery. View Abstract
Recent trends in National Institutes of Health funding of surgical research. View Abstract
The need for critical analysis of case-series reporting in pediatric surgery. View Abstract
Development of an internet-based protocol to facilitate randomized clinical trials in pediatric surgery. View Abstract
The role of prospective randomized clinical trials in pediatric surgery: state of the art? View Abstract
Laparoscopic repair of paraesophageal hiatal hernias. View Abstract
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