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Journal articles on the topic 'Children's hospitals'

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Author: Grafiati

Published: 4 June 2021

Last updated: 20 February 2023

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1

Cosper, Graham H., Mary Sue Hamann, Anquonette Stiles, and Don K. Nakayama. "Hospital Characteristics Affect Outcomes for Common Pediatric Surgical Conditions." American Surgeon 72, no. 8 (August 2006): 739–45. http://dx.doi.org/10.1177/000313480607200815.

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Appendicitis, hypertrophic pyloric stenosis (HPS), and intussusception are common conditions treated in most hospitals. In which hospital settings are children with these conditions treated? Are there differences in outcomes based on hospital characteristics? Our purpose was to use a nationwide database to address these questions. Data were extracted from Kids’ Inpatient Database 2000. Data were queried by International Classification of Diseases procedure code for appendectomy and pyloromyotomy and by diagnosis code for intussusception. Length of stay (LOS) and hospital charges were analyzed based on hospital size, location, teaching status, and specialty designation. There were 73,618 appendectomies, with 5,910 (8%) in children's hospitals. Overall LOS was 3.1 days, and was the longest in children's hospitals (3.9). Overall charges were $10,562, with the highest in children's hospitals ($14,124). There were 11,070 pyloromyotomies, with 2,960 (27%) in children's hospitals. Overall LOS was 2.7 days, the shortest being in children's hospitals (2.5). Overall charges were $7,938, with the highest in children's hospitals ($8,676). There were 2,677 intussusceptions, with 921 (34%) in children's hospitals. Overall LOS was 3.0 days, the shortest being in children's hospitals (2.8). Overall charges were $9,558, with the highest in children's hospitals ($10,844). Most children with appendicitis, HPS, and intussusception are treated in nonspecialty hospitals. HPS (27%) and intussusception (34%) are more likely than appendicitis (8%) to be treated in children's hospitals. Children's hospitals have higher charges for all three conditions despite shorter LOS for HPS and intussusception.

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2

Isaacs, David. "Art in children's hospitals." Journal of Paediatrics and Child Health 48, no. 10 (October 2012): 863–64. http://dx.doi.org/10.1111/j.1440-1754.2012.02572.x.

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3

Bilec, M. M., R. J. Ries, K. L. Needy, M. Gokhan, A. F. Phelps, E. Enache-Pommer, M. J. Horman, et al. "Analysis of the Design Process of Green Children's Hospitals: Focus on Process Modeling and Lessons Learned." Journal of Green Building 4, no. 1 (February 1, 2009): 121–34. http://dx.doi.org/10.3992/jgb.4.1.121.

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Healthcare facilities are among the most complicated facilities to plan, design, construct and operate. A new breed of hospitals is considering the impact of the built environment on healthcare worker productivity and patient recovery in their design, construction, and operation. A crucial subset of healthcare facilities are children's hospitals where the consequences of poor building system design and performance have the potential to seriously impact young lives with compromised health. Green facilities are not always pursued: they are perceived as difficult to build and costing more than equivalent conventional hospitals. This study explored the design process of the Children's Hospital of Pittsburgh of the University of Pittsburgh Medical Center (UPMC) and Penn State's Hershey Medical Center Children's Hospital to understand the critical steps and processes for green children's hospital design. Producing a series of process maps that identify the key characteristics in the complex design requirements of a green children's hospital, this paper reveals the importance of design process to design quality. More broadly, this research will help future project teams meet the complex design requirements of green children's hospitals.

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4

Bartenfeld, Michael T., Stephanie E. Griese, Steven E. Krug, Joanne Andreadis, and Georgina Peacock. "Establishing a Hospital Response Network Among Children's Hospitals." Health Security 15, no. 1 (February 2017): 118–22. http://dx.doi.org/10.1089/hs.2016.0065.

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5

Samuels, Shenae, Rebekah Kimball, Vivian Hagerty, Tamar Levene, Howard B. Levene, and Heather Spader. "Association of hospital characteristics with outcomes for pediatric neurosurgical accidental trauma patients." Journal of Neurosurgery: Pediatrics 27, no. 6 (June 2021): 637–42. http://dx.doi.org/10.3171/2020.10.peds20538.

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OBJECTIVE In the pediatric population, few studies have examined outcomes for neurosurgical accidental trauma care based on hospital characteristics. The purpose of this study was to explore the relationship between hospital ownership type and children's hospital designation with primary outcomes. METHODS This retrospective cohort study utilized data from the Healthcare Cost and Utilization Project 2006, 2009, and 2012 Kids’ Inpatient Database. Primary outcomes, including inpatient mortality, length of stay (LOS), and favorable discharge disposition, were assessed for all pediatric neurosurgery patients who underwent a neurosurgical procedure and were discharged with a primary diagnosis of accidental traumatic brain injury. RESULTS Private, not-for-profit hospitals (OR 2.08, p = 0.034) and freestanding children's hospitals (OR 2.88, p = 0.004) were predictors of favorable discharge disposition. Private, not-for-profit hospitals were also associated with reduced inpatient mortality (OR 0.34, p = 0.005). A children's unit in a general hospital was associated with a reduction in hospital LOS by almost 2 days (p = 0.004). CONCLUSIONS Management at freestanding children's hospitals correlated with more favorable discharge dispositions for pediatric patients with accidental trauma who underwent neurosurgical procedures. Management within a children's unit in a general hospital was also associated with reduced LOS. By hospital ownership type, private, not-for-profit hospitals were associated with decreased inpatient mortality and more favorable discharge dispositions.

