Jeffrey R Avansino, MD, MBA
General Surgery, Reconstructive Pelvic Medicine, Cancer and Blood Disorders Center, Aerodigestive Program, Hernia Program, Bowel Management Treatment Program
On staff since August 2008
Children's Title: Vice President, Medical Affairs, and Associate Surgeon-in-Chief
Academic Title: Professor, Surgery
Language (Other than English): Spanish
"I was first attracted to pediatric surgery during my 3rd year of medical school at the University of Nevada, while watching my mentor repair a tracheoesophageal fistula. I was captivated by the delicate nature of the surgery, the complexity of the congenital anomaly, and the opportunity to care for both the patient and the family. I am so lucky to have a job in which I have a positive and healing impact on peoples lives on a daily basis. I love talking with the families and patients and helping them understand and navigate the complexities of medical issues. That is definitely the most rewarding part of my job. Simlarly, my colleagues are amazing -- both within my division as well as throughout the hospital. Finally, I enjoy the opportunity to improve the quality and safety of care we deliver to our patients by contributing to our hospitals continuous performance improvement effort. I feel profoundly blessed to be a pediatric surgeon at Seattle Children's."
-
Biography
Jeffrey R. Avansino, MD, is an associate professor of surgery at the University of Washington and an attending pediatric surgeon in the Division of Pediatric General and Thoracic Surgery at Seattle Children's Hospital. Dr. Avansino earned his medical degree from the University of Nevada, School of Medicine in 1999 and completed his residency at the University of Washington in 2006. From 2002 to 2004, he served as a research fellow at the VA Medical Center in Seattle, studying intestinal stem cell transplantation. In 2008, he completed his fellowship training in pediatric surgery at Seattle Children's Hospital.
Dr. Avansino is board certified by the American Board of Surgery in adult general surgery and pediatric surgery. He is a member of the American Academy of Pediatrics and the American Pediatric Surgical Association.
His clinical interests include anorectal malformations and Hirschsprungs disease, minimally invasive surgery and chest wall reconstruction. He helped develop a cutting edge multidisciplinary clinic at Seattle Children's called the Reconstructive Pelvic Medicine (RPM) clinic. The RPM clinic involves a comprehensive approach to patients with abnormalities of the pelvic floor and its organs (urinary, reproductive, and intestine) in a concentrated, team effort to improve their quality of life.
Dr. Avansino's research interests center on continuous process improvement (CPI) and quality. CPI is a philosophy based on the Toyota production system used to improve processes by eliminating unnecessary steps in the care of our patients and applying these principals not only to academic and administrative processes but also to clinical work. Clinical Standard Work (CSW) combines the use of evidence-based medicine and consensus opinion to create a standard and reliable method of caring for our patients. The combination of CPI and CSW creates an environment for patients that heightens and enhances safety and efficiency.
Locally, he is a medical staff officer and serves on the Medical Executive Committee, Quality Improvement Steering Committee, and the Credentialing Professionals Standards Committee.-
Related Resources
-
-
Patient Testimonials
-
Dr. Avansino was the surgeon for our daughter’s inguinal hernia repair. He was very thorough, talked to us in great detail about the procedure, what to expect, potential risks, etc. his entire team throughout the surgery (especially the attending anesthesiologist) treated our family and child with care and respect. Surgery went well, and within 48 hours our daughter was back to her usual self, riding bikes and playing with friends. We are very grateful for his care and the expert care of the children’s team. Thank you!
-
Dr. Avansino has been AMAZING with my child. We were first referred at our 5yr well child. That was 9 years ago, and we still see him for check ups, and if it happens there is no doctor I would trust more for surgery than Dr. Avansino!
