scholarly journals Aggression management in a children's hospital setting

2012 ◽  
Vol 196 (3) ◽  
pp. 198-201 ◽  
Author(s):  
Sandy M Hopper ◽  
Franz E Babl ◽  
Claire E Stewart ◽  
Jia Wei Woo
Keyword(s):  
Hospital Setting ◽  
Children's Hospital ◽  
Aggression Management ◽  
Children’S Hospital

The effects of traffic light labelling versus cartoon labelling on food and beverage purchases in a children's hospital setting

2017 ◽  
Vol 13 (4) ◽  
pp. 265-268 ◽  
Author(s):  
O. R. Whitt ◽  
S.B. Jilcott Pitts ◽  
A. P. Rafferty ◽  
C. R. Payne ◽  
S. W. Ng
Keyword(s):  
Hospital Setting ◽  
Traffic Light ◽  
Children's Hospital ◽  
Food And Beverage ◽  
Children’S Hospital

Low Intervention Rate for Blunt Pediatric Splenic Injury in a Children's Hospital Setting

2013 ◽  
Vol 179 (2) ◽  
pp. 343
Author(s):  
K.M. Day ◽  
V.D. Duron ◽  
S.A. Steigman ◽  
F.I. Luks ◽  
J.T. Aidlen
Keyword(s):  
Splenic Injury ◽  
Hospital Setting ◽  
Children's Hospital ◽  
Children’S Hospital

scholarly journals Animal assisted interventions in the children's hospital: protocol for a scoping review

2021 ◽  
Vol 3 ◽  
pp. 74
Author(s):  
Rachel Howe ◽  
Sandra Nicholson ◽  
Attracta Lafferty ◽  
Carmel Davies ◽  
Diarmuid Stokes ◽  
...  
Keyword(s):  
Scoping Review ◽  
Scientific Evidence ◽  
Companion Animals ◽  
Hospital Setting ◽  
Evidence Base ◽  
Hospital Environment ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
Review Protocol ◽  
Long Term Impact

The introduction of Animal Assisted Interventions (AAIs) in healthcare is relatively common; however, their actual effectiveness and long-term impact are not so well known, especially in relation to the children’s hospital setting.  It is important to plot where and why animal interventions take place but also to focus on how the human animal bond impacts on children in a children’s hospital setting.  Family members, including companion animals, are important supports which help children to relax and give them a sense of familiarity to navigate the busy and stressful hospital environment.  The scoping review of the literature proposed will explore the scientific evidence base for AAIs in children’s hospitals and will map results prior to undertaking a full scale research project.   Arksey and O’Malley’s framework guided by the Joanna Briggs Institute will frame this review protocol.  Appendices are used to ensure transparency of methods. The protocol is presented in narrative style to demonstrate flow, fluency, and appeal to wider readership.

scholarly journals Clinical and Molecular Features of Decreased Chlorhexidine Susceptibility among Nosocomial Staphylococcus aureus Isolates at Texas Children's Hospital

2015 ◽  
Vol 60 (2) ◽  
pp. 1121-1128 ◽  
Author(s):  
J. Chase McNeil ◽  
Eric Y. Kok ◽  
Jesus G. Vallejo ◽  
Judith R. Campbell ◽  
Kristina G. Hulten ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Hospital Setting ◽  
Bloodstream Infections ◽  
Hospital Environment ◽  
Content Type ◽  
Children's Hospital ◽  
Molecular Features ◽  
Children’S Hospital ◽  
Topical Antimicrobials ◽  
Mupirocin Resistance

