Email

thomas.welch-horan@bcm.edu

Positions

Director of Simulation, Division of Emergency Medicine; Assistant Professor of Pediatrics

Pediatrics
Emergency Medicine
Baylor College of Medicine
Houston, TX US

Education

MD from Columbia University College of Physicians & Surgeons

05/2008 - New York, New York United States

Certifications

General Pediatrics

American Board of Pediatrics

Pediatric Emergency Medicine Subspecialty Board Certification

American Board of Pediatrics

Honors & Awards

Director of Simulation

Division of Emergency Medicine, Department of Pediatrics (07/2018)

Member, Education Subcommittee

CPR Committee, Texas Children's Hospital

Board Member, INSPIRE

Serve on Executive Board of the International Network for Simulation-based Pediatric Innovation, Research, & Education (INSPIRE). Chair Social Media Committee of INSPIRE.

International Network for Simulation-based Pediatric Innovation, Research, & Education (INSPIRE) (07/2021)

Physician Lead, DISCERN-SQI clinical event debriefing initiative

CPR Committee, Texas Children's Hospital (05/2020)

Co-Chair, Process & Tools Subcommittee

Clinical Event Debriefing Taskforce, Texas Children's Hospital (08/2018 - 08/2019)

Selected Publications

• Servotte JC, Welch-Horan TB, Mullan P, Piazza J, Ghuysen A, Szyld D "Development and implementation of an end-of-shift clinical debriefing method for emergency departments during COVID-19." Adv Simul (Lond). 2020; Pubmed PMID: 33292850
• Welch-Horan TB, Lemke DS, Bastero P, et al. "Feedback, reflection and team learning for COVID-19: development of a novel clinical event debriefing tool." 2020 May 21;
• Zinns LE, Welch-Horan TB, Moore TA, Ades A, Wolfe HA, Mullan PC "Implementation of an Innovative, Multiunit, Postevent Debriefing Program in a Children's Hospital." Pediatr Emerg Care. 2019 Jul; Pubmed PMID: 31335786
• Boutis K, Cano S, Pecaric M, et al. "Interpretation difficulty of normal versus abnormal radiographs using a pediatric example." Can Med Educ J. 2016 Mar 31;7(1):e68-e77. Pubmed PMID: 27103955

Projects

Evolution of clinical event debriefs in a quaternary pediatric emergency department after utilization of a debriefing tool

Section of Emergency Medicine, Department of Pediatrics (09/2018 - 06/2021)

Qualitative research project to elucidate themes elicited during debriefing after resuscitations and other high-stakes events in a pediatric emergency department in the 6 years after implementation of a novel debriefing tool, with particular attention to the emergence of information around Crisis Resource Management.

DISCERN-SQI (Debriefing In Significant Clinical Events and Resuscitations Now for System-wide Quality Improvement)

Texas Children's Hospital Simulation Center and Sections of Emergency Medicine & Critical Care Medicine (05/2020 - present)

Co-lead QI/research effort, via the Education Subcommittee and Data Subcommittee of the hospital-wide CPR Committee, to build a process and an online tool that connects qualitative debriefing of resuscitations and other high-stakes clinical events to the systematic gathering of resuscitation data such as quantitative metrics of CPR quality.

DISCOVER-TooL for debriefing of COVID-19 events

Texas Children's Hospital Simulation Center & Emergency Center (03/2020 - 05/2021)

Implementation of "Debriefing In Suspected COVid-19 to Encourage Reflection & Team Learning" (DISCOVER-TooL). Quality improvement project implementing a clinical event debriefing tool to aid teamwork, organizational learning, and communication around care for patients with suspected or confirmed COVID-19 illness.

Memberships

International Network for Simulation-based Pediatric Innovation, Research, & Education (INSPIRE)

Executive Board Member

International Pediatric Simulation Society

(03/2015)

Society for Simulation in Healthcare

Healthcare Simulation Week 2020 Social Media Ambassador (2020) (01/2015)

Skills

Clinical Event Debriefing

Healthcare Simulation

Deliberate Practice for Achieving Expertise