Pediatrics

/Tag:Pediatrics

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+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Pediatrics|Comments Off on A MULTIDISCIPLINARY APPROACH TO MANAGING PEDIATRIC PATIENTS WITH BEHAVIORAL HEALTH PROBLEMS

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+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Oral Presentations, Pediatrics|Comments Off on ANALYZE THIS: A CLINICAL PATHWAY FOR SOMATIC SYMPTOM AND RELATED DISORDERS

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+00:00 March 19th, 2018|Consultative Medicine, Innovations, Uncategorized|Comments Off on Aren’t Adults Just Big Kids?: Standardizing Care of Adults in Pediatric Hospitals

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+00:00 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

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+00:00 March 19th, 2018|Pediatrics, Research, Uncategorized|Comments Off on CORE 4 ELEMENTS ARE ASSOCIATED WITH SUSTAINED READMISSIONS REDUCTION IN PEDIATRIC HOSPITAL MEDICINE

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+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on DOES GLUCOSE GEL REDUCE NEONATAL INTENSIVE CARE UNIT ADMISSIONS FOR NEONATAL HYPOGLYCEMIA?

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+00:00 March 11th, 2019|Hospital Medicine 2019, Pediatrics, Research|Comments Off on EFFECT OF A DISCHARGE CHECKLIST ON HOSPITAL REUTILIZATION; PROJECT IMPACT INTERIM REPORT

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+00:00 March 19th, 2018|Hospital Medicine 2018, Pediatrics, Research|Comments Off on FACTORS INFLUENCING CAREGIVER PERCEPTIONS OF DISCHARGE EDUCATION

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+00:00 March 11th, 2019|Hospital Medicine 2019, Pediatrics, Research|Comments Off on IMPROVING NARROW SPECTRUM ANTIBIOTIC USE IN CHILDREN HOSPITALIZED WITH PNEUMONIA

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+00:00 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

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+00:00 March 11th, 2019|Clinical Vignettes, Hospital Medicine 2019, Pediatric|Comments Off on LISDEXAMPHETAMINE OVERDOSE INDUCED MYOCARDIAL ISCHEMIA IN AN ADOLESCENT

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+00:00 February 1st, 2016|Pediatrics, Research Abstracts|Comments Off on National Pediatric Bed Occupancy

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+00:00 March 19th, 2018|Hospital Medicine 2018, Pediatrics, Research|Comments Off on NEONATAL ABSTINENCE SYNDROME LOS AND COST REDUCTION IN A COMMUNITY HOSPITAL