Archives of disease in childhood
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Observational Study
A prospective quality improvement study in the emergency department targeting paediatric sepsis.
Quality improvement sepsis initiatives in the paediatric emergency department have been associated with improved processes, but an unclear effect on patient outcome. We aimed to evaluate and improve emergency department sepsis processes and track subsequent changes in patient outcome. ⋯ Use of quality improvement methodologies to improve the management of paediatric sepsis in the emergency department was associated with a reduction in hospital length of stay.
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Multicenter Study
Risk and protective factors for falls on stairs in young children: multicentre case-control study.
To investigate risk and protective factors for stair falls in children aged <5 years. ⋯ Structural factors including having landings part-way up the stairs and keeping stairs in good repair were associated with reduced stair fall injury risk. Family factors including having stair gates, not leaving gates open and having stair carpets were associated with reduced injury risk. If these associations are causal, addressing these factors in housing policy and routine child health promotion could reduce stair fall injuries.