-
-
Awards and Honors
Award Name Award Description Awarded By Award Date SEATTLE TOP DOCTOR - 2022 Seattle Magazine 2022 Seattle Top Doctor - 2019 Seattle Magazine 2019 SEATTLE'S TOP DOCTOR - 2018 Seattle Magazine 2018 Seattles Top Doctor 2016 Seattle Met Magazine 2016 SEATTLE'S TOP DOCTOR - 2015 Seattle Met Magazine 2015 SEATTLE MAGAZINE TOP DOCTOR - 2015 Seattle Magazine 2015 Elected graduation speaker Elected graduation speaker for Executive Leadership Program Graduation Ceremony Seattle University 2015 Seattle Magazine "Top Doctor" Seattle Magazine 2014 SEATTLE'S TOP DOCTOR - 2014 Seattle Metropolitan Magazine 2014 Nominated, Family Choice Award Seattle Children's Hospital 2014 SEATTLE MAGAZINE TOP DOCTOR - 2014 Seattle Magazine 2014 Seattle Metropolitan Magazine "Top Doctors" Seattle Metropolitan Magazine 2014 Seattle Metropolitan Magazine "Top Doctors" Seattle Metropolitan Magazine 2013 Seattle's Top Doc Seattle Met Magazine 2013 U.S. News Top Doctor U.S. News and World Report 2012 ACS, Washington Chapter 2005 Resident Research Symposium: First Place 2004 Seattle Surgical Society: First Place, Basic Science Competition 2003 Association of Academic Surgery: Resident Award Session 2003 Leonard Marmor Surgical Arthritis Scholarship 1998 Ruth E. Saviers Memorial Scholarship 1998 Alpha Omega Alpha, in Junior year University of Nevada School of Medicine 1998 Lange Book Award 1997 McGraw Hill Book Award 1996 -
Publications
Manuscripts in Refereed Journals
-
George T. Drugas, MD, Kwon S, Ho JW, Drugas G, Avansino JRPresentation and management of candida-associated vasculitis with gastrointestinal involvement in a pediatric patient
22659888 J Pediatr Gastroenterol Nutr, 2012 May 31
Published Books, Videos, Software, etc.
-
Gilbreath P, Thapa M, Stephenson J, Avansino JRThoracoscopic Repair of a Congenital Diaphragmatic Hernia
Available from: www.mededportal.org/publication/8297, 2011 -
Gilbreath P, Thapa M, Stephenson J, Rudzinski E, Avansino JRThoracoscopic Resection of Bronchogenic Cyst
Available from: www.mededportal.org/publication/8298, 2011 -
Thapa M, Avansino JRHypertrophic Pyloric Stenosis
Located at: http://web.me.com/mthapa/Site/Podcast/Podcast.html
Other Publications
-
Coe A, Avansino JR, Kapur RPDistal Rectal Skip-Segment Hirschsprung Disease and the Potential for False-Negative Diagnosis.
26372258 Pediatric and developmental pathology : the official journal of the Society for Pediatric Pathology and the Paediatric Pathology Society, 2015 Sep 15 -
Merguerian PA, Grady R, Waldhausen J, Libby A, Murphy W, Melzer L, Avansino JOptimizing value utilizing Toyota Kata methodology in a multidisciplinary clinic.
26169487 Journal of pediatric urology, 2015 Aug. : 11(4)228.e1-6 -
Avansino JR, Goldin AB, Risley R, Waldhausen JH, Sawin RSStandardization of operative equipment reduces cost.
24074655 Journal of pediatric surgery, 2013 Sept. : 48(9)1843-9 -
Avansino JR, Peters LM, Stockfish SL, Walco GAA paradigm shift to balance safety and quality in pediatric pain management.
23382441 Pediatrics, 2013 March : 131(3)e921-7 -
Bar-Joseph KL, Amies-Oelschlager AM, Avansino JRA painful protuberance: a young woman had primary amenorrhea and an inguinal hernia.
22425407 American journal of obstetrics and gynecology, 2012 Aug. : 207(2)144.e1-2 -
Thapa M, Gilbreath P, Avansino JRCreating a VOD cast
Cool Technology for Academic Medicine, 2011 Apr 10 -
Bradley T, Stephenson J, Drugas G, Avansino JRLaparoscopic management of neonatal paraesophageal hernia with intrathoracic gastric volvulus.
20713199 Journal of pediatric surgery, 2010 Aug. : E21-3 -
Waldhausen JH, Avansino JR, Libby A, Sawin RSApplication of lean methods improves surgical clinic experience.
20638518 Journal of pediatric surgery, 2010 July : 1420-5 -
Aarabi S, Drugas G, Avansino JRMesothelial cyst presenting as an irreducible inguinal mass.
20620295 Journal of pediatric surgery, 2010 June : e19-21 -
Avansino JR, Gow K, Migita DTransforming Doctors into Change Agents
Leading the Lean Healthcare Journey, 2010 -
Agopian VG, Chen DC, Avansino JR, Stelzner MIntestinal stem cell organoid transplantation generates neomucosa in dogs.
