Improved Detection of Child Maltreatment with Routine Screening in a Tertiary Care Pediatric Hospital

2021 ◽  
Author(s):  
Srinivasan Suresh ◽  
Emily Heineman ◽  
Lisa Meyer ◽  
Rudolph Richichi ◽  
Scott Conger ◽  
...  
Keyword(s):  
Child Maltreatment ◽  
Tertiary Care ◽  
Routine Screening ◽  
Pediatric Hospital

scholarly journals Impact of Rapid PCR Influenza Testing on the Rate of Inpatient Admissions During Influenza Season at a Tertiary-Care Center

2020 ◽  
Vol 41 (S1) ◽  
pp. s263-s264
Author(s):  
Jordan Polistico ◽  
Avnish Sandhu ◽  
Teena Chopra ◽  
Erin Goldman ◽  
Jennifer LeRose ◽  
...  
Keyword(s):  
Influenza Season ◽  
Care Center ◽  
Tertiary Care ◽  
The United States ◽  
Turnaround Time ◽  
Care Hospital ◽  
Tertiary Care Center ◽  
Pediatric Hospital ◽  
Rapid Pcr ◽  
The Impact

Background: Influenza causes a high burden of disease in the United States, with an estimate of 960,000 hospitalizations in the 2017–2018 flu season. Traditional flu diagnostic polymerase chain reaction (PCR) tests have a longer (24 hours or more) turnaround time that may lead to an increase in unnecessary inpatient admissions during peak influenza season. A new point-of-care rapid PCR assays, Xpert Flu, is an FDA-approved PCR test that has a significant decrease in turnaround time (2 hours). The present study sought to understand the impact of implementing a new Xpert Flu test on the rate of inpatient admissions. Methods: A retrospective study was conducted to compare rates of inpatient admissions in patients tested with traditional flu PCR during the 2017–2018 flu season and the rapid flu PCR during the 2018–2019 flu season in a tertiary-care center in greater Detroit area. The center has 1 pediatric hospital (hospital A) and 3 adult hospitals (hospital B, C, D). Patients with influenza-like illness who presented to all 4 hospitals during 2 consecutive influenza seasons were analyzed. Results: In total, 20,923 patients were tested with either the rapid flu PCR or the traditional flu PCR. Among these, 14,124 patients (67.2%) were discharged from the emergency department and 6,844 (32.7%) were admitted. There was a significant decrease in inpatient admissions in the traditional flu PCR group compared to the rapid flu PCR group across all hospitals (49.56% vs 26.6% respectively; P < .001). As expected, a significant proportion of influenza testing was performed in the pediatric hospital, 10,513 (50.2%). A greater reduction (30% decrease in the rapid flu PCR group compared to the traditional flu PCR group) was observed in inpatient admissions in the pediatric hospital (Table 1) Conclusions: Rapid molecular influenza testing can significantly decrease inpatient admissions in a busy tertiary-care hospital, which can indirectly lead to improved patient quality with easy bed availability and less time spent in a private room with droplet precautions. Last but not the least, this testing method can certainly lead to lower healthcare costs.Funding: NoneDisclosures: None

scholarly journals Medical Trainee Continuity of Care Following Emergency Department Consultations in a Pediatric Hospital

2016 ◽  
Vol 8 (1) ◽  
pp. 33-38 ◽  
Author(s):  
Kim Bjorklund ◽  
Emily A. Eismann ◽  
Roger Cornwall
Keyword(s):  
Emergency Department ◽  
Continuity Of Care ◽  
Broad Spectrum ◽  
Medical Records ◽  
Care Center ◽  
Tertiary Care ◽  
Well Being ◽  
Tertiary Care Center ◽  
Pediatric Hospital ◽  
Medical Trainee

ABSTRACT Background The importance of continuity of care in training is widely recognized; however, a broad-spectrum assessment across all specialties has not been performed. Objective We assessed the continuity of care provided by trainees, following patient consultations in the emergency department (ED) across all specialties at a large pediatric tertiary care center. Methods Medical records were reviewed to identify patients seen in consultation by a resident or fellow trainee in the ED over a 1-year period, and to determine if the patient followed up with the same trainee for the same condition during the next 6 months. Results Resident and fellow trainees from 33 specialties participated in 3400 ED consultations. Approximately 50% (1718 of 3400) of the patients seen in consultation by a trainee in the ED followed up with the same specialty within 6 months, but only 4.1% (70 of 1718) followed up with the same trainee for the same condition. Trainee continuity of care ranged from 0% to 21% among specialties, where specialties with resident clinics (14.4%) have a greater continuity of care than specialties without resident clinics (2.7%, P &lt; .001). Continuity of care did not differ between fellows (4.2%) and residents (4.0%, P = .87), but did differ between postgraduate years for residents (P &lt; .001). Conclusions Trainee continuity of care for ED consultations was low across all specialties and levels of training. If continuity of care is important for patient well-being and trainee education, efforts to improve continuity for trainees must be undertaken.

scholarly journals 'Unheard voices’: Perceptions of women with mental illness on nurses screening routinely for domestic violence: A qualitative analysis

2021 ◽  
Vol 39 (3) ◽  
Author(s):  
Vijayalakshmi Poreddi ◽  
S. Sai Nikhil Reddy ◽  
Sailaxmi Gandhi ◽  
Marimuthu P ◽  
Suresh BadaMath
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Domestic Violence ◽  
Mental Illness ◽  
Mental Health Care ◽  
Physical Violence ◽  
Tertiary Care ◽  
Routine Screening ◽  
Health Care Settings ◽  
Nursing Professionals

