Medical Director, Diagnostic Safety Program, Children's Colorado
Chair, Professional Standards Committee, Children's Colorado
Recognition & Awards
Medical Alumni Hero, CU Anschutz Medical Alumni Office
(2022)
Awarded to prior CU Anschutz Medical Campus alumni who have contributed clinical and academic mentorship of CU Anschutz medical trainees.
ABMS Visiting Scholar, American Board of Medical Specialties
(2022)
The ABMS Visiting Scholars program is a mentored development program that seeks to develop researchers and strategies aimed at helping achieve and maintain board certification in the various participating Boards. Dr. Grubenhoff's project will focus on improving pediatric ED providers' ability to review and calibrate their diagnostic reasoning.
5280 Top Doc, 5280 Magazine
(2022)
5280 Top Doc, 5280 Magazine
(2021)
5280 Top Doc, 5280 Magazine
(2020)
Best Oral Research Abstract 2020 13th Annual Diagnostic Error in Medicine Conference, Society to Improve Diagnosis in Medicine
(2020)
Awarded for the best of 70 research abstracts submitted for peer review to this annual conference focused on improving diagnosis in healthcare.
5280 Top Doc, 5280 Magazine
(2019)
5280 Top Doc, 5280 Magazine
(2018)
Golden Stethoscope Physical Exam Skills, University of Colorado
(2018)
This award is given by the School of Medicine Foundations of Doctoring Program for displaying excellent physical exam skills.
5280 Top Doc, 5280 Magazine
(2017)
Alpha Omega Alpha Medical Honor Society, St. Louis University Beta Chapter
(2002)
This is the national medical honor society recognizing medical students demonstrating scholarship, leadership and professionalism. Members typically represent the top 10% of their graduating class. http://alphaomegaalpha.org/how.html
My research focuses on reducing patient harm that arises from missed opportunities during the diagnostic process.
Teaching
Associate Professor
(2016)
School of Medicine,
Pediatrics
Diagnostic reasoning, Mild traumatic brain injury/Concussion
Coach
(2022)
School of Medicine,
Other
Institute for Healthcare Quality, Safety and Efficiency Certificate Training Program
Publications
Lam D, Dominguez F, Leonard J, Wiersma A, Grubenhoff JA. Use of e-triggers to identify diagnostic errors in the paediatric ED. BMJ Qual Saf. 2022 Mar 22. [Epub ahead of print] PubMed PMID: 35318272
Grubenhoff JA, Carubia BA. Understanding Regional Mental Health Care-Seeking Behavior During the COVID-19 Pandemic-An Important Aspect of Addressing Resource Needs. JAMA Netw Open. 2022 Jul 1;5(7):e2220560. PubMed PMID: 35797051
Howell DR, Wingerson MJ, Kirkwood MW, Grubenhoff JA, Wilson JC. Early aerobic exercise among adolescents at moderate/high risk for persistent post-concussion symptoms: A pilot randomized clinical trial. Phys Ther Sport. 2022 May;55:196-204. PubMed PMID: 35489100
Lam D, Dominguez F, Leonard J, Wiersma A, Grubenhoff JA. Use of e-triggers to identify diagnostic errors in the paediatric ED. BMJ Qual Saf. 2022 Oct;31(10):735-743. PubMed PMID: 35318272
Michelson KA, Reeves SD, Grubenhoff JA, Cruz AT, Chaudhari PP, Dart AH, Finkelstein JA, Bachur RG. Clinical Features and Preventability of Delayed Diagnosis of Pediatric Appendicitis. JAMA Netw Open. 2021 Aug 2;4(8):e2122248. PubMed PMID: 34463745
Wyner D, Wyner F, Brumbaugh D, Grubenhoff JA. A Family and Hospital's Journey and Commitment to Improving Diagnostic Safety. Pediatrics. 2021 Dec 1;148(6). PubMed PMID: 34851407
Kirschen MP, Myers SR, Neuman MI, Grubenhoff JA, Mannix R, Stence N, Yang E, Woodford AL, Rogers T, Nordell A, Vossough A, Zonfrillo MR. Intracranial Traumatic Hematoma Detection in Children Using a Portable Near-infrared Spectroscopy Device. West J Emerg Med. 2021 Mar 24;22(3):782-791. PubMed PMID: 34125061
