Abstract:
:Health care providers' involvement is critical for quality of care improvement. Nevertheless, most residency programs do not include this topic. The objective is to describe an educational experience on quality of care improvement for residents. The development of an improvement cycle was included in the second year syllabus of the pediatric residency program. A handbook and an online course were provided. Over 12 months, 10 proposals were designed on therapeutic and diagnostic approaches, effective communication, patient admission and logistics; they were based on sentinel events, incident reports, direct observation, and patients' complaints. Multidisciplinary working teams were formed. Health care protocols were agreed and processes were standardized. A program based on educational goals for continuous quality improvement allowed residents to acquire theoretical training and practical experience on the topic. :La participación de los profesionales de la salud es esencial para la mejora de la calidad de atención. Sin embargo, la mayoría de los programas de residencia no incluyen esta temática. El objetivo es presentar una experiencia de formación de residentes en mejora de la calidad de atención. Se incluyó, en el programa de 2.do año de la Residencia de Pediatría, el desarrollo de un ciclo de mejora. Se proporcionó un manual y un curso en línea. Durante 12 meses, se diseñaron 10 propuestas sobre conductas terapéuticas, diagnósticas, comunicación efectiva, admisión de pacientes y logística, a partir de eventos centinela, reporte de incidentes, observación directa y quejas de pacientes. Se formaron equipos de trabajo multidisciplinarios. Se consensuaron protocolos de atención médica y estandarización de procesos. Un programa basado en objetivos pedagógicos en mejora continua de la calidad permitió que los residentes adquirieran formación teórica y experiencia práctica en dicha temática.
journal_name
Arch Argent Pediatrjournal_title
Archivos argentinos de pediatriaauthors
Carozza Colombini MN,Silva C,Luiz Passarela M,Arzelan Clerici C,Llera Jdoi
10.5546/aap.2020.eng.286subject
Has Abstractpub_date
2020-08-01 00:00:00pages
286-289issue
4eissn
0325-0075issn
1668-3501journal_volume
118pub_type
杂志文章abstract::Pulmonary Langerhans cell histiocytosis is an interstitial lung disease that results from the accumulation of specific histiocytic cells in the lung. Spontaneous pneumothorax is a recognized feature of pulmonary Langerhans cell histiocytosis and results from destruction of lung parenchyma with associated cystic change...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2014.e113
更新日期:2014-06-01 00:00:00
abstract::Egg allergy is one of the most common food allergies during childhood along with cow's milk allergy. The measles-mumpsrubella (MMR) vaccine is included in the pediatric immunization schedule and contains egg protein. The currently accepted opinion is that the MMR vaccination should be done in a single dose under medic...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2017.eng.e89
更新日期:2017-04-01 00:00:00
abstract::Trichorhinophalangeal syndrome type II (TRPSII) (synonym: Langer-Giedon syndrome) is a rare autosomal dominant contiguous gene syndrome, resulting from a microdeletion encompassing the EXT1 and the TRPS1 gene at 8q24 (MIM#150230). This syndrome combines the clinical features of two autosomal dominant disorders, tricho...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2016.eng.e403
更新日期:2016-12-01 00:00:00
abstract::Hereditary spherocytosis must always be suspected in children with anemia, hyperbilirubinemia, splenomegaly or cholelithiasis, in the asymptomatic individual with an affected relative, and in the neonate with hyperbilirubinemia with no blood group incompatibility; its early detection is key to avoid kernicterus. Follo...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章,评审
doi:10.5546/aap.2015.168
更新日期:2015-04-01 00:00:00
abstract:INTRODUCTION:The most common causes of cervical lymphadenopathy (LAP) are inflammatory and reactive conditions; only a small proportion have serious pathology, such as malignancy. The objective of this study was to evaluate the relationship between USG findings and histopathological diagnosis of the cervical LAP. POPU...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2020.eng.11
更新日期:2020-02-01 00:00:00
abstract::The Sociedad Argentina de Pediatría, SAP (Argentine Society of Pediatrics) offers courses and scientific activities for pediatricians and residents. We evaluated the participation of Pedro de Elizalde Hospital residents in the scientific and training activities of SAP and assessed the trend of participation throughout...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2012.154
更新日期:2012-04-01 00:00:00