ABSTRACTOne of the strategies utilized to decrease infections in the hospital setting relies on topical antimicrobials and antiseptics. While their use is beneficial, concerns arise over the potential to develop resistance or tolerance to these agents. We examined nosocomialStaphylococcus aureusisolates from 2007 to 2013 for the presence of genes associated with tolerance to chlorhexidine. Isolates and patients were identified from anS. aureussurveillance study at Texas Children's Hospital. NosocomialS. aureusisolates (those causing infection at ≥72 h of hospitalization) were identified and underwent PCR for theqacAorqacB(qacA/B) andsmrgenes associated with elevated minimum bactericidal concentrations of chlorhexidine. Molecular typing with pulsed-field gel electrophoresis (PFGE), multilocus sequence typing (MLST), andagrtyping and a review of the medical record were performed. Two hundred forty-seven nosocomialS. aureusinfections were identified. Overall, 111 isolates carried one or both genes (44.9%); 33.1% were positive forsmr, 22.7% were positive forqacA/B, and 10.9% of the isolates possessed both genes. Thesmr-positive isolates were more often resistant to methicillin, ciprofloxacin, and/or clindamycin. The isolates positive forqacA/Bwere more often associated with indwelling central venous catheters and a vancomycin MIC of ≥2 μg/ml. Isolates carrying eithersmrorqacA/Bwere associated with a diagnosis of bacteremia. Thesmr-positive isolates more often belonged to sequence type 8 (ST8) than the isolates that were positive forqacA/B. Mupirocin resistance was detected in 2.8% of the isolates. Antiseptic-tolerantS. aureusstrains are common in our children's hospital and are associated with decreased susceptibility to other systemic antimicrobials and with bloodstream infections. Further work is needed to understand the implications that these organisms have on the hospital environment and antiseptic use in the future.

scholarly journals Effectiveness of Preventive Measures in Keeping Low Prevalence of SARS-CoV-2 Infection in Health Care Workers in a Referral Children’s Hospital in Southern Italy

2021 ◽  
Vol 13 (1) ◽  
pp. 118-124
Author(s):  
Désirée Caselli ◽  
Daniela Loconsole ◽  
Rita Dario ◽  
Maria Chironna ◽  
Maurizio Aricò
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Southern Italy ◽  
Hospital Setting ◽  
Nasopharyngeal Swab ◽  
Rt Pcr ◽  
Children's Hospital ◽  
Care Workers ◽  
Children’S Hospital ◽  
Second Wave

The coronavirus disease 2019 (COVID-19) pandemic now represents a major threat to public health. Health care workers (HCW) are exposed to biological risk. Little is currently known about the risk of HCW operating in pediatric wards for SARS-CoV-2 infection. The aim is to assess the prevalence of SARS-CoV-2 infection in HCW in a third-level children’s hospital in Southern Italy. An observational cohort study of all asymptomatic HCW (physician, technicians, nurses, and logistic and support operators) was conducted. HCW were screened, on a voluntary basis, for SARS-CoV-2 by RT-PCR on nasopharyngeal swab performed during the first wave of COVID-19. The study was then repeated, with the same modalities, at a 7-month interval, during the “second wave” of the COVID-19 pandemic. At the initial screening between 7 and 24 April 2020, 525 HCW were tested. None of them tested positive. At the repeated screening, conducted between 9 and 20 November 2020, 627 HCW were tested, including 61 additional ones resulting from COVID-emergency recruitment. At this second screening, eight subjects (1.3%) tested positive, thus being diagnosed as asymptomatic carriers of SARS-CoV-2. They were one physician, five nurses, and two HCW from the logistic/support services. They were employed in eight different wards/services. In all cases, the epidemiological investigation showed convincing evidence that the infection was acquired through social contacts. The study revealed a very low circulation of SARS-CoV-2 infection in HCW tested with RT-PCR. All the infections documented in the second wave of epidemic of SARS-CoV-2 were acquired outside of the workplace, confirming that in a pediatric hospital setting, HCW education, correct use of personal protective equipment, and separation of the COVID-patient pathway and staff flow may minimize the risk derived from occupational exposure.

