1
|
Caselli D, Aricò M, Fiasca F, Tafuri S. Policy of vaccination of "fragile children": Results of a survey of 14 Italian children's hospitals. Hum Vaccin Immunother 2023; 19:2245701. [PMID: 37614161 PMCID: PMC10453964 DOI: 10.1080/21645515.2023.2245701] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Revised: 07/13/2023] [Accepted: 07/29/2023] [Indexed: 08/25/2023] Open
Abstract
Children with chronic disease are at higher risk of invasive infectious disease, including several vaccine-preventable infections. The Italian Association of Pediatric Hospitals (AOPI) carried out a survey of immunization practices: 14/16 AOPI hospitals completed the survey; 50% of them include 100-199 beds, while 21% have <100 beds. In 12/14 hospitals (86%) all vaccinations included in the National Immunization Plan (plus influenza e COVID-19 vaccines) are available for inpatients, in selected wards (n = 4), on single pediatrician initiative (n = 3), by a centralized in-hospital immunization service (n = 2), and the remaining 3 in a "protected vaccination area" or in a COVID-19 pathway. The wards in which vaccination is more frequently offered to in-patients are: General Pediatrics, Neonatology, Pediatric Hematology & Oncology, Pediatric Diabetology, Pediatric Cardiology, and Pediatric Infectious Diseases (range, 58% to 83%). In 58% of vaccinating hospitals, <500 vaccinations/year are reported, while in 17% this number is >2,000/year. A COVID-19 vaccination team is in place for any inpatient child older than 12 years in 42% of hospitals, in 42% only for "fragile" children. A centralized in-hospital immunization service is an emerging model that may contribute to increase compliance to vaccination of fragile patients and to fight against vaccination hesitancy.
Collapse
Affiliation(s)
- Désirée Caselli
- Infectious Diseases, Children’s Hospital Giovanni XXIII, A.O.U.C. Policlinico di Bari, Bari, Italy
| | - Maurizio Aricò
- Department of Pediatrics, S.Spirito Hospital, U.O.C. Pediatria A.S.L. Pescara, Pescara, Italy
| | - Fabiana Fiasca
- Department of Life, Health and Environmental Sciences, Università dell’Aquila, L'Aquila, Italy
| | - Silvio Tafuri
- Interdisciplinary Department of Medicine, Aldo Moro University of Bari, Bari, Italy
| |
Collapse
|
2
|
Shi Y, Liu G, Cao D, Lu G, Yuan L, Qian Y, Xu J, Sun C, Ge M, Lai L, Wang X, Lu Y, Huang G, Zhai X. Improvement of the functioning and efficiency of a Code Blue system after training in a children's hospital in China. Transl Pediatr 2021; 10:236-243. [PMID: 33708509 PMCID: PMC7944164 DOI: 10.21037/tp-20-171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
BACKGROUND Code Blue is a popular hospital emergency code that is used to alert the emergency response team to any medical emergency requiring critical care. By retrospectively studying Code Blue cases in a children's hospital, we looked for high-risk factors associated with survival and how to improve the effectiveness of Code Blue systems through training. METHODS Data were collected on age, gender, department, diagnosis, time of Code Blue call activation, time between call and arrival of the Code Blue team, treatment details and outcome before and after the training process from January 2016 to December 2019. Chi-square test and logistic regression analysis were used to analyze the data. RESULTS A total of 139 Code Blue cases from the period of January 2016 to December 2019 were retrospectively studied. The wards where Code Blues occurred most frequently were the infectious diseases ward (n=31, 22.3%), the hematology and oncology ward (n=30, 21.6%), and the cardiology ward (n=15, 10.8%). Age, inpatient status, time of arrival, the time of cardiopulmonary resuscitation (CPR), and the cause of shock were all risk factors for death. After the training, the arrival time and recovery time were significantly reduced (P<0.01). The proportion of patients who were transferred to the ICU had increased (P<0.05), and the proportion of deaths had decreased (P<0.01). The survival curve improved (P<0.05). CONCLUSIONS It is very important to summarize the risk factors related to Code Blue. It is clear that the efficacy of the Code Blue events improved after training of the hospital staff in the Children's Hospital.
