Archives of Disease in Childhood - Education and Practice This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

A team beyond my team: establishing a national online neurodisability and community child health educational programme and network - a personal reflection
The experience of establishing a virtual team and developing a national neurodisability and community online learning platform is discussed. The aim of the article is to advocate for the development of shared practice and communities of learning. Lessons learnt within this specialty forum may have broader relevance that could inform approaches to postgraduate teaching and virtual or online education. Regular access to national expert speakers offers trainees autonomy to meet their needs beyond local provision. Mapping objectives to the subspecialty level 3 curricula has been appreciated by both learners and speakers. Ease ...
Source: Archives of Disease in Childhood - Education and Practice - March 17, 2023 Category: Pediatrics Authors: Nicholson, H., Gumm, R., Cheung, Y., Barlow, T. Tags: Learning and teaching, COVID-19 Source Type: research

Virtual paediatrics: what COVID-19 has taught us about online learning
What is online learning? Online learning, unlike traditional learning from face-to-face lectures, tutorials, ward rounds and private study of published materials, involves the use of internet-based technology to deliver educational content. Terms such as online learning, e-learning, web-based learning and distant learning are often used synonymously without clear distinction.1 Online learning can stand alone or be part of a blended model in which online content supplements face-to-face interactions. Content can be delivered synchronously (live video conferencing and chat rooms) or asynchronously (prerecorded lectures, podc...
Source: Archives of Disease in Childhood - Education and Practice - March 17, 2023 Category: Pediatrics Authors: Johnston, R., Sen, C., Baki, Y. Tags: Learning and teaching, COVID-19 Source Type: research

Are you OK?
2020 and, at the time of writing, the start of 2021 has been very difficult for many doctors. COVID-19 has compounded other stresses doctors regularly experience, including long hours, antisocial working patterns, sleep deprivation, rota gaps, exams, interviews and frequent job changes. As paediatricians some of our experiences can be deeply traumatising, and yet we may feel unable to allow ourselves the time and space desperately needed to ensure that we are OK. As a team, we rely on one another for support, and noting how those around us are managing is key to cohesive teamworking and ensuring the well-being of colleague...
Source: Archives of Disease in Childhood - Education and Practice - March 17, 2023 Category: Pediatrics Authors: Finlay, F., Baverstock, A., Cotton, H. Tags: Wellbeing at work Source Type: research

Developing a climate for safe prescribing for children
Key messages Evidence shows that prescribing errors have multiple complex causes, so improving safety is less about training individuals and more about creating a safer prescribing climate. Familiar interventions can be effective but practitioners should adapt them to their context and stay alert to the impact of workplace culture. Implementation science offers tools and approaches to help evaluate, refine and share solutions to complex problems like safe prescribing. Introduction How do you solve a problem like prescribing? Prescribing error—a foremost threat to paediatric safety1—has been studied (eg, multice...
Source: Archives of Disease in Childhood - Education and Practice - March 17, 2023 Category: Pediatrics Authors: Conn, R. L., Ainley, E. Tags: Medicines update Source Type: research

STAMP: a 5-year project to reduce paediatric prescribing errors
We describe an ongoing quality improvement project to reduce paediatric prescribing errors following our earlier interventions previously published. (Source: Archives of Disease in Childhood - Education and Practice)
Source: Archives of Disease in Childhood - Education and Practice - March 17, 2023 Category: Pediatrics Authors: Trivedi, A., Ajitsaria, R., Bate, T. Tags: Quality improvement Source Type: research

Reducing prescribing errors: making electronic prescribing work for cystic fibrosis inpatients
We describe a multidisciplinary quality improvement project that combined a computerised order entry system (CPOE) with human factor process changes. Over 12 months, our run chart showed a 43% reduction in prescription errors. For medications prescribable via the CPOE, errors reaching the patient reduced from 50% to 29%. Electronic prescribing can be seen by clinicians as a fixed unalterable system contributing to rather than ameliorating errors. Improving safety requires whole team engagement and working closely with programmers to adapt function and influence human factors. (Source: Archives of Disease in Childhood - Education and Practice)
Source: Archives of Disease in Childhood - Education and Practice - March 17, 2023 Category: Pediatrics Authors: Vittery, E. R., Bayliss, E., Heed, A., Fagan, C., Thomas, M., Tse, Y. Tags: Quality improvement Source Type: research

Integrated care and co-production during a pandemic: responding to the needs of local populations using infographics
Connecting Care for Children, an integrated care collaborative in northwest London, responded to local child health needs during the start of the COVID-19 pandemic through the co-production of infographics. Here we describe the development and evaluation of co-produced infographics using quality improvement methodology, to highlight their effectiveness in swiftly responding to local community health concerns. (Source: Archives of Disease in Childhood - Education and Practice)
Source: Archives of Disease in Childhood - Education and Practice - March 17, 2023 Category: Pediatrics Authors: Gilmartin, C., Soni, A., Rutherford, P., Watson, M. Tags: COVID-19 Quality improvement Source Type: research

