Factors Associated With Return Visits at 7 Days After Hospital Discharge.

Objective: To identify variables associated with return visits to the hospital within 7 days after discharge.

Methods: We performed a retrospective study of 7-day revisits and readmissions between October 2012 and September 2015 using the Pediatric Health Information System database supplemented by electronic medical record data from a tertiary-care children's hospital. We examined factors associated with revisits among the top 10 most frequent indications for hospitalization using generalized estimating equations.

Emergent and Urgent Craniotomies in Pediatric Patients: Resource Utilization and Cost Analysis.

Background: Pediatric neurosurgeons are occasionally tasked with performing surgery expeditiously to preserve a child's neurologic faculties and life.

Objective: This study examines the etiologies, outcomes, and costs for urgent or emergent craniotomies at a Level I Pediatric Trauma center over a 7-year time period.

Methods: A retrospective review was conducted for each patient who underwent an emergent or urgent craniotomy within 24 hours of presentation between January 2010 and April 2017.

Management of Subdural Hematohygromas in Abusive Head Trauma.

Background: The optimal management of nonacute subdural fluid collections in infantile abusive head trauma (AHT) remains controversial.

Objective: To review the outcomes and costs of the various treatments for symptomatic subdural fluid collections in children with AHT at a single center.

Methods: Our AHT database was queried to identify children requiring any intervention for hematohygromas.

Image Guidance for Ventricular Shunt Surgery: An Analysis of Hospital Charges.

Background: Image guidance for shunt surgery results in more accurate proximal catheter placement. However, reduction in shunt failure remains unclear in the literature. There have been no prior studies evaluating the cost effectiveness of neuronavigation for shunt surgery.

Electronic medical record in the simulation hospital: does it improve accuracy in charting vital signs, intake, and output?

Nursing care delivery has shifted in response to the introduction of electronic health records. Adequate education using computerized documentation heavily influences a nurse's ability to navigate and utilize electronic medical records. The risk for treatment error increases when a bedside nurse lacks the correct knowledge and skills regarding electronic medical record documentation.

Hospital cost analysis of a prospective, randomized trial of early vs interval appendectomy for perforated appendicitis in children.

Background: The methods of surgical care for children with perforated appendicitis are controversial. Some surgeons prefer early appendectomy; others prefer initial nonoperative management followed by interval appendectomy. Determining which of these two therapies is most cost-effective was the goal of this study.