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Artykuły w czasopismach na temat „Children’s hospitals”

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Autor: Grafiati

Data publikacji: 4 czerwca 2021

Data aktualizacji: 19 lutego 2022

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1

Piper, Kaitlin N., Katherine J. Baxter, Ian McCarthy i Mehul V. Raval. "Distinguishing Children’s Hospitals From Non–Children’s Hospitals in Large Claims Data". Hospital Pediatrics 10, nr 2 (3.01.2020): 123–28. http://dx.doi.org/10.1542/hpeds.2019-0218.

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Gardner, MD, Aaron H., Michael R. FitzGerald, PhD, Hamilton P. Schwartz, MD i Nathan L. Timm, MD. "Evaluation of regional hospitals’ use of children in disaster drills". American Journal of Disaster Medicine 8, nr 2 (1.04.2013): 137–43. http://dx.doi.org/10.5055/ajdm.2013.0120.

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Objective: Describe the prevalence of pediatric casualties in disaster drills by community hospitals and determine if there is an association between the use of pediatric casualties in disaster drills and the proximity of a community hospital to a tertiary children’s hospital.Design: Survey, descriptive study.Setting: Tertiary children’s hospital and surrounding community hospitals.Participants: Hospital emergency management personnel for 30 general community hospitals in the greater Cincinnati, Ohio region.Interventions: NoneMain Outcome Measure(s): The utilization of pediatric casualties in community hospital disaster drills and its relationship to the distance of those hospitals from a tertiary children’s hospital.Results: Sixteen hospitals reported a total of 57 disaster drills representing 1,309 casualties. The overwhelming majority (82 percent [1,077/1,309]) of simulated patients from all locations were 16 years of age or older. Those hospitals closest to the children’s hospital reported the lowest percentage of pediatric patients (10 percent [35/357]) used in their drills.The hospitals furthest from the children’s hospital reported the highest percentage of pediatric patients (32 percent [71/219]) used during disaster drills.Conclusions: The majority of community hospitals do not incorporate children into their disaster drills, and the closer a community hospital is to a tertiary children’s hospital, the less likely it is to include children in its drills. Focused effort and additional resources should be directed toward preparing community hospitals to care for children in the event of a disaster.

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Bailey, David N. "Academic Pathology Departments and Associated Children’s Hospitals: An Overview of the Relationship". Academic Pathology 7 (1.01.2020): 237428952096493. http://dx.doi.org/10.1177/2374289520964935.

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A survey of academic pathology departments was conducted in order to evaluate the relationship with their associated children’s hospitals. Forty percent (88) of US children’s hospitals were associated with academic pathology departments. Sixty percent of pathology department respondents indicated that their children’s hospital was part of their academic health system. As a reflection of this, the majority (54%) of all respondents reported that their children’s hospitals were physically located within the academic health care system itself. Accordingly, a vast number (94%) of academic departments reported that they performed the clinical services for those children’s hospitals that were part of their academic health system. For those associated children’s hospitals that were not part of the academic health system, 70% of respondents reported that the academic pathology department provided at least some clinical services for them. The number of pathologists in the children’s hospital pathology departments that were not part of the academic health system ranged from 1 to 5 (41%), 6 to 10 (18%), and >10 (41%), with one-third having salaried faculty appointments in the academic pathology department. The chief of pathology in those children’s hospital departments was part of the academic department leadership team in half of the cases. Although 86% of respondents reported that pathology residents rotate through the associated children’s hospital, in only 26% of instances did the children’s hospital provide resident support for the academic pathology department. The perceived strengths and weaknesses of the relationship between academic pathology departments and associated children’s hospitals are discussed.

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Misra, Sanghamitra M., Danielle Guffey, Xuan Tran i Angelo P. Giardino. "Survey of Complementary and Alternative Medicine (CAM) Services in Freestanding US Children’s Hospitals". Clinical Pediatrics 56, nr 1 (20.07.2016): 33–36. http://dx.doi.org/10.1177/0009922816645513.

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Complementary and alternative medicine (CAM) use among US children in 2012 was 11.6%, and studies show CAM use as high as 76% in certain pediatric populations. Children’s hospitals offer varied CAM services. This survey aimed to identify CAM services offered, the structure of CAM departments, and supplement use policies in freestanding US children’s hospitals. In our survey, 92% of responding children’s hospitals offered CAM services, and 38% had hospital-based CAM centers; 60% of responders had policies for supplement use during hospitalization, whereas only 40% had policies for supplement use surrounding surgery. CAM services are widely offered in freestanding US children’s hospitals, but most do not have CAM departments. Many hospitals do not have written policies about supplement use. A better understanding of CAM services, programs, and supplement use policies are needed to bring more coordinated services and safer policies to children’s hospitals.

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Bender, Jeffrey M., Mary Virgallito, Jason G. Newland, Julia S. Sammons, Emily A. Thorell, Susan E. Coffin, Andrew T. Pavia, Thomas J. Sandora i Adam L. Hersh. "Infection Prevention and Control Practices in Children’s Hospitals". Infection Control & Hospital Epidemiology 36, nr 5 (10.02.2015): 597–600. http://dx.doi.org/10.1017/ice.2015.23.

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AbstractWe surveyed hospital epidemiologists at 28 Children’s Hospital Association member hospitals regarding their infection prevention and control programs. We found substantial variability between children’s hospitals in both the structure and the practice of these programs. Research and the development of evidence-based guidelines addressing infection prevention in pediatrics are needed.Infect Control Hosp Epidemiol2015;00(0): 1–4

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6

Gorman, Kim. "Children’s Hospitals’ Weight Management Services". Childhood Obesity 7, nr 2 (kwiecień 2011): 155–57. http://dx.doi.org/10.1089/chi.2011.07.02.1013.webwatch.

