Jon N. Meliones, MD, MS
Department / Division
Pediatrics /
Pediatrics-Critical Care Med
Address
DUMC 3046
Durham, NC 27710
Office Telephone
919-681-6403
Fax Telephone
919-681-8357
- MD, Tufts University School of Medicine (Massachusetts), 1984
- Pediatrics, New England Medical Center (Massachusetts), 1984-1987
- Pediatric Cardiology, University of Michigan Medical Center, 1987-1990
- Pediatric Critical Care, University of Michigan Medical Center, 1987-1990
- MS, Biostatistics, University of Michigan, 1986
- Fellow, American College of Critical Care
Clinical Interests
Pediatric cardiac critical care, pediatric critical care performance improvement, ECMO, high-frequency ventilation, technology
Research Interests
We continue to be leaders in Performance Improvement focusing on improving Qualty, Safety, Financial Viability, communication and Work Culture using several models: The Balanced Scorecard, Team Training and Six Sigma. We have won a Balanced Scorecard Hall of Fame and Scientific award at SCCM for our work. Significant accomplishments include: Cost reduction of $3.5M reducing CA-BSI, significant reduction in morbidity and mortality in ICU pts, and increased team satisfaction through improvement of communications during rounds. Our focus on reducing costs while improving quality is nationally recognized.
This physician has no reported relationships with industry.
Representative Publications
End-tidal and arterial carbon dioxide measurements correlate across all levels of physiologic dead space. Respir Care. 2010 Mar;55(3):288-93. McSwain SD, Hamel DS, Smith PB, Gentile MA, Srinivasan S, Meliones JN, Cheifetz IM.
“Team Training, Applications in Pedaitrics” Rehder K, Meliones J, Cheifetz I, Frush K. Accepted JC PSQ in press.
“Targeted Interventions Improve Shared Agreement of Daily Goals in the Pediatric Intensive Care Unit”: Submitted:SCCM Rehder, KJ, Uhl, TL, Meliones, JM, Turner, DA, Smith, PB, Mistry, PK
“Decreasing Morbidity in the PCICU Through Clinician Led Six Sigma Initiatives.” Cardiology in the Young 2010. Agee C, Lodge A, Lawson S, Jaggers J, Meliones J
“Improving Patient Care in the PCICU by Increasing Nursing Participation Into Rounds: The Critical Steps Necessary
for Success” Cardiology in the Young 2010. Agee C, Rehder K, Chen J. Meliones J
Mistry KP, Turi JL, Hueckel R, Mericle J, Meliones JN: Pediatric Rapid Response Teams in the Academic Medical Center. Clin Ped Emerg Med 2007 7:241-247.
Honeycutt TC, El Khashab M, Wardrop RM 3rd, McNeal-Trice K, Honeycutt AL, Christy CG, Mistry K, Harris BD, Meliones JN, Kocis KC Probiotic administration and the incidence of nosocomial infection in pediatric intensive care: A randomized placebo-controlled trial*
Pediatr Crit Care Med. 2007
Meliones JN, Alton M, Mericle J, Ballard R, Cesari J, Frush K, Mistry K. 10 Year Experience Integrating Strategic Performance Improvement Initiatives: Can the Balanced Scorecard, Six Sigma, and Team Training All Thrive in a Single Hospital? Accepted to AHRQ: Advances in Patient Safety: New Directions and Alternative Approaches 2007
Mistry K, Jaggers J, Lodge A, Alton M, Mericle J, Frush K, Meliones J. Six Sigma Methodology Improves Handoff Communication in High Risk patients. Accepted to AHRQ: Advances in Patient Safety: New Directions and Alternative Approaches 2007
Rémi M. Hueckel, MSN, FNP*†, Jennifer L. Turi, MD,* Ira M. Cheifetz, MD,* Jane Mericle, RN, MSN, MHS-CL, *‡ Jon N. Meliones, MD, MS,* Kshitij P. Mistry, MD, MSc* Beyond Rapid Response Teams: Instituting a “Rover Team” Improves the Management of At Risk Patients, Facilitates Proactive Interventions and Improves Outcomes. Accepted to AHRQ: Advances in Patient Safety: New Directions and Alternative Approaches 2007
Rehder K, Meliones J, Mistry K. (Abstract) Are We ‘Well Rounded?’ Studying Perceptions of
Daily Rounds in the Intensive Care Unit. 2009 Society of Critical Care Medicine Annual Congress. Nashville, TN, January 2009. Crit Care Med 2008 Dec; 36(12 Suppl):A98
Rehder K, Meliones J, Cheifetz I, Frush K. “Team Training, Applications in Pedaitrics” Accepted JC PSQ in press.
Christine Agee, CPNP,MSN, Jon Meliones, MD, Andrew Lodge, MD, Scott Lawson, Joe Cesari, Michael Camitta, MD, James Jaggers, MD. Duke University Medical Center. Complexity of Cardiac Surgical Procedure Fails to Predict Cardiac ICU Resource Utilization: The Time is Right to Develop an ICU Severity Scoring System. In press.
