Using economic information in a quality improvement collaborative.

Abstract:

:This article provides an overview of neonatal intensive care unit treatment costs for hospitals that participated in the Neonatal Intensive Care Quality Improvement Collaborative Year 2000 (NIC/Q 2000) quality improvement collaborative and discusses how economic information can be used in quality improvement efforts. Detailed information on neonatal intensive care unit treatment costs is presented for 29 hospitals that participated in the NIC/Q 2000 collaborative. The sample consists of 6797 very low birth weight infants (1500 g or less at birth) with admission dates between January 1, 1997, and December 31, 1998. Information on median treatment cost per infant, ancillary costs, accommodation costs, length of stay, and cost per day is presented. In addition, ancillary costs are further disaggregated into those for respiratory therapy, laboratory, radiology, pharmacy, and all other ancillary services. The role of level of care and other factors that influence treatment costs are then explored.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Rogowski J

subject

Has Abstract

pub_date

2003-04-01 00:00:00

pages

e411-8

issue

4 Pt 2

eissn

0031-4005

issn

1098-4275

journal_volume

111

pub_type

杂志文章
  • Does familiarity breed acceptance? The influence of policy on physicians' attitudes toward newborn screening programs.

    abstract:OBJECTIVE:As newborn screening (NBS) programs expand to include conditions that challenge traditional public health criteria, little is known about what influences physicians' attitudes toward screening. We examined the effect of state policy and perceived state policy on pediatricians' attitudes toward screening. MET...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2005-1990

    authors: Koopmans J,Ross LF

    更新日期:2006-05-01 00:00:00

  • Identification and evaluation of children with autism spectrum disorders.

    abstract::Autism spectrum disorders are not rare; many primary care pediatricians care for several children with autism spectrum disorders. Pediatricians play an important role in early recognition of autism spectrum disorders, because they usually are the first point of contact for parents. Parents are now much more aware of t...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2007-2361

    authors: Johnson CP,Myers SM,American Academy of Pediatrics Council on Children With Disabilities.

    更新日期:2007-11-01 00:00:00

  • Diagnostic performance of BMI percentiles to identify adolescents with metabolic syndrome.

    abstract:OBJECTIVES:To compare the diagnostic performance of the Centers for Disease Control and Prevention (CDC) and FITNESSGRAM (FGram) BMI standards for quantifying metabolic risk in youth. METHODS:Adolescents in the NHANES (n = 3385) were measured for anthropometric variables and metabolic risk factors. BMI percentiles wer...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2013-1308

    authors: Laurson KR,Welk GJ,Eisenmann JC

    更新日期:2014-02-01 00:00:00

  • A missense cystic fibrosis transmembrane conductance regulator mutation with variable phenotype.

    abstract:OBJECTIVE:Cystic fibrosis (CF) has variable clinical presentation. Disease severity is partially associated with the type of mutation. The aim of this study was to report genotype-phenotype analysis of the G85E mutation. PATIENTS:The phenotype of 12 patients (8 were from the same extended family, and 5 of them were si...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.100.3.e5

    authors: Kerem E,Nissim-Rafinia M,Argaman Z,Augarten A,Bentur L,Klar A,Yahav Y,Szeinberg A,Hiba O,Branski D,Corey M,Kerem B

    更新日期:1997-09-01 00:00:00

  • Increasing breast milk production for premature infants with a relaxation/imagery audiotape.

    abstract::Many women whose premature infants are hospitalized in a newborn intensive care unit choose to express breast milk for their babies. Yet anxiety, fatigue, and emotional stress are powerful inhibitors of lactation. To facilitate the breast-feeding experience, intervention mothers were given a 20-minute audio cassette t...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Feher SD,Berger LR,Johnson JD,Wilde JB

    更新日期:1989-01-01 00:00:00

  • Establishing New Norms for Developmental Milestones.

    abstract:BACKGROUND AND OBJECTIVES:Pediatric surveillance of young children depends on providers' assessment of developmental milestones, yet normative data are sparse. Our objectives were to develop new norms for common milestones to aid in clinical interpretation of milestone attainment. METHODS:We analyzed responses to the ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2019-0374

    authors: Sheldrick RC,Schlichting LE,Berger B,Clyne A,Ni P,Perrin EC,Vivier PM

    更新日期:2019-12-01 00:00:00

  • Subacute Neuropsychiatric Syndrome in Girls With SHANK3 Mutations Responds to Immunomodulation.

