Academic pediatrics
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Academic pediatrics · May 2014
Liquid medication dosing errors in children: role of provider counseling strategies.
To examine the degree to which recommended provider counseling strategies, including advanced communication techniques and dosing instrument provision, are associated with reductions in parent liquid medication dosing errors. ⋯ Provider use of advanced counseling strategies and dosing instrument provision may be especially effective in reducing errors when used together.
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Latino children are diagnosed with autism spectrum disorders (ASDs) at older ages and at the point of more severe symptoms. We sought to qualitatively describe community, family, and health care system barriers to ASD diagnosis in Latino children. ⋯ Additional educational outreach to Latino families, destigmatization of ASD, streamlining the ASD diagnostic process, and providing additional support to Latino parents of at-risk children may decrease delays in ASD diagnosis among Latino children.
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Academic pediatrics · May 2014
Low caregiver health literacy is associated with higher pediatric emergency department use and nonurgent visits.
We sought to determine the association between low caregiver health literacy and child emergency department (ED) use, both the number and urgency of ED visits. ⋯ Over half of caregivers presenting with their children to the ED have low health literacy. Low caregiver health literacy is an independent predictor of higher ED use and use of the ED for nonurgent conditions. In children without a chronic illness, low health literate caregivers had more than 3 times greater odds of presenting for a nonurgent condition than those with adequate health literacy.
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Academic pediatrics · May 2014
Asthma treatment decisions by pediatric residents do not consistently conform to guidelines or improve with level of training.
To compare asthma treatment decisions by pediatric residents to current asthma guidelines and to learn whether treatment decisions vary by postgraduate year in training. ⋯ Pediatric residents' management of asthma is consistent with national guidelines in some cases but not in others. There were no differences in the outpatient asthma management decisions between residents by years in training. Educational efforts should be focused on strategies to facilitate pediatric resident adherence to national asthma guideline recommendations for outpatient asthma management.