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Hospital Pediatrics

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https://www.readbyqxmd.com/read/29449317/it-takes-a-village-to-move-a-hospital-simulation-improves-intensive-care-team-preparedness-for-a-move-to-a-new-site
#1
Conall Francoeur, Sarah Shea, Margaret Ruddy, Patricia Fontela, Farhan Bhanji, Saleem Razack, Ronald Gottesman, Tanya Di Genova
OBJECTIVES: To evaluate in-situ simulation to prepare a PICU to move to a new, redesigned unit. METHODS: The study setting is an academic PICU. This is a cross-sectional study using in-situ simulations of common PICU admissions. Postsimulation, participants completed a survey comparing the perception of preparedness pre- and postsimulation (via a 10-point Likert scale). Participants were resurveyed 6 months postmove to assess whether effects persisted. Qualitative data were obtained via thematic review of the survey comment section and from postsimulation debriefing...
February 15, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29440128/a-quality-improvement-intervention-to-improve-inpatient-pediatric-asthma-controller-accuracy
#2
Alexander H Hogan, Deepa Rastogi, Michael L Rinke
OBJECTIVES: Our objective was to investigate if a rigorous quality improvement (QI) intervention could increase accuracy of pediatric asthma controller medications on discharge from an inpatient hospitalization. METHODS: Our interprofessional QI team developed interventions such as improving documentation and creating standardized language to ensure patients were discharged on an appropriate asthma controller medication and improve assessment of asthma symptom control...
February 13, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29437888/changing-the-game-for-hand-hygiene-conversations
#3
Rachel Schwartz, Paul J Sharek
No abstract text is available yet for this article.
February 8, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29436391/associations-between-pediatric-palliative-care-consultation-and-end-of-life-preparation-at-an-academic-medical-center-a-retrospective-ehr-analysis
#4
Matthew Stutz, Roy L Kao, Leanna Huard, Jonathan Grotts, Javier Sanz, Mindy K Ross
OBJECTIVES: Our aim in this study was to understand usage patterns of pediatric palliative care (PPC) consultation and associations with end-of-life preparation among pediatric patients who are deceased. METHODS: We reviewed 233 pediatric mortalities. Data extraction from the electronic health record included determination of PPC consultation by using Current Procedural Terminology codes. Diagnoses were identified by International Classification of Disease codes and were classified into categories of life-threatening complex chronic conditions (LT-CCCs)...
February 7, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29437837/confronting-the-hidden-curriculum-of-high-value-care-education
#5
Michael J Tchou, Maya Dewan, Lisa E Herrmann
No abstract text is available yet for this article.
February 6, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29437836/prospective-observational-study-on-high-value-care-topics-discussed-on-multidisciplinary-rounds
#6
Jimmy B Beck, Corrie E McDaniel, Miranda C Bradford, Doug Brock, Carolyn D Sy, Tiffany Chen, Jeffrey Foti, Andrew A White
OBJECTIVES: Establishing a high-value care (HVC) culture within an institution requires a multidisciplinary commitment and participation. Bedside rounds provide an ideal environment for role modeling and learning behaviors that promote an HVC culture. However, little is understood regarding the types of HVC discussions that take place at the bedside and who participates in those discussions. METHODS: A prospective observational study at a tertiary-care, university-affiliated, free-standing children's hospital...
February 6, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29382688/no-cause-for-alarm-decreasing-inappropriate-pulse-oximetry-use-in-bronchiolitis
#7
Mallorie Heneghan, Jessica Hart, Maya Dewan, Katherine Wu, Kyle Hope, April Taylor, Kathy Shaw, Tara Bamat
No abstract text is available yet for this article.
January 30, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29371238/potential-opportunities-for-prevention-or-earlier-diagnosis-of-child-physical-abuse-in-the-inpatient-setting
#8
Henry T Puls, James D Anderst, Jessica L Bettenhausen, Abbey Masonbrink, Jessica L Markham, Laura Plencner, Molly Krager, Matthew B Johnson, Jacqueline M Walker, Christopher S Greeley, Matthew Hall
OBJECTIVES: To compare rates of previous inpatient visits among children hospitalized with child physical abuse (CPA) with controls as well as between individual abuse types. METHODS: In this study, we used the Pediatric Health Information System administrative database of 44 children's hospitals. Children <6 years of age hospitalized with CPA between January 1, 2011, and September 30, 2015, were identified by discharge codes and propensity matched to accidental injury controls...
January 25, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29363517/use-of-intranasal-dexmedetomidine-as-a-solo-sedative-for-mri-of-infants
#9
Gokhan Olgun, Mir Hyder Ali
BACKGROUND: Dexmedetomidine, a selective α-2 receptor agonist, can be delivered via the intranasal (IN) route and be used for procedural sedation. The drug's favorable hemodynamic profile and relative ease of application make it a promising agent for sedation during radiologic procedures, although there are few studies on its efficacy for MRI studies. METHODS: A retrospective chart review was performed between June 2014 and December 2016. Outpatients between 1 and 12 months of age who received 4 μg/kg of IN dexmedetomidine for MRI were included in the analysis...
January 23, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29363516/the-evolving-role-of-intranasal-dexmedetomidine-for-pediatric-procedural-sedation
#10
Jason Reynolds, Daniel J Sedillo
No abstract text is available yet for this article.
January 23, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29348272/use-of-computer-technology-during-family-centered-rounds-a-qualitative-study-of-parent-perspectives
#11
Jeremy Kern, Priti Bhansali
OBJECTIVES: Physicians often use computer technologies to assist in work activities, including family-centered rounds (FCR), but little is known about the attitudes of families on the use of these technologies. We aimed to describe these perceptions on the presence and use of computer technologies during FCR. METHODS: We conducted observations of FCR from a parent's visual perspective to "see what they see." This was followed by in-depth interviews with the families of patients admitted to the hospitalist service at our institution to describe their experience with the use of computer technology by the medical team during FCR...
