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In this Issue
Selection of Abstracts From NCE 2018
Council on Child Abuse and Neglect
Review of Tools for Measuring Exposure to Adversity in Children and Adolescents
Petra Jerman, PhD, MPH; Monica Bucci, MD; Nadine Burke Harris, MD, MPH, FAAP; Debora L. Oh, MSc, PhD; Sukhdip K. Purewal Boparai, MPH ...
Topics: adolescent development , child at risk , death of parent , domestic violence , english
Referral for Follow-up Assessment of High Risk Families from the ED: A Comparison of Two Methods
Evaluation of Long Bone Fractures in Infants for Non-Accidental Trauma: An Analysis of Physician Assessment and Documentation at a Tertiary Care Medical Center
Eman Abdel-latief, MD; Mary Jones, M.D.; Geoanna Bautista, M.D.; Danielle Brazel; Brianna Martinez ...
Topics: fracture, long bone , intentional trauma
Council on Clinical Information Technology
Exercise improves white matter connectivity in teenagers with increased fractional anisotropy values seen using diffusion tensor MRI.
Phua Hwee Tang, MBBS, FRCR; Masters of Medicine (Diagnostic Radiology); Qinglong Gu; Masters of Medical Physics
Topics: anisotropy , diffusion tensor imaging , exercise , white matter
Reductions in parent interest for antibiotics following a 2-minute tablet-delivered intervention in pediatric outpatient clinics.
Kathy Goggin, PhD; Angela Myers, MD, MPH; Emily Hurley, PhD; Brian Lee, PhD; Andrea Bradley-Ewing, MPA, MA ...
Topics: ambulatory care facilities , tablet dosage form
Differing Guidance from Public Health Guidelines: Identifying Challenges to Developing Guideline-Based Decision Support for Lead Screening & Management
Impact of an EHR-generated NICU rounding report on residents’ workflow and quality of care.
Anshul Arora, MD; Hernan Sierra-Fernandez, MD; Guido Alarcon, MD; Gustavo Guerrero, MD; Joanna Abraham, PhD ...
Implementing Electronic Prescription of Controlled Substances at a Tertiary Care Pediatric Hospital : Unanticipated Effects and Provider Perceptions
Laura Rust, MD MPH; Jenna Merandi, PharmD, MS, CPPS; Kasandra Chambers, PharmD; Sonya Sebastian, Pharm.D., BCACP; Leanne Murray, PharmD ...
Topics: controlled substances , perception
Sharing of Clinical Decision Support for Refugee Health between Institutions While Supporting Local Workflows and Needs
Jeremy Michel, MD, MHS; Katherine Yun, MD, MHS; Evan Orenstein, MD; Warden Clara; Mirth Morgan, MSN, CPNP-PC ...
Topics: clinical decision support , refugees , workflow
What does the Internet say ? Evaluation of quality and readability of specific dietary recommendations for Irritable Bowel Syndrome.
Ligia Maria. Alfaro Cruz, MD; Robert J. Shulman, MD; Bruno P. Chumpitazi, MD, MPH; Isha Kaul, MD; Yan Zhang, MD
Topics: diet , internet , irritable bowel syndrome , readability
Council on Injury, Violence & Poison Prevention
Improving Safe Sleep Compliance in a Pediatric Inpatient Unit and Newborn Nursery Using Quality Improvement Methodology from the American Academy of Pediatrics Education and Safe Sleep Environment (EASE) Project
Topics: inpatients , nurseries , quality improvement , sleep
Council on Quality Improvement and Patient Safety
Pediatric ICU Early Mobility Program and Case Example: a closer look at barriers and benefits to early mobilization of critically ill children
A multi-method approach to process map provider- variation in implementing a community-based multi-stage screening protocol for Autism Spectrum Disorders
Topics: autism spectrum disorder , community
Community Asthma Initiative: Cost Analyses Using Claims Data from a Medicaid Managed Care Organization
Urmi Bhaumik, MBBS, MS, ScD; Elizabeth R. Woods, MD, MPH; Mihail Samnaliev, PhD; Susan J. Sommer, MSN, WHNP-BC, AE-C; Ryan Lockridge, RN, MSHI ...
