6 results match your criteria: "Vanderbilt University and Monroe Carell Jr. Children's Hospital at Vanderbilt[Affiliation]"
Know It When You See It: Identifying and Using Special Cause Variation for Quality Improvement.
Hosp Pediatr
November 2020
Division of Pediatric Hospital Medicine, Department of Pediatrics, School of Medicine, Vanderbilt University and Monroe Carell Jr Children's Hospital at Vanderbilt, Nashville, Tennessee.
In this month’s , Liao et al share their team’s journey to improve the accuracy of their institution’s electronic health record (EHR) problem list. They presented their results as statistical process control (SPC) charts, which are a mainstay for visualization and analysis for improvers to understand processes, test hypotheses, and quickly learn their interventions’ effectiveness. Although many readers might understand that 8 consecutive points above or below the mean signifies special cause variation resulting in a centerline “shift,” there are many more special cause variation rules revealed in these charts that likely provided valuable real-time information to the improvement team.
View Article and Find Full Text PDFVaccination Status and Adherence to Quality Measures for Acute Respiratory Tract Illnesses.
Hosp Pediatr
March 2020
Department of Pediatrics, University of Washington, Seattle, Washington.
Objectives: To assess the relationship between vaccination status and clinician adherence to quality measures for children with acute respiratory tract illnesses.
Methods: We conducted a multicenter prospective cohort study of children aged 0 to 16 years who presented with 1 of 4 acute respiratory tract illness diagnoses (community-acquired pneumonia, croup, asthma, and bronchiolitis) between July 2014 and June 2016. The predictor variable was provider-documented up-to-date (UTD) vaccination status.
Cerebrospinal Fluid Profiles of Infants ≤60 Days of Age With Bacterial Meningitis.
Hosp Pediatr
December 2019
Division of Pediatric Emergency Medicine, Department of Pediatrics, School of Medicine, Vanderbilt University and Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, Tennessee.
Article Synopsis
- The study focused on infants aged 60 days or younger diagnosed with bacterial meningitis, examining their cerebrospinal fluid (CSF) profiles and identifying those without typical CSF abnormalities.
- Researchers collected clinical and laboratory data from 66 infants across 11 children's hospitals over five years, calculating the accuracy (sensitivity) of CSF tests like Gram-stain and pleocytosis for detecting bacterial meningitis.
- Findings revealed that most infants had either CSF pleocytosis or a positive Gram-stain, while those with negative results and no pleocytosis were unlikely to have meningitis unless accompanied by other abnormal blood tests.
Objectives: To determine the association between parenteral antibiotic duration and outcomes in infants ≤60 days old with bacteremic urinary tract infection (UTI).
Methods: This multicenter retrospective cohort study included infants ≤60 days old who had concomitant growth of a pathogen in blood and urine cultures at 11 children's hospitals between 2011 and 2016. Short-course parenteral antibiotic duration was defined as ≤7 days, and long-course parenteral antibiotic duration was defined as >7 days.
Pediatric Respiratory Illness Measurement System (PRIMES) Scores and Outcomes.
Pediatrics
August 2019
Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York City, New York.
Background And Objectives: The Pediatric Respiratory Illness Measurement System (PRIMES) generates condition-specific composite quality scores for asthma, bronchiolitis, croup, and pneumonia in hospital-based settings. We sought to determine if higher PRIMES composite scores are associated with improved health-related quality of life, decreased length of stay (LOS), and decreased reuse.
Methods: We conducted a prospective cohort study of 2334 children in 5 children's hospitals between July 2014 and June 2016.