January 18, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29339536/length-of-stay-and-hospital-revisit-after-bacterial-tracheostomy-associated-respiratory-tract-infection-hospitalizations
#12
Christopher J Russell, Mary R Mamey, Joyce Y Koh, Sheree M Schrager, Michael N Neely, Susan Wu
OBJECTIVES: To identify factors associated with longer length of stay (LOS) and higher 30-day hospital revisit rates for children hospitalized with bacterial tracheostomy-associated respiratory tract infections (bTARTIs). METHODS: This was a multicenter, retrospective cohort study using administrative data from the Pediatric Health Information System database between 2007 and 2014 of patients 30 days to 17 years old with a principal discharge diagnosis of bTARTI or a principal discharge diagnosis of bTARTI symptoms with a secondary diagnosis of bTARTI...
January 16, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29326228/bringing-social-context-into-the-conversation-about-pediatric-long-term-ventilation
#13
Carrie M Henderson, Benjamin S Wilfond, Renee D Boss
No abstract text is available yet for this article.
January 11, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29317462/adding-a-vital-sign-considering-the-utility-of-place-based-measures-in-health-care-settings
#14
Anita N Shah, Jeffrey Simmons, Andrew F Beck
No abstract text is available yet for this article.
January 9, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29317461/neighborhood-deprivation-and-childhood-asthma-outcomes-accounting-for-insurance-coverage
#15
Flory L Nkoy, Bryan L Stone, Andrew J Knighton, Bernhard A Fassl, Joseph M Johnson, Christopher G Maloney, Lucy A Savitz
OBJECTIVES: Collecting social determinants data is challenging. We assigned patients a neighborhood-level social determinant measure, the area of deprivation index (ADI), by using census data. We then assessed the association between neighborhood deprivation and asthma hospitalization outcomes and tested the influence of insurance coverage. METHODS: A retrospective cohort study of children 2 to 17 years old admitted for asthma at 8 hospitals. An administrative database was used to collect patient data, including hospitalization outcomes and neighborhood deprivation status (ADI scores), which were grouped into quintiles (ADI 1, the least deprived neighborhoods; ADI 5, the most deprived neighborhoods)...
January 9, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29305409/adjunctive-pharmacotherapies-in-children-with-asthma-exacerbations-requiring-continuous-albuterol-therapy-findings-from-the-ohio-pediatric-asthma-repository
#16
Steven L Shein, Obada Farhan, Nathan Morris, Nabihah Mahmood, Sherman J Alter, Jocelyn M Biagini Myers, Samantha M Gunkelman, Carolyn M Kercsmar, Gurjit K Khurana Hershey, Lisa J Martin, Karen S McCoy, Jennifer R Ruddy, Kristie R Ross
OBJECTIVES: To identify associations between use of ipratropium and/or intravenous magnesium and outcomes of children hospitalized with acute asthma exacerbations and treated with continuous albuterol. METHODS: Secondary analysis of data from children prospectively enrolled in the multicenter Ohio Pediatric Asthma Repository restricted to only children who were treated with continuous albuterol in their initial inpatient location. Children were treated with adjunctive therapies per the clinical team...
January 5, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29282209/the-burning-ring-of-fire
#17
Jeffrey Van Blarcom
No abstract text is available yet for this article.
December 27, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/29263122/hospital-variation-in-neonatal-abstinence-syndrome-incidence-treatment-modalities-resource-use-and-costs-across-pediatric-hospitals-in-the-united-states-2013-to-2016
#18
Carly E Milliren, Munish Gupta, Dionne A Graham, Patrice Melvin, Maria Jorina, Al Ozonoff
BACKGROUND: The national incidence of neonatal abstinence syndrome (NAS) has increased with the opioid epidemic in the United States. The impact of pharmacologic treatment on hospital use is not well established. We examined the recent population of neonates with NAS admitted to pediatric hospitals, hospital variation in pharmacologic treatment, and the effect of treatment on resource use during neonatal hospitalization, including length of stay (LOS), readmission, and cost-of-living adjusted hospital costs...
December 20, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/29263121/a-novel-approach-to-assessing-infants-with-neonatal-abstinence-syndrome
#19
Matthew R Grossman, Matthew J Lipshaw, Rachel R Osborn, Adam K Berkwitt
OBJECTIVES: Neonatal abstinence syndrome (NAS) is a growing problem and poses a significant burden on the health care system. The traditional Finnegan Neonatal Abstinence Scoring System (FNASS) assessment approach may lead to unnecessary opioid treatment of infants with NAS. We developed a novel assessment approach and describe its effect on the management of infants with NAS. METHODS: We retrospectively compared treatment decisions of 50 consecutive opioid-exposed infants managed on the inpatient unit at the Yale New Haven Children's Hospital...
December 20, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/29217525/integration-of-mobile-devices-to-facilitate-patient-care-and-teaching-during-family-centered-rounds
#20
Angela S Byrd, Pamela M McMahon, Richard J Vath, Michael Bolton, Melissa Roy
OBJECTIVES: The increasing prevalence of mobile devices in clinical settings has the potential to improve both patient care and education. The benefits are particularly promising in the context of family-centered rounds in inpatient pediatric settings. We aimed to increase mobile device usage by inpatient rounding teams by 50% in 6 months. We hoped to demonstrate that use of mobile devices would improve access to patient care and educational information and to determine if use would improve efficiency and perceptions of clinical teaching...
December 7, 2017: Hospital Pediatrics
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