A5014177309- Patient Safety and Medication Errors
- Prenatal Substance Exposure Effects
- Child and Adolescent Health
- Medical Malpractice and Liability Issues
- Substance Abuse Treatment and Outcomes
- Cannabis and Cannabinoid Research
- Neonatal Respiratory Health Research
- Childhood Cancer Survivors' Quality of Life
- Clinical Reasoning and Diagnostic Skills
- Neuroscience of respiration and sleep
- Ethics and Legal Issues in Pediatric Healthcare
- Neonatal Health and Biochemistry
- Healthcare Policy and Management
- Pharmaceutical Practices and Patient Outcomes
- Cardiovascular Effects of Exercise
- Infant Development and Preterm Care
- Maternal Mental Health During Pregnancy and Postpartum
- Obesity, Physical Activity, Diet
- Historical Psychiatry and Medical Practices
- Medical History and Research
- Cardiac Arrest and Resuscitation
- Pharmaceutical studies and practices
- Primary Care and Health Outcomes
- Forecasting Techniques and Applications
- Homelessness and Social Issues
Atrium Medical Cente
2021-2025
Children's Hospital Association
2021
National Institute for Children’s Health Quality
2021
New York University
2021
Agency for Healthcare Research and Quality
2021
American Academy of Pediatrics
2021
Levine Children's Hospital
2009-2019
Departamento de Epidemiología
2019
Foundation for Human Potential
2016
University of North Carolina at Charlotte
2009-2015
The descriptive epidemiology of sudden nontraumatic death from persons aged 1 to 21 years was studied in a defined population. In nine years, the 207 deaths this group (4.6/100,000 population/per year) comprised 22% mortality. Age-specific rates were highest between and 4 (mainly infections undetermined causes) 14 cardiovascular, epilepsy, intracranial hemorrhage, asthma). Nonwhite higher than whites, white males had females. Referral for medicolegal evaluation inconsistent. Only 18% died at...
As a general pediatrician in the Bronx, I see dire health and social problems facing young children families living poverty. A dearth of decent-paying jobs, lack affordable adequate housing, limited availability quality child care, deficient educational opportunities have contributed to increased disparities our community. Widespread addiction has exacerbated family community violence neglect. Health care is fragmented inaccessible many. In United States, rates low birth weight,...
Pediatricians are rendering care in an environment that is increasingly complex, which results multiple opportunities to cause unintended harm. National awareness of patient safety risks has grown the 10 years since Institute Medicine published its report To Err Is Human, and patients society as a whole continue challenge health providers examine their practices implement solutions. The depth breadth harm incurred by practice medicine still being defined reports uncover variety avoidable...
Medication administration errors that take place in the home are common, especially when liquid preparations used and complex medication schedules with multiple medications involved; children chronic conditions disproportionately affected. Parents other caregivers low health literacy and/or limited English proficiency at higher risk for making administering to their care. Recommended strategies reduce relate provider prescribing practices; literacy-informed verbal counseling (eg, teachback...
The contribution of parental smoking to wheezing in children was studied a subset all British births between April 5 and 11, 1970 (N = 9,670). Children mothers had an 18.0 per cent cumulative incidence post-infancy through 10 years age, compared with 16.2 among nonsmoking (risk ratio 1.11, 95% CI: 1.02, 1.21). This difference confined attributed wheezy bronchitis, which smokers 7.4 cent, those nonsmokers 5.2 1.44, 1.24, 1.68). bronchitis increased as smoked more cigarettes. After multiple...
Prenatal and early postnatal cocaine exposure may have lasting effects on brain development. Whereas adverse behavioral outcomes in exposed infants are plausible, they not yet been well defined, due to methodological limitations of published studies. Improved research clinical programs needed serve drug-exposed their families.
Quality measures are used for a variety of purposes in health care, including clinical care improvement, regulation, accreditation, public reporting, surveillance, and maintenance certification. Most quality 1 3 types: structure, process, or outcome. Health should address the domains across continuum reflect patient family experience. Measure development pediatric has number important challenges, gaps evidence base; fact that most conditions must be age-specific; long, resource-intensive...
Disclosure of adverse events has become the expectation in medicine and is widely regarded as appropriate path when medical errors occur. Although data are limited on pediatrics, that they occur frequently uncontested. Types rates vary depending care setting patient population. Patients with complex conditions or from historically marginalized groups minoritized communities likely suffer disparate health safety outcomes. Systemic factors, including nonpunitive cultures supportive...
OBJECTIVE: Limited information exists about medical errors in ambulatory pediatrics and on effective strategies for improving their reporting. We aimed to implement nonpunitive error reporting, describe errors, use a team-based approach promote patient safety an academic pediatric practice. PATIENTS AND METHODS: The setting was general practice Charlotte, North Carolina, that has ∼26 000 annual visits primarily serves diverse, low-income, Medicaid-insured population. assembled...
OBJECTIVES. Maternal cocaine use is a leading grounds for newborn foster placement. This study was initiated to investigate the factors that predict custody status of infants born substance-abusing women. METHODS. A retrospective cohort design used correlates discharge decisions 99 consecutive testing positive in public hospital. RESULTS. The population 49% Black, 40% Hispanic, and 11% other or unknown. Custody at mothers (38%), family members (25%), agency care (36%). Placement outside...
Intrauterine tobacco, lead, and cocaine exposure often co-occur may affect fetal growth development, yet studies of gestational effects have not adequately measured lead or tobacco. In this anonymous survey, blood urine cotinine levels were determined mothers queried about tobacco use. Eighteen cocaine-exposed mother-infant dyads had higher than 46 random nonexposed dyads, regardless reported cigarette smoking. Crude decrements in newborns attenuated after control for cotinine. Future should...
Measles is an extremely contagious viral illness that causes 2.5 million child deaths worldwide per year. Encephalitis strikes approximately one in 1000 measles victims and results 15% mortality; 25% to 35% of the survivors suffer permanent neurological impairment. Rubella another highly childhood disease. Its effects are usually mild; yet this virus encephalitis, deafness, retardation, other congenital defects children whose mothers were infected during pregnancy, especially first...