keyword
Keywords pediatric "electronic health r...

pediatric "electronic health records"

https://read.qxmd.com/read/38477053/parent-perspectives-on-documentation-and-sharing-of-health-related-social-needs-data
#21
JOURNAL ARTICLE
Zoe Bouchelle, Stephanie G Menko, Mishaal Yazdani, Aditi Vasan, Philip Scribano, Judy A Shea, Chén C Kenyon
OBJECTIVE: Parents of pediatric patients are key stakeholders in the design and implementation of health-related social needs (HRSN) screening programs. Yet, there is little research exploring their perspectives on the documentation and sharing of HRSN data. We aimed to examine parents' preferences regarding how HRSN data are documented and shared. METHODS: We conducted semi-structured interviews with parents of hospitalized children participating in an HRSN screening program at a quaternary care children's hospital...
March 13, 2024: Hospital Pediatrics
https://read.qxmd.com/read/38471751/streamlining-telecommunications-center-and-interfacility-patient-throughput-to-a-pediatric-emergency-department-by-utilizing-an-electronic-handoff-a-quality-improvement-initiative
#22
JOURNAL ARTICLE
Thomas P Wolski, Sarah Kunka, Elizabeth Smith, Robert Carter, Prabi Rajbhandari
OBJECTIVE: Effective handoffs are critical for patient safety and high-quality care. The pediatric emergency department serves as the initial reception for patients where optimal communication is crucial. The complexities of interfacility handoffs can result in information loss due to lack of standardization. The aim of our project was a 50% reduction in monthly calls routed through the communication center from 157 to 78, for interfacility transfers to the emergency department from outpatient sites within our organization over a 1-year period, through utilization of an electronic handoff activity...
March 13, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38471744/are-children-living-with-obesity-more-likely-to-experience-musculoskeletal-symptoms-during-childhood-a-linked-longitudinal-cohort-study-using-primary-care-records
#23
JOURNAL ARTICLE
Nicola Firman, Kate Homer, Gill Harper, John Robson, Carol Dezateux
OBJECTIVE: To assess whether there is a higher incidence of musculoskeletal consultations in general practice among children with obesity. DESIGN: Longitudinal SETTING: 285 north-east London general practitioners (GPs). PARTICIPANTS: 63 418 (50.9% boys) Reception and 55 364 (50.8% boys) Year 6 National Child Measurement Programme (NCMP) participants, linked to GP electronic health records (EHRs). MAIN OUTCOME MEASURE: A GP consultation with a recorded musculoskeletal symptom or diagnosis...
March 12, 2024: Archives of Disease in Childhood
https://read.qxmd.com/read/38466976/guiding-principles-for-adolescent-web-based-portal-access-policies-interviews-with-informatics-administrators
#24
JOURNAL ARTICLE
Bryan Sisk, Alison L Antes, Christine Bereitschaft, Madi Enloe, Fabienne Bourgeois, James DuBois
BACKGROUND: Web-based patient portals are tools that could support adolescents in managing their health and developing autonomy. However, informatics administrators must navigate competing interests when developing portal access policies for adolescents and their parents. OBJECTIVE: We aimed to assess the perspectives of informatics administrators on guiding principles for the development of web-based health care portal access policies in adolescent health care...
March 11, 2024: JMIR Pediatrics and Parenting
https://read.qxmd.com/read/38465952/biomarker-assessment-of-a-high-risk-data-driven-pediatric-sepsis-phenotype-characterized-by-persistent-hypoxemia-encephalopathy-and-shock
#25
JOURNAL ARTICLE
Mihir R Atreya, Tellen D Bennett, Alon Geva, E Vincent S Faustino, Colin M Rogerson, Riad Lutfi, Natalie Z Cvijanovich, Michael T Bigham, Jeffrey Nowak, Adam J Schwarz, Torrey Baines, Bereketeab Haileselassie, Neal J Thomas, Yuan Luo, L Nelson Sanchez-Pinto
OBJECTIVES: Identification of children with sepsis-associated multiple organ dysfunction syndrome (MODS) at risk for poor outcomes remains a challenge. We sought to the determine reproducibility of the data-driven "persistent hypoxemia, encephalopathy, and shock" (PHES) phenotype and determine its association with inflammatory and endothelial biomarkers, as well as biomarker-based pediatric risk strata. DESIGN: We retrained and validated a random forest classifier using organ dysfunction subscores in the 2012-2018 electronic health record (EHR) dataset used to derive the PHES phenotype...