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6

Welsh, Chelsea, Rukshana Miah, and Jennifer Girotto. "Survey Evaluating the Practice of Children's Hospitals Having Pharmacist Collaborative Drug Therapy Management Protocols." Journal of Pediatric Pharmacology and Therapeutics 21, no. 6 (December 1, 2016): 494–501. http://dx.doi.org/10.5863/1551-6776-21.6.494.

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OBJECTIVES: The purpose of this study is to determine how frequently children's hospitals in the United States are using pharmacist-physician collaborative drug therapy management (CDTM), and to characterize their use in this population. METHODS: A phone survey was created to collect data regarding the use of pharmacist-physician CDTM at children's hospitals. Children's hospitals were called between February 2014 and April 2014. Data were collected from either a clinical pharmacist or pharmacy director. Pharmacists were asked to answer questions regarding hospital demographics as well as to what extent and for which medications they use CDTM. Differences between types of hospitals were evaluated using Fisher exact test. RESULTS: A total of 171 children's hospitals were identified; 51.5% hospitals (n = 88) completed the survey. Of the 88 hospitals that completed the survey, 32 (31.7%) had some level of CDTM in place. Of the 28 children's hospitals with CDTM in place that completed the survey, all allowed pharmacists to modify doses and monitor therapy, and 75% provided pharmacists with the ability to initiate the first dose. The specific medications that were included in the CDTM protocols in children's hospitals included vancomycin (n = 23), aminoglycosides (n = 22), anticoagulation medications (n = 7), and total parenteral nutrition (n = 3). Training was required for pharmacists to participate in CDTM protocols at most hospitals (n = 26). Lack of support from medical staff was the most common perceived barrier. No differences were identified between types of children's hospitals. CONCLUSION: CDTM protocols are practiced in about one third of the children's hospitals. Pharmacists commonly initiate, monitor, and modify therapies as part of these protocols. The most frequently included medications were vancomycin and aminoglycosides.

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7

Williams, A. N., and R. M. Sharma. "Children in Hospitals Before There Were Children's Hospitals." PEDIATRICS 134, no. 3 (August 11, 2014): 425–27. http://dx.doi.org/10.1542/peds.2013-0746.

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8

Sawin, Kathleen J., Karen S. Gralton, Tondi M. Harrison, Shelly Malin, Mary Kay Balchunas, Lisa A. Brock, Brandi Cavegn, et al. "Nurse Researchers in Children's Hospitals." Journal of Pediatric Nursing 25, no. 5 (October 2010): 408–17. http://dx.doi.org/10.1016/j.pedn.2009.07.005.

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9

Coppes-Zantinga, Arty R., and Max J. Coppes. "The Children's Hospitals in Montreal." Medical and Pediatric Oncology 33, no. 3 (September 1999): iii—v. http://dx.doi.org/10.1002/(sici)1096-911x(199909)33:33.0.co;2-u.

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10

Bridges, John FP, and Ralph M. Hanson. "The importance of age and other variables in predicting paediatric patient flows in New South Wales." Australian Health Review 24, no. 1 (2001): 94. http://dx.doi.org/10.1071/ah010094.

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This research focuses upon the relationship between a child's age and the likelihood that the child was treated at aSpecialist Children's Hospital rather than at a local hospital. While it is generally regarded that younger patients aremore resource intensive, a study was required to determine whether the Specialist Children's Hospitals attractedyounger patients. The analysis is based on 42,363 children treated in Greater Metropolitan Sydney in 1996/97, andon separations classified (role delineated) as non-tertiary DRGs (defined as Level 4 activity). However, this activityis of varying degrees of severity. A number of variables were used to explain why a child was treated at either a localhospital or at a specialist children's hospital. This study clearly demonstrates that Specialist Children's Hospitals do attractyounger and more severe patients.

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11

Ravi, Krupa, Annabel Killen, Angus Alexander, Frances Bell-Davies, James Biganiro Sebintu, Aurelia Brazeal, Jean Marie Vianney Butoyi, et al. "An OxPLORE Initiative Evaluating Children’s Surgery Resources Worldwide: A Cross-sectional Implementation of the OReCS Document." World Journal of Surgery 46, no. 3 (November 30, 2021): 476–85. http://dx.doi.org/10.1007/s00268-021-06377-w.

