Associate Professor of Pediatrics Department of Pediatrics Perelman School of Medicine at the University of Pennsylvania Medical Director, Associate Division Chief Emergency Medicine Medical Director, Pathway Program Office of Continuous Quality Improvement The Children’s Hospital of Philadelphia Philadelphia, Pennsylvania Joshua Nagler, MD, MHPEd Associate Division Chief and Fellowship Director/Associate Professor of Pediatrics and Emergency Medicine Division of Emergency Medicine/Department of Pediatrics Boston Children’s Hospital/Harvard Medical School Boston, Massachusetts Joan E Shook, MD Professor Department of Pediatrics Baylor College of Medicine Chief Safety Officer and Chief Clinical Information Officer Texas Children’s Hospital Houston, Texas