abstract::Abdominal pain as an initial symptom of meningococcemia is an infrequent entity, rarely described in literature. We present a case of a 4 year-old, male, previously healthy child with a 24 hour history of fever and abdominal pain. He is admitted in a surgical unit with a diagnosis of acute abdomen for surgical resolut...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.1590/S0325-00752008000300012
更新日期:2008-06-01 00:00:00
abstract:BACKGROUND/AIM:In this study, we aimed to investigate the additive effect of mesenchymal stem cells (MSC) and defibrotide (DFT) in a rat model of femoral arterial thrombosis. METHODS:Thirty Sprague Dawley rats were included. An arterial thrombosis model by ferric chloride (FeCl3) was developed in the left femoral arte...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2017.eng.249
更新日期:2017-06-01 00:00:00
abstract::Langerhans cell histiocytosis in infants is a rare condition, and presentation as an isolated cervical adenitis is exceptional at this age. We describe the case of a 3-month-old female infant presenting with a neck mass in the right mandibular angle with poor response to antibiotic treatment. Fine needle aspiration wa...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2016.e264
更新日期:2016-08-01 00:00:00
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journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.1590/S0325-00752011000400020
更新日期:2011-08-01 00:00:00
abstract:INTRODUCTION:Cow's milk protein allergy is the most common allergy in pediatrics. Immunoglobulin E (IgE)-mediated cow's milk allergy poses a higher risk for life and a worse prognosis. OBJETIVES:To describe the course of IgE-mediated cow's milk protein allergy and risk factors associated with disease persistence. PAT...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2017.eng.331
更新日期:2017-08-01 00:00:00
abstract::The FATCO syndrome, (Fibular Aplasia, Tibial Campomelia and Oligosyndactyly) are bone malformations with main alteration in lower limbs. It is a rare entity and there are few cases reported in international literature, and so far there are not published cases in Colombia. Here we present a case of a male newborn with ...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2016.e167
更新日期:2016-06-01 00:00:00
abstract::In 1988, Ouvrier and Billson described four children with a condition they termed "benign paroxysmal tonic upgaze syndrome". The clinical picture is characterized by the appearance, in the first months of life, of episodes of paroxysmal upgaze deviation of varying duration, and without alteration of consciousness. Fix...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.1590/S0325-00752010000500012
更新日期:2010-10-01 00:00:00
abstract::Familial hypercholesterolemia is one of the most common genetic disorders and it provides the best evidence on the etiologic role of LDL-colesterol for arteroesclerosis development. Two patients with severe hypercholesterolemia had been presented. Importance of early diagnosis and treatment has been stated to avoid or...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章,评审
doi:10.1590/S0325-00752011000400015
更新日期:2011-08-01 00:00:00
abstract::Food allergy poses a major problem during childhood. Component-resolved diagnosis detects allergy to proteins isolated in food. This descriptive study analyzes the use of customized and standardized recommendations in a sample made up of 22 children aged 2 to 16 years old with plant food allergy and assesses sensitivi...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2015.538
更新日期:2015-12-01 00:00:00
abstract:INTRODUCTION:In 1999, the American Academy of Pediatrics (AAP) recommended perform a renal ultrasonography and avoiding cystourethrography to all infants between 2 and 24 months of age after their first urinary tract infection (UTI). In 2011, the AAP restricted voiding cystourethrography to children with a pathological...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2016.eng.129
更新日期:2016-04-01 00:00:00
abstract::The environmental influence on human development can be studied by assessing similarities and discrepancies in developmental traits between biological and adopted siblings and twins, reared together and reared apart. Approximately 50% of total variance of general cognitive ability in a given population can be explaine...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.1590/S0325-00752010000600009
更新日期:2010-12-01 00:00:00
abstract::An injury to the upper urinary tract with urinary extravasation caused by blunt abdominal trauma is uncommon and often unrecognized in an initial evaluation. A late diagnosis of this injury significantly increases morbidity. Two cases are discussed, one with avulsion of right upper ureter and the other one with parenc...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.1590/S0325-00752010000600017
更新日期:2010-12-01 00:00:00