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Abstract Background The Global Initiative for Children's Surgery (GICS) group produced the Optimal Resources for Children’s Surgery (OReCS) document in 2019, listing standards of children’s surgical care by level of healthcare facilities within low resource settings. We have previously created and piloted an audit tool based on the OReCS criteria in a high-income setting. In this study, we aimed to validate its use in identifying gaps in children’s surgery provision worldwide. Methods Our OReCS audit tool was implemented in 10 hospitals providing children’s surgery across eight countries. Collaborators were recruited via the Oxford Paediatrics Linking Our Research with Electives (OxPLORE) international network of medical students and trainees. The audit tool measured a hospital’s current capacity for children’s surgery. Data were analysed firstly to express the percentage of ‘essential’ criteria met for each specialty. Secondly, the ‘OxPLORE method’ was used to allocate each hospital specialty a level based on procedures performed and resources available. A User Evaluation Tool (UET) was developed to obtain feedback on the ease of use of the tool. Results The percentage of essential criteria met within each category varied widely between hospitals. The level given to hospitals for subspecialties based on OReCS criteria often did not reflect their self-defined level. The UET indicated the audit tool was practicable across multiple settings. Conclusions We recommend the use of the OReCS criteria to identify areas for local hospital improvement and inform national children’s surgical plans. We have made informed suggestions to increase usability of the OReCS audit tool.

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Pasha, Samira. "Barriers to Garden Visitation in Children's Hospitals." HERD: Health Environments Research & Design Journal 6, no. 4 (July 2013): 76–96. http://dx.doi.org/10.1177/193758671300600405.

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OBJECTIVE: This study aimed to identify barriers to use of outdoor spaces in Texas pediatric healthcare facilities. BACKGROUND: Available research on hospital healing gardens and outdoor spaces has indicated that despite several health benefits of garden visitation for staff, patients, and family members, these amenities are not being used to their fullest capacity. Previous researchers have recommended design features such as comfortable seats and adequate shade to increase garden visitation in healthcare setting. However no quantitative data have demonstrated significance of correlation between presence of these design features and garden use. The present study served to statistically support design guidelines suggested by previous researchers and introduce new guidelines. METHODS: Site visits and surveys were conducted in five green outdoor spaces in three pediatric hospitals in east Texas. Hospital visitors, family members, and staff responded to questions concerning barriers to garden visitation, their visitation habits, and satisfaction with the garden features. The study was reviewed and approved by Institutional Review Boards of the relevant hospitals and academic institutions. RESULTS: A negative significant correlation was found between staff garden use and dissatisfaction with quality of seats and poor shade. While quality of seats didn't impact visitor and family member garden visitation, a significant negative correlation was found between poor shade and their garden use. CONCLUSIONS: The study served to statistically support previous design suggestions for hospital gardens, and introduced new design guidelines. Design recommendations include functionality, visibility, accessibility, exclusivity, and availability of shade and seats.

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Nakamura, Mari M., Marvin B. Harper, Allan V. Castro, Feliciano B. Yu, and Ashish K. Jha. "Impact of the meaningful use incentive program on electronic health record adoption by US children's hospitals." Journal of the American Medical Informatics Association 22, no. 2 (March 1, 2015): 390–98. http://dx.doi.org/10.1093/jamia/ocu045.

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Abstract Objective We determined adoption rates of pediatric-oriented electronic health record (EHR) features by US children's hospitals and assessed perceptions regarding the suitability of commercial EHRs for pediatric care and the influence of the meaningful use incentive program on implementation of pediatric-oriented features. Materials and Methods We surveyed members of the Children's Hospital Association. We measured adoption of 19 pediatric-oriented features and asked whether commercial EHRs include key pediatric-focused capabilities. We inquired about the meaningful use program's relevance to pediatrics and its influence on EHR implementation priorities. Results Of 164 general acute care children's hospitals, 100 (61%) responded to the survey. Rates of comprehensive (across all pediatric units) adoption ranged from 37% (age-, gender-, and weight-adjusted blood pressure percentiles and immunization contraindication warnings) to 87% (age in appropriate units). Implementation rates for several features varied significantly by children's hospital type. Nearly 60% of hospitals reported having EHRs that do not contain all features essential for high-quality care. A majority of hospitals indicated that the meaningful use program has had no effect on their adoption of pediatric features, while 26% said they have delayed or forgone incorporation of such features because of the program. Conclusions Children's hospitals are implementing pediatric-focused features, but a sizable proportion still finds their systems suboptimal for pediatric care. The meaningful use incentive program is failing to promote and in some cases delaying uptake of pediatric-oriented features.

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Petlakh, Vladimir I. "To the 90-th Anniversary of Maya K. Bukhrashvili." Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care 11, no. 2 (July 7, 2021): 227–31. http://dx.doi.org/10.17816/psaic970.

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Description of the professional activities and merits of the chief physician of one of the oldest children's hospitals in Moscow - .K.A. Timiryazev Children's Hospital №20 - Maya K. Bukhrashvili, celebrating her anniversary.

