Comparison of mindfulness interventions for healthcare professionals: A mixed-methods study.

Objectives: Burnout is increasingly a concerning problem in US Healthcare systems. Although the causes of burnout are not predominantly due to individual factors, mindfulness instruction is an evidence-based approach to counteracting burnout. Our health system initiated a multi-pronged approach to mindfulness instruction for our employees and community.

Nine Seasons of a Bronchiolitis Observation Unit and Home Oxygen Therapy Protocol.

Background: We implemented an observation unit and home oxygen therapy (OU-HOT) protocol at our children's hospital during the 2010-2011 winter season to facilitate earlier discharge of children hospitalized with bronchiolitis. An earlier study demonstrated substantial reductions in inpatient length of stay and costs in the first year after implementation.

Objective: Evaluate long-term reductions in length of stay and cost.

Pediatric Bacterial Tracheitis-A Variable Entity: Case Series with Literature Review.

Objective: To review the presentation and treatment of children diagnosed with bacterial tracheitis at our institution and to review the available literature focusing on key presenting symptoms and clinical outcomes of children diagnosed with bacterial tracheitis.

Study Design: Case series with literature review.

Setting: Tertiary children's hospital and available literature.

Implementing a Standardized Constipation-Management Pathway to Reduce Resource Utilization.

Objective: Constipation is commonly diagnosed in our pediatric emergency department (ED). Care has varied significantly, with a heavy reliance on abdominal radiography (AR) for the diagnosis of and inpatient management for bowel cleanout. We implemented a standardized approach to caring for patients presenting to a pediatric ED with symptoms consistent with constipation, emphasizing clinical history, physical examination, less reliance on AR, and standardized home management.

Reducing hospital admissions of healthy children with functional constipation: a quality initiative.

Functional constipation (FC) is a common medical problem in children, with minimal risk of long-term complications. We determined that a large number of children were being admitted to our children's hospital for FC in which there was no neurological or anatomical cause. Our hospital experienced a patient complication in which a patient died after inpatient treatment of FC.

Outpatient management of home oxygen for bronchiolitis.

Objective: Home O2 has been shown to reduce hospitalizations for bronchiolitis but data on outpatient management of home O2 are lacking. We aim to describe outpatient management and challenges to home O2 for bronchiolitis.

Methods: We surveyed Colorado and Utah (where home O2 use is prevalent) chapter members of the American Academy of Pediatrics regarding bronchiolitis home O2 management.

Treatment of skin and soft tissue infections in a pediatric observation unit.

Objectives: To report the success rate of observation unit (OU) treatment of pediatric skin and soft tissue infections (SSTIs) and to see if we could identify variables at the time of initial evaluation that predicted successful OU treatment.

Methods: A retrospective review of children less than 18 years of age admitted for SSTI treatment to our OU from the emergency department between January 2003 and June 2009.

Results: On records review, 853 patients matched eligibility criteria; median age was 5.

Decreasing hospital length of stay for bronchiolitis by using an observation unit and home oxygen therapy.

Importance: Pediatric observation units (OUs) offer the opportunity to safely and efficiently care for common illnesses previously cared for in an inpatient setting. Home oxygen therapy (HOT) has been used to facilitate hospital discharge in patients with hypoxic bronchiolitis. It is unknown how implementation of a hospitalwide bronchiolitis treatment protocol promoting OU-HOT would affect hospital length of stay (LOS).

Outpatient management of patients with bronchiolitis discharged home on oxygen: a survey of general pediatricians.

Objective: To describe the experience of general pediatricians in weaning bronchiolitis patients, treated as outpatients, from oxygen.

Methods: The authors surveyed members of the American Academy of Pediatrics' Council on Community Pediatrics regarding management of outpatient oxygen for bronchiolitis.

Results: The survey had 214 (28.

Barriers to discharge from a 24-hour observation unit for children with bronchiolitis.

Objectives: The aim of this study was to determine physician-identified barriers to discharge of patients with bronchiolitis from a 24-hour emergency department-based observation unit.

Methods: Patients 3 to 24 months of age with a diagnosis of bronchiolitis were prospectively enrolled from January through April 2008. Patients were treated according to a standard hospital-wide bronchiolitis pathway that included an option for discharge on home oxygen.