Electronic Health Record Clinical Decision Support to Close the Human Papillomavirus Vaccination Gender Disparity in Children Aged 9 and 10 Years.

We performed a quality improvement project (31 clinics; July 2021 to October 2023) to increase human papillomavirus vaccination initiation frequency and decrease gender disparity in children aged 9 and 10 years. The 11 process changes included electronic health record clinical decision support (CDS) tools for providers, staff, and parents and medical assistant participation. In phase 1 (preparation), initiation frequency was lower in boys (250 of 1688 visits, 15%) than girls (289 of 1549 visits, 19%; = .

Improving Same-Day Access in Pediatric Primary Care-A Patient-Centered and Timeliness Quality Improvement Initiative.

Introduction: Preventive care visits have increased for United States children, shifting access for problem-based visits and shifting same-day availability to other venues.

Problem Description: Prior to this initiative we lacked sufficient same-day visits in pediatric primary care. We aimed to increase same-day slots and fill >75% of them within 3 months.

Development of cardiovascular and neurodevelopmental metrics as sublethal endpoints for the Fish embryo toxicity test.

The fathead minnow fish embryo toxicity (FET) test has been proposed as a more humane alternative to current toxicity testing methods as younger organisms are thought to experience less distress during toxicant exposure. However, the FET test protocol does not include endpoints that allow for the prediction of sublethal adverse outcomes, limiting its utility relative to other test types. Researchers have proposed the development of sublethal endpoints for the FET test to increase its utility.