journal
https://read.qxmd.com/read/37736813/ensuring-no-death-is-ignored-development-of-a-hospital-mortality-review-and-notification-system
#1
JOURNAL ARTICLE
Katherine E Bates, Bethany Freeland, Kathryn L Levy, Rebecca M Lombel, Anisha Mazloom, Meera S Meerkov, Kimberly K Monroe, Benjamin W Pritz, Stacey Sears, Courtney Strohacker, Lindsay Studt, Kathrynn A Thompson, Danielle Wilson, Rebecca J Vartanian
BACKGROUND AND OBJECTIVES: Standardized review of mortalities may identify potential system improvements. We designed a hospitalwide identification, review, and notification system for inpatient pediatric mortalities. METHODS: Key stakeholders constructed a future state process map for identification and review of deaths. An online mortality review form was modified through a series of Plan-Do-Study-Act cycles and spread to all pediatric services in January 2019...
September 22, 2023: Pediatrics
https://read.qxmd.com/read/37732389/screening-for-critical-congenital-heart-defects-in-sweden
#2
JOURNAL ARTICLE
Katarina Lannering, Kalliopi Kazamia, Gunnar Bergman, Ingegerd Östman-Smith, Petru Liuba, Jenny Alenius Dahlqvist, Anders Elfvin, Mats Mellander
OBJECTIVES: Early diagnosis of critical congenital heart defects (CCHD) improves survival. We evaluated the relative contributions of prenatal ultrasound, neonatal pulse oximetry screening (POS), and neonatal physical examination (NPE) to the early detection (before discharge) of CCHD in the context of increasing prenatal detection, and POS being a national standard since 2013. METHODS: Retrospective, nationwide population-based study. All full-term live-born infants with CCHD in Sweden between 2014 and 2019 were included...
September 21, 2023: Pediatrics
https://read.qxmd.com/read/37727945/newborn-screening-for-neurodevelopmental-disorders-may-exacerbate-health-disparities
#3
JOURNAL ARTICLE
Sarah A Sobotka, Lainie Friedman Ross
Newborn screening (NBS) began in the early 1960s with screening for phenylketonuria on blood collected on filter paper. The number of conditions included in NBS programs expanded significantly with the adoption of tandem mass spectrometry. The recommended uniform screening panel provides national guidance and has reduced state variability. Universality and uniformity have been supported to promote equity. Recently, a number of researchers have suggested expanding NBS to include genomic sequencing to identify all genetic disorders in newborns...
September 20, 2023: Pediatrics
https://read.qxmd.com/read/37727941/representation-of-women-in-published-articles-at-3-academic-pediatric-journals-2001-to-2022
#4
JOURNAL ARTICLE
Wadsworth A Williams, Manu S Sundaresan, Lainie Friedman Ross
OBJECTIVE: To evaluate the representation of women authors and editorial board members at 3 pediatric journals. METHODS: We conducted a retrospective review of original research articles published in Pediatrics, The Journal of Pediatrics, and JAMA Pediatrics from 2001 to 2022. We analyzed five 1-year intervals and inferred the binary gender of authors by first name. Cochran-Armitage tests evaluated trends in gender proportion of authorship and editorial board membership over time...
September 20, 2023: Pediatrics
https://read.qxmd.com/read/37724393/juvenile-idiopathic-arthritis-with-associated-inflammatory-bowel-disease-and-card8-mutation
#5
JOURNAL ARTICLE
Victoria L Gennaro, Jeanine Maclin, Peter Weiser, Matthew L Stoll, Emily A Smitherman
Juvenile idiopathic arthritis is a common chronic childhood disease, with a prevalence of ∼1 per 1000 children. Arthritis can also be a manifestation of other inflammatory conditions, such as inflammatory bowel disease (IBD). Studies suggest a genetic influence in IBD, including mutations in CARD8. CARD8 is a negative regulator of the NLRP3 inflammasome, and mutations in this gene are hypothesized to induce gastrointestinal inflammation. However, few studies have evaluated this association and most have included a limited number of patients...
September 19, 2023: Pediatrics
https://read.qxmd.com/read/37724389/rethinking-gender-diversity-terminology-a-call-to-include-native-two-spirit-and-lgbtq-youth
#6
JOURNAL ARTICLE
Alessandra C Angelino, Shaquita Bell
No abstract text is available yet for this article.
September 19, 2023: Pediatrics
https://read.qxmd.com/read/37718991/pediatric-adhd-medication-errors-reported-to-united-states-poison-centers-2000-to-2021
#7
JOURNAL ARTICLE
Mikaela M DeCoster, Henry A Spiller, Jaahnavi Badeti, Marcel J Casavant, Natalie I Rine, Nichole L Michaels, Motao Zhu, Gary A Smith
OBJECTIVES: To investigate the characteristics and trends of out-of-hospital attention-deficit/hyperactivity disorder (ADHD) medication-related therapeutic errors among youth <20 years old reported to US poison centers. METHODS: National Poison Data System data from 2000 through 2021 were analyzed. Population-based rates were calculated using US census data. RESULTS: There were 124 383 ADHD medication-related therapeutic errors reported to US poison centers from 2000 through 2021, with the annual frequency increasing by 299...