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Zachariah, Philip, Jason G. Newland, Jeffrey S. Gerber, Lisa Saiman, Jennifer L. Goldman i Adam L. Hersh. "Costs of Antimicrobial Stewardship Programs at US Children’s Hospitals". Infection Control & Hospital Epidemiology 37, nr 7 (29.03.2016): 852–54. http://dx.doi.org/10.1017/ice.2016.62.

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The costs of antimicrobial stewardship programs (ASPs) in children’s hospitals have not been described previously. We assessed ASP costs using an online survey administered to ASP leaders at U.S. children’s hospitals. ASP costs varied from $17,000 to $388,500 annually (median, $187,400). Overall costs were not correlated with hospital size.Infect Control Hosp Epidemiol 2016;37:852–854

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8

Branca, Aline, Vishal Gunnala, Erin Garvey i Justin H. Lee. "A Matter of Location: Ventilation Associated Pneumonia in Freestanding Children’s Hospitals vs Non-Children’s Hospitals". Journal of the American College of Surgeons 225, nr 4 (październik 2017): e103. http://dx.doi.org/10.1016/j.jamcollsurg.2017.07.803.

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9

Kinnear, Benjamin, i Jennifer K. O’Toole. "Care of Adults in Children’s Hospitals". JAMA Pediatrics 169, nr 12 (1.12.2015): 1081. http://dx.doi.org/10.1001/jamapediatrics.2015.2215.

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Quach, Caroline, Rita Shah i Lorry G. Rubin. "Burden of Healthcare-Associated Viral Respiratory Infections in Children’s Hospitals". Journal of the Pediatric Infectious Diseases Society 7, nr 1 (31.12.2016): 18–24. http://dx.doi.org/10.1093/jpids/piw072.

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Abstract Objective Although healthcare-associated (HA) viral respiratory infections (VRIs) are common in pediatrics, no benchmark for comparison exists. We aimed to determine, compare, and assess determinants of unit-specific HA-VRI incidence rates in 2 children’s hospitals. Methods This study was a retrospective comparison of prospective cohorts. The Montreal Children’s Hospital and the Cohen Children’s Medical Center of New York perform prospective surveillance for HA-VRI using standardized definitions that require the presence of symptoms compatible with VRI and virus detection. Cases detected between April 1, 2010, and March 31, 2013, were identified using surveillance databases. Annual incidence rates were calculated, and a generalized estimating equation model was used to assess determinants of HA-VRI rates. Results The overall HA-VRI rate during the 3-year study period was significantly higher at Montreal Children’s Hospital than that at Cohen Children’s Medical Center of New York (1.91 vs 0.80 per 1000 patient-days, respectively;P < .0001). Overall, the HA-VRI incidence rate was lowest in the neonatal intensive care unit. Rates in the pediatric intensive care, oncology, and medical/surgical units were similar. The most common etiology of HA-VRI at both institutions was rhinovirus (49% of cases), followed by parainfluenza virus and respiratory syncytial virus. Hospitals with less than 50% single rooms had HA-VRI rates 1.33 (95% confidence interval, 1.29–1.37) times higher than hospitals with more than 50% single rooms for a given unit type. Conclusions HA-VRI rates were substantial but different among 2 children’s hospitals. Future studies should examine the effect of HA-VRI and evaluate best practices for preventing such infections.

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Agatstein, Lauren, Matthew J. Brown, Nicole Friel i Brian Haus. "SLAP TEARS IN THE PEDIATRIC PATIENT: WHO IS TREATING THEM AND WHERE?" Orthopaedic Journal of Sports Medicine 7, nr 3_suppl (1.03.2019): 2325967119S0005. http://dx.doi.org/10.1177/2325967119s00053.

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BACKGROUND: Although rare in comparison to adult cohorts, superior labral anterior to posterior (SLAP) tears do occur in children and adolescents. Previous publications have focused on the varied surgical treatments of SLAP tears in pediatric hospitals but have not stratified treatments by surgeon training or hospital setting. The objective of this study is to evaluate the demographics of patients under the age of 18 undergoing SLAP surgery as well as to evaluate the influence of hospital setting (hospital self-designation as pediatric vs. non-pediatric) and the trends of treatment choice (debridement versus repair) over a period of time. METHODS: The California statewide outpatient database (OSHPD) was queried for all patients under 18 years old who underwent a SLAP debridement or repair in the state of California between 2008 and 2016. The effect of age, hospital setting (pediatric versus adult hospital), gender, insurance type, race, and year of service were assessed using logistic regression. RESULTS: A total of 1,349 patients under age 18 years underwent surgery for a SLAP tear between 2008 and 2016. SLAP repair was performed in 83.8% of patients while SLAP debridement was performed in 16.2% of patients. 80.9% of patients were treated at non-children’s hospitals and 19.1% were treated at children’s hospitals. At non-children’s hospitals, 161 (14.7%) had SLAP debridement and 931 (85.3%) had SLAP repair. At children’s hospitals, 57 patients (22.2%) had SLAP debridement and 200 (77.8%) had SLAP repair. The odds of having a SLAP repair over SLAP debridement decreases by a factor of .58 (p < 0.01) when patients have surgery at a children’s hospital versus at a non-children’s hospital. Age, gender, race, and insurance type were not statistically significant in predicting whether patients underwent SLAP repair versus debridement. Analysis of each individual year of service over the study period from 2008 to 2016 revealed the odds of having a SLAP repair over debridement increased each year by a factor of 1.1 (p < 0.001). CONCLUSIONS: The majority of surgeries treating SLAP tears in patients under the age of 18 are performed in non-pediatric hospitals. However, previous literature reporting on outcomes of SLAP surgery on patients under 18 is based in tertiary care pediatric centers,, which is likely not representative of this patient population. We hypothesize that this discrepancy may be due to shoulder surgeries more often being performed by sports medicine trained orthopedic surgeons who are not tied to operating in pediatric hospitals. Further, the yearly increased rate of SLAP repair over debridement is likely due to the prevailing knowledge in the orthopedic sports literature that repair is preferable to debridement in younger patients.

