Abstract：
OBJECTIVE:The aim of this study was to determine the percentage of hospitals with adequate sample size to meaningfully compare performance by using the Agency for Healthcare Research and Quality (AHRQ) pediatric quality indicators (PDIs), which measure pediatric inpatient adverse events such as decubitus ulcer rate and infections due to medical care, have been nationally endorsed, and are currently publicly reported in at least 2 states. METHODS:We performed a cross-sectional analysis of California hospital discharges from 2005-2007 for patients aged <18 years. For 9 hospital-level PDIs, after excluding discharges with PDIs indicated as present on admission, we determined for each PDI the volume of eligible pediatric patients for each measure at each hospital, the statewide mean rate, and the percentage of hospitals with adequate volume to identify an adverse event rate twice the statewide mean. RESULTS:Unadjusted California-wide event rates for PDIs during the study period (N = 2 333 556 discharges) were 0.2 to 38 per 1000 discharges. Event rates for specific measures were, for example, 0.2 per 1000 (iatrogenic pneumothorax in non-neonates), 19 per 1000 (postoperative sepsis), and 38 per 1000 (pediatric heart surgery mortality), requiring patient volumes of 49 869, 419, and 201 to detect an event rate twice the statewide average; 0%, 6.6%, and 25%, respectively, of California hospitals had this pediatric volume. CONCLUSION:Using these AHRQ-developed, nationally endorsed measures of the quality of inpatient pediatric care, one would not be able to identify many hospitals with performance 2 times worse than the statewide average due to extremely low event rates and inadequate pediatric hospital volume.
journal_name
Acad Pediatrjournal_title
Academic pediatricsauthors
Bardach NS,Chien AT,Dudley RAdoi
10.1016/j.acap.2010.04.025subject
Has Abstractpub_date
2010-07-01 00:00:00pages
266-73issue
4eissn
1876-2859issn
1876-2867pii
S1876-2859(10)00114-2journal_volume
10pub_type
杂志文章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
abstract：OBJECTIVE:Primary care providers (PCPs) and hospitalists endorse the importance of effective communication yet studies illustrate critical communication problems between these 2 provider types. Our objective was to develop deeper insight into the dimensions of and underlying reasons for communication issues and determi...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2016.03.003
更新日期：2016-07-01 00:00:00
abstract：OBJECTIVE:Preterm/very low birth weight infants may suffer neurodevelopmental delays. Pediatricians should monitor neurodevelopment and pursue timely referrals. Yet parents who speak non-English primary languages (NEPL) report worse health care communication and fewer appropriate specialty referrals for their children....
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2016.04.004
更新日期：2016-09-01 00:00:00
abstract：OBJECTIVE:Untreated vision problems are associated with poor school performance. Whether providing glasses alone improves performance, however, remains unknown. We sought to test whether receiving glasses was associated with improved school performance for low-income minority students in Los Angeles. METHODS:From 2017...
journal_title：Academic pediatrics
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doi：10.1016/j.acap.2020.01.001
更新日期：2020-01-01 00:00:00
abstract：BACKGROUND AND OBJECTIVE:The role of a hospitalist differs in a community hospital (CH) compared to a university/children's hospital. Residents are required to practice in a variety of relevant clinical settings, but little is known about current trends regarding pediatric resident training in different hospital settin...
journal_title：Academic pediatrics
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doi：10.1016/j.acap.2019.10.006
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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
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abstract：:The effect of child poverty and related early life experiences on adult health outcomes and patterns of aging has become a central focus of child health research and advocacy. In this article a critical review of this proliferating literature and its relevance to child health programs and policy are presented. This li...
journal_title：Academic pediatrics
pub_type： 杂志文章,评审
doi：10.1016/j.acap.2016.01.014
更新日期：2016-04-01 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
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doi：10.1016/j.acap.2015.05.008
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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
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journal_title：Academic pediatrics
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doi：10.1016/j.acap.2020.09.012
更新日期：2020-09-30 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
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更新日期：2017-01-01 00:00:00
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journal_title：Academic pediatrics
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更新日期：2019-01-01 00:00:00
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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
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journal_title：Academic pediatrics
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doi：10.1016/j.acap.2012.03.004
更新日期：2012-07-01 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
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更新日期：2020-05-31 00:00:00
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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
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2020.08.003
更新日期：2020-01-01 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:An innovative low-cost parenting intervention, implemented through health services in Jamaica showed benefits to children's cognitive development at 18 months and parent's attitudes concerning childcare. We assessed the impact of the intervention on child and parent outcomes at 6 years of age. METHODS:A clus...
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pub_type： 杂志文章
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journal_title：Academic pediatrics
pub_type： 杂志文章,随机对照试验
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更新日期：2018-03-01 00:00:00
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journal_title：Academic pediatrics
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journal_title：Academic pediatrics
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doi：10.1016/j.acap.2019.07.006
更新日期：2019-01-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2018.07.008
更新日期：2019-03-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2016.03.009
更新日期：2016-01-01 00:00:00
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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 describe the delivery of well-child care and its components; to compare that delivery with recommendations in Bright Futures; and to compare delivery of well-child care for children with special health care needs with that for children without special needs. METHODS:Over a 10-week period, 2 medical studen...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2010.12.008
更新日期：2011-01-01 00:00:00
abstract：OBJECTIVE:Almost one-half of all pediatric gastrostomy tube insertions are accompanied by a fundoplication, yet little is understood about the surgical decision-making for these procedures. The objective of this study was to examine the decision-making process of surgeons about whether to perform a fundoplication in ch...
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
abstract：OBJECTIVE:To evaluate whether primary care provider (PCP) access to an online decision support tool is associated with a change in evidence-based primary care medical management of pediatric migraine. METHODS:In this prospective observational study, PCPs serving a target community were educated on the availability and...
journal_title：Academic pediatrics
pub_type： 杂志文章
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更新日期：2020-08-01 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
