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  • Jennifer S Griffin
  • Thomas J Hipper
  • Esther Chernak
  • Zekarias Berhane
  • Renee K Davis
  • Leah Popek
  • Priyatham Kurapati
  • John Kim
  • Renee M Turchi
CONCLUSIONS: Preparedness scores improved post-VHPI in families with CYSHCN. Future work should address incorporating the VHPI into care visits in the medical home.
  • Katherine E Remick
  • Marianne Gausche-Hill
  • Amber Lin
  • Jeremy D Goldhaber-Fiebert
  • Benjamin Lang
  • Ashley Foster
  • Beech Burns
  • Peter C Jenkins
  • Hilary A Hewes
  • Nathan Kuppermann
  • K John McConnell
  • Jennifer Marin
  • Christopher Weyant
  • Rachel Ford
  • Sean R Babcock
  • Craig D Newgard
  • Pediatric Readiness Study Group
CONCLUSIONS: Annual hospital costs for HPR are modest, particularly when considered per child.
  • Amanda S Dupont
  • Patrick C Drayna
  • Mark Nimmer
  • Shannon H Baumer-Mouradian
  • Kendra Wirkus
  • Danny G Thomas
  • Kevin Boyd
  • Sri S Chinta
CONCLUSIONS: Through quality improvement methodology, we have identified pelvic US readiness earlier, eliminated some invasive bladder-filling measures, and implemented a rapid fluid protocol. We have sustained these successful results for 2 years. This study can be generalized to any ED with similar patients.
  • Maira Corinne Claudio
  • Zachary Rehany
  • Katerina Stachtari
  • Elena Guadagno
  • Esli Osmanlliu
  • Dan Poenaru
CONCLUSIONS: This study underscores a digital divide among caregivers of pediatric patients, with nearly a quarter affected primarily due to a lack of digital comfort. Respondents emphasized user-friendliness and online security for health apps. Future apps should prioritize digital inclusion by addressing the significant barriers and carefully considering patient and family concerns.
  • Johayra Prithula
  • Muhammad E H Chowdhury
  • Muhammad Salman Khan
  • Khalid Al-Ansari
  • Susu M Zughaier
  • Khandaker Reajul Islam
  • Abdulrahman Alqahtani
The growing concern of pediatric mortality demands heightened preparedness in clinical settings, especially within intensive care units (ICUs). As respiratory-related admissions account for a substantial portion of pediatric illnesses, there is a pressing need to predict ICU mortality in these cases. This study based on data from 1188 patients, addresses this imperative using machine learning techniques and investigating different class balancing methods for pediatric ICU mortality prediction....
  • Margaret Samuels-Kalow
  • Krislyn M Boggs
  • Stephanie S Loo
  • Maeve F Swanton
  • William A Manning
  • Rebecca E Cash
  • Courtney B Wolk
  • Elizabeth R Alpern
  • Kenneth A Michelson
  • Katherine E Remick
  • Carlos A Camargo
CONCLUSIONS: Implementation of the PECC role appears to be limited by heterogeneous interpretations of the PECC, de-prioritization of pediatrics, and limited system resources. However, many participants described motivation to improve pediatric care and implement the PECC role in context of increasing pediatric visits; they offered strategies for future implementation efforts.
  • Craig D Newgard
  • McKenna Smith
  • Amber Lin
  • K John McConnell
  • Katherine E Remick
  • Randall S Burd
  • Jennifer R Marin
  • N Clay Mann
  • Marianne Gausche-Hill
  • Hilary A Hewes
  • Angela Child
  • Benjamin Lang
  • Ashley A Foster
  • Brandon Maughan
  • Jeremy D Goldhaber-Fiebert
  • Pediatric Readiness Study Group
High emergency department (ED) pediatric readiness is associated with improved survival in children, but the cost is unknown. We evaluated the costs of emergency care for children across quartiles of ED pediatric readiness. This was a retrospective cohort study of children aged 0-17 years receiving emergency services in 747 EDs in 9 states from January 1, 2012, through December 31, 2017. We measured ED pediatric readiness using the weighted Pediatric Readiness Score (range: 0-100). The primary...