abstract::Rhinosinusitis is a very common childhood condition. Osteomyelitis is an unusual complication, which mainly occurs in toddlers and young children. The most frequent etiologic agent is Staphylococcus aureus. Iniatially, it is characterized by fever, low eyelid edema, unilateral rhinorrhea and ipsilateral palatine edema...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2016.e87
更新日期:2016-04-01 00:00:00
abstract:INTRODUCTION:The objective of this study was to evaluate the relation between age at diagnosis and compliance to gluten free diet (GFD) on growth in children with celiac disease and the factors that influenced compliance to GFD. POPULATION AND METHODS:Celiac disease (CD) patients with villous atrophy followed in our h...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2018.eng.248
更新日期:2018-08-01 00:00:00
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journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2020.eng.217
更新日期:2020-06-01 00:00:00
abstract:INTRODUCTION:Under-diagnosis and underrecording of overweight and obesity in pediatrics is very common. Using an electronic medical record may be helpful. The objective was to establish the percentage of recording of this problem by primary care pediatricians and analyze if it was associated with the performance of anc...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2020.eng.132
更新日期:2020-04-01 00:00:00
abstract::An adequate drug dosage at treatment initiation is particularly relevant for critically ill patients. An inadequate dosage may result in therapeutic failure, potentially severe adverse events, and unnecessary health expenditures. At present, due to the higher incidence of childhood obesity, primary care physicians are...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2019.eng.e121
更新日期:2019-04-01 00:00:00
abstract::The caregivers of children with congenital heart disease undergoing cardiac surgery are under stress due to the uncertainty of the surgical outcome and the stressful experience of being admitted in an intensive care unit. The current review describes the factors associated with parental stress in patients with congeni...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章,评审
doi:10.5546/aap.2014.263
更新日期:2014-06-01 00:00:00
abstract::This article proposes to define child rearing as a social and cultural process that, far from depicting universal and invariable characteristics, shows a huge diversity, mostly linked to the cultural features of families and communities in charge of such process. It has been considered that the anthropological perspec...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2020.eng.e379
更新日期:2020-08-01 00:00:00
abstract::The characteristic phenotype of CHARGE syndrome includes: coloboma, congenital heart defect, choanal atresia, retarded growth and development, genital abnormalities, ear anomalies with or without hearing loss, which give the name (an acronym) to this condition. The molecular cause in 60% of the cases are mutations in ...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.1590/S0325-00752010000100016
更新日期:2010-02-01 00:00:00
abstract::Incontinentia pigmenti (IP) is a rare genodermatosis. Skin lesions, that are present in all patients affected, evolve in stages. The first is the erythematous blistering stage, wich differential diagnosis includes a wide variety of diseases. We present a case of a female neonate with blisters present at birth, where t...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.1590/S0325-00752011000300015
更新日期:2011-06-01 00:00:00
abstract::Congenital erythropoietic porphyria is an extremely rare, autosomal recessive, non-acute cutaneous porphyria, caused by uroporphyrinogen III synthase deficiency, codificated by UROS gene on the chromosome 10q26.2. Porphyrins deposit in cornea, bones and teeth. The first symptoms could be manifested in early childhood,...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2018.e300
更新日期:2018-04-01 00:00:00
abstract::Standing at the crossroads of anthropology, communication, industrial design and new technology theories, this article describes the communication challenges posed during hospital emergencies resulting from linguistic and cultural differences between health care professionals and patients. In order to overcome communi...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2014.33
更新日期:2014-02-01 00:00:00
abstract::Propionic acidemia is a rare metabolic disease (prevalence 1/100,000) that can be early detected with the newborn metabolic screening within the first 72 hours of life. It can have a severe neonatal presentation, a late intermittent onset or a chronic and progressive course. The treatment in the crisis consists in inv...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2020.e53
更新日期:2020-02-01 00:00:00