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Gómez-de-Terreros-Guardiola, Montserrat, José F. Lozano-Oyola, María-Dolores Lanzarote-Fernández, Raquel Rupérez Bautista, Isabel Avilés-Carvajal, Tonio Schoenfelder i Rafael J. Martínez-Cervantes. "A Measurement Scale to Assess Children’s Satisfaction with Hospitalization in the Andalusian Population". International Journal of Environmental Research and Public Health 16, nr 17 (27.08.2019): 3110. http://dx.doi.org/10.3390/ijerph16173110.

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Background: Patient satisfaction is a principal indicator in the evaluation of the stay of pediatric patients in hospitals, since its consequences can emotionally interfere with health treatment. The aim of this study was to obtain a valid scale to assess children’s satisfaction with their time spent as a patient in an Andalusian hospital. Method: The Children’s Satisfaction with Hospitalization Questionnaire (CSHQ) was applied to 623 pediatric patients hospitalized in Andalusia. An exploratory factor analysis (EFA) showed one dimension underlying the children’s satisfaction with their hospitalization. After that, we developed a depuration analysis process to achieve a valid and unidimensional scale to assess children’s satisfaction. Results: The eleven-item one-dimension solution showed suitable consistency and goodness-of-fit indices. The final scale addresses hosting aspects as the main dimension of a minor’s satisfaction in Andalusian hospitals. Conclusion: A unidimensional scale has been determined for the assessment of children’s satisfaction with their stay in Andalusian hospitals based on hosting aspects. Nonetheless, other dimensions underlying the satisfaction of patients should also be considered.

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13

Danziger, Phoebe, i Matthew M. Davis. "Mandatory influenza vaccination programs for health care personnel in NACHRI-associated children’s hospitals vs. non-children’s hospitals". Human Vaccines & Immunotherapeutics 8, nr 6 (12.06.2012): 731–35. http://dx.doi.org/10.4161/hv.19613.

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Herndon, Alison C., Derek Williams, Matt Hall, James C. Gay, Whitney Browning, Heather Kreth, Greg Plemmons i in. "Costs and Reimbursements for Mental Health Hospitalizations at Children’s Hospitals". Journal of Hospital Medicine 15, nr 12 (20.05.2020): 727–30. http://dx.doi.org/10.12788/jhm.3411.

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The financial impact of the rising number of pediatric mental health hospitalizations is unknown. Therefore, this study assessed costs, reimbursements, and net profits or losses for 111,705 mental health and non–mental health medical hospitalizations in children’s hospitals with use of the Pediatric Health Information System and Revenue Management Program. Average financial margins were calculated as (reimbursement per day) – (cost per day), and they were lowest for mental health hospitalizations ($136/day), next lowest for suicide attempt ($518/day), and highest for other medical hospitalizations ($611/day). For 10 of 17 hospitals, margin per day for mental health hospitalizations was lower than margin per day for other medical hospitalizations. For these 10 hospitals, the total net loss for inpatient and observation status mental health hospitalizations, compared with other medical hospitalizations, was $27 million (median, $2.2 million per hospital). Financial margins were usually lower for mental health vs non–mental health medical hospitalizations. Journal of Hospital Medicine 2020;15:727- 730. © 2020 Society of Hospital Medicine

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15

Balamuth, Fran, Scott L. Weiss, Mark I. Neuman, Halden Scott, Patrick W. Brady, Raina Paul, Reid W. D. Farris i in. "Pediatric Severe Sepsis in U.S. Children’s Hospitals*". Pediatric Critical Care Medicine 15, nr 9 (listopad 2014): 798–805. http://dx.doi.org/10.1097/pcc.0000000000000225.

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Barnard, John A., i J. Terrance Davis. "Quality Improvement Leadership in Academic Children’s Hospitals". Pediatric Quality and Safety 2, nr 4 (2017): e034. http://dx.doi.org/10.1097/pq9.0000000000000034.

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Hersh, Adam L., Stephen A. De Lurgio, Cary Thurm, Brian R. Lee, Scott J. Weissman, Joshua D. Courter, Thomas V. Brogan i in. "Antimicrobial Stewardship Programs in Freestanding Children’s Hospitals". Pediatrics 135, nr 1 (8.12.2014): 33–39. http://dx.doi.org/10.1542/peds.2014-2579.

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Dahl Grove, Deanna. "Pediatric Preparedness: Children’s Hospitals Preparation for Disasters". Current Treatment Options in Pediatrics 3, nr 3 (17.07.2017): 246–53. http://dx.doi.org/10.1007/s40746-017-0090-z.

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Barnes, Liberty. "Holiday Gifting at a Children’s Hospital: Sacred Ritual, Sacred Space". Journal of Contemporary Ethnography 48, nr 5 (26.12.2018): 591–618. http://dx.doi.org/10.1177/0891241618820110.

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Every Christmas season children’s hospitals in the United States are flooded with gift donations. Businesses, service organizations, and the public deliver carloads of new toys, puzzles, games, books, electronics, sports equipment, art supplies, cosmetics, blankets, and clothing for sick children. The practice is so common and widespread that donors rarely ask whether they may donate, what types of donations are welcome, and when and where they should deliver their donations. Based on ethnographic observations of holiday gifting at University Children’s Hospital, a nationally ranked pediatric hospital on the West Coast, the purpose of this paper is to investigate the implicit cultural beliefs that guide holiday gifting practices. Eschewing the popular rhetoric of American hyper-consumption and hedonism, I use a Durkheimian framework to argue that holiday gifting in children’s hospital is a sacred ritual. The data presented describe the wide-ranging variety of donors—from Boy Scouts to nightclub strippers—who journey to the hospital bearing gifts. Drawing on sacred conceptualizations of childhood and gifting in American culture, I argue that children’s hospitals are more than medico-scientific institutions. They represent sacred unifying spaces and the heart of their local communities where individuals and organizations come to privately and publicly reaffirm their moral commitments to society through holiday gifting.

