A5102851256- Emergency and Acute Care Studies
- Family and Patient Care in Intensive Care Units
- Child and Adolescent Health
- Asthma and respiratory diseases
- Respiratory viral infections research
- Healthcare Policy and Management
- Infant Development and Preterm Care
- Pneumonia and Respiratory Infections
- Hospital Admissions and Outcomes
- Healthcare cost, quality, practices
- Smoking Behavior and Cessation
- Neonatal Respiratory Health Research
- Orthopedic Infections and Treatments
- Innovations in Medical Education
- Medical Education and Admissions
- Heart Failure Treatment and Management
- Respiratory Support and Mechanisms
- Pharmaceutical studies and practices
- Diversity and Career in Medicine
- Nosocomial Infections in ICU
- Antifungal resistance and susceptibility
- Ethics and Legal Issues in Pediatric Healthcare
- Healthcare Decision-Making and Restraints
- Health and Well-being Studies
- Musculoskeletal Disorders and Rehabilitation
Children's Medical Center
2014-2025
The University of Texas Southwestern Medical Center
2015-2025
Southwestern Medical Center
2014-2021
Medical City Children's Hospital
2018
Pediatrics and Genetics
2011-2014
Era's Lucknow Medical College and Hospital
2013
The goal was to examine pediatric hospitalist rounding practices and characteristics associated with programs conducting family-centered rounds (FCRs).The Pediatric Hospitalist Triennial Survey, sent a subset of hospitalists on the Research in Inpatient Settings listserv from United States Canada, consisted 63 questions sociodemographic characteristics, training, practice practices.Among 265 respondents (response rate: 70%), 78% practiced academic hospitals 22% nonacademic hospitals....
<h3>Importance</h3> Medical errors and adverse events (AEs) are common among hospitalized children. While clinician reports the foundation of operational hospital safety surveillance a key component multifaceted research surveillance, patient family not routinely gathered. We hypothesized that novel family-reporting mechanism would improve incident detection. <h3>Objective</h3> To compare error AE rates (1) gathered systematically with vs without reporting, (2) reported by families...
Asthma, pneumonia, and bronchiolitis are the leading causes of admission for pediatric patients; however, lack accepted benchmarks is a barrier to quality improvement efforts. Using data from children hospitalized with asthma, bronchiolitis, or goals this study were to: (1) measure 2012 performance freestanding children's hospitals using clinical indicators; (2) construct achievable care (ABCs) indicators.This was cross-sectional trial Pediatric Health Information System database. Patient...
BACKGROUND: Provider-dependent practice variation in children hospitalized with bronchiolitis is not uncommon. Clinical guidelines (CPGs) can streamline and reduce utilization however, CPG implementation complex. METHODS: A multidisciplinary team developed implemented CPGs for management of &lt;2 years old. Children comorbidities, ICU admissions, outside hospital transfers were excluded. Implementation involved teamwork collaboration, provider education, online access to CPGs, order...
Pediatric hospital medicine (PHM) established a new model of care for hospitalized children in the United States nearly 3 decades ago. In that time, field experienced rapid growth while distinguishing itself through contributions to medical education, quality improvement, clinical and health services research, patient safety, system leadership. Hospital systems have also invested using in-house pediatricians manage various inpatient settings as acuity has accelerated. National PHM leaders...
BACKGROUND Hospitalizations of children with medical complexity (CMC) account for one‐half hospital days in children, lengths stays (LOS) that are typically longer than those without complexity. The objective was to assess the impact of, risk factors for, and variation across children's hospitals regarding long LOS (≥10 days) hospitalizations CMC. METHODS A retrospective study 954,018 CMC hospitalizations, excluding admissions neonatal cancer care, during 2013 2014 44 hospitals. were...
Acute care hospitals are challenged to provide efficient, high-quality children who have medically complex conditions and may require weeks or months for recovery. Although the use of home health (HHC) facility-based postacute (PAC) after discharge is well documented adults, our knowledge, little known children.To assess national prevalence of, characteristics discharged to, variation in across states HHC PAC children.Retrospective analysis 2,423,031 US acute hospital discharges 2012...
Abstract Background Children with new‐onset psychosis often require hospitalization for medical evaluation. Objectives The goal of this study was to assess variations in the management children and characterize trends resource utilization. Methods included index hospitalizations ages 7–18 admitted children's hospitals a primary diagnosis from 2011 2022 using Pediatric Health Information System (PHIS) database. complex chronic condition were excluded. Resource utilization categories...
