Pediatric Order Set Utilization and Infrastructure Within a Regional Care Network.

Objective: To describe institutional variation in standardized order set (SOS) utilization and SOS infrastructure within a regional pediatric care network.

Patients And Methods: This preliminary cross-sectional study explores SOS utilization and infrastructure at 5 pediatric hospital medicine services across a regional network. SOS utilization was calculated as the proportion of patient encounters where a diagnosis-based SOS was used for patients admitted with a diagnosis of asthma, bronchiolitis, skin and soft tissue infection, gastroenteritis, or pneumonia between July 1, 2019, and June 30, 2023.

Newborn Resuscitation: Best Practices and Recent Advancements for the Pediatric Clinician.

Current guidelines, recent advances, and best practices for newborn resuscitation for the pediatric clinician are reviewed. The Neonatal Resuscitation Program provides an evidence-based approach including recommendations for clinical care, training, and leadership/communication skill development. It is important for hospitals to have systems in place to ensure appropriate personnel, training, and resources are available in all areas where neonatal resuscitation could occur.

Defining the Hospitalist Workforce in the Care of Newborns.

Objective: Pediatric hospital medicine is a rapidly growing new subspecialty. Although many practice newborn care, this subset of hospitalists has not been described. The objective of this study was to define the hospitalist workforce in the care of newborns during the birth hospitalization, including describing job characteristics of newborn hospitalists and nursery sites for clinical practice.

Improving Newborn Professional Billing at a Community Hospital.

Introduction: In community hospital medicine programs, newborns often represent a large patient population with diverse clinical needs. Capturing the care provided through professional billing provides the foundation for division revenue; however, provider knowledge on how to optimally bill is often lacking. Our group underused Hospital Care current procedural terminology (CPT) evaluation and management (E/M) codes for newborns requiring increased monitoring, diagnostic interventions, or therapy.

Newborn Screening for Critical Congenital Heart Disease: A New Algorithm and Other Updated Recommendations: Clinical Report.

Critical congenital heart disease (CCHD) screening was added to the US Recommended Uniform Screening Panel in 2011 and adopted by all US states and territories by 2018. In addition to reviewing key developments in CCHD screening since the initial American Academy of Pediatrics (AAP) endorsement in 2011, this clinical report provides 3 updated recommendations. First, a new AAP algorithm has been endorsed for use in CCHD screening.

Variation in Length of Stay by Level of Neonatal Care Among Moderate and Late Preterm Infants.

Background And Objectives: Moderate and late preterm infants are a growing subgroup of neonates with increased care needs after birth, yet standard protocols are lacking. We aim to describe variation in length of stay (LOS) by gestational age (GA) across hospitals within the same level of neonatal care and between different levels of neonatal care.

Methods: Retrospective cohort study of hospitalizations for moderate (32-33 weeks GA) and late (34-36 weeks GA) preterm infants in 2019 Kid's Inpatient Database.

Pediatric Medication Safety in Adult Community Hospital Settings: A Glimpse Into Nationwide Practice.

Background And Objectives: Most children in the United States are treated in adult settings. Studies show that the pediatric population is vulnerable to medication errors. It can be extrapolated that children cared for in adult settings are at equal or higher risk for errors.

Epidemiology of Bacteremia in Previously Healthy Febrile Infants: A Follow-up Study.

Objective: Describe the etiology of bacteremia among a geographically diverse sample of previously well infants with fever admitted for general pediatric care and to characterize demographic and clinical characteristics of infants with bacteremia according to bacterial etiology. We hypothesized that the epidemiology of bacteremia in febrile infants from a geographically diverse cohort would show similar results to smaller or single-center cohorts previously reported.

Methods: This was a retrospective review of positive, pathogenic blood cultures in previously healthy, febrile infants≤90 days old admitted to a general unit.