Topics: asthma , community , managed care organizations , medicaid
Implementation of a Trainee Transfer of Care Handoff for Pediatric Intensive Care Unit to General Pediatrics Transfers
Anna G. Petrella, MD; Akshata Hopkins, MD FAAP FHM; John M. Morrison, MD, PhD; Scott M. Furer, MD; Elliot Melendez, MD
Using modified sepsis criteria to improve specificity of standardized triage screening for pediatric severe sepsis and septic shock
Stephen Kong, DO; Arsenia Asuncion, MD; Maria Lyn Quintos-Alagheband, MD; Gabby Saadia, MD; Claudia Thomas, MD ...
Topics: sepsis , sepsis, severe , septic shock , triage
A discharge education initiative to improve asthma care through innovative teaching material and one-on-one teach-back.
Elizabeth M. Sensenig, MD; Andrew McCormick, MD; Catherine Polak, MD; Jessica Garrison, MD; Allison Fleischer, MD ...
Topics: asthma management , teaching , teaching materials
A Rush Collaboration: A Quality Improvement Project in a Resident Internal Medicine-Pediatrics Clinic in Development of Universal, System-wide Screening for Adverse Childhood Experiences and Social Determinants of Health
Aaron Hart, MD; Varun Shetty, MD, MBA, MS; Jennifer McDonnell, MD; Robyn Golden, LCSW, MA, BA; Christopher Nolan, MPA ...
An Unexpected Lesson in Quality Improvement: High-reliability intervention intended for asthma guidelines reduces chest x-rays in bronchiolitis.
Topics: asthma guidelines , bronchiolitis , chest x-ray , quality improvement
Breastmilk Bundle Intervention to Increase Maternal Breastmilk for Very Low Birthweight Infants in the NICU
Sarah Cannon, Illinois; Susan Vonderheld, PhD, RN; Joseph R. Hageman, MD; Amy Meyer, Illinois; Christina Billy, Illinois
Comparison of Rapid Cycle Deliberate Practice vs Traditional Simulation Education Regarding Team Preparedness and Time to Intervention in NICU Emergencies.
Does the addition of steroid to peripheral nerve blocks improve the perioperative experience for children and families undergoing orthopedic surgical procedures: Is it possible to have quality care and generate cost savings?
Electronic Health Record (EHR) Quality Tools Improved and Sustained Use of Asthma Action Plans for 3 years in a Primary Care Pediatric System
Karen Pletta, MD, FAAP; Megan Moreno, MD, MSEd, MPH; Gail S. Allen, MD, FAAP; Jeffrey Sleeth, MD, FAAP; Sanjeev Jain, MD, FAAP ...
Topics: asthma , asthma plan , electronic medical records
Febrile Neutropenia in the Emergency Department: Improving Timely Antibiotic Administration - A Quality Improvement Initiative
Impact of a Neonatal Hypoglycemia Bundle on NICU Admission and Breastfeeding Success
Nicholas Carr, DO; Kaashif Ahmad, MD; Christina Stine, MD; Adharsh Ponnapakkam, MD; Charmaine Kathen, DNP, NNP-BC ...
Implementation of a pediatric wellness curriculum and its impact on resident burnout and their perception of work-life balance
Topics: burnout , internship and residency , medical residencies , perception , work-life balance
Implementation of the new BRUE (Brief Resolved Unexplained Event) Guidelines: A Quality Improvement and Cost-Savings Initiative
Improving Care Transitions From Inpatient to Primary Care Pediatric Settings: A Resident-Led Quality Improvement Project
Mirdula Sharma, MD, Melissa Grageda, MD; Kanwaljeet Hura, MD; Jonathan Florez, MD; Shailesh Manandhar, MD; Jiliu Xu, MD ...
Improving Compliance in the Use of Medication Guardrails with “Smart” Infusion Pump Technology in the NICU.
Joseph D. Decristofaro, MD, FAAP; Marie Varela, M.S., Pharm.D., BCPS; Nurur Rahman, RPh, M.B.A.; Laura Flerx, MSNEd, RN, RNC-NIC, CCRN, IBCLC; Shanthy Sridhar, MD, FAAP
Topics: infusion pumps , neonatal intensive care units
Increasing Asthma Medication Administration Forms in Three Elementary Schools: A Quality Improvement Project
Justin Kopa, MD; Ariel Sarmiento, MPH CPH; Sofia Chiocconi, MD; Peter Belamarich, MD; Michael Rinke, MD ...