  • Joelle N Simpson
  • Joseph L Wright
This article summarizes how pediatricians may be uniquely positioned to mitigate the long-term trajectory of COVID-19 on the health and wellness of pediatric patients especially with regard to screening for social determinants of health that are recognized drivers of disparate health outcomes. Health inequities, that is, disproportionately deleterious health outcomes that affect marginalized populations, have been a major source of vulnerability in past public health emergencies and natural...
  • Hilary McClafferty
Physician burnout is pervasive and takes a heavy toll on individuals and the healthcare system. Post-coronavirus disease 2019 the negative impact of organizational culture on physician burnout has been highlighted. Substantial research has accrued identifying steps organizations can take to pivot and develop leaders committed to physician well-being. Physicians can also proactively explore research in sleep, nutrition, physical activity, stress management, and social connections. Positive...
  • Sanyukta Desai
  • Katherine E Remick
Although children account for 20% of all emergency department (ED) visits, the majority of children seek emergency care in hospitals that see fewer than 10 children per day. The National Pediatric Readiness Project has defined key system-level standards for all EDs to safely care for ill and injured children. High pediatric readiness is associated with improvement in mortality for critically ill and injured children. However, to improve readiness and sustain system-level changes, hospitals must...
  • Caroline G Melhado
  • Katherine Remick
  • Amy Miskovic
  • Bhavin Patel
  • Hilary A Hewes
  • Craig D Newgard
  • Avery B Nathens
  • Charles Macias
  • Lisa Gray
  • Brian K Yorkgitis
  • Michael W Dingeldein
  • Aaron R Jensen
CONCLUSION: ED pediatric readiness in trauma centers remains variable and is predictably lower in centers that lack inpatient resources. There is, however, no aspect of ED pediatric readiness that is constrained to high-level pediatric facilities, and a highest quartile wPRS was achieved in all types of adult centers in our study. Ongoing efforts to improve pediatric readiness for initial stabilization at non-pediatric centers are needed, particularly in centers that routinely transfer children...
  • Jennifer L Cully
  • Scott B Schwartz
  • Abigail Martini
  • Rocio B Quinonez
  • Nusrat Harun
  • Daniel J Schumacher
  • Melissa Klein
Purpose: To acquire comments on pediatric dentistry entrustable professional activities (EPAs) from pediatric dentistry residency program directors (PDs). Methods: An electronic survey invited PDs to evaluate 16 previously developed EPAs on whether they were critical to patient safety, resident education, or both. PDs were asked to evaluate a fully developed EPA to assess structure and clarity and describe barriers to EPA. Descriptive statistics were completed. Results: Forty-one of 103 PDs...
  • Mohannad Abu-Sultanah
  • Riad Lutfi
  • Samer Abu-Sultaneh
  • Kellie J Pearson
  • Erin E Montgomery
  • Travis Whitfill
  • Marc A Auerbach
  • Kamal Abulebda
CONCLUSIONS: In this cohort, improving pediatric readiness scores in GEDs was associated with significant improvements in PICU and hospital length of stay. Future initiatives should focus on disseminating pediatric readiness efforts to improve outcomes of critically ill children nationally.
  • Fiona A Pirrocco
  • Hamy Temkit
  • Cherisse Mechem
  • Karen Yeager
CONCLUSIONS: This study addresses important knowledge gaps regarding transfers from IHS and tribal EDs, highlights potential high-impact areas for pediatric readiness, and emphasizes the need for more granular data to inform resource allocation and educational interventions. Further studies are needed to delineate potentially avoidable transfers seen within this population.
  • Madeline R Field
  • Lilliam Ambroggio
  • Douglas Lorenz
  • Samir S Shah
  • Richard M Ruddy
  • Todd A Florin
CONCLUSIONS: A TCS outcome consisting of physiologic variables may be useful for objectively assessing disease recovery and clinical readiness for discharge among children hospitalized with CAP. TCS may decrease length of stay if implemented to guide discharge decisions. Clinicians can consider factors associated with earlier TCS for management decisions.