19165549 Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2009 May : 971-82 -
Avansino JR, Chen DC, Hoagland VD, Woolman JD, Stelzner MOrthotopic transplantation of intestinal mucosal organoids in rodents.
16934605 Surgery, 2006 Sept. : 423-34 -
Chen DC, Agopian VG, Avansino JR, Lee JK, Farley SM, Stelzner MOptical tissue window: a novel model for optimizing engraftment of intestinal stem cell organoids.
16697415 The Journal of surgical research, 2006 July : 52-60 -
Chen DC, Avansino JR, Agopian VG, Hoagland VD, Woolman JD, Pan S, Ratner BD, Stelzner MComparison of polyester scaffolds for bioengineered intestinal mucosa.
17409741 Cells, tissues, organs, 2006 : 154-65 -
Avansino JR, Stelzner MPalliative Treatment of Rectal Cancer
Advanced Therapy in Gastroenterology and Liver Disease, 5th edition, 2004 -
Avansino JR, Bjerke S, Hendrickson M, Stelzner M, Sawin RClinical features and treatment outcome of intussusception in premature neonates.
14666476 Journal of pediatric surgery, 2003 Dec. : 1818-21 -
Jeffrey R. Avansino, MD, Karmy-Jones R, Avansino JR, EJ SternCT of Blunt Tracheal Rupture
Amer. J of Radiology, 2003 June : 180: 1670 -
Jeffrey R. Avansino, MD, Avansino JR, M StelznerGastrostomy
Operative Techniques in General Surgery, 2001 Dec. : 3(4):251-262 -
Jeffrey R. Avansino, MD, Avansino JR, Dennis TR, Spallone P, Stock AD, and Levin MLProximal 5p Trisomy Resulting from a Marker Chromosome Implicates Band 5p13 in 5p Trisomy Syndrome
Am J Med Genet., 1999 Nov. : 87(1): 6-11 -
Avansino JRGeneral Surgery Intussusception Non-operative orderset, Seattle Childrens Hospital
Guidelines of Care -
Avansino JRGeneral Surgery Appendectomy, Uncomplicated orderset Seattle Childrens Hospital
Guidelines of Care -
Avansino JRGeneral Surgery Pyloric Stenosis Guideline of Care and orderset (version 2)
Guidelines of Care -
Avansino JRGeneral Surgery Appendectomy, Complicated orderset Seattle Childrens Hospital
Guidelines of Care -
Avansino JRGeneral Surgery Gastroschisis, Guideline of Care, Seattle Childrens Hospital
Guidelines of Care -
Avansino JRGeneral Surgery Ambulatory Surgery Pain Management
Guidelines of Care -
Avansino JRGeneral Surgery NICU Comfort Protocol, Seattle Childrens Hospital
Guidelines of Care -
Avansino JRGeneral Surgery Pyloric Stenosis Pre-operative orderset, Seattle Childrens Hospital
Guidelines of Care -
Avansino JRGeneral Surgery Pyloric Stenosis Post-operative orderset, Seattle Childrens Hospital
Guidelines of Care
-
-
Presentations
Presentations Title Event Location Date Served as panelist for Management of newborn with ARM, ARM Radiology, ARM Problematic Cases and Reoperation, Hirschprung Disease Diagnosis, Medical and Surgical Treatment, and Pediatric Surgery Hands On Lab Pediatric Colorectal, Motility and Pelvic Reconstruction Conference (Invited Faculty) Columbus, Ohio Nov 12, 2014 - Nov 14, 2014 Optimizing Value Using Toyota Kata Methodology in a Multidisciplinary Clinic American Academy of Pediatrics San Diego, CA Oct 13, 2014 Pediatric Colorectal Learning Network (Invited Pediatric Colorectal Course Capetown, South Africa Sep 10, 2014 Starting a Bowel Program: Keys to Success and Pitfalls to Avoid (Invited) Pediatric Colorectal Course Capetown, South Africa Sep 10, 2014 Bowel Management for Constipation Pull-Thru Network National Conference Phoenix, Arizona Jul 26, 2014 Ask the Doctor, Boys ages 13-15 Pull-Thru Network National Conference Phoenix, Arizona Jul 25, 2014 Starting a Bowel Program: Keys to Success and Pitfalls to Avoid (Invited) Colorectal Course Guangzhou, China Nov 16, 2013 Management of the Newborn with ARM (Invited) Colorectal Course Guangzhou, China Nov 16, 2013 Bowel Management Web Symposium (Panelist) Program through Cincinnati and Akron Childrens Hospitals-International audience May 8, 2013 Starting a Bowel Program: Keys to Success and Pitfalls to Avoid (Invited) American Pediatric Surgical Nurses Association Marco Island, Fl May 2, 2013 "Two Case Presentations" International Colorectal Webinar Conference (Invited) Internet presentation to pediatric colorectal surgeons from around the world Sep 21, 2012 Physician Engagement: The Surgeons Perspective Lean for OR Course University of Tennessee (Invited) May 18, 2012 Standardization of Operative Equipment Reduces Cost Pacific Coast Surgical Association Napa Valley, CA Feb 20, 2012 Creating New Models of Care to Improve Efficiencies and Effectiveness- Seattle Children's (co-presented with Howard Jeffries and Russell Migita) National Association of Children's Hospitals and Related Institutions (NACHRI) - 2011 NACHRI Annual Leadership Conference Bellevue, WA Oct 11, 2011 Creating New Models of Care to Improve Efficiencies and Effectiveness-Seattle Childrens National Association of Childrens Hospitals and Related Institutions (NACHRI)- 2011 NACHRI Annual Leadership Conference Oct 11, 2011 Hardwiring Clinical Standardization Across the Continuum of Care Lean Healthcare Transformation Summit Seattle, WA Jun 8, 2011 - Jun 9, 2011 Continuous Performance Improvement and Changing the Culture of Pain Management in Two Pediatric Hospitals American Pain Society Austin, TX May 21, 2011 A Lean Journey: Transforming Clinical Quality Utilizing Continuous Performance Improvement Med Assets Healthcare Business Summit Las Vegas, NV Apr 27, 2011 Quality Care for Gastroschisis Pediatric Grand Rounds, Seattle Children's Hospital Seattle, WA Mar 31, 2011 Quality Care of Gastroschisis Grand Rounds, University of Washington, Department of Obstetrics and Gynecology Seattle, WA Mar 9, 2011 Ad-Hoc vs. Systematically Developed Order Sets: A Randomized Crossover Study of Patient Safety, Usability and Performance Academic Surgical Congress Huntington Beach, CA Feb. 2011 Implementation of a Standardized Procedural Checklist in a Children's Hospital North Pacific Surgical Association Tacoma, WA Nov. 2010 Engraftment of Mucosal Stem Cells into Murine Jejunum is Dependent on Optimal Dose of Cells Resident Research Symposium Seattle, WA 2003 Engraftment of Mucosal Stem Cells into Murine Jejunum is Dependent on Optimal Dose of Cells Tissue Engineering Hilton Head, SC 2003 Enhanced Engraftment of Intestinal Stem Cells into Murine Jejunum Pacific Association of Pediatric Surgeons Sydney, Australia 2003 Intestinal Stem Cell Transplantation into Murine Jejunum Seattle Surgical Society Seattle, WA 2003 Intestinal Transplantation Grand Rounds, University of Washington Department of Gastroenterology Seattle, Washington 2002 Characterization and Management of Children with Paraesophageal Hernias after Antireflux Surgery Pacific Association of Pediatric Surgeons Bejing, China 1999 -
Research Funding
Grant Title Grantor Amount Award Date Pediatric Colorectal Learning Network Seattle Childrens Hospital $100,000 2014 - 2018 Effect of an evidence-based guideline of care for appendicitis on ED throughput and quality Academic Enrichment Fund $50,000 (2 years) 2010 - 2013
Overview
- Board Certification(s)
-
Surgery (General Surgery)
Pediatric Surgery
- Medical/Professional School
-
Seattle University, Seattle, WA
University of Nevada School of Medicine-Reno, Reno, NV - Residency
-
University of Washington, Seattle, WA
- Fellowship
-
Seattle Children's Hospital, Seattle, WA
- Clinical Interests
-
Anorectal malformations; Reconstructive Pelvic Medicine (RPM) clinic
- Research Focus Area
-
Continuous process improvement (CPI) and quality