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O'Callaghan, Cathy. "Supporting Diverse Staff in Children's Hospitals." International Journal of Organizational Diversity 14, no. 2 (2015): 11–27. http://dx.doi.org/10.18848/2328-6261/cgp/v14i02/40198.

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16

McAndrews, Lawrence A. "Children's Hospitals Meeting the Challenge Together." Pediatrics 117, Supplement 4 (May 2006): S357—S358. http://dx.doi.org/10.1542/peds.2006-0099c.

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Morgenstern, F. S. "Facilities for Children's Play in Hospitals." Developmental Medicine & Child Neurology 10, no. 1 (November 12, 2008): 111–14. http://dx.doi.org/10.1111/j.1469-8749.1968.tb02852.x.

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18

McClimon, Patricia J., and Thomas N. Hansen. "Why are children's hospitals so busy?" Journal of Pediatrics 142, no. 3 (March 2003): 219–20. http://dx.doi.org/10.1067/mpd.2003.89.

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ANDERSON, JANE. "Neurologic Burden Rises at Children's Hospitals." Clinical Psychiatry News 40, no. 2 (February 2012): 29. http://dx.doi.org/10.1016/s0270-6644(12)70062-0.

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McNAMARA, DAMIAN. "Pyloromyotomy Risk Low at Children's Hospitals." Hospitalist News 3, no. 7 (July 2010): 24. http://dx.doi.org/10.1016/s1875-9122(10)70192-9.

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De Silva, L. M. "Respiratory syncytial virus in children's hospitals." Lancet 338, no. 8782-8783 (December 1991): 1595–96. http://dx.doi.org/10.1016/0140-6736(91)92418-2.

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Ellis, Anna. "Paintings in Hospitals launches children's collection." BMJ 326, Suppl S3 (March 1, 2003): 030349a. http://dx.doi.org/10.1136/sbmj.030349a.

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Kelley-Quon, Lorraine I., Chi-Hong Tseng, Howard C. Jen, and Stephen B. Shew. "Hospital Type Predicts Surgical Complications for Infants with Hypertrophic Pyloric Stenosis." American Surgeon 78, no. 10 (October 2012): 1079–82. http://dx.doi.org/10.1177/000313481207801015.

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Pyloromyotomy is a common surgery performed for hypertrophic pyloric stenosis at community and children's hospitals. To determine hospital-level factors that may affect clinical outcomes, infants requiring pyloromyotomy from 1999 to 2007 (n = 8379) were retrospectively reviewed from the California linked birth cohort data set. Hospital case volume and type (community, children's, adult hospital with children's unit) were examined. Surgical complications, prolonged length of stay (LOS), and 30-day readmission were analyzed with multivariate logistic regression. Overall, surgical complications occurred in 166 (2%) infants, 35 (21%) after discharge. Readmission occurred in 285 (3.4%) infants with 69 (24%) admitted to hospitals that did not perform the initial surgery. Infants treated at community hospitals (odds ratio [OR], 2.1; 95% confidence interval [CI], 1.1 to 4.0) experienced an increased likelihood of surgical complications. Odds of surgical complications did not vary by hospital case volume. Prolonged LOS was increased at community hospitals (OR, 1.7; 95% CI, 1.2 to 2.3), low- (OR, 2.1; 95% CI, 1.3 to 3.4), and medium-volume (OR, 1.6; 95% CI, 1.0 to 2.7) hospitals. Hospital type and volume did not impact 30-day readmission. In conclusion, specialized surgical care for infants administered at pediatric centers appears to influence pyloromyotomy complications more than hospital case volume. Institutional components contributing to improved outcomes in specialty centers warrant further investigation.

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Kind, Terry, Kathryn L. Wheeler, Byanqa Robinson, and Michael D. Cabana. "Do the Leading Children's Hospitals have Quality Web Sites? A Description of Children's Hospital Web Sites." Journal of Medical Internet Research 6, no. 2 (June 25, 2004): e20. http://dx.doi.org/10.2196/jmir.6.2.e20.

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Newland, Jason G., Jeffrey S. Gerber, Scott J. Weissman, Samir S. Shah, Chelsea Turgeon, Erin B. Hedican, Cary Thurm, et al. "Prevalence and Characteristics of Antimicrobial Stewardship Programs at Freestanding Children's Hospitals in the United States." Infection Control & Hospital Epidemiology 35, no. 3 (March 2014): 265–71. http://dx.doi.org/10.1086/675277.

