Journal articleHosp Pediatr · April 2017
OBJECTIVE: The Joint Commission, the Centers for Disease Control and Prevention, and the World Health Organization challenge hospitals to achieve and sustain compliance with effective hand hygiene (HH) practice; however, many inpatient units fail to achiev ...
Full textOpen AccessLink to itemCite
Journal articlePediatr Dent · March 15, 2017
PURPOSE: The purpose of this study was to assess after-hours practice characteristics of pediatric dentists (PDs) and general dentists (GDs) and determine how patients-of-record obtain after-hours emergency dental care. METHODS: A 29-item survey was electr ...
Link to itemCite
Journal articleJ Public Health Dent · September 2016
OBJECTIVES: To examine professional guidelines and/or requirements of state and national dental organizations regarding the responsibility of dentists for after-hours emergency care. METHODS: Guidelines of national dental professional organizations, specia ...
Full textLink to itemCite
Journal articlePediatrics · July 2013
OBJECTIVE: To update the American Academy of Pediatrics clinical practice guideline regarding the diagnosis and management of acute bacterial sinusitis in children and adolescents. METHODS: Analysis of the medical literature published since the last versio ...
Full textLink to itemCite
Journal articlePharmacoepidemiol Drug Saf · December 2007
PURPOSE: Anaphylaxis is a life-threatening condition; drug-related anaphylaxis represents approximately 10% of all cases. We assessed the utility of a statewide emergency department (ED) database for identifying drug-related anaphylaxis in children by deve ...
Full textLink to itemCite
Journal articleArch Pediatr Adolesc Med · February 2004
Featured Publication
BACKGROUND: The diagnosis of bronchiolitis is based on typical history and results of a physical examination. The indications for and utility of diagnostic and supportive laboratory testing (eg, chest x-ray films, complete blood cell counts, and respirator ...
Full textLink to itemCite
Journal articleArch Pediatr Adolesc Med · February 2004
Featured Publication
BACKGROUND: Bronchiolitis is the most common lower respiratory tract infection in infants. Up to 3% of all children in their first year of life are hospitalized with bronchiolitis. Bronchodilators and corticosteroids are commonly used treatments, but littl ...
Full textLink to itemCite
Journal articlePediatrics · August 2003
Featured Publication
OBJECTIVE: Many children enter the emergency medical system through primary care offices, yet these offices may not be adequately prepared to stabilize severely ill children. We conducted this study to evaluate the effectiveness of an office-based educatio ...
Full textLink to itemCite
Journal articlePediatrics · January 2003
OBJECTIVE: High incidence, rising admission rates, and relatively ineffective therapies make the management of bronchiolitis controversial. Since 1980, the rate of hospitalization for children with bronchiolitis has increased by nearly 250%, whereas mortal ...
Full textLink to itemCite
Journal articleArch Pediatr Adolesc Med · August 2002
BACKGROUND: As with other injury prevention practices, education about safe firearm storage is recommended to prevent injuries to children. OBJECTIVE: To assess whether parents who are safety conscious in other respects also practice firearm safety. METHOD ...
Full textLink to itemCite
Journal articleCochrane database of systematic reviews (Online) · 2002
BACKGROUND: Immunization rates for children and adults are rising, but coverage levels have not reached national goals. As a result of low immunization rates, vaccine-preventable diseases still occur. In an era of increasing complexity of immunization sche ...
Cite
Journal articleAmbul Pediatr · 2002
Featured Publication
Outcomes research focuses on the end results of medical care. This paper describes the specific domains of outcomes research, namely, clinical effectiveness, quality of care, quality of life, patient satisfaction, cost-effectiveness, and organization of ca ...
Full textLink to itemCite
Journal articleCochrane Database Syst Rev · 2002
BACKGROUND: Immunization rates for children and adults are rising, but coverage levels have not reached national goals. As a result of low immunization rates, vaccine-preventable diseases still occur. In an era of increasing complexity of immunization sche ...
Full textLink to itemCite
Journal articlePediatrics · September 2001
OBJECTIVE: Rates of childhood immunizations and other preventive services are lower in many practices than national goals and providers' own estimates. Office systems have been used in adult settings to improve the delivery of preventive care, but their ef ...
Full textLink to itemCite
Journal articlePediatrics · September 2001
OBJECTIVE: To improve health outcomes of children, the US Maternal and Child Health Bureau has recommended more effective organization of preventive services within primary care practices and more coordination between practices and community-based agencies ...
Full textLink to itemCite
Journal articlePediatrics · September 2001
This clinical practice guideline formulates recommendations for health care providers regarding the diagnosis, evaluation, and treatment of children, ages 1 to 21 years, with uncomplicated acute, subacute, and recurrent acute bacterial sinusitis. It was de ...
Full textLink to itemCite
Journal articlePediatrics · October 24, 2000
Background. Children may fall behind on preventive services because they do not receive needed services at the time of an office visit (a missed opportunity). However, methods are needed to measure problems in the care delivery process that lead to missed ...
