Pediatrics

Innovations

Simple Scoring System and Action Algorithm Identifies Children at Risk of Deterioration, Leading to Fewer Codes and More Timely Transfer to Intensive Care Unit 09/04/08

A children's hospital uses a simple scoring system and “action algorithm” to identify and promptly attend to at-risk patients, leading to fewer codes, lower mortality and length of stay, and improved communication and teamwork among staff.

Parent Consultants Help Families Who Have Children With Special Needs Access Needed Services, Leading to Lower Health Care Utilization and Costs 09/04/08

The Pediatric Practice Enhancement Project places parent consultants in primary care practices to help families with special needs children navigate the health care system and access community-based psychosocial and financial services.

Pediatric Palliative Care Program Improves Communication, Reduces Patient Suffering, and Helps Parents Feel More Prepared for Child's End-of-Life Experience 07/16/08

The Pediatric Advanced Care Team is a pediatric palliative care consult service that provides intensive symptom management as well as honest, complete, and sensitive communication with patients and families.

Remote Visits by Pediatricians for Sick Children at Inner-City and Other Child Care Centers/Schools Reduce Absences and Emergency Department Use 05/13/08

Childcare centers and elementary schools in the Rochester area have access to a Web-based telemedicine system that allows clinicians to provide remote diagnoses and recommendations for sick children.

Bilingual, Bicultural Asthma Intervention Program Significantly Improves Outcomes for Poor, Inner-City Youth 04/07/08

The El Rio Inner-City Asthma Intervention Program is a comprehensive bilingual, bicultural program that primarily serves low-income, inner-city Latino children with moderate or severe persistent asthma.

Voluntary, Anonymous, Non-Punitive System Leads to a Significant Increase in Reporting of Errors in Ambulatory Pediatric Practice 03/13/08

A hospital's ambulatory pediatrics department developed a voluntary, anonymous, and nonpunitive medical error reporting system that includes a quick response team to review reports and enact interventions to prevent recurrences, leading to a significant increase in error reporting.

Pediatric Center Offers Coordinated, Culturally Appropriate Services, Increasing Access to Comprehensive Care for Low-Income Children With Special Health Care Needs 03/07/08

A pediatric center provides comprehensive, coordinated services within a primary care medical home for low-income and immigrant children with special health care needs.

Evidence-Based Bundle for Adults Is Adapted by Pediatric Intensive Care Units, Reducing Ventilator-Acquired Pneumonia and Lowering Costs 02/26/08

Children's Healthcare of Atlanta developed and implemented a program to reduce the incidence of ventilator-associated pneumonia in three intensive care units, including two pediatric intensive care units and one cardiac intensive care unit. The program adapts a bundle of evidence-based interventions commonly used to prevent ventilator-associated pneumonia in adults to the pediatric population.

Child Abuse Experts Provide Videoconference-Enabled Consultations to Providers in Remote Emergency Departments and Clinics, Leading to More Accurate Diagnosis 02/25/08

Using interactive videoconferencing, the University of California at Davis provides 24-hour child abuse evaluation and consultation services to underserved rural areas and also provides monthly child abuse training to health care providers in these areas.

Pediatric Critical Care Physicians Provide Remote Consultations to Emergency Departments in Underserved Rural Areas, Leading to Better Diagnosis and Treatment 02/25/08

An academic medical center provides 24-hour evaluation and consultation services via interactive videoconferencing to emergency departments serving rural and underserved areas, leading to improvements in diagnosis, treatment, and patient satisfaction.

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