Kristin A. Shadman
YOU?
Author Swipe
View article: A Partner Hospital Intervention to Decrease Readmissions for Newborn Hyperbilirubinemia
A Partner Hospital Intervention to Decrease Readmissions for Newborn Hyperbilirubinemia Open
Introduction: The 2022 American Academy of Pediatrics Clinical Practice Guideline revision for newborn hyperbilirubinemia raised thresholds for phototherapy initiation. Our global aim was to align care across 2 partner hospitals with the r…
View article: A Quality Improvement Project to Improve After-visit Summary Patient Instructions in a Pediatric Multidisciplinary Neuromuscular Program
A Quality Improvement Project to Improve After-visit Summary Patient Instructions in a Pediatric Multidisciplinary Neuromuscular Program Open
Introduction: Multidisciplinary clinics aim to coordinate care between multiple specialties for children with medical complexity yet may result in information overload for caregivers. The after-visit summary (AVS) patient instruction secti…
View article: Disparities in COVID-19 vaccine intentions, testing and trusted sources by household language for children with medical complexity
Disparities in COVID-19 vaccine intentions, testing and trusted sources by household language for children with medical complexity Open
Objectives Children with medical complexity experienced health disparities during the coronavirus disease 2019 (COVID-19) pandemic. Language may compound these disparities since people speaking languages other than English (LOE) also exper…
View article: Screening for Nephropathy in Pediatric Type 2 Diabetes: Quality Improvement to Increase Nephropathy Screening
Screening for Nephropathy in Pediatric Type 2 Diabetes: Quality Improvement to Increase Nephropathy Screening Open
Background: Screening for early detection of microalbuminuria signaling kidney disease should begin as early as the time of diagnosis of youth-onset type 2 diabetes. This quality improvement initiative aimed to standardize urine nephropath…
View article: Qualitative feedback from caregivers in a multidisciplinary pediatric neuromuscular clinic
Qualitative feedback from caregivers in a multidisciplinary pediatric neuromuscular clinic Open
OBJECTIVE: This study explored family satisfaction and perceived quality of care in a pediatric neuromuscular care clinic to assess the value of the multidisciplinary clinic (MDC) model in delivering coordinated care to children with neuro…
View article: Perspectives of Health Care Personnel on the Benefits of Bronchiolitis Interventions
Perspectives of Health Care Personnel on the Benefits of Bronchiolitis Interventions Open
OBJECTIVES Many interventions in bronchiolitis are low-value or poorly studied. Inpatient bronchiolitis management is multidisciplinary, with varying degrees of registered nurse (RN) and respiratory therapist (RT) autonomy. Understanding t…
View article: Domains of professional fulfillment for pediatric hospital medicine: A concept mapping study
Domains of professional fulfillment for pediatric hospital medicine: A concept mapping study Open
Background We know little about how pediatric hospital medicine (PHM) physicians conceptualize their professional fulfillment (PF). The objective of this study was to determine how PHM physicians conceptualize PF. Objective The objective o…
View article: COVID-19 Vaccination Intentions for Children With Medical Complexity
COVID-19 Vaccination Intentions for Children With Medical Complexity Open
OBJECTIVES The chronic conditions and functional limitations experienced by children with medical complexity (CMC) place them at disproportionate risk for COVID-19 transmission and poor outcomes. To promote robust vaccination uptake, speci…
View article: Association of Patient Characteristics With Postoperative Mortality in Children Undergoing Tonsillectomy in 5 US States
Association of Patient Characteristics With Postoperative Mortality in Children Undergoing Tonsillectomy in 5 US States Open
Among children undergoing tonsillectomy, the rate of postoperative death was 7 per 100 000 operations overall and 117 per 100 000 operations among children with complex chronic conditions. These findings may inform decision-making for pedi…
View article: Association Between Neighborhood Disadvantage and Pediatric Readmissions
Association Between Neighborhood Disadvantage and Pediatric Readmissions Open
