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Topics in Neonatal Informatics

Jonathan P. Palma, Paul J. Sharek, David C. Classen, Christopher A. Longhurst
2011 NeoReviews  
Computerized physician order entry (CPOE) is the feature of electronic medical record (EMR) implementation that arguably offers the greatest quality and patient safety benefits.  ...  Define the basic aspects of CPOE and clinical decision support (CDS) systems. 2. Describe the potential benefits of implementing CPOE associated with CDS in a neonatal intensive care unit (NICU).  ...  The variability in safety performance was described further in a recent study that used a simulation approach to test the medicationrelated CDS of CPOE systems at 62 hospitals.  ... 
doi:10.1542/neo.12-7-e393 pmid:21804768 pmcid:PMC3146345 fatcat:zbbay4bje5fcjpfn2ycwesfbsa

Leveraging real-time data to drive quality improvement in a pediatric health system

Sopnil Bhattarai, Rahul K. Shah
2018 Pediatric Investigation  
This review article discusses the urgent need for real-time data and demonstrates examples of how Children's National Medical Center in Washington, DC uses real-time data to drive outcomes.  ...  The electronic medical record, the numerous patient care monitors, and the thousands of medications to be reconciled with specific dosing parameters are a few examples of the omnipresent and intimidating  ...  The United States' healthcare data systems have been transforming in the last twenty years, and it is in-part due to the increased usage of electronic health records (EHR). 5 The Institute of Medicine  ... 
doi:10.1002/ped4.12060 pmid:32851258 pmcid:PMC7331439 fatcat:nosrtydwpfcmpbxwvltwbwou3q

Electronic Health Record Adoption by Children's Hospitals in the United States

Mari M. Nakamura, Timothy G. Ferris, Catherine M. DesRoches, Ashish K. Jha
2010 Archives of Pediatrics & Adolescent Medicine  
Objective: To assess adoption of electronic health records (EHRs) and clinical functionalities, involvement in health information exchange, and barriers to and facilitators of adoption among children's  ...  In all, 15.7% of hospitals exchanged health information electronically. Hospital characteristics were not associated with EHR adoption or participation in health information exchange.  ...  . 13 The only previous national survey, performed in 2005, showed that 48.6% of children's hospitals identified themselves as having an EHR. 14 However, the EHR definition used in that study was not  ... 
doi:10.1001/archpediatrics.2010.234 pmid:21135344 fatcat:gnolkxzvzreyzb6jomyczwcojm

Limitations of child injury data from the CPSC's National Electronic Injury Surveillance System: the case of baby walker related data

H. B. Weiss
1996 Injury Prevention  
Objectives-The US Consumer Product Safety Commission's National Electronic Injury Surveillance System (NEISS) is a primary source for children's consumer product injury surveillance data in the US.  ...  In 1991, two children's hospitals reported 14% ofthe baby walker related injuries, though these hospitals made up just 2% of the sample frame.  ...  Consumer product aspiration and ingestion in children: analysis of emergency room reports to the national electronic injury surveillance system.  ... 
doi:10.1136/ip.2.1.61 pmid:9346058 pmcid:PMC1067644 fatcat:yjwkmozchvcgrivwbhqwuo46v4

Improving Pediatric Adverse Drug Event Reporting through Clinical Pharmacy Services

David M Crowther, Marcia L Buck, Michelle W McCarthy, Virginia W Barton
2011 The Journal of Pediatric Pharmacology and Therapeutics  
The University of Virginia Children's Hospital ADE database was analyzed for records involving pediatric patients.  ...  Results of this study are consistent with those of previous studies involving ADE reporting in children's hospitals.  ...  All reporting is voluntary and may be performed by any healthcare practitioner via the electronic medical record.  ... 
doi:10.5863/1551-6776-16.4.285 pmid:22768013 pmcid:PMC3385043 fatcat:suomqd76qfb45hgsz77emvejja

Other reports

1996 Injury Prevention  
Yet CPSC has not performed any special accounting in the NEISS . . .'. Children's hospitals in this country treat relatively few of the total number of children's emergency room visits.  ...  LETTERS TO THE EDITOR Limitations of NEISS child injury data EDITOR,-As the Director of the National Electronic Injury Surveillance System (NEISS) at the Consumer Product Safety Commission (CPSC), I have  ... 
doi:10.1136/ip.2.1.76 fatcat:ramssr3s6bdhdi4h3b3kvhtz4q

Adverse Events in Hospitalized Pediatric Patients

David C. Stockwell, Christopher P. Landrigan, Sara L. Toomey, Samuel S. Loren, Jisun Jang, Jessica A. Quinn, Sepideh Ashrafzadeh, Michelle J. Wang, Melody Wu, Paul J. Sharek, David C. Classen, Rajendu Srivastava (+2 others)
2018 Pediatrics  
We used a validated safety surveillance tool, the Global Assessment of Pediatric Patient Safety, to measure temporal trends (2007-2012) in AE rates among hospitalized children.  ...  It is unclear whether these efforts have resulted in reductions in hospital-wide AE rates.  ...  We thank the GAPPS National Field Test sites: Boston Children's Hospital, Children's Hospital Colorado, Children's National Medical Center, Cincinnati Children's Hospital Medical Center, Grand View Hospital  ... 
doi:10.1542/peds.2017-3360 pmid:30006445 pmcid:PMC6317760 fatcat:7gwq7jmrvrazhb7jopsaluiwra

Beyond Mortality: Improving Outcomes for Children Who Deteriorate in Inpatient Settings

