Pediatrics

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Abstract Number: Oral

ANALYZE THIS: A CLINICAL PATHWAY FOR SOMATIC SYMPTOM AND RELATED DISORDERS

Background: Somatic Symptom and Related Disorders (SSRD) is an umbrella term for a wide variety of disorders commonly encountered in the inpatient pediatric setting, including conversion disorder, amplified pain syndrome, and psychogenic non-epileptiform seizures. These [...]

By | 2019-03-12T15:46:37-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Oral Presentations, Pediatrics|Comments Off on ANALYZE THIS: A CLINICAL PATHWAY FOR SOMATIC SYMPTOM AND RELATED DISORDERS

Abstract Number: 504

LISDEXAMPHETAMINE OVERDOSE INDUCED MYOCARDIAL ISCHEMIA IN AN ADOLESCENT

Case Presentation: The patient is a 13-year-old female with attention-deficit/hyperactivity disorder (ADHD) and depression who presented following an intentional overdose of her lisdexamfetamine (Vyvanse™). She admitted to taking 15 - 40mg tablets in addition to [...]

By | 2019-03-11T14:28:03-04:00 March 11th, 2019|Clinical Vignettes, Hospital Medicine 2019, Pediatric|Comments Off on LISDEXAMPHETAMINE OVERDOSE INDUCED MYOCARDIAL ISCHEMIA IN AN ADOLESCENT

Abstract Number: 464

SEVERE NUTRITIONAL DEFICIENCY MIMICKING SYSTEMIC DISEASE

Case Presentation: A 14-year-old male presented to an emergency department with 6 days of left thigh pain and inability to bear weight following a fall from bed. Associated symptoms included nausea, diaphoresis and weakness. Review [...]

By | 2019-03-24T17:08:50-04:00 March 11th, 2019|Clinical Vignettes, Finalist Posters - Clinical Vignettes, Pediatric, Hospital Medicine 2019, Pediatric|Comments Off on SEVERE NUTRITIONAL DEFICIENCY MIMICKING SYSTEMIC DISEASE

Abstract Number: 305

DOES GLUCOSE GEL REDUCE NEONATAL INTENSIVE CARE UNIT ADMISSIONS FOR NEONATAL HYPOGLYCEMIA?

Background: Recent studies suggest that glucose gel is effective for treating neonatal hypoglycemia, thus it may reduce neonatal intensive care unit (NICU) admissions. The purpose of this study is to compare NICU admissions and care [...]

By | 2019-03-11T14:23:12-04:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on DOES GLUCOSE GEL REDUCE NEONATAL INTENSIVE CARE UNIT ADMISSIONS FOR NEONATAL HYPOGLYCEMIA?

Abstract Number: 250

VARIATION IN RATE OF BLOOD CULTURE FOR SKIN AND SOFT TISSUE INFECTIONS IN IMMUNOCOMPETENT CHILDREN

Background: Single-center studies have reported low yield of blood culture for skin and soft tissue infections (SSTIs) in children. Blood cultures are commonly obtained in cases of SSTI, though the degree of practice variation is [...]

By | 2019-03-11T14:21:50-04:00 March 11th, 2019|Hospital Medicine 2019, Pediatrics, Research|Comments Off on VARIATION IN RATE OF BLOOD CULTURE FOR SKIN AND SOFT TISSUE INFECTIONS IN IMMUNOCOMPETENT CHILDREN

Abstract Number: 246

IMPROVING NARROW SPECTRUM ANTIBIOTIC USE IN CHILDREN HOSPITALIZED WITH PNEUMONIA

Background: In 2011, the Infectious Diseases Society of America (IDSA) published new guidelines on the management of community acquired pneumonia (CAP) in children and recommended use of narrow spectrum antibiotics such as ampicillin or amoxicillin [...]

By | 2019-03-11T14:21:44-04:00 March 11th, 2019|Hospital Medicine 2019, Pediatrics, Research|Comments Off on IMPROVING NARROW SPECTRUM ANTIBIOTIC USE IN CHILDREN HOSPITALIZED WITH PNEUMONIA

Abstract Number: 241

A MULTIDISCIPLINARY APPROACH TO MANAGING PEDIATRIC PATIENTS WITH BEHAVIORAL HEALTH PROBLEMS

Background: Over the course of several months, five adolescent patients were admitted to the hospital after intentional self-injurious behaviors involving foreign body ingestion. These patients were previously living in residential treatment centers, and via social [...]

By | 2019-03-11T14:21:37-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Pediatrics|Comments Off on A MULTIDISCIPLINARY APPROACH TO MANAGING PEDIATRIC PATIENTS WITH BEHAVIORAL HEALTH PROBLEMS

Abstract Number: 240

USE OF THE PROJECT IMPACT DISCHARGE TRANSITION BUNDLE TO REDUCE ASTHMA READMISSIONS: A RETROSPECTIVE MULTIFACTORIAL ANALYSIS

Background: Asthma is the leading chronic disease in children with prevalence approaching 10%. Barriers to follow up care, poor access to medication and lack of disease education pose a threat to patient safety and increase [...]

