Diagnostic Safety: Needs Assessment and Informed Curriculum at an Academic Children's Hospital.

Background: Diagnostic excellence is central to healthcare quality and safety. Prior literature identified a lack of psychological safety and time as barriers to diagnostic reasoning education. We performed a needs assessment to inform the development of diagnostic safety education.

Augmented Reality in Pediatric Septic Shock Simulation: Randomized Controlled Feasibility Trial.

Background: Septic shock is a low-frequency but high-stakes condition in children requiring prompt resuscitation, which makes it an important target for simulation-based education.

Objective: In this study, we aimed to design and implement an augmented reality app (PediSepsisAR) for septic shock simulation, test the feasibility of measuring the timing and volume of fluid administration during septic shock simulation with and without PediSepsisAR, and describe PediSepsisAR as an educational tool. We hypothesized that we could feasibly measure our desired data during the simulation in 90% of the participants in each group.

Burnout and Perceptions of Stigma and Help-Seeking Behavior Among Pediatric Fellows.

Background And Objectives: Although burnout has been studied extensively among students and residents, in few studies have researchers examined burnout among fellowship trainees. We measured burnout among fellows in our freestanding children's hospital and evaluated fellows' perceptions of stigma around (and willingness to seek treatment for) psychological distress. The objectives are as follows: to (1) measure burnout among pediatric fellows, (2) assess fellows' perceptions of stigma around help seeking for mental illness, and (3) examine the relationship between burnout and willingness to seek behavioral health counseling.

Physician well-being: Special considerations in pediatrics.

Helping children realize their potential brings both great joy and a powerful sense of meaning to the lives of clinicians. Nevertheless, working with children and families can place unique stresses on pediatric practitioners, and can pose particular challenges to the personal well-being of those who care for ill and injured children. This paper details the unique stressors that pediatricians experience, as well as the positive factors that shape the work of pediatricians caring for children and adolescents.

Conjugated Hyperbilirubinemia in the Neonate and Young Infant.

Cholestatic jaundice in the first few weeks of life may herald potentially life-threatening pathology. It is therefore incumbent upon the pediatric practitioner to have a high index of suspicion for severe disease when investigating jaundice in a young infant. This article outlines the epidemiology, pathophysiology, differential diagnosis, and diagnostic workup for both the most common and the most severe causes of cholestasis in the neonatal period.

Macrolide therapy and outcomes in a multicenter cohort of children hospitalized with Mycoplasma pneumoniae pneumonia.

Background: Mycoplasma pneumoniae is a common cause of community-acquired pneumonia in childhood. Few studies have addressed the association of antimicrobial treatment and outcomes.

Objective: To determine whether macrolide therapy is associated with improved outcomes among children hospitalized with M.

Adjunct corticosteroids in children hospitalized with community-acquired pneumonia.

Objective: To determine if systemic corticosteroid therapy is associated with improved outcomes for children hospitalized with community-acquired pneumonia (CAP).

Methods: In this multicenter, retrospective cohort study we used data from 36 children's hospitals for children aged 1 to 18 years with CAP. Main outcome measures were length of stay (LOS), readmission, and total hospitalization cost.