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    OBJECTIVE:. To examine the content and actionability of written comments from parents and guardians on the Child Hospital Consumer Assessment of Healthcare Providers and Systems (Child HCAHPS) survey.METHODS:. We coded 548 narrative text comments linked to demographic information from the Child HCAHPS survey from July 2017 to December 2020 about inpatient pediatric care at an urban children’s…

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    • Most patient experience surveys ask an open-ended question to allow for patients and families to provide their own narrative about their care experiences. Authors examine the content and actionability of these written comments: https://t.co/gr3dJCUvfK #HospitalPediatrics https://t.co/YJgXdkYzhz

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    OBJECTIVE:. Mistreatment of health care providers (HCPs) is associated with burnout and lower-quality patient care, but mistreatment by patients and family members is underreported. We hypothesized that an organizational strategy that includes training, safety incident reporting, and a response protocol would increase HCP knowledge, self-efficacy, and reporting of mistreatment.METHODS:. In this…

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    • Study authors hypothesized that an organizational strategy that includes training, safety incident reporting, & a response protocol would increase health care providers knowledge, self-efficacy, & reporting of mistreatment: https://t.co/TOlhBB9Qf3 #HospitalPediatrics #WeArePHM https://t.co/kUmNssFQP0

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    OBJECTIVES:. To determine if elevated blood pressure (EBP) in hospitalized children accurately predicts EBP outpatient.METHODS:. A multicenter retrospective chart review was conducted at a large hospital system in Northeastern United States. Mean blood pressures during hospitalizations were classified as elevated or not elevated, by using the American Academy of Pediatrics (AAP) 2017 parameters….

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    • This study determines whether elevated blood pressure (EBP) in hospitalized children accurately predicts EBP outpatient: https://t.co/BabMQXEhpl #HospitalPediatrics #WeArePHM https://t.co/g2dN4BvlZw

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    OBJECTIVES:. Procalcitonin (PCT) is a relatively novel biomarker that may be superior to C-reactive protein (CRP) in identifying bacterial infection. PCT use in pediatric hospitals is relatively unknown. We aimed to evaluate PCT and CRP use, describe PCT testing variability across children’s hospitals, and compare temporal rates of PCT and CRP testing for patients admitted with pneumonia, sepsis,…

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    • Authors evaluate procalcitonin (PCT) and C-reactive protein (CRP) utilization and compare temporal rates of PCT and CRP testing for young infants admitted with pneumonia, sepsis, or fever: https://t.co/7QA8HA1oLr #HospitalPediatrics #WeArePHM https://t.co/i0qShfD8Ia

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    Pediatric hospital discharge processes across the United States are rife with inadequacies. More than 5.8 million US pediatric hospital discharges are completed yearly,1 and many children and their families experience problematic discharge processes. Deficiencies in discharge processes include detrimental variations in care2,3; miscommunication among care team members, including families and…

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    • Special Article | The Perfect Discharge: A Framework for High-Quality Hospital Discharges: https://t.co/MKODabWkmb #HospitalPediatrics #WeArePHM https://t.co/MrNFkqqSf2

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    OBJECTIVES:. High flow nasal cannula (HFNC) is increasingly used for children hospitalized with bronchiolitis. We aimed to validate identification of HFNC use in a national database, then compare resource utilization among children treated with and without HFNC.METHODS:. In this cross-sectional, multicenter study, we obtained clinical and resource utilization data from the Pediatric Health…

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    • High-flow nasal cannula (HFNC) is increasingly utilized for bronchiolitis. Authors aimed to validate identification of HFNC use in a national database, then compare utilization among children treated with and without HFNC: https://t.co/lA2BWdQrk9 #HospitalPediatrics #WeArePHM https://t.co/Gsiai8Ncjw

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    OBJECTIVES:. Coronavirus disease 2019 (COVID-19) has had a significant impact on adult residents and staff in long-term care facilities. Little is known, however, about the impact of COVID-19 and the uptake of COVID-19 vaccination in pediatric long-term care facilities (pLTCFs).METHODS:. A survey was designed, piloted, and e-mailed to facilities participating in the Pediatric Complex Care…

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    • COVID-19 has had a significant impact on adult residents and staff in long-term care facilities (LTCF). Little is known, however, about the impact of #COVID19 and the uptake of COVID-19 vaccination in pediatric LTCF: https://t.co/kLTbsee5q5 #HospitalPediatrics #WeArePHM https://t.co/tIcOPwkksZ

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    OBJECTIVE:. To describe challenges in inpatient pediatric quality and safety during the coronavirus disease 2019 (COVID-19) pandemic.METHODS:. In a previous qualitative study, our team sought to broadly describe changes in pediatric inpatient care during the pandemic. For both that study and this ancillary analysis, we purposefully sampled participants from community and children’s hospitals in…

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    • In this article, authors describe challenges in inpatient pediatric quality and safety during the COVID-19 pandemic: https://t.co/gZmZO1Q31p #HospitalPediatrics #WeArePHM https://t.co/U9RkNlqGIy

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    BACKGROUND:. A serial clinical examination approach to screen late preterm and term neonates at risk for early onset sepsis has been shown to be effective in large academic centers, resulting in reductions in laboratory testing and antibiotic use. The implementation of this approach in a community hospital setting has not been reported. Our objective was to adapt a clinical examination approach…

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    • A serial clinical examination approach to screen late preterm and term neonates at risk for early onset sepsis has been shown to be effective in large academic centers. The objective of this study was to adapt for a community hospital: https://t.co/QuhTAraGjg #HospitalPediatrics https://t.co/5MY2vp2u24

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    AbstractBACKGROUND AND OBJECTIVES. Infants hospitalized with bronchiolitis are commenced on nasogastric feeding to maintain hydration. Feeding strategies vary according to physician or institution preference. The current study hypothesized that continuous nasogastric feeding would prolong length of stay (LOS) when compared to bolus feeding.METHODS. A randomized, parallel-group, superiority…

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    • This study hypothesized that continuous nasogastric feeding prolonged length of stay when compared to bolus feeding. Read the full study here: https://t.co/NURFnEtUYm #HospitalPediatrics #WeArePHM https://t.co/W3tQAr9qcJ