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Christina Cifra, M.D.

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University of the Philippines, Manila, PhilippinesMD05/2002
University of the Philippines - Philippine General Hospital, Manila, Philippines12/2005Pediatric Residency
University of Maryland, Baltimore, Maryland06/2011Pediatric Residency
Johns Hopkins Hospital, Baltimore, Maryland06/2014Pediatric Critical Care Medicine Fellowship
University of Iowa, Iowa City, IowaMS05/2017Translational Biomedicine

Dr. Cifra is a health services researcher in the field of diagnostic excellence in critical care. She completed pediatric critical care fellowship at the Johns Hopkins Hospital and received formal quality improvement training at the Johns Hopkins Armstrong Institute for Patient Safety and Quality. She completed her MS degree in Translational Biomedicine at the University of Iowa. Dr. Cifra has published foundational studies on diagnostic error in the pediatric intensive care unit (PICU) and has proposed a unified research agenda for diagnostic excellence in critical medicine. She is currently studying diagnostic error epidemiology and the role of diagnostic uncertainty in the assessment of critically ill children on PICU admission and is conducting ethnographic work in the PICU to delineate the role of referral communication in the PICU diagnostic process. She is also leading innovative work on standardizing referral communication for interfacility transfers to the PICU and improving feedback to PICU-referring clinicians.

Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
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PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media. (Note that publications are often cited in additional ways that are not shown here.) Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication. Translation tags are based on the publication type and the MeSH terms NLM assigns to the publication. Some publications (especially newer ones and publications not in PubMed) might not yet be assigned Field or Translation tags.) Click a Field or Translation tag to filter the publications.
  1. Cifra CL, Westlund E. Breaking point. Pediatr Res. 2022 Sep 10. PMID: 36088491.
    Citations:    Fields:    
  2. Cifra CL, Tigges CR, Miller SL, Curl N, Monson CD, Dukes KC, Reisinger HS, Pennathur PR, Sittig DF, Singh H. Reporting Outcomes of Pediatric Intensive Care Unit Patients to Referring Physicians via an Electronic Health Record-Based Feedback System. Appl Clin Inform. 2022 03; 13(2):495-503. PMID: 35545126; PMCID: PMC9095343.
    Citations:    Fields:    Translation:Humans
  3. Ramesh S, Ayres B, Eyck PT, Dawson JD, Reisinger HS, Singh H, Herwaldt LA, Cifra CL. Impact of subspecialty consultations on diagnosis in the pediatric intensive care unit. Diagnosis (Berl). 2022 08 01; 9(3):379-384. PMID: 35393849.
    Citations:    Fields:    Translation:Humans
  4. Vivtcharenko VY, Ramesh S, Dukes KC, Singh H, Herwaldt LA, Reisinger HS, Cifra CL. Diagnosis Documentation of Critically Ill Children at Admission to a PICU. Pediatr Crit Care Med. 2022 02 01; 23(2):99-108. PMID: 34534163; PMCID: PMC8816809.
    Citations:    Fields:    Translation:Humans
  5. Cifra CL, Custer JW, Fackler JC. A Research Agenda for Diagnostic Excellence in Critical Care Medicine. Crit Care Clin. 2022 Jan; 38(1):141-157. PMID: 34794628.
    Citations:    Fields:    Translation:Humans
  6. Balikai SC, Badheka A, Casey A, Endahl E, Erdahl J, Fayram L, Houston A, Levett P, Seigel H, Vijayakumar N, Cifra CL. Simulation-based Training of Pediatric Intensive Care Unit Teams in Endotracheal Intubation of Patients with Suspected or Confirmed COVID-19: Response to a Letter to the Editor. Pediatr Qual Saf. 2021 Sep-Oct; 6(5):e457. PMID: 34476309.
  7. Cifra CL, Custer JW, Singh H, Fackler JC. Diagnostic Errors in Pediatric Critical Care: A Systematic Review. Pediatr Crit Care Med. 2021 08 01; 22(8):701-712. PMID: 33833203.
    Citations: 3     Fields:    Translation:Humans
  8. Cifra CL, Sittig DF, Singh H. Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes. BMJ Qual Saf. 2021 07; 30(7):591-597. PMID: 33958442.
    Citations: 3     Fields:    Translation:Humans
  9. Balikai SC, Badheka A, Casey A, Endahl E, Erdahl J, Fayram L, Houston A, Levett P, Seigel H, Vijayakumar N, Cifra CL. Simulation to Train Pediatric ICU Teams in Endotracheal Intubation of Patients with COVID-19. Pediatr Qual Saf. 2021 Jan-Feb; 6(1):e373. PMID: 33403319.
    Citations: 4     
  10. Cifra CL, Dukes KC, Ayres BS, Calomino KA, Herwaldt LA, Singh H, Reisinger HS. Referral communication for pediatric intensive care unit admission and the diagnosis of critically ill children: A pilot ethnography. J Crit Care. 2021 06; 63:246-249. PMID: 32980235.
    Citations: 1     Fields:    Translation:Humans
  11. Cifra CL, Tigges CR, Miller SL, Herwaldt LA, Singh H. Updates to referring clinicians regarding critically ill children admitted to the pediatric intensive care unit: a state-wide survey. Diagnosis (Berl). 2020 05 26; 7(2):123-128. PMID: 31652117.
    Citations: 1     Fields:    Translation:Humans
  12. Cifra CL, Ten Eyck P, Dawson JD, Reisinger HS, Singh H, Herwaldt LA. Factors Associated With Diagnostic Error on Admission to a PICU: A Pilot Study. Pediatr Crit Care Med. 2020 05; 21(5):e311-e315. PMID: 32097247.
    Citations: 5     Fields:    Translation:Humans
  13. Cifra CL, Westlund E, Ten Eyck P, Ward MM, Mohr NM, Katz DA. An estimate of missed pediatric sepsis in the emergency department. Diagnosis (Berl). 2021 05 26; 8(2):193-198. PMID: 32191624.
    Citations: 2     Fields:    Translation:Humans
  14. Grubenhoff JA, Ziniel SI, Cifra CL, Singhal G, McClead RE, Singh H. Pediatric Clinician Comfort Discussing Diagnostic Errors for Improving Patient Safety: A Survey. Pediatr Qual Saf. 2020 Mar-Apr; 5(2):e259. PMID: 32426626.
    Citations: 2     
  15. Cifra CL, Houston M, Otto A, Kamath SS. Prompting Rounding Teams to Address a Daily Best Practice Checklist in a Pediatric Intensive Care Unit. Jt Comm J Qual Patient Saf. 2019 08; 45(8):543-551. PMID: 31326347.
    Citations:    Fields:    Translation:Humans
  16. Cifra CL, Balikai SS, Murtha TD, Hsu B, Riley CL. Career Development Support in Pediatric Critical Care Medicine: A National Survey of Fellows and Junior Faculty. Pediatr Crit Care Med. 2017 Apr; 18(4):e176-e181. PMID: 28198755.
    Citations: 4     Fields:    Translation:Humans
  17. Dlouhy BJ, Ciliberto MA, Cifra CL, Kirby PA, Shrock DL, Nashelsky M, Richerson GB. Unexpected Death of a Child with Complex Febrile Seizures-Pathophysiology Similar to Sudden Unexpected Death in Epilepsy? Front Neurol. 2017; 8:21. PMID: 28203222; PMCID: PMC5286923.
    Citations: 7     
  18. Cifra CL, Miller MR. Envisioning the Future Morbidity and Mortality Conference: A Vehicle for Systems Change. Pediatr Qual Saf. 2016 Nov-Dec; 1(2):e003. PMID: 30229144.
    Citations: 4     
  19. Cifra CL, Bembea MM, Fackler JC, Miller MR. Transforming the Morbidity and Mortality Conference to Promote Safety and Quality in a PICU. Pediatr Crit Care Med. 2016 Jan; 17(1):58-66. PMID: 26492062.
    Citations: 10     Fields:    Translation:Humans
  20. Cifra CL, Jones KL, Bhalala US, Bembea MM, Newman-Toker DE, Fackler JC, Miller MR. The authors reply. Pediatr Crit Care Med. 2015 Nov; 16(9):896-7. PMID: 26536561.
    Citations:    Fields:    Translation:Humans
  21. Leung JC, Cifra CL, Agthe AG, Sun CC, Viscardi RM. Antenatal factors modulate hearing screen failure risk in preterm infants. Arch Dis Child Fetal Neonatal Ed. 2016 Jan; 101(1):F56-61. PMID: 26195624.
    Citations: 4     Fields:    Translation:HumansPHPublic Health
  22. Cifra CL, Jones KL, Ascenzi JA, Bhalala US, Bembea MM, Newman-Toker DE, Fackler JC, Miller MR. Diagnostic Errors in a PICU: Insights From the Morbidity and Mortality Conference. Pediatr Crit Care Med. 2015 Jun; 16(5):468-76. PMID: 25838150.
    Citations: 11     Fields:    Translation:Humans
  23. Cifra CL, Bembea MM, Fackler JC, Miller MR. The morbidity and mortality conference in PICUs in the United States: a national survey. Crit Care Med. 2014 Oct; 42(10):2252-7. PMID: 25014066.
    Citations: 10     Fields:    Translation:Humans
  24. Cifra CL, Jones KL, Ascenzi J, Bhalala US, Bembea MM, Fackler JC, Miller MR. The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit. BMJ Qual Saf. 2014 Nov; 23(11):930-8. PMID: 25038037.
    Citations: 8     Fields:    Translation:Humans
  25. Anacleto FE, Cifra CL, Elises JS. Postpartum hemolytic uremic syndrome in a 17-year-old Filipina primigravid. Pediatr Nephrol. 2003 Dec; 18(12):1283-5. PMID: 14564496.
    Citations: 4     Fields:    Translation:Humans
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Funded by the NIH National Center for Advancing Translational Sciences through its Clinical and Translational Science Awards Program, grant number UL1TR002541.