Damian Roland
2019 Journal of Hospital Medicine  
Roland reports that he is currently the cochief investigator of a National Institute for Health Research (NIHR) grant investigating pediatric early warning systems (the PUMA study)  ...  will likely report later in 2019. 8 Two immediate practical implications of this work emerge, which should be of relevance to clinical leaders in children's hospitals.  ...  These new references are likely to come from high-performing child health institutions such as those in Philadelphia and Cincinnati, and this leads to a second important principle that hospitals should  ... 
doi:10.12788/jhm.3236 pmid:31251169 fatcat:vtmqf2gnwzbo3lc7qzb6npd2sm

A computational method to quantitatively measure pediatric drug safety using electronic medical records

Gang Yu, Xian Zeng, Shaoqing Ni, Zheng Jia, Weihong Chen, Xudong Lu, Jiye An, Huilong Duan, Qiang Shu, Haomin Li
2020 BMC Medical Research Methodology  
To assess pediatric drug safety under different clinical conditions, a computational method based on Electronic Medical Record (EMR) datasets was proposed.  ...  This method has the potential to be used in many population-level, health data-based drug safety studies.  ...  Ethics approval and consent to participate "All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research  ... 
doi:10.1186/s12874-020-0902-x pmid:31937265 pmcid:PMC6961323 fatcat:q5nynaugkjagbey2sakohqlqnu

Status report - The Canadian Hospitals Injury Reporting and Prevention Program: a dynamic and innovative injury surveillance system
Rapport d'étape - Le Système canadien hospitalier d'information et de recherche en prévention des traumatismes : un système de surveillance des blessures dynamique et novateur

J Crain, S McFaull, W Thompson, R Skinner, M T Do, M Fréchette, S Mukhi
2016 Health Promotion and Chronic Disease Prevention in Canada  
eCHIRPP's potential for providing early warnings of new hazards, issues and trends.  ...  This status report on the Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP), an emergency department-based injury and poisoning surveillance system, describes the result of migrating  ...  Acknowledgements The dedication of the following individuals and organizations to the CHIRPP is deeply appreciated: James  ... 
pmid:27284703 pmcid:PMC4910447 fatcat:tnzuxltz4rc4jcdjep4qt4vmr4

Building a Culture of Safety in Pediatrics and Child Health

Jonny Taitz
2015 Current Treatment Options in Pediatrics  
In order to transform our health system, we need to build and spread a culture of safety and reliability.  ...  The first is the ward or unit base, the second is the hospital or heath system at large, and the third is whole system transformation at state, national, and global level.  ...  In this way, clinicians can be close to real-time feedback on the key emerging safety trends in children's health care across the state of NSW.  ... 
doi:10.1007/s40746-015-0032-6 fatcat:h3urqbwe3fczrdpiv4n7znw7lu

Using Quality Improvement to Introduce and Standardize the National Early Warning Score (NEWS) for Adult Inpatients at a Children's Hospital

Erin E. Conway-Habes, Brian F. Herbst, Lori A. Herbst, Benjamin Kinnear, Kristen Timmons, Deborah Horewitz, Rachel Falgout, Jennifer K. O'Toole, Michael Vossmeyer
2017 Hospital Pediatrics  
Our aim was to implement and standardize NEWS scoring in 80% of patients age 21 and older admitted to a children's hospital.  ...  health record, and charge nurse and key stakeholder oversight.  ...  the Adult Protocol and Safety Task Force for their help in completing this project.  ... 
doi:10.1542/hpeds.2016-0117 pmid:28232377 fatcat:lklvz6brxrcnflonxledmvjm3u

Dynamic Electronic Tracking and Escalation to reduce Critical care Transfers (DETECT): the protocol for a stepped wedge mixed method study to explore the clinical effectiveness, clinical utility and cost-effectiveness of an electronic physiological surveillance system for use in children

Gerri Sefton, Bernie Carter, Steven Lane, Matthew Peak, Ceu Mateus, Jen Preston, Fulya Mehta, Bruce Hollingsworth, Roger Killen, Enitan D. Carrol
2019 BMC Pediatrics  
Active monitoring of hospitalised adults, using handheld electronic physiological surveillance systems, is associated with reduced in-patient mortality in the UK.  ...  Participants will be in-patients under the age of 18 years, at a tertiary children's hospital. Day-case, neonatal surgery and Paediatric Intensive Care Unit (PICU) patients will be excluded.  ...  The views expressed in this publication are those of the author(s) and not necessarily those of the National Institute for Health Research or the Department of Health and Social Care. Mrs.  ... 
doi:10.1186/s12887-019-1745-7 pmid:31623583 pmcid:PMC6796473 fatcat:zdfprhcqebcflfs6repek5yiiu


Jill Schlabig Williams
2012 Biomedical Instrumentation & Technology  
Cover Story Children's National Medical Center began rolling out a full electronic medical record system in 2008, including integration of device data into the EMR for four clinical units. patient and  ...  So, in 2005, the hospital started off with CPOE and electronic medication administration records (eMAR) systems.  ... 
doi:10.2345/0899-8205-46.1.14 pmid:22239352 fatcat:s6a5kqhizbc3xpdvshokdxs2ym

Remote Source Document Verification in Two National Clinical Trials Networks: A Pilot Study

Meredith Mealer, John Kittelson, B. Taylor Thompson, Arthur P. Wheeler, John C. Magee, Ronald J. Sokol, Marc Moss, Michael G. Kahn, Sean Emery
2013 PLoS ONE  
Methods: Five hospitals from two NIH sponsored networks provided remote electronic access to study monitors.  ...  The number of data values verified and the time to perform remote and onsite SDV was collected.  ...  Acknowledgements We thank Katie Oldmixon and Karen Jones for participating in the pilot and the HIM, IT and regulatory staff at the practice locations for help navigating institutional-specific policy  ... 
doi:10.1371/journal.pone.0081890 pmid:24349149 pmcid:PMC3857788 fatcat:ig44fnnitvhmhdpa5vlzvcd4ji
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