Background: The low published survival rate of pediatric in-hospital cardiopulmonary arrest (25-38%) 1 has led to the development of early warning systems (EWS) to identify patients at risk for deterioration. On our general pediatric unit, we implemented the published validated Children’s Hospital Early Warning System (CHEWS)2 in 04/2021. This composite scoring tool includes caregiver assessment [...]

Background: The low published survival rate of pediatric in-hospital cardiopulmonary arrest (25-38%) 1 has led to the development of early warning systems (EWS) to identify patients at risk for deterioration. On our general pediatric unit, we implemented the published validated Children’s Hospital Early Warning System (CHEWS)2 in 04/2021. This composite scoring tool includes caregiver assessment [...]

Background: Postpartum Depression can have a negative impact on the physical, cognitive, and behavioral development of children. In the most extreme cases, it can be associated with the cause of death for mothers and their children. Some risk factors that can lead to Postpartum Depression are teenage pregnancy, late or lack of prenatal care, food/housing [...]

Background: Regionalization of pediatric healthcare has led to an increased proportion of hospitalizations at tertiary care centers and freestanding children’s hospitals. For some of these patients, transfer from another hospital is required to access inpatient care. There are known disparities in access to care for historically marginalized races/ethnicities, but it is unclear if these disparities [...]

Background: Diabetic ketoacidosis (DKA) is a life-threatening complication of diabetes mellitus that is increasing in frequency, and yet is preventable with adequate outpatient management. Studies have shown that children with diabetes in minority populations experience more frequent DKA admissions, possibly due to inequities in healthcare access. We examined whether disparities by race/ethnicity exist in DKA [...]

Background: Social needs are associated with poor medical outcomes, including increased readmissions. Several studies compare demographic or ICD-10 code indices of social risk and readmissions, or social needs in disease-specific readmissions. Others found that addressing needs is associated with decreased readmissions. However, little is known about how needs differ between patients who are readmitted to [...]

Background: Patient portals are a digital health technology that help caregivers engage with their child’s healthcare. Unfortunately, significant disparities in portal use exist, with caregivers who speak languages other than English (LOE) having lower usage rates compared with their English-speaking counterparts. No pediatric study has sought to understand why and how LOE caregivers use patient [...]

Background: In 2012, the American Academy of Pediatrics issued a statement recommending a standard practice for families and nurses to participate in rounds. Family-centered rounds (FCR) improves patient safety, patient and family satisfaction, provider satisfaction, interdisciplinary communication, and discharge planning. However, coordinating FCR in an easy and efficient manner to include all stakeholders remains a [...]

Background: Patient portals are intended to engage caregivers with their child’s healthcare by allowing them to read clinical notes, access test results, make appointments, and message providers, and they are often used during hospitalization. While patient portals typically offer multiple language options, the extent to which medical information is translated remains limited. Understanding how caregivers [...]

Background: The Lumbar puncture (LP) success rate for graduating pediatric residents is around 54%, and residents often feel uncomfortable performing Lumbar punctures(LPs). An UALP(ultrasound-assisted lumbar Puncture) uses POCUS (point of care ultrasound) to visualize key anatomical landmarks for optimal and safe cerebral spinal fluid (CSF) collection. Evidence has shown improved LP success rates in pediatric [...]