Objective. To explore women's experiences of violence and their opinion on routine screening for domestic violence by nursing professionals in mental health care settings. Methods. This qualitative narrative research design was carried out among 20 asymptomatic women with mental illness at a tertiary care centre in Bangalore, India. Results. Narrative content analysis was performed, and five dominant themes have emerged: 1. Understanding the nature and signs of violence (subtheme: Meaning of violence), 2. Abusive experiences of women with mental illness (subthemes: Physical violence, psychological violence, social violence, sexual violence and financial violence), 3. Experiences on disclosure of violence (subthemes: Identification of violence by nursing professionals, Experiences of disclosure of violence), 4. Barriers for disclosure of abuse(subthemes: Fear of consequences, the hectic schedule of nursing staff, helplessness and hopelessness, perceived poor family support). 5.Routine screening for violence by nursing professionals (subthemes: reasons for routine inquiry of violence, nature of inquiry by the nursing professionals). Conclusion. Women with mental illness were undergoing more than one form of violence, and most of the participants supported routine screening by nursing professionals. Nurses play an essential role in identifying and supporting abused women in mental health care settings.

scholarly journals Drug utilization pattern in outdoor patients of pediatric tertiary care hospital: a cross sectional study

2020 ◽  
Vol 9 (11) ◽  
pp. 1725
Author(s):  
Sonal M. Parekar ◽  
Girish K. Maindarkar ◽  
Vishal V. Maindarkar
Keyword(s):  
Drug Utilization ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Drug Formulation ◽  
Oral Drug ◽  
Care Hospital ◽  
Pediatric Hospital ◽  
Sectional Study ◽  
Utilization Pattern ◽  
Cross Sectional

Background: Drug utilization study is essential, as safe and effective therapeutic regimen in paediatric population is challenging. Pattern of use of drugs in pediatrics vary as compared to adults, also there is limited data available. The objective of this study was to study drug utilization pattern in pediatric patients attending pediatric outpatient department of Maindarkar pediatric hospital, Latur.Methods: A cross sectional study was carried out for a period of six months from September 2019 to February 2020, by analysing a total 1000 prescriptions of patients who had visited the OPD of Maindarkar pediatric hospital. Prescriptions were selected by simple random sampling method.Results: In our study, out of the total of 1000 prescriptions, 244 (24.4%) were of neonates, 556 (55.6%) were of infants (1 month to 1 year) and 200 (20%) were of children above 1 year. 547 (54.7%) prescriptions were of male patients and 453 (45.3%) were of female patients. The most frequent classes of drugs prescribed were nonsteroidal anti-inflammatory drugs 704 (70.4%), followed by drugs used for respiratory disorders 655 (65.5%) and supplements (60%). Antimicrobials were prescribed in 498 (49.8%) prescriptions. The average number of drugs per prescription was 2.45. About two third of all the prescribed drugs (74.41%) were from national essential medicine list. Most of the prescriptions had oral drug formulation 825 (82.5%) followed by inhalational 208 (20.8%) followed by injectables 150 (15%). All the drugs were prescribed by brand names.Conclusions: Our study helps health-care system to understand, interpret and improve prescribing, administration, to minimize adverse events and promote rational use of medicines.

scholarly journals Monitoring of Sugammadex Dosing at a Large Tertiary Care Pediatric Hospital

2018 ◽  
Vol 3 (5) ◽  
pp. e113 ◽  
Author(s):  
Faizaan Syed ◽  
Mehdi Trifa ◽  
Joshua C. Uffman ◽  
Dmitry Tumin ◽  
Joseph D. Tobias
Keyword(s):  
Tertiary Care ◽  
Pediatric Hospital ◽  
Large Tertiary Care

scholarly journals Sacred Cow University: Revealing the Evidence About Intramuscular Injections by Pediatric Nurses in a Tertiary Care Pediatric Hospital

2019 ◽  
Vol 48 ◽  
pp. 123-126
Author(s):  
Melissa Davis ◽  
Iva Scroggins ◽  
Bobby Bellflower ◽  
Janet Tucker ◽  
Leslie N. Rhodes ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Pediatric Nurses ◽  
Pediatric Hospital ◽  
Intramuscular Injections

Survey of isolation practices at a tertiary care pediatric hospital

2007 ◽  
Vol 35 (4) ◽  
pp. 207-211 ◽  
Author(s):  
Joseph V. Vayalumkal ◽  
Laurie Streitenberger ◽  
Rick Wray ◽  
Carol Goldman ◽  
Renee Freeman ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Pediatric Hospital

scholarly journals Pediatric Oral/Maxillofacial Soft Tissue Sarcomas: A Clinicopathologic Report of Four Cases

2016 ◽  
Vol 9 (2) ◽  
pp. 447-453
Author(s):  
Joel C. Thompson ◽  
Gary M. Woods ◽  
Michael A. Arnold ◽  
Charles Elmaraghy ◽  
Samir B. Kahwash ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Local Control ◽  
Multimodal Therapy ◽  
Tertiary Care ◽  
Soft Tissue Sarcomas ◽  
Interdisciplinary Cooperation ◽  
Control Measures ◽  
Pediatric Hospital ◽  
Successful Management ◽  
Maxillofacial Region

Pediatric soft tissue sarcomas of the oral/maxillofacial region are rare neoplasms that present significant difficulty with respect to treatment and local control measures. We report four cases of pediatric oral/maxillofacial soft tissue sarcomas from our tertiary care pediatric hospital and emphasize the rarity of these malignancies and the challenges encountered in treating these lesions, and suggest areas for further research. We conclude that multimodal therapy and interdisciplinary cooperation are paramount to successful management of these lesions.

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