Academic pediatrics
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Academic pediatrics · Jan 2014
Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship program.
Formal training in health care quality and safety has become an important component of medical education at all levels, and quality and safety are core concepts within the practice-based learning and system-based practice medical education competencies. Residency and fellowship programs are rapidly attempting to incorporate quality and safety curriculum into their training programs but have encountered numerous challenges and barriers. ⋯ Our module has been successfully integrated into the fellowship program's curriculum and has been beneficial to trainees, faculty, and our clinical services, and our experience suggests that fellowship may be particularly well suited to incorporation of quality and safety training. We describe our module and share tools and lessons learned during our experience; we believe these resources will be useful to other fellowship programs seeking to improve the quality and safety education of their trainees.
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Academic pediatrics · Jan 2014
Impact of newborn follow-up visit timing on subsequent ED visits and hospital readmissions: an instrumental variable analysis.
To determine whether newborn first outpatient visit (FOV) within 3 days of discharge is associated with reduced rates of emergency department (ED) visits and hospital readmissions. ⋯ No significant relationship between outpatient visit timing and ED visits and hospital readmissions was found. Further study is needed to assess the impact of early outpatient visits on other newborn outcomes.
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Academic pediatrics · Jan 2014
Factors associated with timing of first outpatient visit after newborn hospital discharge.
To determine factors associated with newborns having their first outpatient visit (FOV) beyond 3 days after postpartum hospital discharge. ⋯ Physician decisions regarding timing of outpatient visit after newborn discharge may take into account newborn medical and social characteristics, but certain patient, provider, and practice features associated with this timing may represent unrecognized barriers to care.