Hospital Medicine
Should Medical Errors Be Disclosed to Pediatric Patients? Pediatricians' Attitudes Toward Error Disclosure
Limited data exist on medical error disclosure in pediatrics. We sought to assess physicians' attitudes toward error disclosure to parents and pediatric patients.Direct Admission to Hospital: A Mixed Methods Survey of Pediatric Practices, Benefits, and Challenges
Direct admissions account for 25% of pediatric unscheduled hospitalizations. Despite this, our knowledge of direct admission practices and safety is limited. This study aimed to characterize direct admission practices, benefits, and challenges at a diverse sample of hospitals and to identify diagnoses most appropriate for this admission approach.Stratification of Children by Medical Complexity
To stratify children using available software, Clinical Risk Groups (CRGs), in a tertiary children's hospital, Seattle Children's Hospital (SCH), and a state's Medicaid claims data, Washington State (WSM), into 3 condition groups: complex chronic disease (C-CD); noncomplex chronic disease (NC-CD), and nonchronic disease (NC).Determinants of Career Satisfaction Among Pediatric Hospitalists: A Qualitative Exploration
To characterize determinants of career satisfaction among pediatric hospitalists working in diverse practice settings; to develop a framework to conceptualize factors influencing career satisfaction.Quality Improvement Research in Pediatric Hospital Medicine and the Role of the Pediatric Research in Inpatient Settings (PRIS) Network
Pediatric hospitalists care for many hospitalized children in community and academic settings, and they must partner with administrators, other inpatient care providers, and researchers to assure the reliable delivery of high-quality, safe, evidence-based, and cost-effective care within the complex inpatient setting. Paralleling the growth of the field of pediatric hospital medicine is the realization that innovations are needed to address some of the most common clinical questions. Some of the unique challenges facing pediatric hospitalists include the lack of evidence for treating common conditions, children with chronic complex conditions, compressed time frame for admissions, and the variety of settings in which hospitalists practice.The Academic Pediatric Association: The First 50 Years
At the 1953 meeting of the American Pediatric Society and Society for Pediatric Research (APS-SPR), Barbara Korsch convened an informal gathering of individuals who shared the notion that outpatient care deserved more attention. Chairs, including those who were “not stereotyped with ambulatory pediatrics,” such as Saul Krugman and Emmett Holt, attended, validating ambulatory pediatrics as “worthy of attention.”1 Informal meetings ensued annually for several years. By the end of the decade, the sentiment of individuals such as Loren MacKinney was that it was time “to actually do some work.”2 Barbara Korsch surveyed the meeting participants to determine what that work might be.Future of Academic General Pediatrics—Areas of Opportunity
The dynamic change in the United States occurring in the diversity of pediatric populations and in health care will dramatically influence many dimensions of care, teaching, research, and advocacy in academic general pediatrics. By 2025, the nonwhite and Hispanic pediatric population will increase to 50% (Figure 1),1,2 leading the demographic change that is projected to occur in the whole United States population by 2050. This shift in population demographics is occurring concurrently with significant changes in both health care funding and the sophistication and complexity of systems caring for children, accentuated by an explosion of information technology.The APA and the Rise of Pediatric Generalist Network Research
The Academic Pediatric Association (APA, formerly the Ambulatory Pediatric Association) first encouraged multi-institutional collaborative research among its members over 30 years ago. Individual APA members subsequently went on to figure prominently in establishing formal research networks. These enduring collaborations have been established to conduct investigations in a variety of generalist contexts. At present, 4 generalist networks—Pediatric Research in Office Settings (PROS), the Pediatric Emergency Care Applied Research Network (PECARN), the COntinuity Research NETwork (CORNET), and Pediatric Research in Inpatient Settings (PRIS)—have a track record of extensive achievement in generating new knowledge aimed at improving the health and health care of children.