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Valiullina, S. A., i L. A. Doronina. "Children’s republican clinical hospital - a 40-year-long path in the history of pediatric healthcare in Tatarstan". Kazan medical journal 98, nr 3 (5.06.2017): 468–75. http://dx.doi.org/10.17750/kmj2017-468.

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Children’s republican clinical hospital of the Republic of Tatarstan has undergone a forty-year-long path in its development. Today it is a modern medical institution uniting a high-tech hospital, an emergency hospital and an organizational and methodological center. It is also a coordinator of pediatric healthcare in Tatarstan. However, it all began with the Government’s decision to build a modern pediatric republican center on the outskirts of the city. The article describes in detail how the hospital was built, how surgical and pediatric services were created and developed, how the staff was trained, how modern technologies were introduced, how the hospital was modernized to solve strategic tasks, what role the Departments of pediatrics and pediatric surgery have played and still play. History is made by people, so the article contains the detailed description of formation of the hospital staff and reflects the role of its first Chief physician E.V. Karpukhin who took an active part in hospital’s construction, in creation of its services and headed this hospital for 33 years. The efforts of the large team have made the Children’s republican clinical hospital one of the best among children’s hospitals in Russia.

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Lyren, Anne, Richard J. Brilli, Karen Zieker, Miguel Marino, Stephen Muething i Paul J. Sharek. "Children’s Hospitals’ Solutions for Patient Safety Collaborative Impact on Hospital-Acquired Harm". Pediatrics 140, nr 3 (16.08.2017): e20163494. http://dx.doi.org/10.1542/peds.2016-3494.

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Maassel, Nathan L., Andrea G. Asnes, John M. Leventhal i Daniel G. Solomon. "Hospital Admissions for Abusive Head Trauma at Children’s Hospitals During COVID-19". Pediatrics 148, nr 1 (20.04.2021): e2021050361. http://dx.doi.org/10.1542/peds.2021-050361.

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Gillon, Jessica, Meng Xu, James Slaughter i M. Cecilia Di Pentima. "Vancomycin Use: Room for Improvement Among Hospitalized Children". Journal of Pharmacy Practice 30, nr 3 (4.04.2016): 296–99. http://dx.doi.org/10.1177/0897190016635478.

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Introduction: The use of vancomycin is common among hospitalized children. We sought to evaluate the impact of prospective audit with real-time feedback on vancomycin use and pharmacy costs. Methods: Vancomycin use was evaluated at Monroe Carell Jr Children’s Hospital at Vanderbilt (MCJCHV) before and after the implementation of prospective audit with intervention and feedback to providers in 2012. Antibiotic use was compared to academic children’s hospitals with established antimicrobial stewardship programs (ASPs). Two similar pediatric academic institutions without an ASP were used as nonintervention controls. Analysis of monthly days of antibiotic therapy (DoT) per 1000 patient-days was performed by interrupted time series analysis. Results: Monthly vancomycin use decreased from 114 DoTs/1000 patient-days to 89 DoTs/1000 patient-days ( P < .0001). We did not find significant differences in the slope of change in vancomycin use between MCJCHV and institutions with ASPs either before or after the intervention ( P = .86 and P = .71, respectively). When compared to children’s hospitals without ASPs, the use of vancomycin was significantly lower at MCJCHV ( P < .001). Conclusion: The use of vancomycin at academic children’s hospitals with an ASP is declining. In our experience, prospective audit with real-time intervention and feedback to providers significantly reduced the use and costs associated with vancomycin.

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Macklin, Jamie R., Michael A. Gittelman, Sarah A. Denny, Hayley Southworth i Melissa Wervey Arnold. "The EASE Project Revisited: Improving Safe Sleep Practices in Ohio Birthing and Children’s Hospitals". Clinical Pediatrics 58, nr 9 (23.05.2019): 1000–1007. http://dx.doi.org/10.1177/0009922819850461.

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Literature has shown hospitalized infants are not often observed in recommended safe sleep environments. Our objective was to implement a quality improvement program to improve compliance with appropriate safe sleep practices in both children’s and birthing hospitals. Hospitalists from both settings were recruited to join an Ohio American Academy of Pediatrics collaborative to increase admitted infant safe sleep behaviors. Participants used a standardized tool to audit infants’ sleep environments. Each site implemented 3 PDSA (Plan-Do-Study-Act) cycles to improve safe sleep behaviors. A total of 37.0% of infants in children’s hospitals were observed to follow the current American Academy of Pediatrics recommendations at baseline; compliance improved to 59.6% at the project’s end ( P < .01). Compliance at birthing centers was 59.3% and increased to 72.5% ( P < .01) at the collaborative’s conclusion. This study demonstrates that a quality improvement program in different hospital settings can improve safe sleep practices. Infants in birthing centers were more commonly observed in appropriate sleep environments than infants in children’s hospitals.

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Donoho, Daniel A., Timothy Wen, Jonathan Liu, Hosniya Zarabi, Eisha Christian, Steven Cen, Gabriel Zada i in. "The effect of NACHRI children’s hospital designation on outcome in pediatric malignant brain tumors". Journal of Neurosurgery: Pediatrics 20, nr 2 (sierpień 2017): 149–57. http://dx.doi.org/10.3171/2017.1.peds16527.