March 11, 2024: Pediatric Critical Care Medicine
https://read.qxmd.com/read/38458489/on-and-off-label-atypical-antipsychotic-prescription-trends-across-a-nine-year-period-among-adolescents-pre-to-post-covid-19
#26
JOURNAL ARTICLE
Brianna Costales, Natalie E Slama, Robert B Penfold, Joshua R Nugent, Scott R Spalding, Stacy A Sterling, Esti Iturralde
OBJECTIVE: This study examined atypical antipsychotic prescribing by FDA approved-use (on-label) status for adolescents before and during the Covid-19 pandemic. METHODS: Retrospective data were collected from electronic health records (EHRs) of adolescents aged 10-17 years in Kaiser Permanente Northern California. New outpatient atypical antipsychotic prescription orders during 2013-2021 were evaluated. Prescriptions were categorized as on-label if linked in EHRs to autism, psychosis, bipolar disorder, or Tourette's diagnoses; otherwise, they were potentially off-label (herein, off-label)...
March 6, 2024: Academic Pediatrics
https://read.qxmd.com/read/38458233/clinician-needs-for-ehr-pediatric-and-adolescent-weight-management-tools-a-mixed-methods-study
#27
JOURNAL ARTICLE
Amy S Braddock, Taylor Bosworth, Parijat Ghosh, Rachel Proffitt, Lauren Flowers, Emma Montgomery, Gwendolyn Wilson, Aneesh Tosh, Richelle J Koopman
BACKGROUND: Clinicians play an important role in addressing pediatric and adolescent obesity, but their effectiveness is restricted by time constraints, competing clinical demands, and the lack of effective electronic health record (EHR) tools. EHR tools are rarely developed with provider input. OBJECTIVES: We conducted a mixed method study of clinicians who provide weight management care to children and adolescents to determine current barriers for effective care and explore the role of EHR weight management tools to overcome these barriers...
March 8, 2024: Applied Clinical Informatics
https://read.qxmd.com/read/38456232/the-finnegan-score-for-neonatal-opioid-withdrawal-revisited-with-routine-electronic-data-retrospective-study
#28
JOURNAL ARTICLE
Till Rech, Kerstin Rubarth, Christoph Bührer, Felix Balzer, Christof Dame
BACKGROUND: The severity of neonatal abstinence syndrome (NAS) may be assessed with the Finnegan score (FS). Since the FS is laborious and subjective, alternative ways of assessment may improve quality of care. OBJECTIVE: In this pilot study, we examined associations between the FS and routine monitoring data obtained from the electronic health record system. METHODS: The study included 205 neonates with NAS after intrauterine (n=23) or postnatal opioid exposure (n=182)...
February 28, 2024: JMIR Pediatrics and Parenting
https://read.qxmd.com/read/38441085/advances-in-pediatric-perioperative-care-using-artificial-intelligence
#29
JOURNAL ARTICLE
Dominique Dundaru-Bandi, Ryan Antel, Pablo Ingelmo
PURPOSE OF THIS REVIEW: This article explores how artificial intelligence (AI) can be used to evaluate risks in pediatric perioperative care. It will also describe potential future applications of AI, such as models for airway device selection, controlling anesthetic depth and nociception during surgery, and contributing to the training of pediatric anesthesia providers. RECENT FINDINGS: The use of AI in healthcare has increased in recent years, largely due to the accessibility of large datasets, such as those gathered from electronic health records...
February 27, 2024: Current Opinion in Anaesthesiology
https://read.qxmd.com/read/38436636/an-interprofessional-initiative-to-address-tests-pending-at-discharge-for-hospitalized-pediatric-patients
#30
JOURNAL ARTICLE
Sarah H Vepraskas, Erica Chou, Danita Hahn, Sara Lauck, Tracey Liljestrom, Robyn Woolever, Kelly Goetz
INTRODUCTION: Pediatric hospitalized patients often are discharged before all lab tests are completed. Given the risk of medical errors related to inadequate test follow-up, we piloted a collaborative initiative to address tests pending at discharge (TPAD) within our pediatric hospital medicine section. Our objectives were to delineate the responsibilities of case managers and pediatric hospital medicine clinicians in addressing these tests and to establish a communication process. METHODS: We formed an interprofessional team and performed a current state assessment, including a survey to pediatric hospital medicine clinicians to assess time spent following up TPAD and confidence that results were followed up in a timely and appropriate manner...
