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Hospital Pediatrics

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https://www.readbyqxmd.com/read/29674562/newborn-early-onset-sepsis-guidelines-the-not-so-simple-truth
#1
Julie H Shakib
No abstract text is available yet for this article.
April 19, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29666161/implementation-of-the-sepsis-risk-calculator-at-an-academic-birth-hospital
#2
Miren B Dhudasia, Sagori Mukhopadhyay, Karen M Puopolo
BACKGROUND: Multivariate predictive models for estimating the risk of neonatal early-onset sepsis (EOS) are available as a Web-based sepsis risk calculator (SRC) and may reduce the proportion of newborns empirically treated with antibiotics after birth. EOS risk assessment based on such models would require workflow changes at most birth hospitals. METHODS: A multidisciplinary team of obstetric, neonatal, and information technology staff at a large, academic, birth hospital collaborated to implement the SRC...
April 17, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29650677/eye-opening-etiologies
#3
Katherine Harer, Brian Alverson
No abstract text is available yet for this article.
April 12, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29636365/predictors-of-oophorectomy-in-girls-hospitalized-in-texas-with-ovarian-torsion
#4
Indu S Pathak, Jade Jurak, Zuber D Mulla, Sanja Kupesic Plavsic
OBJECTIVES: Inconsistent results have been reported by authors of studies of the management of pediatric patients with ovarian torsion (OT). Our objective was to identify predictors of oophorectomy in girls hospitalized throughout Texas with OT. METHODS: The Texas Public Use Data File (years 2013-2014) was queried for the records of girls under the age of 18 years who had a principal or secondary discharge diagnosis of OT ( International Classification of Diseases, Ninth Revision, Clinical Modification code 620...
April 10, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29626010/comparison-of-empiric-antibiotics-for-acute-osteomyelitis-in-children
#5
Sarah McBride, Cary Thurm, Ramikan Gouripeddi, Bryan Stone, Phil Jaggard, Samir S Shah, Joel S Tieder, Ryan Butcher, Jason Weiser, Matt Hall, Ron Keren, Christopher P Landrigan
OBJECTIVES: Broad-spectrum antibiotics are commonly used for the empiric treatment of acute hematogenous osteomyelitis and often target methicillin-resistant Staphylococcus aureus (MRSA) with medication-associated risk and unknown treatment benefit. We aimed to compare clinical outcomes among patients with osteomyelitis who did and did not receive initial antibiotics used to target MRSA. METHODS: A retrospective cohort study of 974 hospitalized children 2 to 18 years old using the Pediatric Health Information System database, augmented with clinical data...
April 6, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29618489/beyond-asian-specific-east-and-southeast-asian-races-or-ethnicities-associated-with-jaundice-readmission
#6
Michael G Bentz, Nancy Carmona, Manavi M Bhagwat, Lindsay M Thimmig, Jamal Saleh, Uchechukwu Eke, Jolene Kokroko, Rand Dadasovich, Brooke Rice, Michael D Cabana
OBJECTIVES: Clinical practice guidelines have recognized "Asian" and "East Asian" as risk factors for newborn jaundice and readmission. We sought to identify more detailed and specific, parent-identified races or ethnicities associated with jaundice readmission. METHODS: We conducted a case control study of 653 newborn infants born (2014-2016) at a West-Coast, urban hospital to examine specific parent-described races or ethnicities that are associated with newborn hospital readmissions for hyperbilirubinemia...
April 4, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29610252/enhancing-postdischarge-asthma-care-by-using-pharmacy-claims-and-telephone-follow-up
#7
Ronald J Teufel, Anita B Shuler, Myla D Ebeling, Kristen Morella, Annie L Andrews
BACKGROUND AND OBJECTIVES: Asthma is a common reason for hospital readmission. The majority of children are not receiving adequate preventive care after discharge. Our objective is to decrease return visits to the emergency department (ED) or hospital for asthma through a series of interventions (eg, access to real-time claims data and structured follow-up phone calls) designed to increase preventive care. METHODS: We performed a single-site quality improvement project for children 2 to 17 years old discharged with asthma from January 2010 to March 2014...
April 2, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29567800/to-spinal-tap-or-not-to-spinal-tap-that-is-the-question
#8
Thomas J Lee, Paul L Aronson
No abstract text is available yet for this article.
March 22, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29382688/no-cause-for-alarm-decreasing-inappropriate-pulse-oximetry-use-in-bronchiolitis
#9
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
#10
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/29599198/acceptance-of-routine-hiv-testing-by-hospitalized-adolescents-and-young-adults
#11
Avni M Bhalakia, Hina J Talib, Jaeun Choi, Dana Watnick, Risa Bochner, Donna Futterman, Elissa Gross
BACKGROUND AND OBJECTIVES: Youth carry a disproportionate burden of new HIV infections. With our study, we aimed to characterize HIV testing experiences among adolescents and young adults admitted to a children's hospital that is located in a high HIV-prevalent community and implemented routine HIV testing for all patients ≥13 years of age. METHODS: A total of 120 patients aged 13 to 24 years old who were admitted to our hospital and had a documented offer of routine HIV testing on admission were invited to complete a self-administered survey that asked about sex, race and/or ethnicity, HIV risk behaviors, and attitudes toward routine HIV testing in the hospital...
