Explanipedia

Beyond Grades: Harnessing Digital Badges to Champion Holistic Skill Development and Celebrate Active Engagement across a Large Enrollment Organic Chemistry Module Open

Frances Heaney, Trinidad Velasco‐Torrijos, Carmel B. Breslin, Robert B. P. Elmes, John R. Stephens , et al. · 2025

Trends in Respiratory Pathogen Testing at US Children’s Hospitals Open

Matthew J. Molloy, Matthew Hall, Jessica L. Markham, Jillian M. Cotter, Elisha McCoy , et al. · 2025

Importance: Respiratory pathogen testing has been a common deimplementation focus. The COVID-19 pandemic brought new considerations for respiratory testing; recent trends in testing rates are not well understood. Objective: To measure tren…

Trends in Respiratory Pathogen Testing at US Children’s Hospitals Open

Matthew J. Molloy, Matthew Hall, Jessica L. Markham, Jillian M. Cotter, Elisha McCoy , et al. · 2025

Importance Respiratory pathogen testing has been a common deimplementation focus. The COVID-19 pandemic brought new considerations for respiratory testing; recent trends in testing rates are not well understood. Objective To measure trends…

Childhood Opportunity Index and Low-Value Care in Children’s Hospitals Open

Irma T. Ugalde, Alan R. Schroeder, Jennifer R. Marín, Matt Hall, Elisha McCoy , et al. · 2024

BACKGROUND AND OBJECTIVE Few studies have explored the relationship between social drivers of health and pediatric low-value care (LVC). We assessed the relationship between Childhood Opportunity Index (COI) 2.0 and LVC in children’s hospi…

Unilateral Periorbital Swelling in a Pediatric Patient Open

Ana Rosas Herrera, Ashley B Parker, Mark B. Chaskes, Frederic B. Askin, Aurelia S. Monk , et al. · 2024

Infratemporal fossa (ITF) tumors are rare in children and may present with a variety of symptoms. Teratomas are neoplasms derived from the 3 germ layers and approximately 6% to 10% are within the head and neck. Our study discusses one of t…

Outcomes associated with initial narrow‐spectrum versus broad‐spectrum antibiotics in children hospitalized with urinary tract infections Open

Jessica L. Markham, Alaina Burns, Matt Hall, Matthew J. Molloy, John R. Stephens , et al. · 2024

Objective The aim of this study is to describe the proportion of children hospitalized with urinary tract infections (UTIs) who receive initial narrow‐ versus broad‐spectrum antibiotics across children's hospitals and explore whether the u…

Changing patterns of routine laboratory testing over time at children's hospitals Open

Michael J. Tchou, Matt Hall, Jessica L. Markham, John R. Stephens, Michael Steiner , et al. · 2024

Background Research into low‐value routine testing at children's hospitals has not consistently evaluated changing patterns of testing over time. Objectives To identify changes in routine laboratory testing rates at children's hospitals ov…

Byron and Trinity Open

Danish Sculptor Bertel, Thorvaldsen Photograph, James Kirwan, Jeevanjot Nagpal, Adrian Poole , et al. · 2024

This collection of essays reprints previously published writings about Trinity College Cambridge's most celebrated writer, Lord Byron, for the bicentennial commemoration of his death on 19 April 1824. Bringing together diverse contribution…

Phlebotomy‐free days in children hospitalized with common infections and their association with clinical outcomes Open

Megan E. Collins, Matt Hall, Samir S. Shah, Matthew J. Molloy, Paul L. Aronson , et al. · 2024

Background Phlebotomy for hospitalized children has consequences (e.g., pain, iatrogenic anemia), and unnecessary testing is a modifiable source of waste in healthcare. Days without blood draws or phlebotomy‐free days (PFDs) has the potent…

Unilateral Periorbital Swelling in a Pediatric Patient Open

Ana Rosas Herrera, Ashley B Parker, Mark B. Chaskes, Frederic B. Askin, Aurelia S. Monk , et al. · 2024

Infratemporal fossa (ITF) tumors are rare in children and may present with a variety of symptoms. Teratomas are neoplasms derived from the 3 germ layers and approximately 6% to 10% are within the head and neck. Our study discusses one of t…

Pediatric Hospitalization Trends at Children’s and General Hospitals, 2000-2019 Open

Michael Steiner, Matt Hall, Ashley G. Sutton, John R. Stephens, JoAnna K. Leyenaar , et al. · 2023

This study examines whether pediatric inpatient care has been redistributed from general hospitals into children’s hospitals.

