SAFEST: Use of a Rubric to Teach Safety Reporting to Pediatric House Officers.

Background: Among the many modalities of error detection in academic pediatric hospitals, patient safety reporting is an important component, particularly for unexpected events. Residents recognize the importance of reporting but cite some barriers to doing so. A rubric was developed to guide resident reporting and streamline information gathering in patient safety reports.

Variability in Threshold for Medication Error Reporting Between Physicians, Nurses, Pharmacists, and Families.

Background: Voluntary medication error reporting is an imperfect resource used to improve the quality of medication administration. It requires judgment by front-line staff to determine how to report enough to identify opportunities to improve patients' safety but not jeopardize that safety by creating a culture of "report fatigue."

Objective: This study aims to provide information on interpretability of medication error and the variability between the subgroups of caregivers in the hospital setting.

Lemierre Syndrome Presenting as Acute Mastoiditis in a 2-Year-Old Girl with Congenital Dwarfism.

Lemierre syndrome is defined by septic thrombophlebitis of the internal jugular vein caused by Fusobacterium. Historically, these infections originate from the oropharynx and typically are seen in older children, adolescents and young adults. More recently, otogenic sources in younger children have been described with increasing frequency.

Care of the complex chronically ill child by generalist pediatricians: lessons learned from pediatric palliative care.

Background And Objective: Parents of children with complex chronic conditions report fragmented care, unmet medical needs, and financial strain from health care costs. The aim of this study was to identify both prevalent themes discussed during pediatric palliative care consultation of patients with complex chronic conditions cared for by pediatric generalists and variation in consultation content by age and timing of consultation in disease course.

Methods: Forty randomly selected initial inpatient or outpatient consultation notes authored by the pediatric palliative care team at an academic, tertiary care children's hospital.

Long-term gain after team-based learning experience in a pediatric clerkship.

Background: Team-based learning (TBL) increases student engagement, value of teamwork, and performance on standardized evaluations.

Purpose: The authors implemented a 3rd-year pediatric TBL curriculum, evaluating its effect on satisfaction, engagement, value of teamwork, and short-term and long-term academic performance.

Method: Students evaluated the TBL curriculum and core lectures through satisfaction, engagement and value of team surveys.

Assessing the validity evidence of an objective structured assessment tool of technical skills for neonatal lumbar punctures.

Background: The lumbar puncture (LP) is a procedural competency deemed necessary by the Accreditation Council for Graduate Medical Education and the Emergency Medicine and Pediatric Residency Review Committees. The emergency department (ED) is a primary site for residents to be evaluated performing neonatal LPs. Current evaluation methods lack validity evidence as assessment tools.

Characterization of central venous catheter-associated deep venous thrombosis in infants.

Purpose: Deep venous thrombosis (DVT) is a frequent complication in infants with central venous catheters (CVCs). We performed this study to identify risk factors and risk-reduction strategies of CVC-associated DVT in infants.

Methods: Infants younger than 1 year who had a CVC placed at our center from 2005 to 2009 were reviewed.