Assessing Immediate Bed Availability and Barriers to Discharge in a United States Children’s Hospital

2020 ◽  
pp. 1-5
Author(s):  
M. Catherine Burgess ◽  
Debbie DeLorenzo ◽  
Carl Eriksson
Keyword(s):  
United States ◽  
Large Scale ◽  
Pediatric Population ◽  
Hospital Setting ◽  
Hospitalized Patients ◽  
Treatment Needs ◽  
Children's Hospital ◽  
Discharge Plan ◽  
Children’S Hospital ◽  
Total Capacity

ABSTRACT Objectives: The aim of this study was to quantify immediate bed availability (IBA) in a United States children’s hospital and treatment needs of hospitalized patients whose needs could be met outside a traditional hospital setting. Methods: Using a novel tool to capture census, scheduled discharges, and resource needs for hospitalized patients, we surveyed our hospital’s 5 non-neonatal inpatient pediatric units on 4 d over 1 y. Results: Median ward occupancy was 81% (range, 58-79), median intensive care unit occupancy was 80% (range, 7-19), and median IBA was 42% (range, 34-59). A median of 14 patients per day (13% of total capacity) had treatment needs that could be met by providing limited support in a nontraditional setting; the most common reason for requiring ongoing hospitalization in this group of patients was a safe discharge plan. Conclusions: Our median IBA of 42% exceeds federal recommendations, but varies widely between days surveyed. Even on days when IBA percentage is high, our total number of available beds is unlikely to meet pediatric population needs in a large-scale public health emergency.

scholarly journals SLAP TEARS IN THE PEDIATRIC PATIENT: WHO IS TREATING THEM AND WHERE?

2019 ◽  
Vol 7 (3_suppl) ◽  
pp. 2325967119S0005
Author(s):  
Lauren Agatstein ◽  
Matthew J. Brown ◽  
Nicole Friel ◽  
Brian Haus
Keyword(s):  
Sports Medicine ◽  
Tertiary Care ◽  
Hospital Setting ◽  
Children's Hospitals ◽  
Children's Hospital ◽  
Pediatric Hospitals ◽  
Insurance Type ◽  
Slap Repair ◽  
Children’S Hospitals ◽  
Children’S Hospital

BACKGROUND: Although rare in comparison to adult cohorts, superior labral anterior to posterior (SLAP) tears do occur in children and adolescents. Previous publications have focused on the varied surgical treatments of SLAP tears in pediatric hospitals but have not stratified treatments by surgeon training or hospital setting. The objective of this study is to evaluate the demographics of patients under the age of 18 undergoing SLAP surgery as well as to evaluate the influence of hospital setting (hospital self-designation as pediatric vs. non-pediatric) and the trends of treatment choice (debridement versus repair) over a period of time. METHODS: The California statewide outpatient database (OSHPD) was queried for all patients under 18 years old who underwent a SLAP debridement or repair in the state of California between 2008 and 2016. The effect of age, hospital setting (pediatric versus adult hospital), gender, insurance type, race, and year of service were assessed using logistic regression. RESULTS: A total of 1,349 patients under age 18 years underwent surgery for a SLAP tear between 2008 and 2016. SLAP repair was performed in 83.8% of patients while SLAP debridement was performed in 16.2% of patients. 80.9% of patients were treated at non-children’s hospitals and 19.1% were treated at children’s hospitals. At non-children’s hospitals, 161 (14.7%) had SLAP debridement and 931 (85.3%) had SLAP repair. At children’s hospitals, 57 patients (22.2%) had SLAP debridement and 200 (77.8%) had SLAP repair. The odds of having a SLAP repair over SLAP debridement decreases by a factor of .58 (p < 0.01) when patients have surgery at a children’s hospital versus at a non-children’s hospital. Age, gender, race, and insurance type were not statistically significant in predicting whether patients underwent SLAP repair versus debridement. Analysis of each individual year of service over the study period from 2008 to 2016 revealed the odds of having a SLAP repair over debridement increased each year by a factor of 1.1 (p < 0.001). CONCLUSIONS: The majority of surgeries treating SLAP tears in patients under the age of 18 are performed in non-pediatric hospitals. However, previous literature reporting on outcomes of SLAP surgery on patients under 18 is based in tertiary care pediatric centers,, which is likely not representative of this patient population. We hypothesize that this discrepancy may be due to shoulder surgeries more often being performed by sports medicine trained orthopedic surgeons who are not tied to operating in pediatric hospitals. Further, the yearly increased rate of SLAP repair over debridement is likely due to the prevailing knowledge in the orthopedic sports literature that repair is preferable to debridement in younger patients.

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