Chlamydia trachomatis conjunctivitis in the pre-pubertal child
We present the case of a 7-year-old girl, referred for assessment at the sexual assault referral centre following the diagnosis of unilateral C. trachomatis conjunctivitis. This child underwent a rigorous multiagency child protection process, with input from medical professionals, social services and the police to investigate the possibility of child sexual abuse (CSA). However, a group consensus was reached that non-sexual close contact transfer of C. trachomatis from the mother was the most likely mode of transmission and cause of infection. We aim to take the reader through the complex path to this conclusion, the appro...
Source: Archives of Disease in Childhood - Education and Practice - March 17, 2023 Category: Pediatrics Authors: Moore, R., Mallett, P., Hull, S., Christie, S., Simpson, E., Bowen, J., Dinsmore, W., McCaughey, C., Livingstone, A. Tags: Problem solving in clinical practice Source Type: research

NICE guideline review: looked-after children and young people (NG205)
Background The number of looked-after children in England continues to increase. In 2009, around 60 000 children and young people in England were looked-after1 and this has risen to just over 80 000 in 2021.2 The National Society for the Prevention of Cruelty to Children estimates there were approximately 102 000 looked-after children in the UK as a whole in 2018–2019.3 As a comparison, France with a similar size population to the UK had just over 158 000 children in alternative care in 2017.4 The majority of children in England are in foster placements (72%) with the remainder between residential care, connected car...
Source: Archives of Disease in Childhood - Education and Practice - March 17, 2023 Category: Pediatrics Authors: Field, Z. Tags: Guideline review Source Type: research

Babies, children and young peoples experience of healthcare guideline review
Background Optimising patient experience is a key part of effective healthcare for adults. Babies, children and young people are entitled to the same high-quality healthcare experience. This is the first guideline of its type, published in August 2021. It aims to describe good patient experience for babies, children and young people and make recommendations on how it can be delivered.1 Key recommendationsOverarching principles Adhere to all legislation and policies regarding safeguarding and the rights of babies, children and young people. Recognise that children and young people’s needs, preferences and engagement w...
Source: Archives of Disease in Childhood - Education and Practice - March 17, 2023 Category: Pediatrics Authors: Alcock, A., Richardson, M. Tags: Guideline review Source Type: research

NICE: Babies, children and young peoples experience of healthcare--a young person's viewpoint
The NICE guideline on Babies, Children and Young People’s Experiences of Healthcare is the first of its kind; a document based on evidence but most importantly includes our views, as young people with lived experience of accessing healthcare. Hearing views and experiences of children and young people is vital not just to understand their experience but to also actively shape and improve it for future generations. The United Nations Convention on the Rights of the Child states that "Every child has the right to express their views, feelings and wishes in all matters affecting them, and to have their views considered a...
Source: Archives of Disease in Childhood - Education and Practice - March 17, 2023 Category: Pediatrics Authors: Farooq, A., Beeden, E. Tags: Guideline review Source Type: research

Fifteen-minute consultation: Guide to communicating with children and young people
This article suggests communicative steps and strategies to help healthcare professionals achieve the ideals of child-centred care, which place children and young people at the centre of policy and practice. For those with 15 s, not 15 min, our suggestions can be summarised like this: help children be active agents in their own care by asking, listening well, being curious and explaining things clearly in an accessible but not condescending way. (Source: Archives of Disease in Childhood - Education and Practice)
Source: Archives of Disease in Childhood - Education and Practice - March 17, 2023 Category: Pediatrics Authors: Davison, G., Conn, R., Kelly, M. A., Thompson, A., Dornan, T. Tags: Editor's choice, Best practice and Fifteen Minute Consultations Best practice and Fifteen-minute consultations Source Type: research

Fifteen-minute consultation: A structured approach to children with parapneumonic effusion and empyema thoracis
This article provides a clear, evidence-based and structured approach to the assessment and management of parapneumonic effusion/empyema thoracis in children and young people. (Source: Archives of Disease in Childhood - Education and Practice)
Source: Archives of Disease in Childhood - Education and Practice - March 17, 2023 Category: Pediatrics Authors: Dykes, J. K. B., Lawton, A., Burchett, S., Gupta, A. Tags: Best practice and Fifteen Minute Consultations Best practice and Fifteen-minute consultations Source Type: research

Fifteen-minute consultation: Bruising in the premobile child
A bruise in a premobile infant is an uncommon finding and often results in referral to the paediatric or emergency departments, acknowledging the potential for physical abuse in this vulnerable cohort. Our role as clinicians is to undertake a thorough assessment, consider potential differentials and organise appropriate investigations, with involvement of the wider multidisciplinary team. In this article, we use a case vignette to discuss how one would approach a bruise in the premobile infant including the evidence base. (Source: Archives of Disease in Childhood - Education and Practice)
Source: Archives of Disease in Childhood - Education and Practice - March 17, 2023 Category: Pediatrics Authors: Wallace, F., Collins, J.-A., Talawila Da Camara, N., Kemp, A. M., Prosser, I., Mullen, S. Tags: Best practice and Fifteen Minute Consultations Best practice and Fifteen-minute consultations Source Type: research

Epistle
Recently I had the privilege of co-chairing an education webinar hosted by the Royal Society of Medicine (RSM) on ‘Practical paediatrics for the generalist’.1 Using an online education platform, it delivered an eclectic mix of practical, cross- cutting issues of health inequalities and evidence-based talks based on ADC ‘Best Practice’ articles. This event was a coproduction with authors; participants were a wide range of health professionals including general practitioners, paediatricians, allied health and nursing staff. The webinar reminded me of how are authors’ contributions produceinvalua...
Source: Archives of Disease in Childhood - Education and Practice - March 17, 2023 Category: Pediatrics Authors: Gupta, N. Tags: Highlights from this issue Source Type: research