Archives of pediatrics & adolescent medicine
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Arch Pediatr Adolesc Med · Oct 2008
Comparative StudyStaff-only pediatric hospitalist care of patients with medically complex subspecialty conditions in a major teaching hospital.
To assess cost and length of stay for subspecialty patients on a staff-only general pediatric hospitalist service vs traditional faculty/housestaff subspecialty services in a major teaching hospital. ⋯ Compared with the subspecialist faculty/housestaff system, the staff-only pediatric hospitalist system was associated with a marked reduction in cost and length of stay for patients with medically complex subspecialty diseases. In this era of resident duty-hour restrictions and medical complexity of conditions in inpatients, staff-only hospitalist programs may have a vital role in pediatric teaching hospitals.
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Arch Pediatr Adolesc Med · Oct 2008
Randomized Controlled TrialCost-effectiveness analysis of anesthetic agents during peripheral intravenous cannulation in the pediatric emergency department.
To conduct a cost-effectiveness analysis of anesthetic agents to reduce the pain of peripheral intravenous cannulation in an emergency department (ED) setting. ⋯ Currently, the needle-free jet injection of lidocaine device and injection of buffered lidocaine appear to provide the most cost-effective alternatives to pediatric ED physicians.
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Arch Pediatr Adolesc Med · Sep 2008
Randomized Controlled TrialRandomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children.
To evaluate the efficacy of a pictogram-based health literacy intervention to decrease liquid medication administration errors by caregivers of young children. ⋯ A plain language, pictogram-based intervention used as part of medication counseling resulted in decreased medication dosing errors and improved adherence among multiethnic, low socioeconomic status caregivers whose children were treated at an urban pediatric emergency department.
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To determine the occurrence of bruising near the site of fracture in a group of children with inflicted fractures. ⋯ In children with inflicted skeletal trauma, the fractured bones that most frequently have associated bruising are the skull bones. The presence of bruising near the fracture site is uncommon in extremity or rib fractures.