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OBJECTIVEAlthough current pediatric neurosurgery guidelines encourage the treatment of pediatric malignant brain tumors at specialized centers such as pediatric hospitals, there are limited data in support of this recommendation. Previous studies suggest that children treated by higher-volume surgeons and higher-volume hospitals may have better outcomes, but the effect of treatment at dedicated children’s hospitals has not been investigated.METHODSThe authors analyzed the Healthcare Cost and Utilization Project Kids’ Inpatient Database (KID) from 2000–2009 and included all patients undergoing a craniotomy for malignant pediatric brain tumors based on ICD-9-CM codes. They investigated the effects of patient demographics, tumor location, admission type, and hospital factors on rates of routine discharge and mortality.RESULTSFrom 2000 through 2009, 83.6% of patients had routine discharges, and the in-hospital mortality rate was 1.3%. In multivariate analysis, compared with children treated at an institution designated as a pediatric hospital by NACHRI (National Association of Children’s Hospitals and Related Institutions), children receiving treatment at a pediatric unit within an adult hospital (OR 0.5, p < 0.01) or a general hospital without a designated pediatric unit (OR 0.4, p < 0.01) were less likely to have routine discharges. Treatment at a large hospital (> 400 beds; OR 1.8, p = 0.02) and treatment at a teaching hospital (OR 1.7, p = 0.02) were independently associated with greater likelihood of routine discharge. However, patients transferred between facilities had a significantly decreased likelihood of routine discharge (OR 0.5, p < 0.01) and an increased likelihood of mortality (OR 5.0, p < 0.01). Procedural volume was not associated with rate of routine discharge or mortality.CONCLUSIONSThese findings may have implications for planning systems of care for pediatric patients with malignant brain tumors. The authors hope to motivate future research into the specific factors that may lead to improved outcomes at designated pediatric hospitals.

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ABOLYAN, Liubov V., i Svetlana A. POLYANSKAYA. "Breast feeding in neonatology units: current challenges and solutions". Medicine and Physical Education: Science and Practice, nr 2 (2019): 13–25. http://dx.doi.org/10.20310/2658-7688-2019-1-2-13-25.

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Introduction. Breast milk from birth is extremely important for the care, health and development of premature and sick babies. Neonatal departments of obstetric and pediatric hospitals play a key role in maintaining breast feeding. Aim of the study . Breastfeeding practice evaluation support in the pathology of newborns and premature babies department of Tambov Regional Children’s Clinical Hospital 4 years after receiving the status of WHO/UNICEF “Baby-Friendly Hospital”. Patients and methods . 356 mothers were surveyed at admission and 327 at discharge from the department. To process the results we used the IBM SPSS.19 statistical program. We determine distribution frequencies, average values, standard deviation, Student’s t -coefficient. Results . The introduction of 10 successful breast feeding steps in neonatal units for sick and premature infants has resulted in an increase in breast feeding rates. Breast feeding rates were 89.4 % at discharge; 71.9 % at admission ( p < 0.0001), including exclusive breast feeding - 66.5% and 45.3 %, respectively ( p < 0.0001). Conclusion . In neonatal unit of Tambov Regional Children’s Clinical Hospital successfully supported breast feeding, based on current international recommendations. Nevertheless, breast feeding rates can be significantly improved by achieving continuity in the work of maternity hospitals and children’s hospitals, as well as optimizing the work of expression, storage and use of expressed native breast milk in the department.

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Wattier, Rachel, Cary Thurm, Ritu Banerjee, Ritu Banerjee i Adam Hersh. "1348. Indirect Standardization to Improve Comparison of Children’s Hospitals’ Antimicrobial Use". Open Forum Infectious Diseases 7, Supplement_1 (1.10.2020): S685. http://dx.doi.org/10.1093/ofid/ofaa439.1530.

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Abstract Background Antimicrobial use (AU) measured by days of therapy per 1000 patient-days (DOT/1000pd), the most established metric, varies widely between children’s hospitals despite robust adoption of antimicrobial stewardship. Differences in diagnoses and procedures (case mix) between hospitals are a source of AU variation not included in adjustment methods such as the Standardized Antimicrobial Administration Ratio. In this study, we evaluated an indirect standardization method to adjust children’s hospital AU for case mix. Methods This multicenter retrospective cohort study included 51 children’s hospitals participating in the Pediatric Health Information System database from 2016-2018. All inpatient, observation, and neonatal admissions were included, with a total of 2,558,948 discharges. Hospitalizations were grouped into 83 strata defined based on All Patients Refined Diagnosis Related Groups (APR-DRGs). Observed to expected (O:E) ratios were calculated by indirect standardization of mean antibiotic DOT per case, with expected values from 2016-2018 and observed values from 2018, and compared to DOT/1000pd. Outlier hospitals were defined by O:E z-scores corresponding to below 10th percentile (low outlier) and above 90th percentile (high outlier). Results Antibacterial DOT/1000pd ranged from 345 to 776 (2.2-fold variation from lowest to highest), whereas O:E ratios ranged from 0.8 to 1.14 (1.4-fold variation from lowest to highest) (Figure 1). O:E ratios were moderately correlated with DOT/1000pd (correlation estimate 0.45; 95% CI 0.19-0.64; p=0.0008). Three high outlier hospitals and 6 low outlier hospitals were identified. Examining hospitals with comparably high DOT/1000pd but discordant O:E ratios, differences could be explained by variation in both case mix and condition-specific AU within strata defined by APR-DRGs. Figure 1. Individual hospitals labeled on the X-axis, ordered by level of antibacterial DOT/1000pd (left axis), represented by bars. Diamonds represent O:E ratios derived by indirect standardization (right axis). Outlier hospitals (low and high) are highlighted in yellow. Dashed horizontal lines represent 10th percentile (lower) and 90th percentile (upper) limits of the O:E ratio distribution. Conclusion The observed variation in DOT/1000pd between hospitals is reduced when indirect standardization is applied to account for case mix differences. This approach can be adapted for more specific uses including clinical conditions, patient populations, or antimicrobial agents. Indirect standardization may enhance stewardship efforts by providing adjusted comparisons that incorporate case mix differences between hospitals. Disclosures All Authors: No reported disclosures