September 18, 2023: Pediatrics
https://read.qxmd.com/read/37718964/low-carbohydrate-diets-in-children-and-adolescents-with-or-at-risk-for-diabetes
#8
JOURNAL ARTICLE
Anna Neyman, Tamara S Hannon
Carbohydrate restriction is increasingly popular as a weight loss strategy and for achieving better glycemic control in people with diabetes, including type 1 and type 2 diabetes. However, evidence to support low-carbohydrate diets in youth (children and adolescents 2-18 years of age) with obesity or diabetes is limited. There are no guidelines for restricting dietary carbohydrate consumption to reduce risk for diabetes or improve diabetes outcomes in youth. Thus, there is a need to provide practical recommendations for pediatricians regarding the use of low-carbohydrate diets in patients who elect to follow these diets, including those with type 1 diabetes and for patients with obesity, prediabetes, and type 2 diabetes...
September 18, 2023: Pediatrics
https://read.qxmd.com/read/37712144/federal-funding-for-children-s-hospitals-challenges-and-critical-shortages-for-pediatric-care
#9
JOURNAL ARTICLE
Catherine G Coughlin, Kenneth A Michelson, Amy J DeLong, Amanda M Stewart
No abstract text is available yet for this article.
September 15, 2023: Pediatrics
https://read.qxmd.com/read/37712123/perils-of-auto-population-of-newborn-ehr-with-maternal-intimate-partner-violence-history
#10
JOURNAL ARTICLE
Casey E Lamar, Deepak Jain, Kristine H Schmitz
In 2020, the 21st Century Cures Act was enacted, mandating that patients have access to their electronic health record. This has the potential to benefit both patients and clinicians by increasing communication, transparency, and patient autonomy. However, with the onset of the act, a number of unintended consequences of the act have been identified. Presently, we discuss a case where documentation of intimate partner violence and the safety plan documented in a mother's electronic health record automatically populated her newborn's admission note...
September 15, 2023: Pediatrics
https://read.qxmd.com/read/37706252/increasing-covid-19-vaccination-rates-for-children-with-sickle-cell-disease
#11
JOURNAL ARTICLE
Adam P Yan, Natasha M Archer, Dianne Arnold, Eileen Hansbury, Matthew M Heeney, David Johnson, Erica Lichtman, Heather McMullan, Lisa Morrissey, Maya Ilowite
BACKGROUND: The COVID-19 vaccine is important for children with sickle cell disease (SCD). This quality improvement project's objective was to increase the proportion of children with SCD receiving ≥2 COVID-19 vaccine doses to ≥70% by June 2022. METHODS: We used the Model for Improvement framework. We assessed COVID-19 vaccination rates biweekly. Three plan-do-study-act cycles focusing on patient education, provider awareness, and access were performed...
September 14, 2023: Pediatrics
https://read.qxmd.com/read/37706240/when-the-unknown-is-unknowable-confronting-diagnostic-uncertainty
#12
JOURNAL ARTICLE
Giulia Faison, Fu-Sheng Chou, Chris Feudtner, Annie Janvier
The neonatology literature often refers to medical uncertainty and specifically the challenges of predicting morbidity for extremely premature infants, who can have widely varying outcomes. Less has been written about situations in which diagnoses are simply unknown or unattainable. This case highlights the importance of communication amidst uncertainty from a lack of knowledge about aspects of a patient's condition. Using epidemiologic and clinical reasoning, the authors challenge the assumption that diagnostic uncertainty must necessarily portend prognostic uncertainty...
September 14, 2023: Pediatrics
https://read.qxmd.com/read/37701963/the-need-for-a-standard-outcome-for-clinical-deterioration-in-children-s-hospitals
#13
JOURNAL ARTICLE
Meghan M Galligan, Tina Sosa, Maya Dewan
Unrecognized clinical deterioration is a common and significant source of preventable harm to hospitalized children. Yet, unlike other sources of preventable harm, clinical deterioration outside of the ICU lacks a clear, "gold standard" outcome to guide prevention efforts. This gap limits multicenter learning, which is crucial for identifying effective and generalizable interventions for harm prevention. In fact, to date, no coordinated safety/quality initiative currently exists targeting prevention of harm from unrecognized clinical deterioration in hospitalized pediatric patients, which is startling given the morbidity and mortality risk patients incur...
