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Hospital Pediatrics

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https://www.readbyqxmd.com/read/27908975/seriously-clowns
#1
Brian Alverson
No abstract text is available yet for this article.
December 1, 2016: Hospital Pediatrics
https://www.readbyqxmd.com/read/27908974/effects-of-a-humor-therapy-program-on-stress-levels-in-pediatric-inpatients
#2
Julio C Sánchez, Luis F Echeverri, Manuel J Londoño, Sergio A Ochoa, Andrés F Quiroz, César R Romero, Joaquín O Ruiz
OBJECTIVE: Disease and hospitalization generate stress, which can affect the response to treatment. Humor has been used in many hospitals to decrease stress. The aim of this study was to evaluate the impact of a humor therapy program on stress levels in pediatric inpatients. METHODS: In the first phase, an intervention and a control group were studied over 2 consecutive 3-month periods; the interventions were performed by a team of artists trained in humor therapy...
December 1, 2016: Hospital Pediatrics
https://www.readbyqxmd.com/read/27789539/anchoring-bias-as-a-limiting-factor-in-high-value-care-a-case-of-fever-of-unknown-origin-in-a-hospitalized-child
#3
Natalia Festa, K T Park, Hayden Schwenk
No abstract text is available yet for this article.
October 27, 2016: Hospital Pediatrics
https://www.readbyqxmd.com/read/27733428/lack-of-recognition-diagnosis-and-treatment-of-overweight-obesity-in-children-hospitalized-for-asthma
#4
Anne Borgmeyer, Patrick M Ercole, Angela Niesen, Robert C Strunk
OBJECTIVES: Information is lacking regarding recognition and treatment of overweight and obesity in children hospitalized for asthma. The study objectives were to determine the current practice of recognition, diagnosis, and treatment of overweight and obesity for children hospitalized for asthma and to describe demographic, asthma, and weight characteristics for these patients. METHODS: A retrospective record review was conducted for children admitted to the hospital with asthma in 2012...
October 12, 2016: Hospital Pediatrics
https://www.readbyqxmd.com/read/27697829/timing-of-circumcision-and-breastfeeding-initiation-among-newborn-boys
#5
Lisa Mondzelewski, Sheila Gahagan, Christine Johnson, Hala Madanat, Kyung Rhee
BACKGROUND AND OBJECTIVES: Newborn circumcision, particularly in the first 24 hours of life, has been thought to adversely affect breastfeeding initiation. However, no studies specifically support an association between early circumcision and difficulty with breastfeeding initiation or maintenance. This study was designed to determine whether timing of newborn circumcision affects rates of exclusive breastfeeding during the first 2 weeks of life. METHODS: A retrospective study of 797 newborn boys and their mothers was conducted at a large military hospital...
October 3, 2016: Hospital Pediatrics
https://www.readbyqxmd.com/read/27909094/a-case-of-exertional-rhabdomyolysis-a-cheer-for-standardizing-inpatient-management-and-prevention
#6
Youyang Yang, Lindsay P Carter, Rebecca E Cook, Elahna Paul, Kevin R Schwartz
No abstract text is available yet for this article.
December 2016: Hospital Pediatrics
https://www.readbyqxmd.com/read/27909093/barriers-of-pediatric-residents-to-speaking-up-about-patient-safety
#7
Rachel Landgren, Zeinab Alawadi, Caryn Douma, Eric J Thomas, Jason Etchegaray
BACKGROUND AND OBJECTIVES: Medical errors are a leading cause of death in the United States. Effective communication and speaking up are crucial factors in patient safety initiatives. We examined the reasons reported by pediatric residents for not speaking up about safety events when they are observed in practice. We also tested a priori hypotheses of associations between categories of barriers to speaking up with perceptions of safety and teamwork culture. METHODS: Pediatric residents completed an anonymous electronic survey measuring safety and teamwork culture along with an open-ended question asking them to list the top 3 barriers to speaking up about patient safety concerns...
December 2016: Hospital Pediatrics
https://www.readbyqxmd.com/read/27899409/variation-in-diagnostic-testing-and-hospitalization-rates-in-children-with-acute-gastroenteritis
#8
Carrie H Lind, Matt Hall, Donald H Arnold, Whitney Browning, David P Johnson, Gregory Plemmons, Nusrat Zaman, Derek J Williams
No abstract text is available yet for this article.
December 2016: Hospital Pediatrics
https://www.readbyqxmd.com/read/27879283/infant-videofluoroscopic-swallow-study-testing-swallowing-interventions-and-future-acute-respiratory-illness
#9
Eric R Coon, Rajendu Srivastava, Gregory J Stoddard, Sheena Reilly, Christopher G Maloney, Susan L Bratton
OBJECTIVES: Tube feedings are commonly prescribed to infants with swallowing abnormalities detected by videofluoroscopic swallow study (VFSS), but there are no studies demonstrating efficacy of these interventions to reduce risk of acute respiratory illness (ARI). We sought to measure the association between swallowing interventions and future ARI, among VFSS-tested infants. METHODS: Retrospective cohort of all infants (<12 months) tested with VFSS at a children's hospital between January 1, 2010, and January 1, 2012...
December 2016: Hospital Pediatrics
https://www.readbyqxmd.com/read/27856605/medically-hospitalized-patients-with-eating-disorders-and-somatoform-disorders-in-pediatrics-what-are-their-similarities-and-differences-and-how-can-we-improve-their-care
#10
Patricia Ibeziako, Jennifer M Rohan, Simona Bujoreanu, Christine Choi, Meghan Hanrahan, Melissa Freizinger
OBJECTIVES: The purpose of the current study is to describe the demographic and clinical characteristics and health care use of medically hospitalized patients with eating disorders (ED) and somatoform disorders (SFD) in a pediatric setting and to use the findings to explore opportunities for improved care. METHODS: Retrospective chart reviews of 125 patients with SFD and 125 patients with ED (N = 250) seen at a tertiary pediatric facility over a 12- and 19-month period, respectively...