    abstract::Phenotypic and biological characterization of rare monogenic disorders represents 1 of the most important avenues toward understanding the mechanisms of human disease. Among patients with SH3 and multiple ankyrin repeat domains 3 (SHANK3) mutations, a subset will manifest neurologic regression, psychosis, and mood dis...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2019-1490

    authors: Bey AL,Gorman MP,Gallentine W,Kohlenberg TM,Frankovich J,Jiang YH,Van Haren K

    更新日期:2020-02-01 00:00:00

  • Steroid use among adolescents: longitudinal findings from Project EAT.

    abstract:OBJECTIVE:We examined the prevalence, persistence, secular and longitudinal trends, and predictors of steroid use in a diverse sample of adolescents. PARTICIPANTS AND METHODS:Data are from Project EAT-II (Eating Among Teens), a 5-year longitudinal study of eating, activity, weight, and related variables in 2516 middle...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2006-2529

    authors: vandenBerg P,Neumark-Sztainer D,Cafri G,Wall M

    更新日期:2007-03-01 00:00:00

  • Systematic review and meta-analysis of therapeutic management of upper-limb dysfunction in children with congenital hemiplegia.

    abstract:CONTEXT:Rehabilitation for children with congenital hemiplegia to improve function in the impaired upper limb and enhance participation may be time-consuming and costly. OBJECTIVES:To systematically review the efficacy of nonsurgical upper-limb therapeutic interventions for children with congenital hemiplegia. METHOD...

    journal_title:Pediatrics

    pub_type: 杂志文章,meta分析,评审

    doi:10.1542/peds.2008-3335

    authors: Sakzewski L,Ziviani J,Boyd R

    更新日期:2009-06-01 00:00:00

  • Uninterrupted Infant Sleep, Development, and Maternal Mood.

    abstract:OBJECTIVES:Contrary to the importance of total sleep duration, the association between sleeping through the night and development in early infancy remains unclear. Our aims were to investigate the proportion of infants who sleep through the night (6- or 8-hour sleep blocks) at ages 6 and 12 months in a longitudinal coh...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2017-4330

    authors: Pennestri MH,Laganière C,Bouvette-Turcot AA,Pokhvisneva I,Steiner M,Meaney MJ,Gaudreau H,Mavan Research Team.

    更新日期:2018-12-01 00:00:00

  • American Academy of Pediatrics. Committee on Injury and Poison Prevention. Snowmobiling hazards.

    abstract::Snowmobiles continue to pose a significant risk to children younger than 15 years and adolescents and young adults 15 through 24 years of age. Head injuries remain the leading cause of mortality and serious morbidity, arising largely from snowmobilers colliding, falling, or overturning during operation. Children also ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors:

    更新日期:2000-11-01 00:00:00

  • Effect of hospital characteristics on outcomes from pediatric cardiopulmonary resuscitation: a report from the national registry of cardiopulmonary resuscitation.

    abstract:OBJECTIVE:Cardiac arrest is uncommon among pediatric patients. Prehospital data demonstrate differences in care processes between children and adults receiving cardiopulmonary resuscitation and advanced life support. We sought to evaluate whether children receiving in-hospital cardiopulmonary resuscitation would attain...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2006-0453

    authors: Donoghue AJ,Nadkarni VM,Elliott M,Durbin D,American Heart Assocation National Registry of Cardiopulmonary Resuscitation Investigators.

    更新日期:2006-09-01 00:00:00

  • Should fewer premature infants be screened for retinopathy of prematurity in the managed care era?

    abstract:OBJECTIVE:To determine appropriate upper limits for gestational age and birth weight when screening infants for retinopathy of prematurity (ROP). DESIGN:Retrospective survey. SETTING:Tertiary neonatal intensive care nursery. PATIENTS:Seven hundred seven infants born July 1, 1990 to June 30, 1996 and screened for ROP...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.102.1.31

    authors: Wright K,Anderson ME,Walker E,Lorch V

    更新日期:1998-07-01 00:00:00

  • Clinical Prediction Rule for Distinguishing Bacterial From Aseptic Meningitis.

    abstract:BACKGROUND:New biomarkers like procalcitonin and C-reactive protein may help design an accurate decision support tool used to identify children with pleocytosis at low or high risk of bacterial meningitis. Our objective was to develop and validate a score (that we call the meningitis score for emergencies [MSE]) to dis...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2020-1126

    authors: Mintegi S,García S,Martín MJ,Durán I,Arana-Arri E,Fernandez CL,Benito J,Hernández-Bou S,Meningitis Group of the Spanish Society of Pediatric Emergencies.