View article: Complex Care Program Enrollment and Change in ED and Hospital Visits from Medical Device Complications
Complex Care Program Enrollment and Change in ED and Hospital Visits from Medical Device Complications Open
Introduction: Medical device-related complications often lead to emergency department (ED) visits and hospitalizations for children with medical complexity (CMC), and pediatric complex care programs may be one way to decrease unnecessary e…
View article: Resident Workshop to Improve Inpatient Documentation Using the Progress Note Assessment and Plan Evaluation (PNAPE) Tool
Resident Workshop to Improve Inpatient Documentation Using the Progress Note Assessment and Plan Evaluation (PNAPE) Tool Open
A workshop intervention may effectively educate pediatric residents about progress note best practices. Further studies should assess the impact of the intervention on sustained knowledge and beliefs about progress notes and subsequent not…
View article: Priorities and Outcomes for Youth-Adult Transitions in Hospital Care: Perspectives of Inpatient Clinical Leaders at US Children’s Hospitals
Priorities and Outcomes for Youth-Adult Transitions in Hospital Care: Perspectives of Inpatient Clinical Leaders at US Children’s Hospitals Open
OBJECTIVES: Adults with chronic conditions originating in childhood experience ongoing hospitalizations; however, efforts to guide youth-adult transitions rarely address transitioning to adult-oriented inpatient care. Our objectives were t…
View article: Ambulatory quality, special health care needs, and emergency department or hospital use for US children
Ambulatory quality, special health care needs, and emergency department or hospital use for US children Open
Objective This study examined family‐reported ambulatory care quality and its association with emergency department and hospital utilization, and how these relationships differed across levels of medical complexity. Data sources The 2006‐2…
View article: Feeding during High‐Flow Nasal Cannula for Bronchiolitis: Associations with Time to Discharge
Feeding during High‐Flow Nasal Cannula for Bronchiolitis: Associations with Time to Discharge Open
BACKGROUND High‐flow nasal cannula (HFNC) is increasingly used to treat children hospitalized with bronchiolitis; however, the best practices for feeding during HFNC and the impact of feeding on time to discharge and adverse events are unk…
View article: 8. LEARNERS, TEACHING, & EDUCATION SYSTEMS FACTORS: PEDIATRIC FACULTY PERSPECTIVES OF IMPACT ON WELLBEING
8. LEARNERS, TEACHING, & EDUCATION SYSTEMS FACTORS: PEDIATRIC FACULTY PERSPECTIVES OF IMPACT ON WELLBEING Open
View article: 53. DEVELOPMENT OF PROGRESS NOTE ASSESSMENT AND PLAN EVALUATION (PNAPE) TOOL
53. DEVELOPMENT OF PROGRESS NOTE ASSESSMENT AND PLAN EVALUATION (PNAPE) TOOL Open
View article: 36. CHANGE IN RESIDENT KNOWLEDGE AND PERCEPTIONS OF DAILY PROGRESS NOTES FOLLOWING AN EDUCATIONAL INTERVENTION
36. CHANGE IN RESIDENT KNOWLEDGE AND PERCEPTIONS OF DAILY PROGRESS NOTES FOLLOWING AN EDUCATIONAL INTERVENTION Open
View article: Managing Eating Disorders on a General Pediatrics Unit: A Centralized Video Monitoring Pilot
Managing Eating Disorders on a General Pediatrics Unit: A Centralized Video Monitoring Pilot Open
Adolescents with severe eating disorders require hospitalization for medical stabilization. Supervision best practices for these patients are not established. This study sought to evaluate the cost and feasibility of centralized video moni…
View article: Sustainability in the AAP Bronchiolitis Quality Improvement Project
Sustainability in the AAP Bronchiolitis Quality Improvement Project Open
BACKGROUND AND OBJECTIVES Adherence to American Academy of Pediatrics (AAP) bronchiolitis clinical practice guideline recommendations improved significantly through the AAP's multiinstitutional collaborative, the Bronchiolitis Quality Impr…
View article: Respiratory Scores as a Tool to Reduce Bronchodilator Use in Children Hospitalized With Acute Viral Bronchiolitis
Respiratory Scores as a Tool to Reduce Bronchodilator Use in Children Hospitalized With Acute Viral Bronchiolitis Open
BACKGROUND AND OBJECTIVES: Adoption of clinical respiratory scoring as a quality improvement (QI) tool in bronchiolitis has been temporally associated with decreased bronchodilator usage. We sought to determine whether documented use of a …