February 2024: WMJ: Official Publication of the State Medical Society of Wisconsin
https://read.qxmd.com/read/38432293/rising-trends-of-childhood-attention-deficit-hyperactivity-disorder-in-a-large-integrated-healthcare-delivery-system-in-southern-california-2010-2021
#31
JOURNAL ARTICLE
Nehaa Khadka, Morgan R Peltier, Michael J Fassett, Nana A Mensah, Meiyu Yeh, Vicki Y Chiu, Yinka Oyelese, Darios Getahun
OBJECTIVE: To evaluate trends of attention-deficit/hyperactivity disorder (ADHD) diagnosis rates among children aged 5-17 years over the past decade (2010-2021) and to investigate whether there have been differences in temporal changes based on race and ethnicity, sex, or income STUDY DESIGN: Childhood ADHD diagnosis was ascertained from electronic health records using ICD-9 (314.xx) and ICD-10 (F90.x) codes. Data were stratified by child's sex, race and ethnicity, and household income, and rates of ADHD were estimated before and after adjustment for potential confounders...
March 1, 2024: Journal of Pediatrics
https://read.qxmd.com/read/38429029/disparities-in-patient-family-social-determinants-of-health-in-a-large-urban-pediatric-health-system
#32
JOURNAL ARTICLE
Stormee Williams, Kristina Hill, M Sunil Mathew, Sarah E Messiah
INTRODUCTION: This analysis sought to identify disparities in social determinants of health (SDOH) outcomes at a Texas pediatric hospital. METHODS: This retrospective study used electronic health records of pediatric patients families surveyed August -December 2022. Outcomes for health literacy, social support, food, transportation, energy, digital, and housing insecurity, and tobacco exposure were analyzed across demographic categories. RESULTS: Among 15,294 respondents to the survey (mean child age, 8...
2024: Journal of Pediatric Health Care
https://read.qxmd.com/read/38418317/development-and-evaluation-of-i-pass-to-picu-a-standard-electronic-template-to-improve-referral-communication-for-interfacility-transfers-to-the-pediatric-icu
#33
JOURNAL ARTICLE
Nehal R Parikh, Leticia S Francisco, Shilpa C Balikai, Mitchell A Luangrath, Heather R Elmore, Jennifer Erdahl, Aditya Badheka, Madhuradhar Chegondi, Christopher P Landrigan, Priyadarshini Pennathur, Heather Schacht Reisinger, Christina L Cifra
BACKGROUND: Miscommunication during interfacility handoffs to a higher level of care can harm critically ill children. Adapting evidence-based handoff interventions to interfacility referral communication may prevent adverse events. The objective of this project was to develop and evaluate a standard electronic referral template (I-PASS-to-PICU) to improve communication for interfacility pediatric ICU (PICU) transfers. METHODS: I-PASS-to-PICU was iteratively developed in a single PICU...
January 24, 2024: Joint Commission Journal on Quality and Patient Safety
https://read.qxmd.com/read/38413260/an-electronic-health-record-integrated-web-application-augments-a-qi-directed-morbidity-mortality-conference-and-improves-quality-of-care
#34
JOURNAL ARTICLE
Nitin Sajankila, Thomas Javens, Josh Hampl, Courtney Coleman, Jami Murnane, Brian D Kenney, Gail E Besner
BACKGROUND: In 2014, we developed a QI-directed Morbidity and Mortality (M&M) Conference, prioritizing discussion of individual and system failures, as well as development of action items to prevent failure recurrence. However, due to a reliance on individual electronic documents to store M&M data, our ability to assess trends in failures and action item implementation was hindered. To address this issue, in 2019, we created a secure electronic health record (EHR)-integrated web application (web app) to store M&M data...
February 16, 2024: Journal of Pediatric Surgery
https://read.qxmd.com/read/38410833/prevalence-of-adolescents-meeting-criteria-for-metabolic-and-bariatric-surgery
#35
JOURNAL ARTICLE
Warren L Shapiro, Poornima Kunani, Margo A Sidell, Xia Li, Sabina R Anderson, Jeffrey M Slezak, Corinna Koebnick, Jeffrey B Schwimmer
BACKGROUND AND OBJECTIVES: The American Academy of Pediatrics endorses metabolic and bariatric surgery (MBS) as a safe and effective treatment of severe obesity in children with class 3 obesity or with class 2 obesity and qualifying comorbidities. The study objective was to determine eligibility and characteristics of adolescents who qualify for MBS based on American Academy of Pediatrics guidelines. METHODS: This retrospective cohort study analyzed electronic health record data of 603 051 adolescents aged 13 to 17 years between January 1, 2018, and December 31, 2021...
