OBJECTIVE To describe the prevalence, types, and trends over time of medical technology assistance (TA) in patients at the age of transition to adult care with childhood onset chronic conditions (COCCs) cared for at children’s hospitals. PATIENTS AND METHODS In this retrospective repeated annual cross-sectional cohort study of the Pediatric Health Information Systems inpatient data, […]
Boggs, E. F., Foster, C., Shah, P., Goodman, D. M., Hall, M., Garfield, C. F.
OBJECTIVES To assess an educational intervention (BeSMART) for parents of hospitalized children on behaviors, beliefs, and knowledge about firearm safety. METHODS A randomized controlled, 3-arm preintervention and postintervention study compared BeSMART video and handout interventions (with and without physician review) to tobacco smoke videos and handouts (control) on parental behaviors, beliefs, and knowledge. Eligibility criteria […]
Silver, A. H., Azzarone, G., Dodson, N., Curley, M., Eisenberg, R., Kim, M., OConnor, K.
BACKGROUND AND OBJECTIVES Physiologic monitor alarms occur at high rates in children’s hospitals; ≤1% are actionable. The burden of alarms has implications for patient safety and is challenging to measure directly. Nurse workload, measured by using a version of the National Aeronautics and Space Administration Task Load Index (NASA-TLX) validated among nurses, is a useful […]
Rasooly, I. R., Kern-Goldberger, A. S., Xiao, R., Ponnala, S., Ruppel, H., Luo, B., Craig, S., Khan, A., McLoone, M., Ferro, D., Muthu, N., Won, J., Bonafide, C. P.
OBJECTIVES For hospitalized children and their families, laboratory study collection at night and in the early morning interrupts sleep and increases the stress of a hospitalization. To change this practice, our quality improvement (QI) study developed a rounding checklist aimed at increasing the percentage of routine laboratory studies ordered for and collected after 7 am. […]
Ramazani, S. N., Gottfried, J. A., Kaissi, M., Lynn, J., Leonard, M. S., Schriefer, J., Bayer, N. D., on behalf of the UR Medicine GCH PHM QI Team
CONTEXT The American Academy of Pediatrics and Institute for Patient and Family-Centered Care issued a joint policy statement in 2012 recommending family and nurse participation in rounds as a standard practice. OBJECTIVE To synthesize available evidence on the state of the implementation of family-centered rounds (FCRs), including identified barriers to stakeholder acceptance and participation in […]
OBJECTIVES The primary objective was to evaluate hospital variation in intravenous (IV) acetaminophen use across pediatric patient populations. The secondary objective was to identify populations with high use of IV acetaminophen and wide variation in practice to identify priority areas for cost reduction and practice standardization. METHODS We performed a retrospective study of children ≤18 […]
Toomey, V., Randolph, A., Bourgeois, F., Graham, D.
Pediatric patients with anorexia nervosa and atypical anorexia nervosa may present to hospitals with significant vital sign instability or serum laboratory abnormalities necessitating inpatient medical hospitalization. These patients require specialized care, numerous resources, and interdisciplinary collaboration during what can be a protracted admission. Recent evidence informs areas in which care can be accelerated, and published […]
Brynes, N., Tarchichi, T., McCormick, A. A., Downey, A.
BACKGROUND Communication is fundamental to high-quality health care. Despite federal requirements to provide interpreters and growing evidence favoring the benefits of interpreter use, providers’ use of interpreters remains suboptimal. In acute care settings, where decisions need to be made rapidly on the basis of changing clinical circumstances, this has proven to be challenging. METHODS We […]
Rajbhandari, P., Keith, M. F., Braidy, R., Gunkelman, S. M., Smith, E.
OBJECTIVES To evaluate International Classification of Diseases, 10th Revision (ICD-10) coding strategies for the identification of patients with a brief resolved unexplained event (BRUE). METHODS Multicenter retrospective cohort study, including patients aged
DeLaroche, A. M., Hall, M., Mittal, M. K., Neuman, M. I., Stephans, A., Wilkins, V. L., Sullivan, E., Cohen, A., Kaplan, R. L., Shastri, N. L., Tieder, J. S., on behalf of the BRIEF RESOLVED UNEXPLAINED EVENTS RESEARCH AND QUALITY IMPROVEMENT COLLABORATIVE
OBJECTIVES Although a growing body of evidence suggests that early transition to oral antimicrobial therapy is equally efficacious to prolonged intravenous antibiotics for treatment of acute pediatric osteomyelitis, little is known about the pediatric trends in peripherally inserted central catheter (PICC) placements. Using a national database, we examined incidence rates of pediatric hospitalizations for acute […]
Shaikh, N., Umscheid, J., Rizvi, S., Bhatt, P., Vasudeva, R., Yagnik, P., Bhatt, N., Donda, K., Dapaah-Siakwan, F.
OBJECTIVES Patients with autoimmune encephalitis (AE) often present with symptoms that are broadly characterized as psychiatric or behavioral, yet little attention is given to the precise symptomatology observed. We sought to more fully define the psychiatric symptoms observed in patients with anti–N-methyl-D-aspartate receptor (NMDAR), anti–glutamic-acid-decarboxylase 65 (GAD65), and anti–voltage-gated-potassium-channel complex (VGKC) antibody-mediated AE using the […]
Adams, A. V., Van Mater, H., Gallentine, W., Mooneyham, G. C.
OBJECTIVES To describe testing and treatment practices for Mycoplasma pneumoniae (Mp) among children hospitalized with community-acquired pneumonia (CAP). METHODS We conducted a retrospective cohort study using the Pediatric Health Information Systems database. We included children 3 months to 18 years old hospitalized with CAP between 2012 and 2018 and excluded children who were transferred from […]
Desai, S., Hall, M., Lipsett, S. C., Shah, S. S., Brogan, T. V., Hersh, A. L., Williams, D. J., Grijalva, C. G., Gerber, J. S., Blaschke, A. J., Neuman, M. I., Ambroggio, L.
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