By | 2019-03-11T14:21:35-04:00 March 11th, 2019|Hospital Medicine 2019, Pediatrics, Research|Comments Off on USE OF THE PROJECT IMPACT DISCHARGE TRANSITION BUNDLE TO REDUCE ASTHMA READMISSIONS: A RETROSPECTIVE MULTIFACTORIAL ANALYSIS

Abstract Number: 239

EFFECT OF A DISCHARGE CHECKLIST ON HOSPITAL REUTILIZATION; PROJECT IMPACT INTERIM REPORT

Background: The Improving Pediatric Patient-Centered Care Transitions (IMPACT) multi-site quality improvement collaborative aims to improve discharge transitions by use of a transition bundle, including use of a discharge checklist (DCL) to ensure completion of important [...]

By | 2019-03-11T14:21:34-04:00 March 11th, 2019|Hospital Medicine 2019, Pediatrics, Research|Comments Off on EFFECT OF A DISCHARGE CHECKLIST ON HOSPITAL REUTILIZATION; PROJECT IMPACT INTERIM REPORT

Abstract Number: 238

SAFE SLEEP REINFORCEMENT AND EDUCATION DURING FAMILY CENTERED ROUNDS

Background: The 2011 AAP policy statement regarding recommendations for a safe infant sleeping environment included hospitalized infants, but unsafe sleep practices continue to be common in hospitalized infants. Safe sleep position compliance was observed to [...]

By | 2019-03-11T14:21:33-04:00 March 11th, 2019|Hospital Medicine 2019, Pediatrics, Research|Comments Off on SAFE SLEEP REINFORCEMENT AND EDUCATION DURING FAMILY CENTERED ROUNDS

Abstract Number: 101

SMARTPHONE-BASED TEACHING APP INCREASES FREQUENCY OF RESIDENTS TEACHING MEDICAL STUDENTS

Background: Third year medical students (MS3s) have not regarded the Pediatrics Clerkship at our institution with as high praise as other clerkships. Students cite a relative lack of teaching on the floors from pediatric residents [...]

By | 2019-03-11T14:18:12-04:00 March 11th, 2019|Education, Hospital Medicine 2019, Innovations|Comments Off on SMARTPHONE-BASED TEACHING APP INCREASES FREQUENCY OF RESIDENTS TEACHING MEDICAL STUDENTS

Abstract Number: 1

SNAP THIS: UTILIZING SOCIAL MEDIA AS A TOOL FOR REPRODUCTIVE HEALTH AWARENESS IN THE HOSPITAL SETTING

Background: Adolescent reproductive health education is essential to prevent transmission of sexually transmitted infections (STIs) and teen pregnancy. Half of all new STIs occur among 15-24 year-olds and 1 in 4 adolescent females has had [...]

By | 2019-03-18T13:13:04-04:00 March 11th, 2019|Communication, Finalist Posters - Innovations, Hospital Medicine 2019, Innovations|Comments Off on SNAP THIS: UTILIZING SOCIAL MEDIA AS A TOOL FOR REPRODUCTIVE HEALTH AWARENESS IN THE HOSPITAL SETTING

HM2018 Abstract Number: 41

Aren’t Adults Just Big Kids?: Standardizing Care of Adults in Pediatric Hospitals

Background: Nationally, the number of adult patients (18+ years of age) with chronic congenital and childhood conditions being admitted to children’s hospitals has been increasing, and in some cases outpacing the rate of increase in [...]

By | 2018-03-19T15:44:36-04:00 March 19th, 2018|Consultative Medicine, Innovations, Uncategorized|Comments Off on Aren’t Adults Just Big Kids?: Standardizing Care of Adults in Pediatric Hospitals

HM2018 Abstract Number: 176

CORE 4 ELEMENTS ARE ASSOCIATED WITH SUSTAINED READMISSIONS REDUCTION IN PEDIATRIC HOSPITAL MEDICINE

Background: Inconsistent transitions of care from the inpatient to outpatient setting may lead to preventable readmissions. Critical processes completed at discharge shown to reduce readmissions at our institution include admission and discharge medication reconciliation, clinically [...]

By | 2018-03-19T15:44:36-04:00 March 19th, 2018|Pediatrics, Research, Uncategorized|Comments Off on CORE 4 ELEMENTS ARE ASSOCIATED WITH SUSTAINED READMISSIONS REDUCTION IN PEDIATRIC HOSPITAL MEDICINE

HM2018 Abstract Number: 396

PUFF LADDY: A FIVE-YEAR-OLD-BOY WITH FOREHEAD SWELLING

Case Presentation: A previously healthy five-year-old boy presented with forehead swelling in the setting of a recent sinus infection. His initial symptoms were fever and nasal congestion for which he was prescribed a 10-day course [...]