Searns JB, Williams MC, MacBrayne CE, Wirtz AL, Leonard JE, Boguniewicz J, Parker SK, Grubenhoff JA. Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors. Diagnosis (Berl). 2021 Aug 26;8(3):347-352. PubMed PMID: 33112779
Graham JMK, Ambroggio L, Leonard JE, Ziniel SI, Grubenhoff JA. Evaluation of feedback modalities and preferences regarding feedback on decision-making in a pediatric emergency department. Diagnosis (Berl). 2021 Dec 13;9(2):216-224. PubMed PMID: 34894116
Wyner D, Wyner F, Brumbaugh D, Grubenhoff JA. A Family and Hospital's Journey and Commitment to Improving Diagnostic Safety. Pediatrics. 2021 Dec 1;148(6). PubMed PMID: 34851407
Grubenhoff J. PECARN blunt head-trauma prediction rule in infants <3 months old. J Pediatr. 2021 Nov;238:338-342. PubMed PMID: 34702504
Grubenhoff JA, Ziniel SI, Cifra CL, Singhal G, McClead RE Jr, Singh H. Pediatric Clinician Comfort Discussing Diagnostic Errors for Improving Patient Safety: A Survey. Pediatr Qual Saf. 2020 Mar-Apr;5(2):e259. PubMed PMID: 32426626
Searns JB, Williams M, MacBrayne C, Wirtz A, Parker S, Grubenhoff JA. Handshake Antimicrobial Stewardship as a Model to Recognize and Prevent Diagnostic Errors. Diagnosis. 2020: epub ahead of print https://doi.org/10.1515/dx-2020-0032
Flood SM, Osborne CM, Martin B, Derderian SC, Stenson E, Grubenhoff JA. Severe SARS-CoV-2 Infection in a Pediatric Patient Requiring Extracorporeal Membrane Oxygenation. Case Rep Pediatr. 2020;2020:8885022. PubMed PMID: 33062363
Staab S, Black T, Leonard J, Bruny J, Bajaj L, Grubenhoff JA. Diagnostic Accuracy of Suspected Appendicitis: A Comparative Analysis of Misdiagnosed Appendicitis in Children. Pediatr Emerg Care. 2020 Dec 14. [Epub ahead of print] PubMed PMID: 34170096
Lindberg DM, Stence NV, Grubenhoff JA, Lewis T, Mirsky DM, Miller AL, O'Neill BR, Grice K, Mourani PM, Runyan DK. Feasibility and Accuracy of Fast MRI Versus CT for Traumatic Brain Injury in Young Children. Pediatrics. 2019 Oct;144(4). PubMed PMID: 31533974
Gaensbauer J, Grubenhoff JA. Neonatal Herpes Simplex Virus Infections: New Data, Old Conundrum. Pediatrics. 2019 Apr;143(4). PubMed PMID: 30923057
Snedden TR, Pierpoint LA, Currie DW, Comstock RD, Grubenhoff JA. Postconcussion Academic Support in Children Who Attend a Primary Care Provider Follow-up Visit after Presenting to the Emergency Department. J Pediatr. 2019 Jun;209:168-175. PubMed PMID: 30853206
Grubenhoff JA, Ziniel SI, Bajaj L, Hyman D. Pediatric faculty knowledge and comfort discussing diagnostic errors: a pilot survey to understand barriers to an educational program. Diagnosis (Berl). 2019 Jun 26;6(2):101-107. PubMed PMID: 30759067
Cheung DS, Grubenhoff JA. Machine Learning in Clinical Medicine Still Finding Its Way. JAMA Netw Open. 2019 Jan 4;2(1):e186926. PubMed PMID: 30646201
Howell DR, Wilson JC, Kirkwood MW, Grubenhoff JA. Quality of Life and Symptom Burden 1 Month After Concussion in Children and Adolescents. Clin Pediatr (Phila). 2019 Jan;58(1):42-49. PubMed PMID: 30311786
Gaensbauer JT, Todd J, Grubenhoff JA, Soranno DE, Scudamore D, Cheetham A, Messacar K. A Resident-Based, Educational Program to Drive Individual and Institutional Improvement in a Pediatric Training Hospital. J Pediatr. 2019 Nov;214:4-7.e1
Sanchez Cristal N, Staab J, Chatham R, Ryan S, Mcnair B, Grubenhoff JA. Child Life Reduces Distress and Pain and Improves Family Satisfaction in the Pediatric Emergency Department. Clin Pediatr (Phila). 2018 Nov;57(13):1567-1575. PubMed PMID: 30175600
Grubenhoff JA. The Diagnostic Safety Program at Children’s Hospital Colorado. Pennsylvania Patient Safety Advisory. 2018;15 (Suppl1):p55-56.
