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Evaluation of Exome Sequencing Criteria for Hospital Stewardship and Insurance Authorization at a Pediatric Hospital
CONCLUSIONS.—: Insurance payers should consider implementing and/or expanding coverage criteria for ES and institutions should implement stewardship programs to support appropriate ES practices.PMID:33836053 | DOI:10.5858/arpa.2020-0572-OA
Source: Archives of Pathology and Laboratory Medicine - April 9, 2021 Category: Laboratory Medicine Authors: Claire L Wittowski Sarah Clowes Candadai Marie E Perrone Daniel F Gallego Jessie H Conta Jane A Dickerson Source Type: research

Addressing health care inequities in Canadian critical care through inclusive science: a pilot tool for standardized data collection
ConclusionWe developed a standardized, practical, and convenient demographic data collection tool for critical care research studies. Questions and response options can be adapted by researchers for inclusion in individual study questionnaires or case report forms.
Source: Canadian Journal of Anesthesia - May 10, 2023 Category: Anesthesiology Source Type: research

Technology application: Disruptive, empowering, controlling?
This study was not aimed at evaluating the impact of tele-ICU on care outcomes.” Readers are encouraged to review the article carefully and to decide whether this technologic accoutrement will aid in their particular environment. The authors point out that “Moreover, the tele-ICU has no impact on patient care processes and outcomes when the technology is not accepted and used by ICU staff.” This is not an unexpected finding. It is likely that future critical care practice will involve increased process standardization to expedite care and provide benchmarks against which individual unit outcomes will be compared. Imp...
Source: Journal of Critical Care - May 3, 2013 Category: Intensive Care Authors: Philip D. Lumb Tags: Editorial Source Type: research

Direct Cost of Critical Illness Associated Healthcare Expenditures among Children Admitted in Pediatric Intensive Care Unit in Rural India
Conclusions There is a high direct expenditure incurred by families of children receiving intensive care when seen in perspective of high rates of extreme poverty in rural India. These high expenditures make critical care unaffordable to majority of the population lacking insurance cover in resource limited regions with limited universal health coverage, which ultimately leads to suboptimal care and high childhood mortality. It is highly imperative for the governments and global health organizations to be sensitive towards this issue and to plan strategies for the same across different nations.
Source: Indian Journal of Pediatrics - May 31, 2016 Category: Pediatrics Source Type: research

Pediatric Complex Chronic Conditions: Does the Classification System Work for Infants?
CONCLUSIONS:: The findings suggested that the infants are not commonly classified with a CCC and highlighted the significant variation in race with African American infants exhibiting different CCC classifications than Caucasian infants. Given the importance of reducing disparities in palliative care, critical attention to using CCC classifications in research is warranted. PMID: 30943756 [PubMed - as supplied by publisher]
Source: The American Journal of Hospice and Palliative Care - April 2, 2019 Category: Palliative Care Authors: Lindley LC, Fortney CA Tags: Am J Hosp Palliat Care Source Type: research

Racial/Ethnic Disparities in Triage Scores Among Pediatric Emergency Department Fever Patients
Conclusions Findings suggest racial disparities in the triage of NH black pediatric patients older than 1 year for fever. Although fever is a single and often non–life-threatening condition, especially after infancy, findings of racial disparities in triage scores suggests a need for further evaluation of the assignment of patient urgency in emergency medicine.
Source: Pediatric Emergency Care - December 1, 2021 Category: Emergency Medicine Tags: Original Articles Source Type: research

Sickness in the Information Technology Sector: Technical problems, discord plagued Maryland health care site
Eye-opening, ground-level, no-holds-barred accounts of IT mismanagement and mayhem are too rare, considering the stakes in 2013.  The behind-the-scenes crap that goes on needs a great deal of sunlight. Below is such an account of great merit, in the Baltimore Sun.First, I note physicians and nurses are generally able to collaborate to take care of sick patients.  They are natural "team players"; taking care of patients is their professional calling.  I did it all the time in my patient care years, especially in critical care settings, where lack of collaboration with colleagues could lead to dead patients.IT...
Source: Health Care Renewal - December 9, 2013 Category: Health Medicine and Bioethics Commentators Tags: EngagePoint Inc. healthcare IT difficulties Mismanagement Noridian Healthcare Solutions Obamacare Obamacare Exchange Websites Rebecca Pearce Source Type: blogs

