Pediatrics

Innovations

Registry Assists Physicians and School Nurses in Managing Childhood Asthma, Leading to Fewer Inpatient Admissions and Emergency Department Visits 05/24/11

A Web-based registry assists primary care physicians, pediatricians, and school nurses in managing childhood asthma, leading to significant reductions in inpatient admissions and emergency department visits.

Pediatrician Training and In-Office Support Significantly Reduce Instances of Child Maltreatment 05/11/11

Pediatric practices receive training and in-office support designed to enhance their knowledge and comfort related to screening for risk factors for child abuse and neglect, leading to significantly more screening and significantly less maltreatment.

Emergency Department Protocol Leads to Faster Identification and Treatment of Pediatric Patients With Sepsis 04/10/11

A “shock” protocol involving computerized flagging of abnormal vital signs and initiation of treatment based on standardized order sets led to faster identification and treatment of children with suspected sepsis in the emergency department.

Culturally Responsive Maternity Care Clinic Enhances Access to Care for Expectant Refugee Mothers and Their Children 03/17/11

A hospital-based maternal/child health clinic enhances access to comprehensive, culturally competent prenatal and pediatric care for refugee families, leading to less anxiety among expectant mothers and better attendance at scheduled appointments.

Hospital-Based Program Educates and Arranges Community-Based Support for Young Victims of Violence, Leading to Fewer Repeat Episodes 02/21/11

A hospital-based program for young victims of penetrating trauma identifies those at risk of future violence, educates them about the need to change behaviors to reduce those risks, and connects them to community-based organizations that can help them in doing so, leading to fewer repeat episodes.

Academic Detailing Sessions With Providers Increase Use of Pain- and Anxiety-Reducing Strategies During Childhood Immunizations 01/19/11

A trained educator used “academic detailing” sessions to teach primary care clinicians about proven strategies for reducing the pain and anxiety associated with childhood immunizations, leading to increased use of these strategies and greater satisfaction among clinicians.

Regional Teams Enhance Ability of Primary Care Clinicians Throughout Massachusetts to Serve Children and Adolescents With Mental Health Issues 12/16/10

Regional teams of mental health professionals enhance the ability of primary care clinicians throughout Massachusetts to serve children and adolescents with mental health issues.

Statewide Screening of Fifth Graders Leads to Identification and Treatment of Those With Genetic Predisposition to Early-Onset Heart Disease 10/19/10

Screening of fifth graders in West Virginia identifies those with a genetic predisposition that can lead to early onset of heart disease and other health risks, with those identified (and their family members) receiving treatment for the condition. The program has screened 100,000 fifth graders and secured treatment for the vast majority of those identified as being at risk.

Provider Training on Adolescent Weight Management Promotes Body Mass Index Documentation and Referrals to Health/Fitness Classes, But at Rates Below Health System Goals 09/22/10

The Santa Clara Family Health Plan encouraged health care practitioners to document body mass index and to provide weight management consultations and referrals to obese adolescents during well visits. While the initiative did not have a major impact on practitioner behavior, it does offer insights into how to develop effective programs to address childhood obesity.

On-Call Attending Physicians Consult with Onsite Care Team via Home-Based Videoconferencing, Improving Care Timeliness, Quality, and Safety in Pediatric Intensive Care Unit 06/16/10

On-call, pediatric intensive care unit attending physicians consult with onsite clinicians and patient/family members from their homes via audiovisual technology that allows real-time communication, leading to improved quality and timeliness of care and high levels of patient/family satisfaction.

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