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Background and Objective.Antimicrobial stewardship programs (ASPs) are a mechanism to ensure the appropriate use of antimicrobials. The extent to which ASPs are formally implemented in freestanding children's hospitals is unknown. The objective of this study was to determine the prevalence and characteristics of ASPs in freestanding children's hospitals.Methods.We conducted an electronic survey of 42 freestanding children's hospitals that are members of the Children's Hospital Association to determine the presence and characteristics of their ASPs. For hospitals without an ASP, we determined whether stewardship strategies were in place and whether there were barriers to implementing a formal ASP.Results.We received responses from 38 (91%) of 42. Among responding institutions, 16 (38%) had a formal ASP, and 15 (36%) were in the process of implementing a program. Most ASPs (13 [81%] of 16) were started after 2007. The median number of full-time equivalents dedicated to ASPs was 0.63 (range, 0.1–1.8). The most common antimicrobials monitored by ASPs were linezolid, vancomycin, and carbapenems. Many hospitals without a formal ASP were performing stewardship activities, including elements of prospective audit and feedback (9 [41%] of 22), formulary restriction (9 [41%] of 22), and use of clinical guidelines (17 [77%] of 22). Antimicrobial outcomes were more likely to be monitored by hospitals with ASPs (100% vs 68%; P = .01), although only 1 program provided support for a data analyst.Conclusions.Most freestanding children's hospitals have implemented or are developing an ASP. These programs differ in structure and function, and more data are needed to identify program characteristics that have the greatest impact.

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Hague, Ashley Clare. "Recent Developments in Health Law: Civil Procedure: First Circuit Holds it Unreasonable to Hale Hospitals into Foreign Forums Simply for Accepting Out-of-State Patients — Harlow v. Children's Hospital." Journal of Law, Medicine & Ethics 34, no. 2 (2006): 467–69. http://dx.doi.org/10.1111/j.1748-720x.2006.00054.x.

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The United States Court of Appeals for the First Circuit recently upheld a United States District Court for the District of Maine Judge's decision to dismiss a Maine plaintiff's medical malpractice claim against a Massachusetts hospital defendant for want of personal jurisdiction over the hospital. The Court of Appeals found it unreasonable to hale hospitals into an out-of-state court merely because they accept out-of-state patients.Plaintiff Danielle Harlow is a Maine resident who suffered a stroke at the age of six while undergoing a medical procedure at Children's Hospital of Boston, Massachusetts (“Children's Hospital”). The stroke, allegedly caused by the Hospital's negligence, led to brain damage resulting in partial paralysis and cognitive and behavioral impairments. The procedure was supposed to treat Harlow's rapid heartbeat, a condition related to her Wolff-Parkinson-White Syndrome. Harlow's pediatrician in Maine recommended that she visit Children's Hospital in Boston to treat her arrhythmia.

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Jones, M. Douglas, Thomas Boat, Robert Adler, Harlan R. Gephart, Lucy M. Osborn, Russell W. Chesney, Holly J. Mulvey, Jimmy L. Simon, and Errol R. Alden. "Final Report of the FOPE II Financing of Pediatric Education Workgroup." Pediatrics 106, Supplement_E1 (November 1, 2000): 1256–70. http://dx.doi.org/10.1542/peds.106.se1.1256.

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Some of the challenges of financing pediatric medical education are shared with all medical education; others are specific to pediatrics. The general disadvantage that funding of graduate medical education (GME) is linked to reimbursement for clinical care has uniquely negative consequences for freestanding children's hospitals because they therefore receive little Medicare GME support. This represents both a competitive disadvantage for such hospitals and an aggregate federal underinvestment in children's health care that now amounts to billions of dollars. The need to subsidize medical student and subspecialty education with clinical practice revenue jeopardizes both activities in pediatric departments already burdened by inadequate reimbursement for children's health care and the extra costs of ambulatory care. The challenges of funding are complicated by rising costs as curriculum expands and clinical education moves to ambulatory settings. Controversies over prioritization of resources are inevitable. Solutions require specification of costs of education and a durable mechanism for building consensus within the pediatric community. Pediatrics2000;106(suppl):1256–1269; medical student education, continuing medical education, medical subspecialties, children, pediatrics, health maintenance organizations, managed care, hospital finances, children's hospitals.

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Khadem Zgair, Hameda. "Level of Heavy Metals and Pathogenic Bacteria in Tap Water of Rusafa side Hospitals in Baghdad." Diyala Journal of Medicine 23, no. 2 (December 25, 2022): 27–36. http://dx.doi.org/10.26505/djm.v23i2.944.

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Background: The quality of drinking water supplied to hospitals is directly related to the quality of health services provided to people. Objective: To assess the chemical and microbial standards provided to four public hospitals on Baghdad's eastern side. Patients and Methods: In this study, 100 water samples were collected from water taps supplied to hospitals. Scientific methods were followed to collect samples in clean, sterile bottles. The chemophysical characteristics of the collected water samples were estimated (Hospital Imam Ali, Martyr Al-Sadr Hospital, Ibn Al Balady Maternity & Children's Hospital, Fatmih Alzahraa Maternity Hospital). In addition, the contamination of water with fecal-coliform bacteria was estimated. Results: In this study, 100 water samples were collected from water taps supplied to hospitals. Scientific methods were followed to collect samples in clean, sterile bottles. The chemophysical characteristics of the collected water samples were estimated (Hospital Imam Ali, Martyr Al-Sadr Hospital, Ibn Al Balady Maternity & Children's Hospital, Fatmih Alzahraa Maternity Hospital). In addition, the contamination of water with fecal-coliform bacteria was estimated. Conclusion: It can be concluded from the current study that the quality of water supplied to the hospitals covered by the study was within the standard level of physiochemical specifications. In addition, all samples were free of fecal-coliform bacteria, which indicates that the water supplied to the hospitals is not contaminated with feces.