Abstract Background Many academic hospitals have incorporated family-centered rounds, yet little is known about pediatrics residents' perspectives on the educational impact of these rounds. Objective To identify knowledge, attitudes, and beliefs including perceived benefits barriers. Methods We conducted focus groups residents exposed to rounds at 2 university-affiliated, freestanding children's hospitals. Focus group data were analyzed using grounded theory. Results A total 24 participated...
To investigate the association of 2011 American Academy Otolaryngology Head and Neck Surgery guidelines with perioperative care processes outcomes in children undergoing tonsillectomy.We conducted a retrospective cohort study otherwise healthy tonsillectomy between January 2009 2013 at 29 US children's hospitals participating Pediatric Health Information System. We measured evidence-based suggested by (perioperative dexamethasone no antibiotic use) (30-day complication-related revisits)....
Background: Magnetic resonance imaging (MRI) with sedation is an important resource used to evaluate children musculoskeletal infection. This study assesses the impact of multidisciplinary guidelines and continuous process improvement on MRI utilization at a tertiary pediatric medical center. Methods: A team developed guideline for sedation, it was implemented our institution. Scan duration, anatomic regions imaged, sequences performed, timing surgical intervention, length hospital stay,...
Abstract A 5-year-old previously healthy child presented with right-sided otalgia, right facial and temporal swelling, jaw pain in the setting of 6 days low-grade fever. The had no trauma, vomiting, or prior dental treatments. On physical examination, patient erythema, tenderness over region along trismus, as well on palpation temporomandibular joint (TMJ). computed tomography scan revealed otitis media, Luc's abscess, TMJ septic arthritis requiring surgical drainage intravenous antibiotics....
The American Board of Pediatrics (ABP) and the Pediatric Hospital Medicine (PHM) subboard developed a content outline to serve as blueprint for inaugural certification examination through practice analysis. systematic approach analyses process is described in study.A diverse, representative panel 12 pediatric hospitalists draft using multiple resources (publications, textbooks, PHM Core Competencies, fellow's curriculum, etc). categorized knowledge into 13 domains 202 subdomains. By ABP...
Use of intravenous magnesium (IVMg) for childhood asthma exacerbations has increased significantly in the last decade. Emergency department administration IVMg been shown to reduce hospitalization, yet most children receiving emergency are subsequently hospitalized. Our objective with study was examine hospital outcomes given exacerbations.We conducted a retrospective cohort using data from Pediatric Health Information System. We used propensity score matching compare who received on first...
Objective: The goal of this study was to identify the proportion dehydration-related ambulatory care–sensitive condition hospitalizations, reasons why these hospitalizations were preventable, and factors associated with preventability. Methods: A cross-sectional survey primary care providers (PCPs), inpatient attending physicians, parents conducted in a consecutive series children conditions admitted an urban hospital over 14 months. Results: Eighty-five diagnosed dehydration. Their mean age...
BACKGROUND AND OBJECTIVES Implementing asthma Clinical Practice Guidelines (CPG) have been shown to improve length of stay (LOS) and readmission rates on a short-term basis at both tertiary care community hospital settings. Whether these outcomes are sustained long term is not known. The goal this study was measure the long-term impact CPG implementation sites in 1 system. METHODS A retrospective conducted using Pediatric Health Information System database. LOS 7- 14-day emergency department...
BACKGROUND Most inpatient care for children occurs outside tertiary children's hospitals, yet these facilities often dictate quality metrics. Our objective was to calculate the mean readmission rates and Achievable Benchmarks of Care (ABCs) pediatric diagnoses by different hospital types: metropolitan teaching, nonteaching, nonmetropolitan hospitals. METHODS We used a cross‐sectional retrospective study 30‐day, all‐cause, same‐hospital patients less than 18 years old using 2014 Healthcare...
OBJECTIVES Primary mental health admissions are increasing across US children’s hospitals. These patients may experience agitation requiring pharmacologic restraint. This study characterized restraint use in medical inpatient units by primary diagnosis. METHODS retrospective, cross-sectional used the Pediatric Health Information System database. The included children aged 5 to 17 years admitted with a diagnosis between 2016 and 2021. Rates of per 1000 patient days were determined for 13...