By | 2018-03-19T13:17:48-04:00 March 19th, 2018|Clinical Vignettes, Hospital Medicine 2018, Pediatric|Comments Off on PUFF LADDY: A FIVE-YEAR-OLD-BOY WITH FOREHEAD SWELLING

HM2018 Abstract Number: 16

Changing the Culture Around Cultures (and more): Choosing Wisely for Uncomplicated Cellulitis and Abscess in the Hospital

Background: Skin and soft tissue infection (SSTI) is a common pediatric diagnosis with substantial economic cost. SSTIs vary in severity and clinical presentation. Providers often fear missing serious systemic infection, causing potential overtesting. However, recent [...]

By | 2018-03-22T15:45:08-04:00 March 19th, 2018|Finalist Posters, Hospital Medicine 2018, Quality Improvement, Research|Comments Off on Changing the Culture Around Cultures (and more): Choosing Wisely for Uncomplicated Cellulitis and Abscess in the Hospital

HM2018 Abstract Number: 188

FACTORS INFLUENCING CAREGIVER PERCEPTIONS OF DISCHARGE EDUCATION

Background: Discharge education is a key component of safe transition from inpatient to outpatient care in the pediatric population. Project IMPACT (Improving Pediatric Patient-Centered Care Transitions) is a multi-site quality improvement project developed to improve [...]

By | 2018-03-19T12:54:48-04:00 March 19th, 2018|Hospital Medicine 2018, Pediatrics, Research|Comments Off on FACTORS INFLUENCING CAREGIVER PERCEPTIONS OF DISCHARGE EDUCATION

HM2018 Abstract Number: 175

VARIATION BETWEEN OBSERVATION, DOCUMENTATION, AND CAREGIVER PERCEPTION OF TEACH-BACK DURING PEDIATRIC HOSPITAL DISCHARGE EDUCATION

Background: Transition from the inpatient to outpatient setting presents a safety risk to pediatric patients. Project IMPACT (Improving Pediatric Patient-Centered Care Transitions) is a multi-site quality improvement collaborative developed to improve the hospital to home [...]

By | 2018-03-19T12:53:26-04:00 March 19th, 2018|Hospital Medicine 2018, Pediatrics, Research|Comments Off on VARIATION BETWEEN OBSERVATION, DOCUMENTATION, AND CAREGIVER PERCEPTION OF TEACH-BACK DURING PEDIATRIC HOSPITAL DISCHARGE EDUCATION

HM2018 Abstract Number: 181

NEONATAL ABSTINENCE SYNDROME LOS AND COST REDUCTION IN A COMMUNITY HOSPITAL

Background: In utero opioid exposure can result in neonatal abstinence syndrome (NAS). NAS incidence has increased five-fold in the last decade. NAS is a serious condition characterized by central nervous system hyperirritability and autonomic nervous [...]

By | 2018-03-19T12:52:38-04:00 March 19th, 2018|Hospital Medicine 2018, Pediatrics, Research|Comments Off on NEONATAL ABSTINENCE SYNDROME LOS AND COST REDUCTION IN A COMMUNITY HOSPITAL

HM2016 Abstract Number: 182

Risk Factors for Overnight Desaturation Following Sedation for Non-Invasive Radiology Studies in Children with Sleep Apnea

Background: Children with sleep apnea are at increased risk for adverse respiratory events following surgical procedures involving the airway such as tonsillectomy. Risk following sedation for non-invasive procedures is unclear. The objective of this study [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Pediatrics, Research Abstracts|Comments Off on Risk Factors for Overnight Desaturation Following Sedation for Non-Invasive Radiology Studies in Children with Sleep Apnea

HM2016 Abstract Number: 173

National Pediatric Bed Occupancy

Background: We previously reported an estimate of the national pediatric (ped) bed census that demonstrated a 4% loss of total med/surg/PICU beds from 2002 to 2011. A deeper look revealed -7% med/surg beds, +12% PICU [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Pediatrics, Research Abstracts|Comments Off on National Pediatric Bed Occupancy

HM2016 Abstract Number: 71

The Golden Ticket Project: A Pilot Program in Resident Peer Recognition

Background: How to combat the corrosive effects of burnout during residency training remains a persistent question, but a supportive working environment has shown to be a protective factor.  Purpose: The Golden Ticket Project (GTP) is [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Innovations Abstracts, Other|Comments Off on The Golden Ticket Project: A Pilot Program in Resident Peer Recognition

HM2016 Abstract Number:

Improving Pediatric Centered Care Transitions: Use of Teachback for Discharge Education Decreases Hospital Reulitization and Improves Parental Comfort and Understanding

Background: The Improving Pediatric Patient-Centered Care Transitions (IMPACT) Multi-site Quality Improvement Collaborative aims to improve discharge transitions by testing a patient-centered transition bundle. Teach-back is a core component. This is a well-established method of confirming [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Oral Presentations, Research Abstracts|Comments Off on Improving Pediatric Centered Care Transitions: Use of Teachback for Discharge Education Decreases Hospital Reulitization and Improves Parental Comfort and Understanding