A Model for Cultivating a Culture of Continuous Learning and Improvement: An Ethnographic Report.

The importance of culture is often emphasized for continuous learning and quality improvement within health care organizations. Limited empirical evidence for cultivating a culture that supports continuous learning and quality improvement in health care settings is currently available. The purpose of this report is to characterize the evolution of a large division of physical therapists and occupational therapists in a pediatric hospital setting from 2005 to 2018 to identify key facilitators and barriers for cultivating a culture empowered to engage in continuous learning and improvement.

Therapy Workloads in Pediatric Health: Preliminary Findings and Relevance for Defining Practice.

Purpose: To measure time spent by pediatric physical and occupational therapists in performing daily work activities.

Methods: Physical and occupational therapists at an urban pediatric academic hospital were observed during a standard workday. Time studies recorded total time spent performing patient care and other workplace-specific tasks.

The effect of suit wear during an intensive therapy program in children with cerebral palsy.

Purpose: To examine the effects of suit wear during an intensive therapy program on motor function among children with cerebral palsy.

Method: Twenty children were randomized to an experimental (TheraSuit) or a control (control suit) group and participated in an intensive therapy program. The Pediatric Evaluation of Disability Inventory (PEDI) and Gross Motor Function Measure (GMFM)-66 were administered before and after (4 and 9 weeks).

Development of guidelines for determining frequency of therapy services in a pediatric medical setting.

Purpose: The purpose of this article is to describe guidelines for frequency of therapy services that were developed to help physical therapists and occupational therapists determine appropriate utilization of therapy services in a pediatric medical setting.

Description: The guidelines were developed for use by physical and occupational therapists when treating inpatients and outpatients at a large urban Midwest pediatric teaching hospital. Factors for consideration when determining frequency of therapy were adapted from the existing literature.

Comparative efficacy of oral extended-release hydromorphone and immediate-release hydromorphone in patients with persistent moderate to severe pain: two randomized controlled trials.

Two multicenter, randomized, double-blind, crossover studies with identical designs evaluated the efficacy of oral extended-release hydromorphone (HHER) administered q24h compared with immediate-release hydromorphone (HHIR) dosed four times daily in patients with persistent moderate to severe pain. Patients titrated to a stable HHER dose were randomized to individualized doses of HHER or HHIR for 3 to 7 days before crossover to the second treatment. Primary efficacy end point was the mean of average pain intensity (API) scores, rated on a 0- to 10-point numeric scale, over the last 2 days before the pharmacokinetics/pharmacodynamics day of each double-blind period.