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Clingham, Gavin. "COVID-19 Update: Impact on Children's Hospitals." Neonatology Today 15, no. 7 (July 20, 2020): 60–62. http://dx.doi.org/10.51362/neonatology.today/202071576062.

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30

Whitehead, Carolyn. "Anecdotes and stories on children's hospitals needed." Nursing Standard 16, no. 9 (November 14, 2001): 31. http://dx.doi.org/10.7748/ns.16.9.31.s53.

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Robinson, Christine C. "The value of RVP in children's hospitals." Journal of Clinical Virology 40 (October 2007): S51—S52. http://dx.doi.org/10.1016/s1386-6532(07)70011-2.

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ANDERSON, JANE. "Children's Hospitals Field Rising Neuro Care Needs." Hospitalist News 5, no. 2 (February 2012): 1–16. http://dx.doi.org/10.1016/s1875-9122(12)70024-x.

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Pugliese, Gina, and Maktin S. Favero. "Nosocomial Infection Surveillance in US Children's Hospitals." Infection Control & Hospital Epidemiology 22, no. 08 (August 2001): 529–30. http://dx.doi.org/10.1017/s0195941700062056.

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Gerber, J. S., J. G. Newland, S. E. Coffin, M. Hall, C. Thurm, P. A. Prasad, C. Feudtner, and T. E. Zaoutis. "Variability in Antibiotic Use at Children's Hospitals." PEDIATRICS 126, no. 6 (November 15, 2010): 1067–73. http://dx.doi.org/10.1542/peds.2010-1275.

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35

Larru, B., C. L. Cowden, T. E. Zaoutis, and J. S. Gerber. "Daptomycin Use in United States Children's Hospitals." Journal of the Pediatric Infectious Diseases Society 4, no. 1 (June 2, 2014): 60–62. http://dx.doi.org/10.1093/jpids/piu052.

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Khadem Zgair, Hameda. "Level of Heavy Metals and Pathogenic Bacteria in Tap Water of Rusafa side Hospitals in Baghdad." Diyala Journal of Medicine 23, no. 2 (December 25, 2022): 27–36. http://dx.doi.org/10.26505/djm.23026670717.

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Background: The quality of drinking water supplied to hospitals is directly related to the quality of health services provided to people. Objective: To assess the chemical and microbial standards provided to four public hospitals on Baghdad's eastern side. Patients and Methods: In this study, 100 water samples were collected from water taps supplied to hospitals. Scientific methods were followed to collect samples in clean, sterile bottles. The chemophysical characteristics of the collected water samples were estimated (Hospital Imam Ali, Martyr Al-Sadr Hospital, Ibn Al Balady Maternity & Children's Hospital, Fatmih Alzahraa Maternity Hospital). In addition, the contamination of water with fecal-coliform bacteria was estimated. Results: In this study, 100 water samples were collected from water taps supplied to hospitals. Scientific methods were followed to collect samples in clean, sterile bottles. The chemophysical characteristics of the collected water samples were estimated (Hospital Imam Ali, Martyr Al-Sadr Hospital, Ibn Al Balady Maternity & Children's Hospital, Fatmih Alzahraa Maternity Hospital). In addition, the contamination of water with fecal-coliform bacteria was estimated. Conclusion: It can be concluded from the current study that the quality of water supplied to the hospitals covered by the study was within the standard level of physiochemical specifications. In addition, all samples were free of fecal-coliform bacteria, which indicates that the water supplied to the hospitals is not contaminated with feces. Keywords: Baghdad city, Fecal coliform, Public hospitals, Physiochemical, Tap water

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Nydert, Per, and Robert Poole. "Exploring Differences in Inpatient Drug Purchasing Cost Between Two Pediatric Hospitals." Journal of Pediatric Pharmacology and Therapeutics 17, no. 4 (December 1, 2012): 374–81. http://dx.doi.org/10.5863/1551-6776-17.4.374.

