Abstract：
OBJECTIVES:To review the risks of injury to children in the hospital setting and to provide an overview of the factors which influence the approach to hospital safety, including institutional liability, hospital accreditation, patient safety and risk management issues. METHODS:Fatal and nonfatal injuries to children in the hospital setting were identified using searches of the published literature and searches of incident, complaint and claims data sources, including regulatory agency databases, litigation and claims data, and medical device hazard databases. Canadian hospital law, accreditation, patient safety and risk management literature was reviewed and summarized. RESULTS:Injuries occur in over 1% of hospitalized children, and are typically due to falls. Serious injuries are infrequent; however, a significant number of fatal injuries have been reported, mostly involving entrapment in beds and cribs, but also due to choking, strangulation and electrocution. Hospitals are liable for injuries to patients and visitors occurring on their premises. Canadian accreditation standards include provisions for the safety of equipment, supplies, medical devices and space, but do not provide specific guidance for children. Addressing injury hazards to children is an important aspect of the new patient safety movement, and falls within the scope of existing risk management and quality improvement programs. CONCLUSIONS:Most hazards to children in the hospital setting can be easily corrected by proactively incorporating basic child safety principles. Paediatricians can play an important role in advocating for a safe hospital environment and should encourage administrators to consider child safety in routine hospital operation and policies.
journal_name
Paediatr Child Healthjournal_title
Paediatrics & child healthauthors
Warda Lsubject
Has Abstractpub_date
2004-05-01 00:00:00pages
331-4issue
5eissn
1205-7088issn
1918-1485journal_volume
9pub_type
杂志文章abstract：BACKGROUND:Paediatric electrocardiograms (ECGs) are ordered and interpreted by general paediatricians; however, no previous studies have evaluated the accuracy of their ECG interpretations. OBJECTIVE:To determine general paediatricians' practice and opinions regarding ECG use, accuracy of their interpretation of paedi...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/19.2.77
更新日期：2014-02-01 00:00:00
abstract：BACKGROUND:A checklist that promotes compliance with aseptic technique during line insertion is a component of many care bundles aimed at reducing nosocomial infections among intensive care unit patients. OBJECTIVE:To determine whether the use of bundled interventions that include a checklist during central-line inser...
journal_title：Paediatrics & child health
pub_type： 杂志文章,评审
doi：10.1093/pch/19.4.e20
更新日期：2014-04-01 00:00:00
abstract：:Bone marrow aspiration (BMA) and bone marrow trephine biopsy are important procedures for the diagnosis of hematological malignancies and nonmalignant diseases in children. During BMA, bone marrow particles are obtained for analysis including microscopic morphologic evaluations and differential counts. During a trephi...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/13.6.499
更新日期：2008-07-01 00:00:00
abstract：BACKGROUND:Night-float systems, in which residents work consecutive nights, have been increasingly adopted in paediatric programs, but may be detrimental to residents' sleep and mood. OBJECTIVE:To describe the self-reported impact of a novel system consisting of two consecutive weeks of 16 h overnight shifts every sec...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/20.2.77
更新日期：2015-03-01 00:00:00
abstract：:Maintenance of plasma glucose depends on a normal endocrine system, functional enzyme levels for glycogenolysis, gluconeogenesis and other processes, and there must be an adequate supply of endogenous fat, glycogen and substrates of gluconeogenesis. Neonatal hypoglycemia should be defined as serum glucose less than 2....
