Abstract:
OBJECTIVE:To assess among US pediatricians' systems for tracking vaccine administration and inventory and attitudes about these systems; and attitudes regarding and perceived barriers to adoption of a 2-dimensional bar code systems. METHODS:Internet and mail survey of a nationally representative network of pediatricians between September 2011 and January 2012. RESULTS:The response rate was 71% (288 of 408). The most common methods for recording vaccine information were manual entry into an electronic (52%) or paper (27%) record; 76% recorded information in ≥2 places. Physicians reported ordering vaccine on the basis of seasonal increases in demand (55%), paper-based inventory (52%), or when stock looks low (47%); 79% reported it was time consuming to track inventory and 24% reported their practices frequently run out of vaccines. Among those participating in an immunization information system, 29% transmitted data by automatic uploads and 58% entered data manually. Physicians agreed that bar codes could facilitate tracking of vaccine inventory (96%), would improve patient safety (96%), would be more reliable and accurate than current systems (93%), and could improve the efficiency of vaccine administration (90%). Barriers to adoption of a bar code system included need for software (52%), information technology support (42%), and computer equipment (33%). The total cost at which >50% reported they would definitely or probably adopt a bar code system was between $1000 and $4999. CONCLUSIONS:Most pediatricians report using inefficient systems for tracking vaccine administration and inventory and recognize multiple potential benefits of incorporating vaccine bar coding into their practice. To facilitate adoption, costs will need to be contained and technological barriers addressed.
journal_name
Acad Pediatrjournal_title
Academic pediatricsauthors
O'Leary ST,Hurley LP,Kennedy ED,Crane LA,Brtnikova M,Allison MA,Williams W,Beaty BL,Jimenez-Zambrano A,Kempe Adoi
10.1016/j.acap.2015.04.038subject
Has Abstractpub_date
2016-01-01 00:00:00pages
34-41issue
1eissn
1876-2859issn
1876-2867pii
S1876-2859(15)00168-0journal_volume
16pub_type
杂志文章abstract:OBJECTIVE:To determine which of the 21 general pediatrics milestone subcompetencies are most difficult to assess using traditional methodologies and which are best suited to simulation-based assessment. METHODS:We surveyed 2 samples: pediatric simulation experts and pediatric program directors. Respondents were asked ...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2015.09.007
更新日期:2016-04-01 00:00:00
abstract:OBJECTIVE:(1) To describe coparenting among adolescent mothers and the biological fathers of their children. (2) To examine the effects of coparenting on young children's social-emotional development and whether these effects vary by father's residence status, parental education, and child characteristics. METHODS:Sec...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2012.07.007
更新日期:2012-11-01 00:00:00
abstract:OBJECTIVE:Promoting safe firearm storage in pediatric primary care is one way to address youth suicide by firearm. The study objective was to determine the perspectives of primary care physicians (PCPs) and leaders of primary care practices regarding the acceptability and use of screening, counseling, and firearm locks...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2018.11.007
更新日期:2019-08-01 00:00:00
abstract:OBJECTIVE:To develop and validate a computable phenotype algorithm for identifying patient populations with sickle cell disease. METHODS:In this retrospective study we used electronic health record data from the Children's Hospital of Wisconsin to develop a computable phenotype algorithm for sickle cell disease. The a...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2016.12.005
更新日期:2017-04-01 00:00:00
abstract:OBJECTIVE:To describe the extent to which parent- and teacher-reported child mental health problems vary by different indicators of socioeconomic status. METHODS:Participants were 4-5-year-old children in the Longitudinal Study of Australian Children (LSAC). Parents (N = 4968) and teacher (N = 3245) completed the 3-4-...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2009.08.007
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVE:The Advisory Committee on Immunization Practices (ACIP) has recommended routine human papillomavirus (HPV) vaccination at age 11 or 12 years for girls since 2006 and for boys since 2011. We sought to describe adolescent HPV vaccination coverage, doses administered from 2009 to 2012, and age at first vaccinati...