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OBJECTIVES In this study, the hospital cost of purchasing drugs at two children's hospitals is explored with respect to high-cost drugs and drug classes and discussed with regard to differences in hospital setting, drug price, or number of treatments. METHODS The purchasing costs of drugs at the two hospitals were retrieved and analyzed. All information was connected to the Anatomic Therapeutic Chemical code and compared in a Microsoft Access database. RESULTS The 6-month drug purchasing costs at Astrid Lindgren Children's Hospital (ALCH), Stockholm, Sweden, and Lucile Packard Children's Hospital at Stanford (LPCH), Palo Alto, California, are similar and result in a cost per patient day of US $149 and US $136, respectively. The hospital setting and choice of drug products are factors that influence the drug cost in product-specific ways. CONCLUSIONS Several problems are highlighted when only drug costs are compared between hospitals. For example, the comparison does not take into account the amount of waste, risk of adverse drug events, local dosing strategies, disease prevalence, and national drug-pricing models. The difference in cost per inpatient day at ALCH may indicate that cost could be redistributed in Sweden to support pediatric pharmacy services. Also, when introducing new therapies seen at the comparison hospital, it may be possible to extrapolate the estimated increase in cost.

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Shin, Hae-kyung, Hyo-yeong Kim, Hyun-Jung Kim, Min-kyung Kim, Hyun-joo Shin, Hoo-yun Lee, Jee-hee Han, and Hye-jung Lee. "The development and evaluation of a pediatric nurse education program to improve nursing competency for newly graduated nurses in a children’s hospital." Journal of Korean Academic Society of Nursing Education 28, no. 2 (May 31, 2022): 179–92. http://dx.doi.org/10.5977/jkasne.2022.28.2.179.

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Purpose: The purpose of this study is to identify the effects of a standardized educational program to improve nursing competency on newly graduated nurses in a children's hospital after developing and applying a pediatric nurse education program. The effectiveness of the program was confirmed by evaluating the clinical competency and field adaptation.Methods: In the first step, an education program was developed using the analysis, design, development, implementation and evaluation (ADDIE) model. As a second step, a similar experimental study of a single group repeat measures design was conducted to evaluate the clinical competency and field adaptation over time after application of the program. Additionally, a focus group interviews were conducted to collect subjective data on the effects and improvement points of the program.Results: As a result of applying the program, there was a significant change in the clinical competence and the field adaptation of newly graduated nurses in a children’s hospital. The categories derived from the focus group interviews were “getting special guidance,” “better care,” “becoming a nurse at a children's hospital” and “winning together.”Conclusion: It was confirmed that the education program enhances the clinical competency of new nurses in children's hospitals. In addition, it provided the necessary data to understand the experiences of new nurses, help them adapt effectively, and establish appropriate interventions.

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Borgman, C. Jan, Marcella Cameron Meyer, and Michael Fitzgerald. "Pediatric Bereavement Services: A Survey of Practices at Children's Hospitals." OMEGA - Journal of Death and Dying 69, no. 4 (December 2014): 421–35. http://dx.doi.org/10.2190/om.69.4.e.

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The death of a child can be an overwhelming experience for parents. Hospitals are often the first place to get information or to seek services, yet little is known about what types of bereavement services, information, or support are typically available. This study was designed to identify types of bereavement support offered to parents whose child died at a pediatric hospital, to ascertain who provides support and to see how those services are institutionally organized and funded. The investigation gathered data using an online, custom-designed survey completed by bereavement providers at 122 of the 188 pediatric hospitals invited to participate. This article summarizes the ways hospitals follow-up with families, from provision of educational materials to a menu of support services including memorial services, counseling, and community referrals.

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Firilas, Anthony M., Patti H. Higginbotham, Donna D. Johnson, Richard J. Jackson, Charles W. Wagner, and Samuel D. Smith. "A New Economic Benchmark for Surgical Treatment of Appendicitis." American Surgeon 65, no. 8 (August 1999): 769–73. http://dx.doi.org/10.1177/000313489906500814.

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Cost reduction in the management of common surgical diseases such as appendicitis has become paramount for the survival of children's hospitals. We designed a clinical pathway to treat appendicitis with the goal of reducing cost and hospital length of stay (LOS) while maintaining quality of care. From September 1995 through December 1996, patients with nonperforated appendicitis (NPApp) and perforated appendicitis with peritonitis (PApp) were enrolled into a clinical pathway. NPApp patients were discharged when tolerating a regular diet. PApp patients were discharged if the following criteria were met: temperature < 38.5° C for 24 hours, WBC < 14,000 on postoperative day 3, tolerating diet, and transition to oral analgesics accomplished. Hospital LOS and actual hospital costs in pathway patients were compared with those of historic controls. Patients with appendicitis from the Pediatric Health Information Systems (PHIS) database, a consortium of 20 children's hospitals in the United States, served as concurrent controls. Hospital LOS and hospital charges in PHIS NPApp and PApp patients from our institution were compared with national PHIS database patients. Mean LOS and hospital costs for both NPApp and PApp pathway patients were significantly decreased compared with historic controls (P < 0.05). Mean LOS and hospital charges in our institution's PHIS NPApp and PApp patients were also significantly decreased compared with the national PHIS database (P < 0.05). Innovative approaches such as these are necessary for the survival of children's hospitals in an increasingly cost competitive healthcare market.