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Kaplan, Sheldon L., William J. Barson, Philana Ling Lin, José R. Romero, John S. Bradley, Tina Q. Tan, Pia S. Pannaraj, Laurence B. Givner i Kristina G. Hulten. "Invasive Pneumococcal Disease in Children’s Hospitals: 2014–2017". Pediatrics 144, nr 3 (16.08.2019): e20190567. http://dx.doi.org/10.1542/peds.2019-0567.

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Doyle, Mary-Jo. "Volunteering in women’s and children’s hospitals in russia". Mental Health Practice 13, nr 4 (grudzień 2009): 28–29. http://dx.doi.org/10.7748/mhp.13.4.28.s26.

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Porter, Janet E. "The Benchmarking Effort for Networking Children’s Hospitals (BENCHmark)". Joint Commission Journal on Quality Improvement 21, nr 8 (sierpień 1995): 395–406. http://dx.doi.org/10.1016/s1070-3241(16)30168-7.

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Ross, Rachael K., Adam L. Hersh, Matthew P. Kronman, Jason G. Newland i Jeffrey S. Gerber. "Cost of Antimicrobial Therapy Across US Children’s Hospitals". Infection Control & Hospital Epidemiology 36, nr 10 (13.07.2015): 1242–44. http://dx.doi.org/10.1017/ice.2015.159.

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We analyzed the cost of antimicrobial prescribing across freestanding children’s hospitals. A few specific antimicrobials accounted for a large proportion of expenditures, and antimicrobial spending varied substantially across hospitals, even within specific clinical conditions. Antimicrobial stewardship programs should consider these data to incorporate high-value antimicrobial prescribing when clinically appropriate.Infect Control Hosp Epidemiol 2015;36(10):1242–1244

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Sento, Yoshiki, Yasuyuki Suzuki i Kazuya Sobue. "Trends in PACU utilization in Japanese children’s hospitals". Journal of Anesthesia 35, nr 2 (26.01.2021): 321. http://dx.doi.org/10.1007/s00540-020-02891-8.

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Racine, Andrew D. "Children’s Hospitals: We Get What We Pay For". Pediatrics 147, nr 3 (24.02.2021): e2020043521. http://dx.doi.org/10.1542/peds.2020-043521.

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Donkin, Marcella, Nikoleta Kolovos i Paul A. Checchia. "Effect of a Specialized Pediatric Institutional Setting on Organ Recovery From Potential Donors". American Journal of Critical Care 15, nr 5 (1.09.2006): 497–501. http://dx.doi.org/10.4037/ajcc2006.15.5.497.

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• Background The relationship between accessibility to the full range of subspecialty care available at freestanding pediatric hospitals and organ donor management and recovery rates has not been studied. • Objective To examine current rates of recovery of organs from children for transplantation at free-standing pediatric hospitals versus all other hospitals. • Methods Data from the hospitals served by Mid-America Transplant Services from January 2000 to July 2003 were reviewed. Organ recovery rates from freestanding children’s hospitals were compared with the rates from other types of institutions. Patients were included if their organs were considered medically suitable at the time of referral for donation. • ResultsOverall, 66% (210/318) of the potential organs were recovered. The type of institution in which the potential donor was managed did not influence the proportion of organs recovered: 67% (96/144) at freestanding children’s hospitals versus 66% (114/174) at all other hospitals. A greater proportion of livers were recovered at other donor institutions than at children’s hospitals (100% vs 85%, P≤.01). • Conclusion The organ recovery rate from potential pediatric donors is low. In general, this rate does not appear to be affected by the type of managing pediatric institution except for liver recovery, which favors institutions that are not freestanding children’s hospitals. The low rate of recovery suggests that although suitable donors are identified, appropriate referrals are made, and families provide consent for donation, major obstacles remain to the successful recovery of organs.

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Yuryev, Vadim K., i Vera V. Sokolova. "The parents’ assessment of the procedure for providing paid medical services in a children’s hospital". Pediatrician (St. Petersburg) 8, nr 3 (15.05.2017): 57–61. http://dx.doi.org/10.17816/ped8357-61.

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Insufficient funding of the health system increased demand for medical services lead to a limited access to free medical care and growth of paid medical services. Currently, the specifics of the procedure for providing of paid medical services in children’s hospitals are a problem in the field of rendering of medical care for children. An anonymous survey of 1479 parents of children aged 0 to 18 years who were treated at four multidisciplinary hospitals of St Petersburg were conducted, in order to study the prevalence, structure and procedure of providing of paid medical services. Despite having medical insurance, the provision of paid medical services is widespread in the children’s hospital. According to the results of the survey, 29.6% of parents are forced to use personal funds to pay for medical services in a children’s hospital. Most often, respondents pay for medicines, laboratory tests, instrumental research, medical consultations of the specialists, surgeries and medical devices. The order of their provision is often violated. Parents who used the paid services in a children’s hospital, in most cases, had higher education, low material prosperity of the family, and previous experience of being with a child in the hospital. The highest percentage of paid medical services was recorded during hospitalization of pediatric patients in the emergency order and undergo treated on the surgical departments. Low awareness and lack of legal activity of parents in the acquisition on compulsory health insurance are revealed.