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/3.1.16
更新日期：1998-01-01 00:00:00
abstract：:Canadian subspecialty residency training programs are developed around the learning objectives listed in the seven Canadian Medical Education Directives for Specialists (CanMEDS) criteria. Delivering content on objectives outside of those traditionally acquired in clinical rotations can be a challenge. In the present ...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/17.10.544
更新日期：2012-12-01 00:00:00
abstract：:Children with acute asthma exacerbations frequently present to an emergency department with signs of respiratory distress. The most severe episodes are potentially life-threatening. Effective treatment depends on the accurate and rapid assessment of disease severity at presentation. This statement addresses the assess...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/17.5.251
更新日期：2012-05-01 00:00:00
abstract：Objective:School-based vaccination programs can be a source of distress for many students due to the pain from the needle injection and related fears. We created a multifaceted Knowledge Translation (KT) intervention to address vaccination and pain, fear, and fainting called The CARD™ System. The objectives were to doc...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/pxz018
更新日期：2019-04-01 00:00:00
abstract：:Helicobacter pylori infection is acquired in childhood and plays a causative role in chronic gastritis, peptic ulcer disease and the development of gastric cancer. The present review focuses on recent advances in the management of H pylori infection in children and provides an update of current Canadian guidelines reg...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/9.10.709
更新日期：2004-12-01 00:00:00
abstract：:Arthropod-borne diseases do not occur commonly in Canada. Nevertheless, Canadians run the risk of contracting certain infections within the country during arthropod season, as well as when travelling abroad. Therefore, it is important that clinicians are aware of the possible occurrence of arthropod-borne diseases, an...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/5.4.206
更新日期：2000-05-01 00:00:00
abstract：:[This corrects the article DOI: 10.1093/pch/pxy072.]. ...
journal_title：Paediatrics & child health
pub_type： 杂志文章,已发布勘误
doi：10.1093/pch/pxy163
更新日期：2019-02-01 00:00:00
abstract：:Sexual and reproductive health is an important component of comprehensive health care for youth. This statement provides guidance for selecting and prescribing contraceptives for youth, including commonly prescribed hormonal contraceptives-the pill, patch, ring and injectable progestin-and long-acting reversible contr...
journal_title：Paediatrics & child health
pub_type： 杂志文章,评审
doi：10.1093/pch/pxx192
更新日期：2018-07-01 00:00:00
abstract：:There have been publically expressed concerns about the costs and allocation of neonatal and perinatal health care resources in Canada and elsewhere for the past 15 years. This paper reports information from a symposium held during the 1996 Canadian Paediatric Society (CPS) annual meeting sponsored by the CPS Section ...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/4.1.51
更新日期：1999-01-01 00:00:00
abstract：:The present paper describes research on the skills and processes associated with word and text reading acquisition in preschool children and during the first years of school. The aim is to provide an overview that gives a sense of the important milestones in language and literacy acquisition. A comparison of children'...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/11.9.589
更新日期：2006-11-01 00:00:00
abstract：OBJECTIVE:To assist in the diagnosis of retinopathy of prematurity (ROP) to facilitate treatment in a timely manner to help prevent blindness. DATA SOURCES:Systematic review using MEDLINE including the following key words, "retinopathy of prematurity", "retrolental fibroplasia", "blind", "blindness", "vision screening...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：
更新日期：1998-05-01 00:00:00
abstract：:Canada lags behind other countries when it comes to investing in families with children. Canada, therefore, fails to promote health by not optimizing early development. The authors diagnose the Canadian failure. The problem is not research or fiscal capacity, but rather a sickness in Canadian culture. Four ailments ar...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/14.10.685
更新日期：2009-12-01 00:00:00
abstract：:Although multiple critical steps are taken to minimize the risk of infection from transfusion of blood or blood products in developed countries, this risk can never be entirely eliminated. In Canada, the risks of noninfectious transfusion reactions, such as transfusion-related acute lung injury and major allergic or a...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/17.10.e102
更新日期：2012-12-01 00:00:00
