Abstract：
OBJECTIVES:To develop, validate, and test the feasibility of implementation of 4 new quality measures assessing emergency department (ED) and inpatient care for suicidal youth. METHODS:Four quality measures were developed to assess hospital-based care for suicidal youth. These measures, focused on counseling caregivers about restricting access to lethal means of self-harm and benefits and risks of antidepressant medications, were operationalized into 2 caregiver surveys that assessed ED and inpatient quality, respectively. Survey field tests included caregivers of youth who received inpatient and/or ED care for suicidality at 1 of 2 children's hospitals between July 2013 and June 2014. We examined the feasibility of obtaining measure scores and variation in scores. Multivariate models examined associations between quality measure scores and 4 validation metrics: modified Child Hospital Consumer Assessments of Health Care Providers and Systems, communication composites, hospital readmissions, and ED return visits. RESULTS:Response rates were 35% (ED) and 31% (inpatient). Most caregivers reported receiving counseling to restrict their child's access to lethal means of self-harm (90% in the ED and 96% in the inpatient setting). In the inpatient setting, caregivers reported higher rates of counseling on benefits (95%) of newly prescribed antidepressants than risks (physical adverse effects 85%, increased suicidality 72%). Higher scores on the latter measure were associated with higher nurse (P < .001) and doctor (P < .01) communication composite scores. Measure scores were not associated with readmissions or ED return visits. CONCLUSIONS:These new quality measures evaluate key aspects of care for suicidal youth, and they may facilitate assessing quality of care for this vulnerable population.
journal_name
Acad Pediatrjournal_title
Academic pediatricsauthors
Parast L,Bardach NS,Burkhart Q,Richardson LP,Murphy JM,Gidengil CA,Britto MT,Elliott MN,Mangione-Smith Rdoi
10.1016/j.acap.2017.09.017subject
Has Abstractpub_date
2018-04-01 00:00:00pages
248-255issue
3eissn
1876-2859issn
1876-2867pii
S1876-2859(17)30536-3journal_volume
18pub_type
杂志文章abstract：:The goal of designing innovative curricula and programs in medical education is to create interventions that will change the attitudes, knowledge, skills, and behaviors of learners in order to prepare them to contribute to the health of patients and communities they serve. Systematic evaluation allows curriculum/progr...
journal_title：Academic pediatrics
pub_type： 杂志文章,评审
doi：10.1016/j.acap.2020.07.005
更新日期：2020-01-01 00:00:00
abstract：OBJECTIVE:To understand why families enroll in and disenroll from Children's Health Insurance Program (CHIP), their experience with the CHIP application and renewal process, and the insurance coverage of their children after disenrolling. METHODS:We conducted a large household telephone survey in 2012 of CHIP enrollee...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2015.02.013
更新日期：2015-05-01 00:00:00
abstract：OBJECTIVE:Previous research suggests that cognitive functioning is associated with the risk of several adult psychiatric disorders. In this study we investigated whether adolescents who perform worse than expected at secondary school are at a higher risk for general mental health problems. METHODS:In a cross-sectional...
journal_title：Academic pediatrics
pub_type： 杂志文章
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更新日期：2017-08-01 00:00:00
abstract：OBJECTIVE:To identify whether psychosocial stress exposure during early childhood predicts subsequent increased eating in the absence of hunger (EAH), emotional overeating, food responsiveness, and enjoyment of food. METHODS:This was an observational longitudinal study. Among 207 low-income children (54.6% non-Hispani...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2018.01.007
更新日期：2018-08-01 00:00:00
abstract：BACKGROUND:Children and adolescents necessitating hospitalization for physical health conditions are at high risk for mental health conditions; however, the prevalence of mental health conditions and symptoms among hospitalized children and adolescents is uncertain. The objective of this study was to determine the prop...
journal_title：Academic pediatrics
pub_type： 杂志文章
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更新日期：2017-03-01 00:00:00
abstract：OBJECTIVE:The Core Entrustable Professional Activities for Entering Residency (Core EPAs) were developed to address the gap between medical school and residency. There is a lack of instruments to measure performance of the Core EPAs in clerkships. We describe the operationalization and outcomes of a workplace-based ass...
journal_title：Academic pediatrics
pub_type： 杂志文章
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更新日期：2020-10-07 00:00:00
abstract：OBJECTIVE:Unhealthy behaviors are a major cause of chronic disease. Preappointment screening has been suggested as one way to improve preventive care delivery related to these behaviors by specifying risks to be addressed. We aimed to determine whether screening for health-related behaviors before the clinical encounte...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2018.01.008
更新日期：2018-01-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2015.08.002
更新日期：2016-03-01 00:00:00
abstract：OBJECTIVE:To compare job search experience and postresidency position of pediatric residents on the basis of childhood location (United States or international) and medical school location (American medical graduates [AMG] or international medical graduate [IMG]). METHODS:Annual national random samples of 1000 graduat...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2015.06.005
更新日期：2015-09-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
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更新日期：2020-03-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2012.12.001
更新日期：2013-03-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/j.acap.2017.01.004
更新日期：2017-01-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2008.12.006
更新日期：2009-03-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2017.08.013
更新日期：2018-01-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2016.02.013
更新日期：2016-05-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2016.10.001
更新日期：2017-01-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章,评审
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更新日期：2021-01-21 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2014.10.004
更新日期：2015-09-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2012.07.006
更新日期：2012-11-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章,多中心研究
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更新日期：2009-01-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章,评审
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更新日期：2013-11-01 00:00:00
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更新日期：2019-01-01 00:00:00
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更新日期：2018-01-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2019.02.014
更新日期：2019-01-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
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更新日期：2016-04-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2014.03.005
更新日期：2014-09-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
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更新日期：2012-09-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
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更新日期：2020-04-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
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更新日期：2011-05-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
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更新日期：2020-10-15 00:00:00