Topics: asthma , elementary schools , medication management , quality improvement
Increasing Monitoring and Management of Side Effects from Atypical Antipsychotic Medications in Children with Developmental Disabilities
Making Teaching Count: Optimization of Resident Conference Learning using Quality Improvement Methodology
Parent Experiences with an Urban Nurse-Supervised Community Health Worker Asthma Home-Visiting Program
Urmi Bhaumik, MBBS, MS, ScD; Rebecca E. Penzias, BA; Elizabeth R. Woods, MD, MPH; Virginia Sanabia, BS; Susan J. Sommer, MSN, WHNP-BC, AE-C
Topics: asthma , community health workers , home visits
Practice Improvement for Standardized Evaluation and Management of Acute Tracheitis in Mechanically Ventilated Patients
Jennifer Bluementhal, MD; Daniel Kelly, MD; Paula Conrad, BSN, RN; Jennifer Ormsby, BSN, RN; Jane Carpenter, BA ...
Topics: mechanical ventilation , tracheitis
Reducing Length of Stay for Neonatal Abstinence Syndrome: A Quality Improvement Initiative Implementing a Neonatal Abstinence Syndrome Care Bundle
Using the Electronic Medical Record (EMR) to Reduce Central Line Associated Blood Stream Infections (CLABSI) Rates in the Pediatric Intensive Care Unit by Improving Maintenance Bundle Compliance
Anisha Mazloom, MD; Katherine Steffen, MD, MHS; Andrew Palmquist, MSN, RN, NEA-BC; Margie Godin, MS, BSN, RN-BC; Derek Garnholz, MA
Section on Hospice and Palliative Medicine
A Bridge to Family Healing: The Case of an Infant with Critical Congenital Heart Disease and Pontocerebellar Hypoplasia
Silvana Barone, MD, FAAP, FRCPC; Emily Johnson, MSN, RN CPNP- PC/AC; Nayimisha Balmuri, MD, FAAP; Nancy Hutton, MD, FAAP, FAAHPM
An Educational Initiative for Pediatric Critical Care Medicine Fellows in Palliative Care: Initiation of a Case-Based, Simulation Curriculum
Creation of a QI Collaborative Learning Network for Pediatric Palliative Care utilizing the AAP Quality Improvement Data Aggregator (QIDA)
Topics: cooperative learning , palliative care , quality improvement
Development of an innovative program to improve provision of palliative and hospice care to children and families in the community: the story of QoLA Kids
Topics: community , hospice care , palliative care
Improving Pediatric Palliative Care communication with Primary Care Providers: Development and implementation of a discharge letter writing system and palliative care plan
Topics: palliative care , primary care provider
What do you do when your best is suddenly completely inadequate? A Nigerian child's unexpected admission to an American hospital
Topics: care goals , communication strategies , contracture , cryptorchidism , ethics
Council on Early Childhood
Impact of Co-Location of Developmental and Behavioral (DB) Fellows in Primary Care on Resident Confidence, Practice, and Knowledge about Management of DB Concerns
Improving Early Childhood Outcomes For Families In Low-Income Communities: A Case For Utilizing The Primary Care Setting To Encourage Positive Parenting Behaviors In India
Topics: community , india , low income , parenting behavior
The Parenting-Related Adverse Childhood Experiences Survey: A New Tool to Screen for Unhealthy Parenting in Pediatric Primary Care
Impacting Low-SES Caregiver Knowledge, Language Behaviors, and Infant Vocabulary Skills through a Web-Based Pediatric Primary Care Intervention: A Randomized Controlled Trial
Dana L. Suskind, MD; Christy Y.Y. Leung, Ph.D.; Alison C. Hundertmark, M.A.; Peter H. Ladner, B.A.; Kristin R. Leffel, B.S. ...
Topics: internet , languages , vocabulary
I-SCRN: A Quality Improvement Collaborative to Increase Early Childhood Screening, Referral and Follow Up in Pediatric Primary Care Practices
Kori Flower, MD MS MPH, FAAP; Marian Earls, MD MTS, FAAP; Brittany Nagy, MPH; Kathryn Janies, MPH; Sara Massie, MPH ...
Topics: quality improvement
Council on Foster Care, Adoption & Kinship Care
A National Examination of Informed Consent Processes for Psychotropic Medication Use among Youth In Foster Care: A Typology of Approaches to Informed Consent and Implications for Policy and Practice
Topics: foster care , informed consent , psychotropic drugs
Council on School Health
Council on Sports Medicine and Fitness
Association Between Sleep Quality and Recovery Following a Sport-Related Concussion in the Pediatric Population
Jane Chung, MD; Munro Cullum, PhD, ABPP; Shane Miller, MD, FAAP; Aaron J. Zynda, BS, CCRP; Meagan Sabatino, BA, CCRP ...