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Weaver, Nancy L., Trent D. Buskirk, Keri Jupka i Janice Williams. "Organizational factors related to the adoption of an injury prevention program by U.S. children’s hospitals". Translational Behavioral Medicine 9, nr 4 (25.07.2018): 768–76. http://dx.doi.org/10.1093/tbm/iby038.

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Abstract Most childhood injuries can be prevented with the correct use of safety devices and appropriate supervision. Children’s hospitals are well positioned to promote these behaviors with evidence-based programming; however, barriers exist to adopting such programs. The purpose of this study was to describe organizational and administrative factors related to the adoption of an efficacious injury prevention (IP) program by children’s hospitals in the USA. IP specialists at 232 U.S. children’s hospitals were invited to complete a baseline survey, and then offered Safe N’ Sound (SNS), an efficacious computer IP program targeting parents of young children. Following this promotion period, specialists were surveyed again to assess their level of SNS adoption. Organizational and administrative factors associated with SNS adoption were identified using conditional random forest models (n = 93). Random forests identified a set of six predictors with potential utility for classifying hospitals as having SNS adoption activity or not; the final pruned classification tree indicated that four of these were best able to differentiate hospitals with and without adoption activity—having a medical director, having other hospital units that provided IP programming, the number of requests the IP unit received within the past year, and the belief of administrative leaders in their responsibility to develop programming all influence decisions. Hospitals without a medical director were most likely to demonstrate adoption activity. Medical directors, or other organizational leaders, can facilitate the adoption process for evidence-based intervention, but may need to be engaged intentionally when disseminating new products, tools, or approaches.

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Mistry, Rakesh D., Jason G. Newland, Jeffrey S. Gerber, Adam L. Hersh, Larissa May, Sarah M. Perman, Nathan Kuppermann i Peter S. Dayan. "Current State of Antimicrobial Stewardship in Children’s Hospital Emergency Departments". Infection Control & Hospital Epidemiology 38, nr 4 (8.02.2017): 469–75. http://dx.doi.org/10.1017/ice.2017.3.

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BACKGROUNDAntimicrobial stewardship programs (ASPs) effectively optimize antibiotic use for inpatients; however, the extent of emergency department (ED) involvement in ASPs has not been described.OBJECTIVETo determine current ED involvement in children’s hospital ASPs and to assess beliefs and preferred methods of implementation for ED-based ASPs.METHODSA cross-sectional survey of 37 children’s hospitals participating in the Sharing Antimicrobial Resistance Practices collaboration was conducted. Surveys were distributed to ASP leaders and ED medical directors at each institution. Items assessed included beliefs regarding ED antibiotic prescribing, ED prescribing resources, ASP methods used in the ED such as clinical decision support and clinical care guidelines, ED participation in ASP activities, and preferred methods for ED-based ASP implementation.RESULTSA total of 36 ASP leaders (97.3%) and 32 ED directors (86.5%) responded; the overall response rate was 91.9%. Most ASP leaders (97.8%) and ED directors (93.7%) agreed that creation of ED-based ASPs was necessary. ED resources for antibiotic prescribing were obtained via the Internet or electronic health records (EHRs) for 29 hospitals (81.3%). The main ASP activities for the ED included production of antibiograms (77.8%) and creation of clinical care guidelines for pneumonia (83.3%). The ED was represented on 3 hospital ASP committees (8.3%). No hospital ASPs actively monitored outpatient ED prescribing. Most ASP leaders (77.8%) and ED directors (81.3%) preferred implementation of ED-based ASPs using clinical decision support integrated into the EHR.CONCLUSIONSAlthough ED involvement in ASPs is limited, both ASP and ED leaders believe that ED-based ASPs are necessary. Many children’s hospitals have the capability to implement ED-based ASPs via the preferred method: EHR clinical decision support.Infect Control Hosp Epidemiol 2017;38:469–475

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Simonelli, Ilaria. "Children’s Right to Health: Theory versus Practice". Clinical Health Promotion - Research and Best Practice for patients, staff and community 11, nr 2 (24.08.2021): e21012. http://dx.doi.org/10.29102/clinhp.21012.

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Introduction A research was conducted from 2014 to 2018 to understand the reasons behind the gap between the theoretical affirmation of children’s right to health and its practical realization. Hospitals and healthcare services were chosen as possible settings to understand these reasons and identify the gap. Methods Questionnaires (open-ended questions) were completed throughout the year 2017 with experts working at International level in the field of children’s rights. A survey was set up using a structured multiple-choice questionnaire in Italian, English, and French. The survey was addressed to hospital staff (professionals; managers and administrative staff). All the results from the experts’ questionnaires and from the survey were elaborated using Excel. Result Experts concluded that professionals still have to understand the full value of implementing children’s rights in hospitals and that the United Nations should empower their own action in order to push states towards the respect and full realization of the Convention on the Rights of the Child. The survey results seem to confirm that in healthcare settings professionals’ have difficulties in understanding how to relate to children in order to facilitate the full realization of their right to health. Conclusion The investigation confirmed the existence of a ‘perceptive astigmatism’ as guiding factor for professionals’ behaviour towards children.

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Davis, Matthew M., i Kristin Kan. "Medicaid and Children’s Hospitals—A Vital but Strained Double Helix for Children’s Health Care". JAMA Pediatrics 170, nr 11 (1.11.2016): 1043. http://dx.doi.org/10.1001/jamapediatrics.2016.2328.

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Bishop, Kate. "Considering Art in a Hospital Environment from Children’s and Young People’s Perspectives". Asian Journal of Environment-Behaviour Studies 2, nr 5 (24.10.2017): 15–25. http://dx.doi.org/10.21834/aje-bs.v2i5.219.

