A5064147738- Emergency and Acute Care Studies
- Healthcare Policy and Management
- Hospital Admissions and Outcomes
- Primary Care and Health Outcomes
- Childhood Cancer Survivors' Quality of Life
- Healthcare cost, quality, practices
- Pneumonia and Respiratory Infections
- Child and Adolescent Health
- Patient Safety and Medication Errors
- Adolescent and Pediatric Healthcare
- Respiratory viral infections research
- Cardiac, Anesthesia and Surgical Outcomes
- Patient Satisfaction in Healthcare
- Dysphagia Assessment and Management
- Obstructive Sleep Apnea Research
- Healthcare Systems and Technology
- Esophageal and GI Pathology
- Gastroesophageal reflux and treatments
- Family and Patient Care in Intensive Care Units
- Respiratory Support and Mechanisms
- Cardiac Arrest and Resuscitation
- Intensive Care Unit Cognitive Disorders
- Health Systems, Economic Evaluations, Quality of Life
- Health Policy Implementation Science
- Antibiotic Use and Resistance
All India Institute of Medical Sciences
1994-2025
Primary Children's Hospital
2015-2024
Intermountain Healthcare
2015-2024
University of Utah
2015-2024
George Washington University Hospital
2024
Intermountain Medical Center
2016-2024
University of Utah Hospital
2008-2024
Imperial College London
2023
Surgical Specialties (Canada)
2022
Surgical Specialties (United States)
2022
Miscommunications are a leading cause of serious medical errors. Data from multicenter studies assessing programs designed to improve handoff information about patient care lacking.We conducted prospective intervention study resident handoff-improvement program in nine hospitals, measuring rates errors, preventable adverse events, and miscommunications, as well workflow. The included mnemonic standardize oral written handoffs, communication training, faculty development observation program,...
Hospitalized children are perceived to be increasingly medically complex, but no such trend has been documented. The objective of this study was determine whether the proportion pediatric inpatient use that is attributable patients with a diagnosis one or more complex chronic condition (CCC) increased over time and assess degree which CCC hospitalizations associated attributes consistent heightened medical complexity.A retrospective observational used 1997, 2000, 2003, 2006 Kids Inpatient...
Object The aims of this study were to measure inpatient health care for pediatric hydrocephalus in the US; describe patient, hospital, and hospitalization characteristics care; determine associated with death. Methods A cross-sectional was performed using 1997, 2000, 2003 Healthcare Cost Utilization Project Kids' Inpatient Databases (KID), nationally representative weighted data sets hospital discharges patients. hydrocephalus-related classified as either cerebrospinal fluid (CSF)...
The first cohort of IIPE projects from 2009 are beginning to realize some early successes. We bring you this article in the spirit sharing what works and doesn't. lesson about importance context is critical adopting adapting innovations your own learning environment. —Carol Carraccio, MD, MA Section Editor New duty hours standards have increased frequency transitions care or handoffs for resident physicians. Because miscommunications a leading cause adverse events hospitals, optimizing...
Postdischarge treatment of acute osteomyelitis in children requires weeks antibiotic therapy, which can be administered orally or intravenously via a peripherally inserted central catheter (PICC). The catheters carry risk for serious complications, but limited evidence exists on the effectiveness oral therapy.To compare and adverse outcomes postdischarge therapy PICC route.We performed retrospective cohort study comparing osteomyelitis. Among hospitalized from January 1, 2009, through...
Abstract Objective To determine whether medical errors, family experience, and communication processes improved after implementation of an intervention to standardize the structure healthcare provider-family on centered rounds. Design Prospective, multicenter before study. Setting Pediatric inpatient units in seven North American hospitals, 17 December 2014 3 January 2017. Participants All patients admitted study (3106 admissions, 13171 patient days); 2148 parents or caregivers, 435 nurses,...
BACKGROUND. Influenza causes significant morbidity among children. Previous studies used indirect case ascertainment methods with little cost data. We sought to measure the burden of laboratory-confirmed influenza from hospitalized METHODS. conducted a retrospective cohort study during 3 viral seasons at Primary Children's Medical Center (Salt Lake City, UT). Children ≤18 years age who were infection included. Outcomes included hospitalization rates, complications including intensive care...
Jay Berry and colleagues report findings from an analysis of hospitalization data in the US, examining proportion inpatient resources attributable to care for children with neurological impairment.