    更新日期:2020-09-01 00:00:00

  • Fomepizole treatment of ethylene glycol poisoning in an infant.

    abstract::The enzyme alcohol dehydrogenase metabolizes ingested ethylene glycol (EG) to the toxic compounds glycolic and oxalic acids. Renal failure, acidosis, hypocalcemia, and death may follow. Traditional treatment of EG poisoning may require ethanol, a competitive substrate of alcohol dehydrogenase, and hemodialysis, that r...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.106.6.1489

    authors: Baum CR,Langman CB,Oker EE,Goldstein CA,Aviles SR,Makar JK

    更新日期:2000-12-01 00:00:00

  • Expanding the availability of extracorporeal cardiopulmonary resuscitation.

    abstract::A healthy 14-year-old presented to an emergency department in Alaska, complaining of shortness of breath, chest pain, and 72 hours of malaise and headache. On admission, her blood pressure was 80/50 mm Hg, and she had cool extremities. Electrocardiography revealed wide-complex ventricular tachycardia. She underwent sy...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2011-2371

    authors: McMullan DM

    更新日期:2013-03-01 00:00:00

  • Returning a Genomic Result for an Adult-Onset Condition to the Parents of a Newborn: Insights From the BabySeq Project.

    abstract::The return of information from genomic sequencing in children, especially in early life, brings up complex issues around parental autonomy, the child's future autonomy, the best interest standard, and the best interests of the family. These issues are particularly important in considering the return of genomic results...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2018-1099H

    authors: Holm IA,McGuire A,Pereira S,Rehm H,Green RC,Beggs AH,BabySeq Project Team.

    更新日期:2019-01-01 00:00:00

  • Hypothermia and hyperthermia in children after resuscitation from cardiac arrest.

    abstract:OBJECTIVE:In experimental models of ischemic-anoxic brain injury, changes in body temperature after the insult have a profound influence on neurologic outcome. Specifically, hypothermia ameliorates whereas hyperthermia exacerbates neurologic injury. Accordingly, we sought to determine the temperature changes occurring ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.106.1.118

    authors: Hickey RW,Kochanek PM,Ferimer H,Graham SH,Safar P

    更新日期:2000-07-01 00:00:00

  • Can an alternative umbilical arterial catheter solution and flush regimen decrease iatrogenic hemolysis while enhancing nutrition? A double-blind, randomized, clinical trial comparing an isotonic amino acid with a hypotonic salt infusion.

    abstract:OBJECTIVE:In the process of sampling blood through an umbilical arterial catheter (UAC), infant blood comes into stagnant contact with infusion solution in the "waste syringe" before being reinfused. We have previously demonstrated in vitro that this process is associated with less hemolysis of red blood cells (RBCs) w...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1542/peds.114.2.377

    authors: Jackson JK,Biondo DJ,Jones JM,Moor PJ,Simon SD,Hall RT,Kilbride HW

    更新日期:2004-08-01 00:00:00

  • A double-blind, placebo-controlled, randomized trial of montelukast for acute bronchiolitis.

    abstract:BACKGROUND:Cysteinyl leukotrienes are implicated in the inflammation of bronchiolitis. Recently, a specific cysteinyl leukotriene receptor antagonist, montelukast (Singulair [MSD, Haarlem, Netherlands]), has been approved for infants in granule sachets. OBJECTIVE:Our goal was to evaluate the effect of montelukast on c...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1542/peds.2008-1744

    authors: Amirav I,Luder AS,Kruger N,Borovitch Y,Babai I,Miron D,Zuker M,Tal G,Mandelberg A

    更新日期:2008-12-01 00:00:00

  • Obesity and Mortality Risk in Critically Ill Children.

    abstract:BACKGROUND AND OBJECTIVES:Childhood obesity is epidemic and may be associated with PICU mortality. Using a large multicenter PICU database, we investigated the association between obesity and PICU mortality, adjusting for initial severity of illness. We further investigated whether height- and weight-based classificati...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.2015-2035

    authors: Ross PA,Newth CJ,Leung D,Wetzel RC,Khemani RG

    更新日期:2016-03-01 00:00:00

  • Simulation in Pediatric Emergency Medicine Fellowships.

    abstract:BACKGROUND AND OBJECTIVES:Graduate medical education faces challenges as programs transition to the next accreditation system. Evidence supports the effectiveness of simulation for training and assessment. This study aims to describe the current use of simulation and barriers to its implementation in pediatric emergenc...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2014-4158

    authors: Doughty CB,Kessler DO,Zuckerbraun NS,Stone KP,Reid JR,Kennedy CS,Nypaver MM,Auerbach MA