April 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29588345/documentation-of-sexual-history-in-hospitalized-adolescents-on-the-general-pediatrics-service
#12
Alison Riese, Elizabeth E Tarr, Janette Baird, Brian Alverson
OBJECTIVES: To determine the frequency of sexual history taking and the associated characteristics of hospitalized adolescents in the pediatric hospitalist service. METHODS: A retrospective chart review of adolescents 14 to 18 years old who were admitted to the pediatric hospitalist service at an urban, academic children's hospital in the Northeast from 2013 to 2015 was conducted. Repeat admissions, admissions to specialty services, and charts that noted impairment because of psychosis, cognitive delay, or illness severity were excluded...
April 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29588344/no-matter-where-adolescent-sexual-health-is-everyone-s-job
#13
Carly E Guss
No abstract text is available yet for this article.
April 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29559504/increasing-pcp-and-hospital-medicine-physician-verbal-communication-during-hospital-admissions
#14
Matthew W Zackoff, Camille Graham, Denise Warrick, Kathleen Pulda, Craig Gosdin, Blair Simpson, Jessica Marischen, Paul Bunch, Michael Vossmeyer, Grant M Mussman
OBJECTIVES: During hospital admission, communication between primary care physicians (PCPs) and hospital medicine (HM) physicians provides an opportunity for collaboration. Two-way communication facilitates collaboration by allowing the receiver to ask and respond to questions. At our institution, most HM-to-PCP communication occurred by telephone call after discharge. Our specific aim was to increase the percentage of patients for whom a telephone conversation occurred between HM and PCPs during hospital admission from 40% to >80%...
April 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29545469/medical-emergency-team-event-characteristics-from-an-australian-pediatric-hospital-a-single-center-retrospective-study
#15
F Eduardo Martinez, Erin Kelty, Samantha Barr, Monique McLeod, Nathan Smalley
OBJECTIVES: To describe the characteristics of medical emergency team (MET) events at an Australian pediatric, tertiary-care center in a way that would allow for comparison with other MET systems. METHODS: A retrospective, single-center, observational study. Consecutive MET events that occurred between January 2013 and July 2014 at Princess Margaret Hospital for Children in Perth, Western Australia, were included. RESULTS: There were 46 445 hospital admissions during the study period and 197 MET events in children...
April 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29535206/a-comparison-of-resident-self-perception-and-pediatric-hospitalist-perceptions-of-the-supervisory-needs-of-new-interns
#16
Ariel S Winn, Carolyn H Marcus, Theodore C Sectish, Kathryn Williams, Christopher P Landrigan
OBJECTIVES: The Association of American Medical Colleges published a list of entrustable professional activities (EPAs) that graduating medical students should be able to perform on day 1 of residency without direct supervision. We sought to explore the perceptions of residents and pediatric hospitalists about the level of supervision new interns need in conducting these EPAs. METHODS: An electronic survey was sent to pediatric hospitalists who supervise interns in a large pediatric residency program in which they were asked to rate the amount of supervision they perceive new interns need when performing 11 EPAs...
April 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29514853/understanding-parental-preferences-for-participants-in-medical-decision-making-for-their-hospitalized-children
#17
Nina M Dadlez, Gabriela M Bisono, Camille Y Williams, Susan L Rosenthal, Patricia A Hametz
OBJECTIVES: Family-centered care promotes parental engagement in medical decision-making for hospitalized children. Little is understood about parental preferences and factors influencing the desire to involve extended family in decision-making. We explored parent and family member interest in participation in medical decision-making. METHODS: Parents of hospitalized children ≤7 years old admitted to the inpatient service were interviewed regarding preferences for self-, other parent, and extended family involvement in decision-making...
April 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29514852/focused-training-for-the-handover-of-critical-patient-information-during-simulated-pediatric-emergencies
#18
Andrew J Lautz, Kelly C Martin, Akira Nishisaki, Christopher P Bonafide, Roberta L Hales, Elizabeth A Hunt, Vinay M Nadkarni, Robert M Sutton, Donald L Boyer
OBJECTIVES: Miscommunication has been implicated as a leading cause of medical errors, and standardized handover programs have been associated with improved patient outcomes. However, the role of structured handovers in pediatric emergencies remains unclear. We sought to determine if training with an airway, breathing, circulation, situation, background, assessment, recommendation handover tool could improve the transmission of essential patient information during multidisciplinary simulations of critically ill children...
April 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29511045/the-effect-of-malnutrition-on-the-risk-of-unplanned-7-day-readmission-in-pediatrics
#19
Louis Ehwerhemuepha, Donald Bendig, Caroline Steele, Cyril Rakovski, William Feaster
BACKGROUND: Malnutrition is known to be associated with higher morbidity and a risk factor of readmissions in the adult population. In this study, we explore the effect of malnutrition in pediatrics because it may differ from the adult population. METHODS: Data for all inpatient encounters at a tertiary children's hospital within a 2-year period corresponding to 19 702 visits were obtained. The data included demographics, socioeconomic status, registered dietitian diagnosis of malnutrition, and variables of the LACE readmission model...
April 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29496729/contraception-for-adolescents-and-young-adults-in-the-inpatient-setting-the-providers-perspective
#20
Rachel L Goldstein, Jennifer L Carlson, Bonnie Halpern-Felsher
OBJECTIVES: To assess pediatric providers' attitudes and barriers to initiating a contraceptive method in the inpatient setting. METHODS: Pediatric attending physicians and trainees from 5 academic institutions were surveyed about contraceptive prescribing practices, attitudes, and potential barriers to initiating contraception in the inpatient setting. RESULTS: In 2016, 271 pediatric providers (34.0% were attending physicians, 18.1% fellows, and 47...
April 2018: Hospital Pediatrics
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