20 Years of Pediatric Anterior Cruciate Ligament Reconstruction in New York State
Conclusion: This study is the first to quantify the increasing rate of ACL reconstructions in the skeletally immature. Only ACL reconstructions were assessed, and it is possible that some ACL tears in children are not diagnosed or are treated nonoperatively. The rate of ACL tears in New York State is likely higher than the rate of reconstructions reported in this study. Significance: This study quantifies the increasing rate of ACL reconstruction in the skeletally immature and suggests that there may be some disparities in care based on insurance status.
Source: The American Journal of Sports Medicine - February 28, 2014 Category: Sports Medicine Authors: Dodwell, E. R., LaMont, L. E., Green, D. W., Pan, T. J., Marx, R. G., Lyman, S. Tags: Epidemiology, Knee ligaments, ACL, Pediatric sports medicine Source Type: research

Healing Moral Injury in Health Care
Mental health disorders are in vogue, and by that I mean our society pays a lot of attention to quantifying and identifying the social and mental dysfunctions of modern life. It is my belief that most mental health conditions represent ancient helpful survival mechanisms that have become dysfunctional because they clash with modern social systems. Violent trauma often leads to post traumatic stress disorder. Bipolar individuals might just have a physiologically heightened sensitivity to the fact that modern life is absurd and maddening. The morally injured feel genuinely betrayed and guilty. Moral injury (MI) is largely ig...
Source: Society for Participatory Medicine - December 6, 2016 Category: Journals (General) Authors: Nanette Mattox Tags: Newsletter Mental Health Moral Injury participatory medicine Patient engagement Source Type: news

Adult Outcomes After Newborn Respiratory Failure Treated With Extracorporeal Membrane Oxygenation*
Conclusions: Most young adult survivors in this study cohort treated with extracorporeal membrane oxygenation as neonates are satisfied with their lives, working and/or in college, in good health and having families. These successes are occurring despite obstacles involving health issues such as asthma, attention deficit disorder, learning difficulties, and vision and hearing problems; this is especially evident in the congenital diaphragmatic hernia cohort. Selection bias inherent in such a long-term study may limit generalizability, and it is imperative to note that our sample may not be representative of the whole.
Source: Pediatric Critical Care Medicine - January 1, 2017 Category: Pediatrics Tags: Extracorporeal Support Source Type: research

Healing Moral Injury in Health Care
Mental health disorders are in vogue, and by that I mean our society pays a lot of attention to quantifying and identifying the social and mental dysfunctions of modern life. It is my belief that most mental health conditions represent ancient helpful survival mechanisms that have become dysfunctional because they clash with modern social systems. Violent trauma often leads to post traumatic stress disorder. Bipolar individuals might just have a physiologically heightened sensitivity to the fact that modern life is absurd and maddening. The morally injured feel genuinely betrayed and guilty. Moral injury (MI) is largely ig...
Source: Society for Participatory Medicine - December 6, 2016 Category: General Medicine Authors: Nanette Mattox Tags: Newsletter Mental Health Moral Injury participatory medicine Patient engagement Source Type: news

Online physician reviews: A physician does a study on himself
In theory, of course, it’s a great idea for people to give their opinions and rate their experiences with any goods or services they buy. The notion goes back long before the Internet with publications like Consumer Reports, which is now itself online. Sites such as Angie’s List are very popular and can give you testimonials about providers of everything from home renovations to car repair to daycare. So it’s not surprising several entrepreneurs have started physician rating sites. A huge issue is the sample size is so tiny; many physicians get only a single review. Also, the reviews are anonymous, and there have ...
Source: Kevin, M.D. - Medical Weblog - October 28, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/christopher-johnson" rel="tag" > Christopher Johnson, MD < /a > Tags: Physician Hospital-Based Medicine Pediatrics Source Type: blogs