    更新日期:2015-07-01 00:00:00

  • Do questions about lead exposure predict elevated lead levels?

    abstract:OBJECTIVE:To assess the usefulness of the lead poisoning questionnaire developed by the Centers for Disease Control and Prevention as a screening tool for elevated lead levels. METHODS:This descriptive study used a five-question questionnaire at our hospital-based general pediatric clinic and in two local private prac...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Tejeda DM,Wyatt DD,Rostek BR,Solomon WB

    更新日期:1994-02-01 00:00:00

  • Autistic and dysphasic children. II: Epilepsy.

    abstract::In a previously described population of 314 autistic and 237 dysphasic nonautistic children, after exclusion of 12 autistic girls with Rett syndrome, 14% (42 of 302) of autistic children and 8% (19 of 237) of dysphasic children had epilepsy (P = .03). The major risk factors for epilepsy were severe mental deficiency a...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Tuchman RF,Rapin I,Shinnar S

    更新日期:1991-12-01 00:00:00

  • Health outcomes of a community-based therapy program for children with cancer--a shared-management approach.

    abstract::Critical to providing cancer therapy to children in rural areas is finding dependable sources of therapy near the patients' homes. In this study, comparison was made of 668 visits by 24 patients to nearby private practitioners, who carried out 70% of the therapy, with 712 visits by 22 other patients for whom all care ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Kisker CT,Strayer F,Wong K,Clarke W,Strauss R,Tannous R,Janco R,Spevak J

    更新日期:1980-12-01 00:00:00

  • Observed Effectiveness of Palivizumab for 29-36-Week Gestation Infants.

    abstract:BACKGROUND:Respiratory syncytial virus (RSV) is a common reason for hospitalization of infants. In clinical trials, palivizumab reduced RSV hospitalization rates for premature infants. The 2014 American Academy of Pediatrics clinical practice guideline advised against use of palivizumab for otherwise healthy infants ≥2...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2016-0627

    authors: Farber HJ,Buckwold FJ,Lachman B,Simpson JS,Buck E,Arun M,Valadez AM,Ruiz T,Alonzo J,Henry A,Cos-Okpalla N,Nguyen K,Brendel W,Small J,Glomb WB

    更新日期:2016-08-01 00:00:00

  • Fatal hepatitis B in early infancy: the importance of identifying HBsAg-positive pregnant women and providing immunoprophylaxis to their newborns.

    abstract::Infants born to women who are asymptomatic hepatitis B surface antigen (HBsAg) carriers frequently acquire hepatitis B virus infection in infancy. The spectrum of disease in such affected infants includes mild transient acute hepatitis B, chronic active hepatitis with or without cirrhosis, chronic persistent hepatitis...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Delaplane D,Yogev R,Crussi F,Shulman ST

    更新日期:1983-08-01 00:00:00

  • A program to limit donor exposures to neonates undergoing extracorporeal membrane oxygenation.

    abstract:OBJECTIVE:Extracorporeal membrane oxygenation (ECMO) has dramatically improved the survival of neonates with life-threatening respiratory and cardiac failure. However, ECMO requires numerous transfusions with significant risks. This study evaluated the effects of changing transfusion practices and blood component manag...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Rosenberg EM,Chambers LA,Gunter JM,Good JA

    更新日期:1994-09-01 00:00:00

  • American Academy of Pediatrics. Committee on Infecious Diseases. Prevention of Lyme disease.

    abstract::Lyme disease is currently the most frequently reported vector-borne illness in the United States, accounting for more than 95% of such cases. The purpose of this report is to provide recommendations for preventing Lyme disease, including the use of Lyme disease vaccine. Individuals can reduce their risk of Lyme diseas...

    journal_title:Pediatrics

    pub_type: 指南,杂志文章,实务指引,评审

    doi:

    authors:

    更新日期:2000-01-01 00:00:00

  • Circumcision policy statement.

    abstract::Male circumcision is a common procedure, generally performed during the newborn period in the United States. In 2007, the American Academy of Pediatrics (AAP) formed a multidisciplinary task force of AAP members and other stakeholders to evaluate the recent evidence on male circumcision and update the Academy's 1999 r...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2012-1989

    authors: American Academy of Pediatrics Task Force on Circumcision.

    更新日期:2012-09-01 00:00:00