Topics: brain concussion , sleep quality , sports
Children with Attention Deficit Hyperactivity Disorder Less Likely to Meet Daily Physical Activity Recommendations
Docosahexaenoic Acid (DHA) for the Treatment of Pediatric Sport-Related Concussion: Results of a Feasibility Trial
Shane Miller, MD, FAAP; Robert Dimeff, MD; Aaron J. Zynda, BS, CCRP; Meagan Sabatino, BA, CCRP; Henry B. Ellis, Jr., MD
Topics: brain concussion , docosahexaenoic acids , sports
Positive and negative themes found in running-related films
Andrew Groff, B.S.; Robert Olympia, Attending Physician, Department of Emergency Medicine; Abigail Nunn, M.D.; Kelly Patterson, M.D.; Jodi Brady, M.D.
Topics: alcohol drinking , athlete , avoidance behavior , fear , internet
The Utility of Pupillary Light Reflex as an Objective Biomarker of Acute Concussion in the Adolescent Athlete
Olivia Podolak, MD; Christina L. Master, MD, CAQSM; Nabin Joshi, OD; Kenneth Ciuffreda, OD, PhD; Fairuz Mohammed, MS. ...
Topics: athlete , biological markers , brain concussion , pupil light reflex
Age and sex differences of pediatric overuse injuries presenting to outpatient sports medicine clinic.
Amy Valasek, MD, MS; Ginger Yang, PhD, MPH; Julie Young, MA, ATC; Lihong Huang, MD, PhD; Bhavna Singichetti, MPH
Functional Near-Infrared Spectroscopy Identifies Differences in Cognitive Workload Following Pediatric Concussion Associated with Symptom Provocation
Christina L. Master, MD, CAQSM; Hasan Ayaz, PhD; Eileen P. Storey, BA; Lei Wang, Ms.; Olivia Podolak, MD ...
Topics: brain concussion , spectroscopy, near-infrared , workload
Using a written, self-reported exercise history in a Pediatric Sports Medicine Clinic: A retrospective assessment of the utility of the written, self-report method, and analysis of collected pediatric exercise data.
Mara A. Tietzen BSc Kin, MD; Tommy D. Gerschman, MD, FRCPC, MSc (Sports Medicine, Exercise, and Health)
Topics: exercise , self-report , sports medicine
Innovations in Obesity Prevention
Rapid-onset obesity with hypothalamic dysregulation, hypoventilation, and autonomic dysregulation (ROHHAD) in a 3-year-old boy: A case report
Topics: dysautonomia , hypothalamus , hypoventilation , obesity
Setting Kids Up For Success: Outcomes of an Educational Family-Centered Support Group for Promoting Healthy Lifestyles in a Pediatric Patient-Centered Medical Home
Josephine M. Cole, MSN, CRNP, RN, CPNP-PC; Cynthia Danford, PhD, CRNP, PPCNP-BC, CPNP-PC; Jane Weigel, BSN, RN
Topics: healthy lifestyle , knowledge acquisition , medical home , social support , support groups
The Healthy Weight and Your Child Collaborative: A Pilot Project to Improve Obesity-related Primary Care and Cultivate Clinic-Community Linkages for Pediatric Weight Management
Janice L. Liebhart, MS; Sandra G. Hassink, MD, MS, FAAP; Katherine H. Hohman, DrPH, MPH; Eileen Reilly, MSW; Jeanne Lindros, MPH ...
Topics: community , obesity , weight maintenance regimens
A Team-based Approach Using an Electronic Registry to Increase Patient-Centered Goal Setting in Obesity Management
Sanjeev Jain, MD, FAAP; Gail S. Allen, MD, FAAP; Karen Pletta, MD, FAAP; Bradley Kerr, MS; Megan Moreno, MD, MSEd, MPH
Topics: obesity management , patient-centered care
Pediatrics for the 21St Century
If you build it, will they come? Lessons learned from designing technology-enabled population health outreach for pediatric asthma
Andrew McWilliams, MD, MPH; Andrew Gunter, MD; Kelly Reeves, RN; Whitney Rossman, MS; Jonathan Phillips, MBA ...
Topics: asthma, childhood , outreach , population health
Reductions in parent interest for antibiotics following a two minute tablet delivered intervention in pediatric outpatient clinics.
Kathy Goggin, PhD; Angela Myers, MD, MPH; Emily Hurley, PhD; Brian Lee, PhD; Andrea Bradley-Ewing, MPA, MA ...