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
abstract:OBJECTIVE:Being asleep at the time of a residential fire increases fire-related fatality risk. This study tested whether children awaken from slow wave sleep and perform an escape procedure better to a voice smoke alarm that uses their mother's voice compared with a female stranger's voice or a low-frequency tone alarm...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2019.06.016
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:Use of complementary and alternative medical (CAM) therapies is common among adults with mental health concerns, but little is known about CAM use among adolescents with mental health concerns. METHODS:Data from the 2007 National Health Interview Survey were analyzed for youth from 7 to 17 years old. The st...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2013.05.001
更新日期:2013-11-01 00:00:00
abstract:OBJECTIVE:Advocates must make decisions about the types of evidence they emphasize when communicating to cultivate support for adverse childhood experience (ACE) prevention policies. This study sought to characterize public perceptions of the persuasiveness of 12 ACE evidence statements and assess differences by ideolo...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2020.05.031
更新日期:2020-06-15 00:00:00
abstract:OBJECTIVE:Validated questionnaires help community pediatric services to identify emotional and behavioral problems (EBPs). This study assesses the psychometric properties of the self-report version of the Strengths and Difficulties Questionnaire (SDQ) for the identification of EBPs in adolescents (13 to 14years old) an...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2018.12.008
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:To examine the relationship between continuity of care for children with medical complexity (CMC) and emergency department (ED) utilization, care coordination quality, and family effects related to care coordination. METHODS:We measured ED utilization and primary care continuity with the Bice-Boxerman contin...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2018.04.009
更新日期:2018-08-01 00:00:00
abstract:OBJECTIVE:To describe influences on shared decision making between primary care pediatricians and parents of young children with autism spectrum disorder (ASD). METHODS:We conducted a qualitative study using key informant interviews with 20 pediatricians of varying experience from 10 primary care practices and 20 Engl...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2016.04.007
更新日期:2016-08-01 00:00:00
abstract:OBJECTIVE:Guidelines recommend closer outpatient follow-up for exclusively breastfed newborns, especially those with pronounced weight loss, because of increased risk of hyperbilirubinemia and dehydration that might require readmission. Our objective was to determine how feeding method and weight loss are associated wi...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2017.11.005
更新日期:2018-08-01 00:00:00
abstract:OBJECTIVE:Children with special health care needs (CSHCN) are at risk for decreased participation in educational and social activities, which can negatively impact their lives. The objectives of this study were to document the presence of participation restrictions for CSHCN compared with other children and to determin...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2012.03.004
更新日期:2012-07-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The coming years could be a watershed period for children and health care as the nation implements the most significant federal health care legislation in 50 years: the Accountable Care Act (ACA). A year earlier, the American Recovery and Reinvestment Act (ARRA) set up a framework and road map fo...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2010.10.003
更新日期:2011-05-01 00:00:00
abstract:OBJECTIVE:Youth involvement in extracurricular activities may help prevent smoking and drinking initiation. However, the relative roles of types of extracurricular activity on these risks are unclear. Therefore, we examined the association between substance use and participation in team sports with a coach, other sport...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2014.02.002
更新日期:2014-05-01 00:00:00
abstract:OBJECTIVE:To determine the prevalence of overweight/obese status in children with autism spectrum disorders (ASD), identify associated characteristics, and develop a model to predict weight status. METHODS:The prevalence of overweight and obesity was determined in 2769 children with ASD enrolled in the Autism Speaks A...
journal_title:Academic pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1016/j.acap.2015.03.008
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVE:To examine general dental and orthodontic utilization and expenditures by health insurance status, public health insurance eligibility, and sociodemographic characteristics among children aged 0 to 17 years using data from 2010-2012. METHODS:Nationally representative data from the Medical Expenditure Panel S...
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
abstract:BACKGROUND:Picky eating is common in children. Few studies have examined predictors of picky eating, and the association of picky eating with weight status and dietary quality is inconsistent in the literature. We aimed to identify predictors of picky eating and to test the association of picky eating with child body m...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2017.08.014
更新日期:2018-04-01 00:00:00
abstract:OBJECTIVE:Parent knowledge about developmental disabilities (DDs) may facilitate access to DD care; however, parents may vary in their knowledge and familiarity with common DDs. This study aimed to assess racial/ethnic and language differences in low-income families' familiarity, knowledge, and personal experience with...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2018.06.011
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Limited English proficiency (LEP) is a known barrier to preventive care. Children from families with LEP face socioeconomic circumstances associated with increased odds of developmental delays and decreased participation in early care and education programs. Little is known about developmental surveillance a...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2015.12.007
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVE:To examine the association between chronic school absenteeism and adverse childhood experiences (ACEs) among school-age children. METHODS:We conducted a secondary analysis of data from the 2011-2012 National Survey of Children's Health including children 6 to 17 years old. The primary outcome variable was ch...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2017.09.013
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:To examine the prevalence of positive screening scores, construct validity, and opportunities for follow-up in a large sample of adolescents who chose to fill out the Pediatric Symptom Checklist-Youth Form (PSC-Y) through the Mental Health America (MHA) Web site. METHODS:MHA sent researchers a deidentified d...
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
abstract:PURPOSE:Telephone interpretation and recent technology advances assist patients with more timely access to rare languages, but no one has examined the role of this technology in the medical setting and how medical students can be prepared for their use. We sought to determine if structured curriculum on interpretation ...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2017.11.010
更新日期:2018-03-01 00:00:00
abstract:OBJECTIVE:To compare preventive care quality for children at risk and not at risk for developmental, behavioral, or social delays. METHODS:Using the 2007 National Survey of Children's Health (n = 22,269), we used the Parents' Evaluation of Developmental Status (PEDS) questionnaire to identify children ages 10 months t...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2012.05.003
更新日期:2012-09-01 00:00:00
abstract:OBJECTIVE:There are many studies of the Pediatric Symptom Checklist (PSC), but none has followed a naturalistic sample longitudinally. We aimed to examine persistence and change in PSC scores over time in children seen in an ambulatory pediatric setting. METHODS:The sample of 1033 patients was PSC screened at 2 consec...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2009.03.004
更新日期:2009-07-01 00:00:00
abstract:OBJECTIVES:The cognitive expertise of Pediatric Hospitalists (PH) lies not in standard knowledge but in making decisions under conditions of uncertainty. To maintain expertise, PH should engage in deliberate practice via self-assessments that promote higher-level cognitive processes necessary to address problems with m...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2020.10.003
更新日期:2020-10-14 00:00:00
abstract:OBJECTIVE:To compare the prevalence of a medical home for children with public versus private insurance and identify components of the medical home that contribute to any differences. METHODS:We performed a secondary data analysis of the 2007 National Survey of Children's Health. A medical home was defined as meeting ...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2011.03.006
更新日期:2011-07-01 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
doi:10.1016/j.acap.2017.04.016
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:Children with special health care needs (CSHCN) are at increased risk for functional disabilities. Care coordination has been shown to decrease unmet health service use but has yet been shown to improve functional status. We hypothesize that care coordination services lower the odds of functional disability ...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2014.08.006
更新日期:2015-03-01 00:00:00