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Search Results for Pediatrics
Abstract Number: 154
SHM Converge 2021
Background: Maintenance intravenous fluids (IVFs) are a critical treatment utilized frequently in pediatric medicine to support children with impaired enteral intake suffering from a wide variety of illnesses. Traditional pediatric practice of utilizing hypotonic fluids is thought to derive from Holiday and Seger’s mathematical calculations on IVFs that concluded that the use of hypotonic fluids […]
Abstract Number: 173
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: We previously reported an estimate of the national pediatric (ped) bed census that demonstrated a 4% loss of total med/surg/PICU beds from 2002 to 2011. A deeper look revealed -7% med/surg beds, +12% PICU beds, a loss in beds at small (sm) and medium (med) sized hospitals as well as non-freestanding children’s (nonCH) hospitals […]
Abstract Number: 175
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Transition from the inpatient to outpatient setting presents a safety risk to pediatric patients. Project IMPACT (Improving Pediatric Patient-Centered Care Transitions) is a multi-site quality improvement collaborative developed to improve the hospital to home transition for pediatric patients using a transition bundle. One bundle element is the use of teach-back (TB) to confirm caregiver […]
Abstract Number: 176
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Inconsistent transitions of care from the inpatient to outpatient setting may lead to preventable readmissions. Critical processes completed at discharge shown to reduce readmissions at our institution include admission and discharge medication reconciliation, clinically appropriate follow-up scheduled prior to discharge, and timely completion of a discharge summary within 48 hours of discharge (the “Core […]
Abstract Number: 176
SHM Converge 2024
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 […]
Abstract Number: 177
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Post discharge (d/c) follow-up calls are utilized for many reasons: monitoring patient (pt) status, understanding of d/c instructions including medications and appointments, and satisfaction with hospital care. Adult data suggests such calls improve satisfaction and may impact readmission rates. Little data about the impact of such calls on pediatrics pts exists. Our objective was […]
Abstract Number: 177
SHM Converge 2024
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 […]
Abstract Number: 178
SHM Converge 2024
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 […]
Abstract Number: 178
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Pediatric (ped) short stay admissions of
Abstract Number: 180
SHM Converge 2024
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 […]