December 2016: Hospital Pediatrics
https://www.readbyqxmd.com/read/27856604/collaboration-is-key-to-improving-hospital-care-for-patients-with-medical-and-psychiatric-comorbidity
#11
Stephanie K Doupnik, Jennifer K Walter
No abstract text is available yet for this article.
December 2016: Hospital Pediatrics
https://www.readbyqxmd.com/read/27836909/it-is-still-your-shot-sir
#12
Jeffrey R Van Blarcom
No abstract text is available yet for this article.
December 2016: Hospital Pediatrics
https://www.readbyqxmd.com/read/27821700/collaborating-with-a-statistician-bringing-a-clinical-perspective-to-statistics
#13
Matt Hall, Troy Richardson, Jay G Berry, Lilliam Ambroggio, Samir S Shah, Kenneth B Roberts
No abstract text is available yet for this article.
December 2016: Hospital Pediatrics
https://www.readbyqxmd.com/read/27811162/pediatric-medication-safety-in-adult-community-hospital-settings-a-glimpse-into-nationwide-practice
#14
Francisco Alvarez, Lana Ismail, Allison Markowsky
BACKGROUND AND OBJECTIVES: Most children in the United States are treated in adult settings. Studies show that the pediatric population is vulnerable to medication errors. It can be extrapolated that children cared for in adult settings are at equal or higher risk for errors. The goal of this study was to assess the existing pediatric medication safety infrastructure within adult hospitals. METHODS: Questionnaire developed through Research Electronic Data Capture (REDCap) and distributed to pediatric hospitalist programs listed on the American Academy of Pediatrics, Section on Hospital Medicine web site and members of the American Academy of Pediatrics Quality Improvement Innovation Networks listserv...
December 2016: Hospital Pediatrics
https://www.readbyqxmd.com/read/27803024/directly-comparing-handoff-protocols-for-pediatric-hospitalists
#15
Elizabeth H Lazzara, Robert Riss, Brady Patzer, Dustin C Smith, Y Raymond Chan, Joseph R Keebler, Sarah D Fouquet, Evan M Palmer
BACKGROUND AND OBJECTIVES: Handoff protocols are often developed by brainstorming and consensus, and few are directly compared. We hypothesized that a handoff protocol (Flex 11) developed using a rigorous methodology would be more favorable in terms of clinicians' attitudes, behaviors, cognitions, or time-on-task when performing handoffs compared with a prevalent protocol (Situation Background Assessment Recommendation [SBAR]). METHODS: Using a between-groups, randomized control trial design (Flex 11 versus SBAR) during a pilot study in a simulated environment, 20 clinicians (13 attending physicians and 7 residents) received 3 patient handoffs from a standardized physician, managed the patients, and handed off the patients to the same standardized physician...
December 2016: Hospital Pediatrics
https://www.readbyqxmd.com/read/27803075/medical-traumatic-stress-a-multidisciplinary-approach-for-iatrogenic-acute-food-refusal-in-the-inpatient-setting
#16
Perihan Esra Guvenek-Cokol, Katherine Gallagher, Chase Samsel
No abstract text is available yet for this article.
November 2016: Hospital Pediatrics
https://www.readbyqxmd.com/read/27803074/diagnostic-uncertainty-and-ethical-dilemmas-in-medically-complex-pediatric-patients-and-psychiatric-boarders
#17
Kelly Gardner, Stephanie Ruest, Brian Cummings
No abstract text is available yet for this article.
November 2016: Hospital Pediatrics
https://www.readbyqxmd.com/read/27803073/provider-feedback-a-potential-method-to-reduce-readmissions
#18
Mark S Brittan, Victoria Fischman, Sara E Martin, Angela Moss, David Keller
No abstract text is available yet for this article.
November 2016: Hospital Pediatrics
https://www.readbyqxmd.com/read/27803072/factors-associated-with-the-prophylactic-prescription-of-a-bowel-regimen-to-prevent-opioid-induced-constipation
#19
Nancy Y Chen, Eugene Nguyen, Sheree M Schrager, Christopher J Russell
OBJECTIVE: Identify factors associated with the prophylactic prescription of a bowel regimen with an inpatient opioid prescription. METHODS: This was a retrospective cohort study from June 1, 2013, to October 31, 2014 of pediatric inpatients prescribed an oral or intravenous opioid on the general medical/surgical floors. We identified patients with or without a prophylactic prescription of a bowel regimen. We obtained patient demographics, prescriber training level and service and used multivariate logistic regression to analyze the factors associated with prophylactic bowel regimen and opioid prescription...
November 2016: Hospital Pediatrics
https://www.readbyqxmd.com/read/27803071/characteristics-of-children-hospitalized-with-aspiration-pneumonia
#20
Alexander W Hirsch, Michael C Monuteaux, Genna Fruchtman, Richard G Bachur, Mark I Neuman
OBJECTIVES: Unlike community-acquired pneumonia (CAP), there is a paucity of data characterizing the patient demographics and hospitalization characteristics of children with aspiration pneumonia. We used a large national database of US children's hospitals to assess the patient and hospitalization characteristics associated with aspiration pneumonia and compared these characteristics to patients with CAP. METHODS: We identified children hospitalized with a diagnosis of aspiration pneumonia or CAP at 47 hospitals included in the Pediatric Health Information System between 2009 and 2014...
November 2016: Hospital Pediatrics
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