Arch Pediat Adol Med
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Arch Pediat Adol Med · Dec 1997
Comparative StudyPediatric residents' telephone triage experience. Relevant to general pediatric practice?
To describe a pediatric resident telephone triage system in a tertiary hospital and to determine its relevance to telephone experience in general pediatric practice ⋯ Answering telephone calls in a residency telephone triage system, when combined with a curriculum that includes next-day monitoring, feedback from a preceptor, and seminar discussions focused on telephone management situations, is a valuable training experience and is relevant for residents going into private pediatric practice.
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Arch Pediat Adol Med · Nov 1997
Development of a quality of care measurement system for children and adolescents. Methodological considerations and comparisons with a system for adult women.
To describe the development of a pediatric quality of care measurement system designed to cover multiple clinical topics that could be applied to enrollees in managed care organizations and to compare the development of this system with the concurrent development of a similar system for adult women. ⋯ This study contributes to the field of pediatric quality of care assessment by providing many more indicators than have been available previously and by documenting the strength of evidence supporting these indicators. Formal consensus methods are essential for the development of pediatric quality measures because the evidence base for pediatric care is more limited than for adult care.
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Arch Pediat Adol Med · Nov 1997
Variation in the management of pediatric diabetic ketoacidosis by specialty training.
To compare management strategies for pediatric diabetic ketoacidosis (DKA) among physicians with different specialty training. ⋯ Substantial differences exist in the management of pediatric DKA among physicians of different specialties, presumably due to differences in specialty training. These differences obscure our ability to evaluate the treatment of DKA and highlight the necessity for further studies comparing the outcomes of different treatment strategies.
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Arch Pediat Adol Med · Oct 1997
Multicenter StudyEffect of 2 urban emergency department immunization programs on childhood immunization rates.
Emergency departments (EDs) are recommended as sites for immunizing children. However, there is little information about the effect of ED immunization programs on immunization rates. ⋯ This ED immunization program temporarily improved the immunization rates of the ED population, but substantial personnel time was required to achieve these small gains. Urban ED immunization programs are unlikely to be cost-effective.
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Arch Pediat Adol Med · Oct 1997
Herpes simplex virus-associated erythema multiforme in prepubertal children.
To examine clinical associations, evolution of the condition, and response to treatment of erythema multiforme (EM) in prepubertal children. ⋯ The HSV-associated EM is a recurrent disease that can be precipitated by sun exposure and does not progress to Stevens-Johnson syndrome. Childhood HSV-associated EM may be unresponsive to treatment with oral steroids or oral or topical acyclovir. Frequent recurrences of EM may be abrogated by prophylactic treatment with acyclovir.