Cite
Journal articleJAMA · October 11, 2000
CONTEXT: Immunization rates for children and adults remain below national goals. While experts recommend that health care professionals remind patients of needed immunizations, few practitioners actually use reminders. Little is known about the effectivene ...
Full textLink to itemCite
Journal articlePediatrics · October 2000
BACKGROUND: Children may fall behind on preventive services because they do not receive needed services at the time of an office visit (a missed opportunity). However, methods are needed to measure problems in the care delivery process that lead to missed ...
Link to itemCite
Journal articleAm J Prev Med · May 2000
OBJECTIVE: To assess the effective of audit and feedback (A&F) on immunization delivery by health care professionals. DESIGN: Systematic review of published literature. MAIN OUTCOME MEASURES: Changes in immunization rates. METHODS: We searched Medline betw ...
Full textLink to itemCite
Journal articlePediatrics · November 1999
OBJECTIVE: To review the test characteristics and the quality of evidence regarding available screening tests for the detection of amblyopia in preschool-aged children to help primary care practitioners select a screening strategy. DESIGN: Systematic revie ...
Link to itemCite
Journal articlePediatrics · January 1, 1999
Objective. To review the test characteristics and the quality of evidence regarding available screening tests for the detection of amblyopia in preschool-aged children to help primary care practitioners select a screening Strategy. Design. Systematic revie ...
Cite
Journal articleArch Pediatr Adolesc Med · December 1998
OBJECTIVE: To compare blood lead (BPb) poisoning screening strategies in light of the 1997 recommendations by the Centers for Disease Control and Prevention, Atlanta, Ga. DESIGN: Cost-effectiveness analysis from the perspective of the health care system to ...
Full textLink to itemCite
Journal articleAmerican Journal of Preventive Medicine · January 1, 1997
The planning for an immunization registry must take into account characteristics of the local community such as provider capacities, public and private sector roles in immunization delivery, and the political and legal environment in health information exc ...
Full textCite
Journal articleAmerican Journal of Preventive Medicine · January 1, 1997
Background: For immunization registries to be effective, all providers (both private and public) of childhood vaccines must be willing to participate. The purpose of this study was to identify and fully understand the (1) benefits of the North Carolina Imm ...
Full textCite
Journal articleArch Pediatr Adolesc Med · August 1996
OBJECTIVE: To test the feasibility of combining home- and office-based interventions to improve access to health care and health outcomes of Medicaid-eligible mothers and infants. DESIGN: Randomized trial in 2 counties in North Carolina (1 rural, 1 urban). ...
Full textLink to itemCite
Journal articlePediatrics · April 1996
OBJECTIVES: To measure the proportion of children cared for in private practices who are fully immunized and have been screened for anemia, tuberculosis (TB), and lead poisoning by 2 years of age. DESIGN: Cross-sectional chart review. SETTING: Fifteen priv ...
Link to itemCite
Journal articleJ Community Health Nurs · 1996
The purpose of the project here was to develop and test interventions designed to improve access to care and health outcomes for Medicaid-eligible infants during their first 6 months of life. The goal of the intervention was to overcome personal and struct ...
Full textLink to itemCite
Journal articleArch Pediatr Adolesc Med · October 1995
OBJECTIVES: To develop a more thorough understanding of the factors that impede poor parents' utilization of health care services for their children and to refine interventions to improve immunization rates. METHODS: We conducted focus group sessions with ...
Full textLink to itemCite
Journal articlePediatrics · September 1994
BACKGROUND: Despite the existence of Medicaid and other programs designed to eliminate cost as a barrier to immunization in physicians' offices, referrals to local health departments for immunizations are common. Many children leave their physicians' offic ...
Link to itemCite
Journal articlePediatrics · July 1994
OBJECTIVE: To examine the prevalence of and risk factors for having a blood lead elevation among young children in a predominantly rural state. METHODS: 20,720 North Carolina children at least 6 months and < 6 years of age were screened between November 1, ...
Link to itemCite
Journal articlePediatrics · May 1994
OBJECTIVE: In November 1991 the Advisory Committee on Immunization Practice (ACIP) recommended universal hepatitis B immunization of infants. In February 1992 the American Academy of Pediatrics (AAP) and in August 1992 the American Academy of Family Physic ...
Link to itemCite
Journal articlePediatrics · April 1993
Despite immunization programs targeting high-risk groups, the incidence of hepatitis B has risen 37% over the last decade with 300,000 new infections and 5000 related deaths now occurring annually in the United States. As a new strategy to control the spre ...
Link to itemCite
Journal articleJ Fam Pract · February 1993
BACKGROUND: The incidence of hepatitis B infection has risen 37% over the last decade; 300,000 new infections and 5000 deaths occur annually in the United States. Because immunization programs that targeted high-risk groups failed to abate this increase, t ...
Link to itemCite
Journal articleMilbank Q · 1993
Immunizations have been among the most successful of preventive interventions. However, concern exists in the United States that recent epidemics of vaccine-preventable diseases and low rates of childhood immunizations may signal the existence of major und ...
Link to itemCite