Patient handoffs are a key source of communication failures and adverse events in hospitals. Despite Accreditation Council for Graduate Medical Education requirements residency training programs to provide formal handoff skills monitor handoffs, well-established curricula validated assessment tools lacking. Developing curriculum is challenging because the need standardized processes faculty development, cultural resistance change, diverse institution- unit-level factors. In this article,...
<b>Objectives:</b> Leukodystrophies are diseases of the white matter for which data concerning clinical characteristics, incidence, disease burden, and description outcomes sparse. The purpose our study was to determine incidence most common types inherited leukodystrophies in a population, mortality time course deaths, neurologic features patients, health care costs associated with leukodystrophies. <b>Methods:</b> We conducted retrospective, hospital- clinic-based surveillance among...
Children with complex chronic conditions depend on both their families and systems of pediatric health care, social services, financing. Investigations into the workings this ecology care would be advanced by more accurate methods population-level predictions likelihood for future hospitalization.This was a retrospective cohort study. Hospital administrative data were collected from 38 children's hospitals in United States years 2003-2005. Participants included patients between 2 18 age...
<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...
Streptococcal toxic shock syndrome (TSS) is a rare and severe manifestation of group A streptococcal infection. The role intravenous immunoglobulin (IVIG) for TSS in children controversial. This study aims to describe the epidemiology determine whether adjunctive therapy with IVIG associated improved outcomes.A multicenter, retrospective cohort from 1 January 2003 through 31 December 2007 was conducted. Propensity scores were used each child's likelihood receiving IVIG. Differences primary...
To describe the quality of care for routine tonsillectomy at US children's hospitals.We conducted a retrospective cohort study low-risk children undergoing same-day between 2004 and 2010 36 hospitals that submit data to Pediatric Health Information System Database. We assessed by measuring evidence-based processes suggested national guidelines, perioperative dexamethasone no antibiotic use, outcomes, 30-day tonsillectomy-related revisits hospital.Of 139,715 who underwent tonsillectomy,...
The advent of genomic diagnostic technologies such as next-generation sequencing has recently enabled the use information to guide targeted treatment in patients with cancer, an approach known precision medicine. However, clinical outcomes, including survival and cost health care associated cancer medicine, have been challenging measure remain largely unreported.We conducted a matched cohort study 72 metastatic diverse subtypes setting large, integrated delivery system. We analyzed outcomes...
BACKGROUND: Patient safety concerns over the past 2 decades have prompted widespread efforts to reduce adverse events (AEs). It is unclear whether these resulted in reductions hospital-wide AE rates. We used a validated surveillance tool, Global Assessment of Pediatric Safety, measure temporal trends (2007–2012) rates among hospitalized children. METHODS: conducted retrospective study randomly selected pediatric inpatient records from 16 teaching and nonteaching hospitals. constructed...
OBJECTIVE. Aspiration pneumonia is the most common cause of death in children with neurologic impairment who have gastroesophageal reflux disease. Fundoplications and gastrojejunal feeding tubes are frequently employed to prevent aspiration this population. Which these approaches more effective preventing and/or improving survival unknown. The objective study was compare outcomes for disease after either a first fundoplication or tube. PATIENTS AND METHODS. This retrospective, observational...
Apparent life-threatening events in infants constitute a significant challenge for health care providers. event evaluation and management are poorly defined, outcomes have not been clearly determined. Our objectives were to characterize short- long-term risks death, child abuse, abnormal neurological of after an apparent identify clinical features that predictive these outcomes.We collected data from ages birth 12 months age who hospitalized during 5-year time period. Patients evaluated...
<b>Objective</b> To examine the impact of fundoplication on reflux related hospital admissions for children with neurological impairment. <b>Design</b> Retrospective, observational cohort study. <b>Setting </b>42 children’s hospitals in United States. <b>Participants</b> 3721 impairment born between 2000 and 2005 who had at least one admission a study before their fundoplication. <b>Intervention</b> Fundoplication. <b>Main outcome measures</b> Incident rate ratio admissions, defined as...
Gastrostomy tube (GT) placement is the most common gastrointestinal operation performed on neonates. Concomitant fundoplication used variably to prevent complications of gastroesophageal reflux, but its effectiveness unproven.To compare effect at time GT vs alone subsequent reflux-related hospitalizations in infants with neurological impairment.Retrospective, observational cohort study, defined by birth between January 1, 2005, and December 31, 2010, 42 children's hospitals United States, a...