Pilot study of peripheral internal jugular venous catheters on a hospitalist‐run medicine procedure service Open

Jonathon Heath, Erin Finn, Ria Dancel, John R. Stephens · 2023

Providers caring for hospitalized patients with difficult intravenous access (DIVA) frequently use central venous catheters (CVCs). One potential alternative is a peripheral internal jugular (PIJ) catheter, which is less traumatic to place…

Essential Concepts for Reducing Bias in Observational Studies Open

Jessica L. Markham, Troy Richardson, John R. Stephens, James C. Gay, Matt Hall · 2023

Randomized controlled trials (RCTs) are the gold standard study design for clinical research, as prospective randomization, at least in theory, balances any differences that can exist between groups (including any differences not measured …

Variation in stool testing for children with acute gastrointestinal infections Open

Jessica L. Markham, Matt Hall, Megan E. Collins, Samir S. Shah, Matthew J. Molloy , et al. · 2023

Background and Objective Children with gastrointestinal infections often require acute care.The objectives of this study were to describe variations in patterns of stool testing across children's hospitals and determine whether such variat…

Variation in bacterial pneumonia diagnoses and outcomes among children hospitalized with lower respiratory tract infections Open

Jillian M. Cotter, Matt Hall, Samir S. Shah, Matthew J. Molloy, Jessica L. Markham , et al. · 2022

Background Current diagnostics do not permit reliable differentiation of bacterial from viral causes of lower respiratory tract infection (LRTI), which may lead to over‐treatment with antibiotics for possible bacterial community‐acquired p…

Establishment of achievable benchmarks of care in the neurodiagnostic evaluation of simple febrile seizures Open

John R. Stephens, Matt Hall, Matthew J. Molloy, Jessica L. Markham, Jillian M. Cotter , et al. · 2022

Background Current guidelines recommend against neurodiagnostic testing for the evaluation of simple febrile seizures. Objectives (1) Assess overall and institutional rates of neurodiagnostic testing and (2) establish achievable benchmarks…

Position Paper_Physiotherapy Ethical Guidelines Based on UNESCO’s Universal Declaration of Bioethics and Human Rights Open

Russell D’Souza, Mary Mathew, D.S.J. D'Souza, Neelam Mishra, Poovishnu Devi , et al. · 2021

Spontaneous Pneumomediastinum in a Patient with COVID-19 Pneumonia Open

Naseem Alavian, John R. Stephens, Darren A. DeWalt · 2021

Opportunities for Stewardship in the Transition From Intravenous to Enteral Antibiotics in Hospitalized Pediatric Patients Open

Jillian M. Cotter, Matt Hall, Sonya Tang Girdwood, John R. Stephens, Jessica L. Markham , et al. · 2021

BACKGROUND/OBJECTIVE Pediatric patients hospitalized with bacterial infections often receive intravenous (IV) antibiotics. Early transition to enteral antibiotics can reduce hospital duration, cost, and complications. We aimed to identify …

An action research study of theory-based management methods and emergent action-learning frameworks Open

John R. Stephens · 2021

This thesis was scanned from the print manuscript for digital preservation and is copyright the author. Researchers can access this thesis by asking their local university, institution or public library to make a request on their behalf. M…

Who Needs Inpatient Detox? Development and Implementation of a Hospitalist Protocol for the Evaluation of Patients for Alcohol Detoxification Open

John R. Stephens, E. Allen Liles, Ria Dancel, Michael D. Gilchrist, Jonathan Kirsch , et al. · 2020

BACKGROUND: Clinicians caring for patients seeking alcohol detoxification face many challenges, including lack of evidence-based guidelines for treatment and high recidivism rates. OBJECTIVES: To develop a standardized protocol for determi…

Tuberculosis, human rights, and law reform: Addressing the lack of progress in the global tuberculosis response Open

Matthew M. Kavanagh, Lawrence O. Gostin, John R. Stephens · 2020

Mathew Kavanagh and co-authors discuss law reform in the global tuberculosis response.