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In response to research evidence, (predominantly research with adults) the need for artwork in healthcare environments is now regularly part of the initial design briefs for hospitals. The resulting artwork can be a collection of commissions; it can also be included as a seamless extension of the interior design concept. In the case of paediatric hospitals, it is unlikely that ‘art’ which is simply a graphic treatment applied to key surfaces throughout the hospital environment, could function in the ways that children and young people have identified in research as being valuable in their experience of hospitalisation. This one environmental attribute will be used to understand some of the key components of a hospital environment involved in children’s feeling of well-being from their perspectives. Keywords: children; hospitals; art; health eISSN 2514-751X © 2017 The Authors. Published for AMER ABRA by e-International Publishing House, Ltd., UK. This is an open-access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.

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Griffith, Hannah, Keerti Dantuluri, Cary Thurm, Derek Williams, Ritu Banerjee, Ritu Banerjee, Leigh M. Howard i Carlos G. Grijalva. "1126. Variability in Antibiotic Use in Children’s Hospitals in the United States". Open Forum Infectious Diseases 6, Supplement_2 (październik 2019): S400—S401. http://dx.doi.org/10.1093/ofid/ofz360.990.

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Abstract Background Understanding patterns of inpatient antibiotic use is necessary to enhance appropriate use and minimize preventable harm at hospitals. Few studies have characterized antibiotic use in the inpatient setting in children. Methods We conducted a cross-sectional study in children admitted to 51 freestanding US children’s hospitals included in the Pediatric Health Information System (PHIS). Overall and broad-spectrum antibiotic use (see Table) were measured using charge data, and prevalence of use was assessed on a single day of each 2017–2018 season over one year. Comparisons were made based on clinical setting (medical vs. surgical), clinical unit (PICU, NICU, and all others), hospital, and region. We assessed the relationship between antibiotic use and median hospital case-mix index (CMI), a surrogate for clinical complexity. Results Of 52769 hospitalized children assessed on a study day, 19174 (36%) received antibiotics, and 6575 (12%) received broad-spectrum antibiotics (table). Overall antibiotic use prevalence varied across hospitals from 22% to 52% (Figure 1). Median hospital CMI had no significant relationship with overall antibiotic use and only a weak correlation (ρ=0.29) with broad-spectrum antibiotic use (Figure 2). Antibiotic use prevalence varied minimally by season, ranging from 36% in fall to 37% in summer. Antibiotic use prevalence was 29% (9470/32436) among medical patients and 48% (9704/20333) among surgical patients. The antibiotics most commonly administered in medical patients were ceftriaxone and ampicillin, while surgical patients most commonly received cefazolin and vancomycin. Regional prevalence ranged from 33% (Midwest) to 40% (West). By unit, PICU patients had the highest prevalence of overall [58% (4006/6874)] and broad-spectrum [27% (1830/6874)] antibiotic use. Children with complex chronic conditions accounted for 63% of hospitalized children but represented 72% of children receiving any antibiotic and 85% of those receiving broad-spectrum antibiotics. Conclusion We observed large and apparently unexplained variability in antibiotic use prevalence among children’s hospitals, clinical settings, and regions. This indicates potential opportunities for enhanced antibiotic stewardship activities. Disclosures Ritu Banerjee, MD, PhD, Accelerate Diagnostics: Grant/Research Support; BioFire: Research Grant; Biomerieux: Research Grant; Roche: Research Grant

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Lindsay, Bruce. "Visitors and children’s hospitals, 1852-1948: A re-appraisal". Paediatric Care 13, nr 4 (maj 2001): 20–24. http://dx.doi.org/10.7748/paed2001.05.13.4.20.c739.

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Mckew, Matthew. "Hospitals test if therapy dogs can aid children’s recovery". Nursing Children and Young People 29, nr 6 (10.07.2017): 6. http://dx.doi.org/10.7748/ncyp.29.6.6.s2.

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Traynor, Kate. "Children’s hospitals seek drug-cost savings through 340B participation". American Journal of Health-System Pharmacy 67, nr 5 (1.03.2010): 339–40. http://dx.doi.org/10.2146/news100017.

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Traynor, Kate. "Children’s hospitals gain legislative victory on 340B orphan drugs". American Journal of Health-System Pharmacy 68, nr 2 (15.01.2011): 100–102. http://dx.doi.org/10.2146/news110001.

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Ahuja, Namrata, Wendy J. Mack i Christopher J. Russell. "Technology-Dependent Pediatric Inpatients at Children’s Versus Nonchildren’s Hospitals". Hospital Pediatrics 10, nr 6 (26.05.2020): 481–88. http://dx.doi.org/10.1542/hpeds.2019-0236.

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Russell, Heidi, Matt Hall, Rustin B. Morse, Gretchen J. Cutler, Michelle Macy, Jessica L. Bettenhausen, Michelle A. Lopez, Samir S. Shah i Marion R. Sills. "Longitudinal Trends in Costs for Hospitalizations at Children’s Hospitals". Hospital Pediatrics 10, nr 9 (3.08.2020): 797–801. http://dx.doi.org/10.1542/hpeds.2020-0009.

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Lindsay, Bruce. "Visitors and children’s hospitals, 1852-1948: A re-appraisal". Paediatric Nursing 13, nr 4 (maj 2001): 20–24. http://dx.doi.org/10.7748/paed.13.4.20.s19.

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de Groot, Yorick J. "Policies of Children’s Hospitals on Donation After Cardiac Death". JAMA 302, nr 8 (26.08.2009): 844. http://dx.doi.org/10.1001/jama.2009.1207.

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Rieder, Michael, i Aidan Pucchio. "66 High Cost Drug Policies in Canadian Children’s Hospitals". Paediatrics & Child Health 24, Supplement_2 (31.05.2019): e26-e26. http://dx.doi.org/10.1093/pch/pxz066.065.

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