Abstract:
:Neonatal intensive care unit networks that encompass regions, states, and even entire countries offer the perfect platform for implementing continuous quality improvement initiatives to advance the health care provided to vulnerable neonates. Through cycles of identification and implementation of best available evidence, benchmarking, and feedback of outcomes, combined with mutual collaborative learning through a network of providers, the performance of health care systems and neonatal outcomes can be improved. We use examples of successful neonatal networks from across North America to explore continuous quality improvement in the neonatal intensive care unit, including the rationale for the formation of neonatal networks, the role of networks in continuous quality improvement, quality improvement methods and outcomes, and barriers to and facilitators of quality improvement.
journal_name
Acad Pediatrjournal_title
Academic pediatricsauthors
Shah V,Warre R,Lee SKdoi
10.1016/j.acap.2013.04.014subject
Has Abstractpub_date
2013-11-01 00:00:00pages
S75-83issue
6 Suppleissn
1876-2859issn
1876-2867pii
S1876-2859(13)00106-Xjournal_volume
13pub_type
杂志文章,评审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: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: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::This paper provides a primer for qualitative research in medical education. Our aim is to equip readers with a basic understanding of qualitative research and prepare them to judge the goodness of fit between qualitative research and their own research questions. We provide an overview of the reasons for choosing a qu...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2011.05.001
更新日期:2011-09-01 00:00:00
abstract:OBJECTIVE:To estimate the prevalence of use of fetal-harm drugs among women who received postpartum care in hospitals in Haiti and to identify groups of women at higher risk for potentially harmful medication exposures. METHODS:Women who received postpartum care in 2 large hospitals in Port-au-Prince, Haiti, from Augu...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2010.09.003
更新日期:2010-11-01 00:00:00
abstract:OBJECTIVE:To evaluate whether school nurses can assist pediatricians in providing asthma care and reduce school absenteeism through a program called Easy Breathing for Schools (EzBfS), a 5-element school nurse-led asthma management program and the effectiveness in reducing school absenteeism. METHODS:Fifteen public sc...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2019.07.007
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:Goals of care discussions are crucial in helping parents navigate complex medical decisions and shown to improve quality of care. Little is known about whether physicians elicit or address parents' goals during a child's hospitalization. The purpose of this study was to understand the current practice of goal...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2020.05.016
更新日期:2020-05-31 00:00:00
abstract:OBJECTIVE:To examine the prevalence trends and coexisting conditions in attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder (ASD), and intellectual disability (ID) in the pediatric Supplemental Security Income (SSI) population and general population. METHODS:The Social Security Administration (SS...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2015.05.002
更新日期:2015-07-01 00:00:00
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 caregiver...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2017.09.017
更新日期:2018-04-01 00:00:00
abstract:OBJECTIVE:To determine if parents' self-efficacy in communicating with their child's pediatrician is associated with African American mothers' disclosure of psychosocial concerns during pediatric primary care visits. METHODS:Self-identified African American mothers (n = 231) of children 2 to 5 years were recruited fro...
journal_title:Academic pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1016/j.acap.2014.03.002
更新日期:2014-07-01 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 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 pediatricia...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2015.04.038
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVE:There has been a rapid increase in the number of pediatric hospitalist programs in the United States. As most pediatric hospitalist services are believed to be subsidized by hospitals, gaining a better understanding of the rationale for these subsidies is critical to the future success and existence of these ...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2009.01.003
更新日期:2009-05-01 00:00:00
abstract:OBJECTIVE:A parent-child relational framework was used as a method to train pediatric residents in basic knowledge and observation skills for the assessment of child development. Components of the training framework and its preliminary validation as an alternative to milestone-based approaches are described. METHODS:P...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2016.09.005
更新日期:2017-01-01 00:00:00
abstract::Primary care pediatricians and psychology practitioners who comanage mental health problems can develop interdisciplinary communication and collaborative skills from joint standardized patient encounters and debriefings, combined with brief didactics. Learners showed increased confidence in shared management of behavi...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2017.06.014
更新日期:2018-01-01 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 assess primary care providers' current reminder/recall practices, preferences for collaboration with health departments in reminder/recall efforts, attitudes toward practice-based and population-based reminder/recall, and experiences with a population-based reminder/recall intervention. METHODS:Providers ...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2013.09.003
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:To determine the initial effectiveness of a novel, pediatric office-based intervention in motivating mothers to seek further assessment of positive depression screens. METHODS:In this pilot randomized controlled trial, English-speaking mothers (n = 104) with positive 2-question depression screens and present...
journal_title:Academic pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.acap.2014.11.008
更新日期:2015-05-01 00:00:00
abstract::Over the past 30 years, there have been major expansions in public health insurance for low-income children in the United States through Medicaid, the Children's Health Insurance Program (CHIP), and other state-based efforts. In addition, many low-income parents have gained Medicaid coverage since 2014 under the Affor...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2015.12.011
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:Professional guidelines and state Medicaid policies encourage pediatricians to provide oral health screening, anticipatory guidance, and fluoride varnish application to young patients. Because oral health activities are becoming more common in medical offices, the objective of this study was to assess pediat...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2014.07.001
更新日期:2014-11-01 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:To evaluate a pediatric otoscopy curriculum with the use of outcome measures that included assessment of skills with real patients. METHODS:Thirty-three residents in an intervention group from 2 institutions received the curriculum. In the previous year, 21 residents in a nonintervention group did not receiv...
journal_title:Academic pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1016/j.acap.2018.02.009
更新日期:2018-08-01 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: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:OBJECTIVE:In October 2016, the American Board of Medical Specialties approved the petition for pediatric hospital medicine (PHM) to become the newest pediatric subspecialty. Knowledge about residents entering the PHM workforce is needed to inform certification and fellowship accreditation. This study describes the char...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2017.05.001
更新日期:2018-03-01 00:00:00
abstract:OBJECTIVE:We examined changes in insurance coverage and health care utilization associated with the Affordable Care Act (ACA) among subgroups of Asian youth relative to non-Latino white youth. METHODS:Data were from the 2010 to 2017 American Community Survey and National Health Interview Survey. Difference-in-differen...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2019.11.004
更新日期:2020-07-01 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::Management of referral and consultation is an entrustable professional activity for pediatric residents; however, few tools exist to teach these skills. We designed and implemented tools to prompt discussion, feedback, and reflection about the process of referral, notably including the family's perspective. ...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2018.01.010
更新日期:2018-04-01 00:00:00
abstract:OBJECTIVE:The number of pediatric Global Health (GH) tracks has more than doubled in less than 10 years. The goal of this study was to describe the characteristics of the pediatric GH tracks to identify commonalities and differences in track structure, funding, and education. In addition, we also identified demographic...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2018.03.009
更新日期:2018-08-01 00:00:00
abstract:OBJECTIVE:We aimed to examine abusive head trauma (AHT) incidence before, during and after the recession of 2007-2009 in 3 US regions and assess the association of economic measures with AHT incidence. METHODS:Data for children <5 years old diagnosed with AHT between January 1, 2004, and December 31, 2012, in 3 region...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2015.05.008
更新日期:2016-04-01 00:00:00