Vollmer BL, Kirkwood MW, Comstock RD, Currie D, Grubenhoff JA. Assessing the Clinical Utility of the Question, "Is Your Child/Are You Back to Normal?" in Pediatric Concussion Symptom Resolution. Clin Pediatr (Phila). 2017 Feb 1;:9922817693300. [Epub ahead of print] PubMed PMID: 28198194
Grubenhoff JA, Currie D, Comstock RD, Juarez-Colunga E, Bajaj L, Kirkwood MW. Psychological Factors Associated with Delayed Symptom Resolution in Children with Concussion. J Pediatr. 2016 Jul;174:27-32.e1. PubMed PMID: 27079963
Schmitt BD, Grubenhoff JA. Observations Regarding Evaluation of an After-Hours Call Center: Are Pediatric Patients Appropriately Referred to the Emergency Department?. Pediatr Emerg Care. 2015 Aug;31(8):e5-6. PubMed PMID: 26241720
Comstock RD, Currie DW, Pierpoint LA, Grubenhoff JA, Fields SK. An Evidence-Based Discussion of Heading the Ball and Concussions in High School Soccer. JAMA Pediatr. 2015 Sep 1;169(9):830-7. PubMed PMID: 26168306
Grubenhoff JA, Deakyne SJ, Comstock RD, Kirkwood MW, Bajaj L. Outpatient follow-up and return to school after emergency department evaluation among children with persistent post-concussion symptoms. Brain Inj. 2015 May 25;:1-6. [Epub ahead of print] PubMed PMID: 26004755
Mackelprang JL, Harpin SB, Grubenhoff JA, Rivara FP. Adverse outcomes among homeless adolescents and young adults who report a history of traumatic brain injury. Am J Public Health. 2014 Oct;104(10):1986-92. PubMed PMID: 25122029
Chamberlain JM, Okada P, Holsti M, Mahajan P, Brown KM, Vance C, Gonzalez V, Lichenstein R, Stanley R, Brousseau DC, Grubenhoff J, Zemek R, Johnson DW, Clemons TE, Baren J, Pediatric Emergency Care Applied Research Network (PECARN). Lorazepam vs diazepam for pediatric status epilepticus: a randomized clinical trial. JAMA. 2014 Apr 23-30;311(16):1652-60. PubMed PMID: 24756515
Kedia S, Ginde AA, Grubenhoff JA, Kempe A, Hershey AD, Powers SW. Monthly variation of United States pediatric headache emergency department visits. Cephalalgia. 2014 May;34(6):473-8. PubMed PMID: 24335850
Mandt MJ, Grubenhoff JA. Emergencies and Injuries. In Hay WW et al, ed. Current Diagnosis and Treatment-Pediatrics, 22nd ed. New York: McGraw-Hill; 2014:334-356.
Grubenhoff JA, Provance A. Physical and Neurologic Exam. In Yeates KO & Kirkwood M, eds. Pediatric Mild Traumatic Brain Injury: From Basic Science to Clinical Management. New York: Guilford; 2012:196-217.
Grubenhoff JA, Kirkwood M, Deakyne S, Wathen J. Detailed concussion symptom analysis paediatric ED population. Brain Inj 2011;25(10):943-949.
Greene AE, Roosevelt GE, Grubenhoff JA, Klein U. Little boy black and blue. Pediatr Emerg Care 2011;27(8):758-759.
Grubenhoff JA. Head Injury. In: Bajaj L et al, eds. Berman’s Pediatric Decision Making, 5th ed. Philadelphia: Mosby; 2011:418-21.
Grubenhoff JA. Neck Injury. In: Bajaj L et al, eds. Berman’s Pediatric Decision Making, 5th ed. Philadelphia: Mosby; 2011:422-25.
Grubenhoff JA, Kirkwood M, Gao D, et al. Evaluation of the Standardized Assessment of Concussion in a Pediatric Emergency Department Population. Pediatrics 2010;126(4):688-695.
Grubenhoff JA, Brent A. Case Report: Brown-Sequard syndrome resulting from a ski injury in a 7-year-old male. Curr Opin Pediatr 2008 20(3): 341-344.
Grubenhoff JA, du Ford K, Roosevelt GE. Heat-related illness. Clin Ped Emerg Med 8(1): 59-64. 2007
Pediatric Advanced Life Support, Certificate
(2002)
Conditions & Treatments
Child and Teen Health
Emergency Care
Brain and Nervous System - Traumatic and Acquired Brain Injuries
Brain and Nervous System
Urgent Care
Injuries and Wounds
Clinical Interests
I have a particular interest in the cognitive psychology of human decision-making and its impact on diagnostic reasoning and patient harm. Improving our understanding of the role that systematic errors play in decision-making is a critical component to improving patient safety. Patient safety starts with the right diagnosis.
Care Philosophy
I aim to provide relationship-centered evidence-based care for ill and injured children. Shared decision-making supported by sound medical knowledge and informed by the child's and parents' wishes and values is the best way to speed kids to recovery.
Personal Interests
My personal time is spent snowboarding, hiking, road and mountain biking. I also enjoy spending time with my kids and tending to my koi pond.
General Information
Medical Schools:
MD, Saint Louis University School of Medicine
(2002)
Graduate Schools:
MSc, University of Colorado Health Sciences Center
(2015)
Undergraduate Schools:
BA, Colorado College (CO)
(1997)
Internships:
University of Colorado (Children's Hospital Colorado) Program
(2003)
Residency Programs:
University of Colorado (Children's Hospital Colorado) Program, Pediatrics (2005)
Fellowships:
University of Colorado (Children's Hospital Colorado) Program, Pediatric Emergency Medicine
(2009)