abstract：OBJECTIVES:To determine the use and potential interactions of natural health products (NHPs) with conventional medications in children with life-limiting illnesses. METHODS:The present study was a retrospective medical record review of palliative care patients <18 years of age who were admitted for respite care to a C...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/20.1.23
更新日期：2015-01-01 00:00:00
abstract：:Obesity is recognized by the World Health Organization as an emerging epidemic with significant health risks. This paper outlines the issues for overweight and obese adolescents in Canada, and provides guidelines for providing practical, office-based management in the community. The focus is upon promoting healthy app...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：
更新日期：1998-11-01 00:00:00
abstract：:Mitigating the harmful effects of adverse social conditions is critical to promoting optimal health and development throughout the life course. Many Canadians worry over food access or struggle with household food insecurity. Public policy positions breastfeeding as a step toward eradicating poverty. Breastfeeding ful...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/pxx067
更新日期：2017-07-01 00:00:00
abstract：BACKGROUND:Child abuse and neglect (CAN) represents an international public health and societal problem, the extent and nature of which are inadequately understood. Child and youth protection programs (CYPPs), based in 16 Canadian paediatric academic health science centres, identify, manage, treat and prevent cases of ...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：
更新日期：2007-03-01 00:00:00
abstract：:Nontyphoidal Salmonella (NTS) infections are primarily transmitted by contaminated food or water or contact with carrier animals (particularly reptiles), and present with diarrhea. Antibiotics do not decrease the severity or duration of diarrhea and may increase the incidence of NTS carriage, so they should only be us...
journal_title：Paediatrics & child health
pub_type： 杂志文章,评审
doi：10.1093/pch/pxy199
更新日期：2019-02-01 00:00:00
abstract：:In the past three decades, rapidly changing demographic characteristics have been witnessed in western society. Concurrently, numerous culture-related studies have attested to the disparity in health services among different ethnic groups. Reports have shown contributing factors that can render main stream services in...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/9.9.627
更新日期：2004-11-01 00:00:00
abstract：:Childhood obesity has reached epidemic proportions. Many of these children have risk factors for later disease, including cardiovascular disease. For optimal cardiovascular health, health care professionals must be able to identify children and youth at risk and provide appropriate support as needed. The present artic...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/14.3.177
更新日期：2009-03-01 00:00:00
abstract：OBJECTIVE:To determine whether reminder notices would improve the timeliness of toddler-age vaccinations. DESIGN:Prospective, randomized, controlled trial. POPULATION STUDIED:Two convenience cohorts of 320 children due to receive either measles-mumps-rubella (MMR) vaccine (at 12 months of age) or diphtheria-pertussis...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：
更新日期：1999-09-01 00:00:00
abstract：:Over the past decade, the unfortunate reality is that the income gap has widened between Canadian families. Educational outcomes are one of the key areas influenced by family incomes. Children from low-income families often start school already behind their peers who come from more affluent families, as shown in measu...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/12.8.701
更新日期：2007-10-01 00:00:00
abstract：OBJECTIVE:To determine the current prevalence of smoking among First Nations youth living on reserve within the Saskatoon Tribal Council, and to determine the independent risk indicators associated with smoking among First Nations youth. METHODS:Students in grades 5 to 8 attending school within the Saskatoon Tribal Co...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/16.10.e71
更新日期：2011-12-01 00:00:00
abstract：OBJECTIVE:To determine whether an association exists between the publication of journal articles before and during paediatrics residency. METHODS:A retrospective search of PubMed was conducted for publications by all 567 Canadian paediatricians certified between 2009 and 2012, inclusive. Paediatricians were separated ...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/21.4.187
更新日期：2016-05-01 00:00:00
abstract：:[This corrects the article on p. 583 in vol. 12.][This corrects the article on p. 591 in vol. 12.]. ...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/12.10.858
更新日期：2007-12-01 00:00:00
abstract：:Acute otitis media (AOM) continues to be a common infection in young children. Milder disease, usually due to viruses or less virulent bacteria, resolves equally quickly with or without antibiotics. A bulging tympanic membrane, especially if yellow or hemorrhagic, has a high sensitivity for AOM that is likely to be ba...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/21.1.39
更新日期：2016-01-01 00:00:00