Topics: ambulatory care facilities , tablet dosage form
Geospatial Distribution of Pediatric Emergency Department and Urgent Care Patients’ Residences and Discharge Diagnoses after Hurricane Harvey
Sanemba A. Fanny, MD, MPH; Corrie E. Chumpitazi, MD, MSc; Abiodun Oluyomi, PhD; Elizabeth Camp, PhD; Kristy O. Murray, DVM, PhD ...
Topics: hurricanes , pediatric emergency medicine , urgent care
Impact of an Immersive Virtual Reality Curriculum to Improve Medical Student Clinical Assessment of Infants with Respiratory Distress
Matthew W. Zackoff, MD; Melissa Klein, MD; Francis Real, MD, MEd; Amy B. Guiot, MD, MEd; Corinne Lehmann, MD, MEd ...
Topics: respiratory distress , students, medical , virtual reality
Transition to a New Electronic Health Record and Pediatric Medication Safety: Lessons Learned in Pediatrics within a Large Academic Health System
Golodirsen Leads to Sarcolemmal Dystrophin Expression in Patients With Genetic Mutations Amenable to Exon 53 Skipping
Diane E. Frank, PhD; Francesco Muntoni, MD; Jennifer Morgan, PhD; Joana Domingos, MD; Frederick Schnell, PhD ...
Topics: dystrophin , exons , golodirsen , mutation
If We Make It, Will They Take It?: Patient Attitudes Towards Acceptability of Over The Counter Testing for Chlamydia Trachomatis (CT)
Maximum Pressure Propagation is Altered by the Presence of a Pop Off Valve
Pharmacokinetic Profile of Subcutaneous C1-Esterase Inhibitor (C1-INH [SC]) in Adolescent and Adult Patients with Hereditary Angioedema (HAE)
Felix Chapovsky, MD; John Hirsh, Pharm.D, MBA; Dipti Pawaskar, PhD; Iris Jacobs, MD, MS, MBA; Henrike Feuersenger, PhD
Predictors of human papillomavirus (HPV) vaccine intent and subsequent initiation among adolescent and young adult cancer survivors
Brooke Cherven, MPH RN CPON; Wendy Landier, PhD, CRNP, FAAN; Sharon M. Castellino, MD, MSc; Yanjun Chen, MS; Lennie Wong, PhD ...
Topics: cancer survivors , human papillomavirus , vaccines , young adult
Section on Advances in Therapeutics and Technology
Section on Breastfeeding
Eliminating Racial Disparities in Breastfeeding and Infant Mortality: A Qualitative Analysis of Conference Proceedings
Julie Ware, MD, MPH, IBCLC; Francoise Knox-Kazimierczuk, PhD, RDN, CSSD, LD, ATC, CSCS, NSCA-CPT; Natashia King-Conner, MS, IBCLC; Camille Graham, MD; Laurie Nommsen-Rivers, PhD, RD, IBCLC
Topics: breast feeding , infant mortality , racial disparities
Improving Exclusive Breast Milk Feeding at Hospital Discharge: A Regional Quality Improvement Project
Laura P. Ward, MD, IBCLC; Julie Ware, MD, IBCLC; M. Katherine Loudermilk, MD; Jennifer McAllister, MD, IBCLC; Scott Wexelblatt, MD
Topics: milk, human , patient discharge , quality improvement
Role of Donor Milk Supplementation in Newborn Nursery Level 1 in Improving Exclusive Breastfeeding Rate at Six Months of Life
Nawal Merjaneh, MD; Rana Alissa, MD; Patty Williams, ARNP; Sandy Inman, IBCLC; Mandy Schumacher, RN ...
Topics: breast feeding , donors , milk , nurseries
Ohio First Steps for Healthy Babies - impact of a state-based program to promote best breastfeeding practices for birthing hospitals
Lydia Furman, MD; Reena Oza-Frank, PhD, RD; Andrea Arendt, RN, MPH; Ryan C. Everett, MPH; Breanne Haviland, MS, RD, LD
Topics: breast feeding , obstetric delivery , ohio
Improving the Exclusive Breastfeeding Rate in Newborns with Hypoglycemia Through Use of Glucose Gel
Carrie Cacioppo, MD, FAAP; Ansley Splinter, MD, MAcM, FAAP; Rakhi Gupta-Basuray, MD, FAAP; Vanessa Inuzuka, MSN, RN, CLC; Zamda Lumbi, MHA ...
Topics: breast feeding , gel , glucose , hypoglycemia