March 1, 2024: Pediatrics
https://read.qxmd.com/read/38410770/a-clinical-informatics-approach-to-bronchopulmonary-dysplasia-current-barriers-and-future-possibilities
#36
REVIEW
Alvaro G Moreira, Ameena Husain, Lindsey A Knake, Khyzer Aziz, Kelsey Simek, Charles T Valadie, Nisha Reddy Pandillapalli, Vanessa Trivino, James S Barry
Bronchopulmonary dysplasia (BPD) is a complex, multifactorial lung disease affecting preterm neonates that can result in long-term pulmonary and non-pulmonary complications. Current therapies mainly focus on symptom management after the development of BPD, indicating a need for innovative approaches to predict and identify neonates who would benefit most from targeted or earlier interventions. Clinical informatics, a subfield of biomedical informatics, is transforming healthcare by integrating computational methods with patient data to improve patient outcomes...
2024: Frontiers in Pediatrics
https://read.qxmd.com/read/38404457/identifying-the-prevalence-and-causes-of-30-day-hospital-readmission-in-children-a-case-study-from-a-tertiary-pediatric-hospital
#37
JOURNAL ARTICLE
Hamad AlKhalaf, Wejdan AlHamdan, Sondos Kinani, Reema AlZighaibi, Shahd Fallata, Abdullah Al Mutrafy, Jubran Alqanatish
INTRODUCTION: The objectives of this study were to determine the prevalence of unplanned readmissions in the pediatric population within 30 days of discharge, identify the possible reasons behind them, and develop a predictive model for unplanned admissions. METHODS: A retrospective chart review study of 25,211 patients was conducted to identify the prevalence of readmissions occurring within 30 days of discharge from the King Abdullah Specialized Children's Hospital (KASCH) in Riyadh, Saudi Arabia, between Jan 1, 2019, and Dec 31, 2021...
November 2023: Glob J Qual Saf Healthc
https://read.qxmd.com/read/38401785/comparison-of-clinical-decision-support-tools-to-improve-pediatric-lipid-screening
#38
JOURNAL ARTICLE
Amir Goren, Henri C Santos, Thomas W Davis, Robert B Lowe, Mariya Monfette, Michelle N Meyer, Christopher F Chabris
OBJECTIVE: To test whether different clinical decision support tools increase clinician orders and patient completions relative to standard practice and each other. STUDY DESIGN: A pragmatic, patient-randomized clinical trial in the electronic health record was conducted between October 2019 and April 2020 at Geisinger Health System in Pennsylvania, with four arms: care gap-a passive listing recommending screening; alert-a panel promoting and enabling lipid screen orders; both; and a standard practice-no guideline-based notification-control arm...
February 22, 2024: Journal of Pediatrics
https://read.qxmd.com/read/38390459/carbapenem-resistant-enterobacterales-in-children-at-18-us-health-care-system-study-sites-clinical-and-molecular-epidemiology-from-a-prospective-multicenter-cohort-study
#39
JOURNAL ARTICLE
Matthew Fisher, Lauren Komarow, Jordan Kahn, Gopi Patel, Sara Revolinski, W Charles Huskins, David van Duin, Ritu Banerjee, Bettina C Fries
BACKGROUND: Carbapenem-resistant Enterobacterales (CRE) are an urgent public health threat in the United States. OBJECTIVE: Describe the clinical and molecular epidemiology of CRE in a multicenter pediatric cohort. METHODS: CRACKLE-1 and CRACKLE-2 are prospective cohort studies with consecutive enrollment of hospitalized patients with CRE infection or colonization between 24 December 2011 and 31 August 2017. Patients younger than age 18 years and enrolled in the CRACKLE studies were included in this analysis...
February 2024: Open Forum Infectious Diseases
https://read.qxmd.com/read/38379459/electronic-health-record-usability-when-caring-for-children-with-medical-complexity
#40
JOURNAL ARTICLE
Averi E Wilson, Marlon I Diaz, Christoph U Lehmann, Katherine Maddox
OBJECTIVES: To evaluate usability of and clinician satisfaction with the electronic health record (EHR) in the context of caring for children with medical complexity (CMC) at a large academic pediatric hospital and to identify key areas for targeted improvements. METHODS: Cross-sectional study of pediatric faculty and advanced practice providers across several pediatric specialties using an online Research Electronic Data Capture survey. EHR usability was measured with 6 validated questions from the National Usability-Focused Health Information System Scale, and satisfaction with common EHR functionalities was measured with 6 original Likert-scale questions and 3 free-text questions...
March 1, 2024: Hospital Pediatrics
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