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Berry, Jay G. "Hospital Utilization and Characteristics of Patients Experiencing Recurrent Readmissions Within Children's Hospitals." JAMA 305, no. 7 (February 16, 2011): 682. http://dx.doi.org/10.1001/jama.2011.122.

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Hayward, Tina, and John Mitchell. "The cost-effectiveness of teleradiology at the Women's and Children's Hospital in Adelaide." Journal of Telemedicine and Telecare 6, no. 1_suppl (February 2000): 23–25. http://dx.doi.org/10.1258/1357633001934726.

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The cost-effectiveness of teleradiology was examined in a trial conducted at the Women's and Children's Hospital (WCH) in Adelaide, from February 1998 to February 1999. The trial showed that, with the large distances between remote hospitals and metropolitan hospitals, teleradiology, relative to the transfer of remote patients, could be highly cost-effective, but that a new form of cost justification is required for teleradiology for tertiary hospitals providing second opinions in special cases. A series of compelling case studies proved the economic and social value of teleradiology at the WCH.

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Bigham, M. T., T. R. Logsdon, P. E. Manicone, C. P. Landrigan, L. W. Hayes, K. H. Randall, P. Grover, et al. "Decreasing Handoff-Related Care Failures in Children's Hospitals." PEDIATRICS 134, no. 2 (July 7, 2014): e572-e579. http://dx.doi.org/10.1542/peds.2013-1844.

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Srinivasan, M., S. Bhaskar, and D. W. Carlson. "Variation in Procedural Sedation Practices Among Children's Hospitals." Hospital Pediatrics 5, no. 3 (March 1, 2015): 148–53. http://dx.doi.org/10.1542/hpeds.2014-0090.

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Synhorst, David C., and Jessica L. Bettenhausen. "Problematic Trends in Observation Status for Children's Hospitals." Journal of Hospital Medicine 16, no. 11 (November 2021): 701. http://dx.doi.org/10.12788/jhm.3694.

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Levine-Ariff, June. "Institutional Ethics Committees: A Survey Of Children's Hospitals." Issues in Comprehensive Pediatric Nursing 12, no. 6 (January 1989): 447–61. http://dx.doi.org/10.3109/01460868909026849.

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Powers, Douglas. "Children's Perceptions of Illnesses, Medical Procedures and Hospitals." Residential Treatment For Children & Youth 6, no. 2 (February 9, 1989): 39–52. http://dx.doi.org/10.1300/j007v06n02_06.

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Stang, Antonia S., and Arvind Joshi. "The evolution of freestanding children's hospitals in Canada." Paediatrics & Child Health 11, no. 8 (October 2006): 501–6. http://dx.doi.org/10.1093/pch/11.8.501.

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Campo, John V., Richard S. Kingsley, Jeffrey Bridge, and David Mrazek. "Child and Adolescent Psychiatry in General Children's Hospitals." Psychosomatics 41, no. 2 (March 2000): 128–33. http://dx.doi.org/10.1176/appi.psy.41.2.128.

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Gerber, Jeffrey S., Matthew P. Kronman, Rachael K. Ross, Adam L. Hersh, Jason G. Newland, Talene A. Metjian, and Theoklis E. Zaoutis. "Identifying Targets for Antimicrobial Stewardship in Children's Hospitals." Infection Control & Hospital Epidemiology 34, no. 12 (December 2013): 1252–58. http://dx.doi.org/10.1086/673982.

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Objective.Antimicrobial stewardship programs (ASPs) are recommended to optimize antimicrobial use for hospitalized patients. Although mechanisms for the implementation of ASPs have been described, data-driven approaches to prioritize specific conditions and antimicrobials for intervention have not been established. We aimed to develop a strategy for identifying high-impact targets for antimicrobial stewardship efforts.Design.Retrospective cross-sectional study.Setting and Patients.Children admitted to 32 freestanding children's hospitals in the United States in 2010.Methods.We identified the conditions with the largest proportional contribution to the total days of antibiotic therapy prescribed to all hospitalized children. For the 4 highest-using conditions, we examined variability between hospitals in antibiotic selection patterns for use of either first- or second-line therapies depending on the condition. Antibiotic use was determined using standardized probability of exposure to selected agents and standardized days of therapy per 1,000 patient-days, adjusting for patient demographics and severity of illness.Results.In 2010, 524,364 children received 2,082,929 days of antibiotic therapy. Surgical patients received 43% of all antibiotics. The 4 highest-using conditions—pneumonia, appendicitis, cystic fibrosis, and skin and soft-tissue infection—represent 1% of all conditions yet accounted for more than 10% of all antibiotic use. Wide variability in antibiotic use occurred for 3 of these 4 conditions.Conclusions.Antibiotic use in children's hospitals varied broadly across institutions when examining diagnoses individually and adjusting for severity of illness. Identifying conditions with both frequent and variable antimicrobial use informs the prioritization of high-impact targets for future antimicrobial stewardship interventions.

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