September 13, 2023: Pediatrics
https://read.qxmd.com/read/37701953/considering-pediatric-obesity-as-a-us-public-health-emergency
#14
JOURNAL ARTICLE
Eric M Bomberg, Theodore Kyle, Fatima C Stanford
No abstract text is available yet for this article.
September 13, 2023: Pediatrics
https://read.qxmd.com/read/37697954/establishing-a-permanent-food-pantry-in-a-pediatric-emergency-department
#15
JOURNAL ARTICLE
Brit Anderson, Elizabeth Lehto, Frances Hardin-Fanning, Joelle Hirst, Joy Storm, Elizabeth Montgomery, Amber Hussain, Kerry Caperell
Childhood food insecurity is associated with adverse health outcomes. Food pantries housed within healthcare facilities have the potential to reduce childhood food insecurity. An interdisciplinary team established a permanent food pantry in the pediatric emergency department of a metropolitan children's hospital. Members of the team included attending and resident physicians, nurse practitioners, nurses, patient care technicians, a volunteer coordinator, Prevention and Wellness staff, and environmental services staff...
September 12, 2023: Pediatrics
https://read.qxmd.com/read/37697934/adolescent-and-caregiver-perspectives-on-receiving-gender-affirming-care-in-primary-care
#16
JOURNAL ARTICLE
Gina M Sequeria, Jessy Guler, Valentino Reyes, Peter G Asante, Nicole Kahn, Yomna Anan, Kevin Bocek, Kacie Kidd, Dimitri Christakis, Wanda Pratt, Laura P Richardson
BACKGROUND: Transgender and gender-diverse (TGD) adolescents experience barriers to receiving gender-affirming care. Delivering services in the pediatric primary care setting may help facilitate improved access. With this study, we aimed to explore TGD adolescents' and caregivers' experiences receiving primary care services and their perspectives regarding gender-affirming care delivery in pediatric primary care. METHODS: TGD adolescents aged 14 to 17 and caregivers of TGD adolescents currently receiving gender-affirming medical care participated in 1-hour-long, semi-structured, individual, virtual interviews...
September 12, 2023: Pediatrics
https://read.qxmd.com/read/37691613/support-for-the-use-of-a-new-cutoff-to-define-a-positive-urine-culture-in-young-children
#17
JOURNAL ARTICLE
Nader Shaikh, Sojin Lee, Janina A Krumbeck, Marcia Kurs-Lasky
BACKGROUND: Conventional urine culture selects for a narrow range of organisms that grow well in aerobic conditions. In contrast, examination of bacterial gene sequences in the urine provides a relatively unbiased evaluation of the organisms present. Thus, by using 16S ribosomal ribonucleic acid (rRNA) gene amplicon sequencing as the reference standard, we now have the ability to assess the accuracy of urine culture in diagnosing urinary tract infection (UTI). METHODS: We enrolled febrile children 1 month to 3 years of age that underwent bladder catheterization for suspected UTI...
September 11, 2023: Pediatrics
https://read.qxmd.com/read/37691605/determining-the-best-definition-for-a-positive-urine-culture-in-young-children
#18
JOURNAL ARTICLE
Ellen R Wald, Jens C Eickhoff
No abstract text is available yet for this article.
September 11, 2023: Pediatrics
https://read.qxmd.com/read/37682622/the-beginning-of-a-new-era-in-rsv-control
#19
EDITORIAL
H Cody Meissner
Since the initial isolation in 1956 of what is now identified as respiratory syncytial virus (RSV), seasonal outbreaks of illness attributable to this enigmatic respiratory virus have troubled generations of pediatricians and parents because of the absence of therapeutic options other than supportive care.1 Recognition that RSV infection is the most common cause of hospitalization among children in the first 12 months of life resulted in numerous attempts to prevent or treat this disease. Three distinct avenues have been explored: antiviral therapy, passive immunity with hyperimmune globulins and monoclonal antibodies, and active immunity with vaccines...
September 8, 2023: Pediatrics
https://read.qxmd.com/read/37681263/fomepizole-therapy-for-acetaminophen-induced-liver-failure-in-an-infant
#20
JOURNAL ARTICLE
Lesley Pepin, Nikolaus Matsler, Andrew Fontes, Kennon Heard, Brian F Flaherty, Andrew A Monte
Acetaminophen overdose is common in the pediatric population. N-acetylcysteine (NAC) is effective at preventing liver injury in most patients when started shortly after the overdose. Delays to therapy increase risk of hepatotoxicity and liver failure that may necessitate organ transplant. Animal studies have demonstrated fomepizole may provide added benefit in acetaminophen overdose because of its ability to block the metabolic pathway that produces the toxic acetaminophen metabolite and downstream inhibition of oxidative stress pathways that lead to cell death...
September 8, 2023: Pediatrics
journal
journal
20228
1
2
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.