Tuberculosis, Human Rights, and Law Reform: Addressing the Lack of Progress in the Global Tuberculosis Response Open

Matthew M. Kavanagh, Lawrence O. Gostin, John R. Stephens · 2020

In 2018, the United Nations General Assembly convened the first-ever high-level meeting (HLM) on tuberculosis (TB). Since that time news on the world’s most lethal infectious disease is not good—the 2019 WHO TB report shows 1.2 million peo…

Variation in Proportion of Blood Cultures Obtained for Children With Skin and Soft Tissue Infections Open

John R. Stephens, Matt Hall, Jessica L. Markham, Eric Zwemer, Jillian M. Cotter , et al. · 2020

OBJECTIVES: To identify variation in the proportion of blood cultures obtained for pediatric skin and soft tissue infections (SSTIs) among children’s hospitals. METHODS: We conducted a retrospective cohort study using the Pediatric Health …

Implementation of a fracture liaison service for patients with hip fracture cared for on a hospital medicine service Open

John R. Stephens, Donald Caraccio, Dana R Mabry, Kelly V. Stepanek, Morgan Jones , et al. · 2020

Hip fracture is a common and morbid condition. Prior studies have shown that the majority of patients with fragility fracture are not treated for underlying osteoporosis. Our hospitalist-led co-management service for patients with acute hi…

Pre-laboratory online learning resource improves preparedness and performance in pharmaceutical sciences practical classes Open

Charlotte Sarmouk, Matthew J. Ingram, Clare Read, Marion E. Curdy, Ellen Spall , et al. · 2019

In recent years the delivery of practical laboratories classes has been subjected to debate, with regards to pedagogical efficiency. Our aim was to develop a pre-laboratory online learning resource that enhances the preparedness and perfor…

Stock-outs of antiretroviral and tuberculosis medicines in South Africa: A national cross-sectional survey Open

Bella Hwang, Amir Shroufi, Tinne Gils, Sarah Jane Steele, Anna Grimsrud , et al. · 2019

There was a high prevalence of stock-outs nationwide. Large interprovincial differences in stock-out occurrence, duration, and impact suggest differences in provincial ability to prevent, mitigate and cope within the same framework. End-us…

The Association of Discharge Before Noon and Length of Stay in Hospitalized Pediatric Patients Open

Hailey J. James, Michael Steiner, George M. Holmes, John R. Stephens · 2019

BACKGROUND AND OBJECTIVES To optimize patient throughput, many hospitals set targets for discharging patients before noon (DCBN). However, it is not clear whether DCBN is an appropriate measure for an efficient discharge. This study aims t…

Things We Do for No Reason: Hospitalization for the Evaluation of Patients with Low‐Risk Chest Pain Open

Christopher A. Caulfield, John R. Stephens · 2018

The “Things We Do for No Reason” (TWDFNR) series reviews practices that have become common parts of hospital care but may provide little value to our patients. Practices reviewed in the TWDFNR series do not represent “black and white” conc…

Issues Identified by Postdischarge Contact after Pediatric Hospitalization: A Multisite Study Open

Kris P. Rehm, Mark Brittan, John R. Stephens, Pradeep Mummidi, Michael Steiner , et al. · 2018

BACKGROUND Many hospitals are considering contacting hospitalized patients soon after discharge to help with issues that arise. OBJECTIVES To (1) describe the prevalence of contact‐identified postdischarge issues (PDI) and (2) assess chara…

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