Collapse
Affiliation(s)
- Yu Shi
- Division of Medical Administration, National Children's Medical Center Children's Hospital of Fudan University, Shanghai, China
| | - Gongbao Liu
- Division of Medical Administration, National Children's Medical Center Children's Hospital of Fudan University, Shanghai, China
| | - Di Cao
- Division of Medical Administration, National Children's Medical Center Children's Hospital of Fudan University, Shanghai, China
| | - Guoping Lu
- Intensive Care Unit, National Children's Medical Center Children's Hospital of Fudan University, Shanghai, China
| | - Lin Yuan
- President's Office, National Children's Medical Center Children's Hospital of Fudan University, Shanghai, China
| | - Yuping Qian
- President's Office, National Children's Medical Center Children's Hospital of Fudan University, Shanghai, China
| | - Jie Xu
- President's Office, National Children's Medical Center Children's Hospital of Fudan University, Shanghai, China
| | - Chengjun Sun
- Department of Endocrinology and Inborn Metabolic Diseases, National Children's Medical Center Children's Hospital of Fudan University, Shanghai, China
| | - Mengmeng Ge
- Department of Neonatology, National Children's Medical Center Children's Hospital of Fudan University, Shanghai, China
| | - Lingyu Lai
- Department of General Medicine, National Children's Medical Center Children's Hospital of Fudan University, Shanghai, China
| | - Xuan Wang
- Department of Anesthesiology, National Children's Medical Center Children's Hospital of Fudan University, Shanghai, China
| | - Yiqun Lu
- Department of Urology Surgery, National Children's Medical Center Children's Hospital of Fudan University, Shanghai, China
| | - Guoying Huang
- Cardiovascular Center, National Children's Medical Center Children's Hospital of Fudan University, Shanghai, China
| | - Xiaowen Zhai
- Department of Hematology/Oncology, National Children's Medical Center Children's Hospital of Fudan University, Shanghai, China
| |
Collapse
|
3
|
Bailey DN. Academic Pathology Departments and Associated Children's Hospitals: An Overview of the Relationship. Acad Pathol 2020; 7:2374289520964935. [PMID: 33110940 PMCID: PMC7557672 DOI: 10.1177/2374289520964935] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2020] [Revised: 09/02/2020] [Accepted: 09/12/2020] [Indexed: 11/18/2022] Open
Abstract
A survey of academic pathology departments was conducted in order to evaluate the relationship with their associated children’s hospitals. Forty percent (88) of US children’s hospitals were associated with academic pathology departments. Sixty percent of pathology department respondents indicated that their children’s hospital was part of their academic health system. As a reflection of this, the majority (54%) of all respondents reported that their children’s hospitals were physically located within the academic health care system itself. Accordingly, a vast number (94%) of academic departments reported that they performed the clinical services for those children’s hospitals that were part of their academic health system. For those associated children’s hospitals that were not part of the academic health system, 70% of respondents reported that the academic pathology department provided at least some clinical services for them. The number of pathologists in the children’s hospital pathology departments that were not part of the academic health system ranged from 1 to 5 (41%), 6 to 10 (18%), and >10 (41%), with one-third having salaried faculty appointments in the academic pathology department. The chief of pathology in those children’s hospital departments was part of the academic department leadership team in half of the cases. Although 86% of respondents reported that pathology residents rotate through the associated children’s hospital, in only 26% of instances did the children’s hospital provide resident support for the academic pathology department. The perceived strengths and weaknesses of the relationship between academic pathology departments and associated children’s hospitals are discussed.
Collapse
Affiliation(s)
- David N Bailey
- Department of Pathology, University of California, San Diego, La Jolla, CA, USA
| |
Collapse
|
4
|
Abstract
OBJECTIVE In the schematic design phase of a new freestanding children's hospital, Simulation-based Hospital Design Testing (SbHDT) was used to evaluate the proposed design of 11 clinical areas. The purpose of this article is to describe the SbHDT process and how it can help identify and mitigate safety concerns during the facility design process. BACKGROUND In the design of new healthcare facilities, the ability to mitigate risk in the preconstruction period is imperative. SbHDT in a full-scale cardboard mock-up can be used to proactively test the complex interface between people and the built environment. METHOD This study was a prospective investigation of SbHDT in the schematic design planning phase for a 400-bed freestanding children's hospital where frontline staff simulated episodes of care. Latent conditions related to design were identified through structured debriefing. Failure mode and effect analysis was used to categorize and prioritize simulation findings and was used by the architect team to inform design solutions. A second round of testing was conducted in order to validate design changes. RESULTS A statistically significant reduction in criticality scores between Round 1 (n = 201, median = 16.14, SD = 5.8) and Round 2 (n = 201, median score of 7.68, SD = 5.26, p < .001) was identified. Bivariate analysis also demonstrated a statistically significant reduction in very high/high criticality scores between Round 1 and Round 2. CONCLUSIONS SbHDT in the schematic phase of design planning was effective in mitigating risk related to design prototypes through effective identification of latent conditions and validation of design changes.
Collapse
Affiliation(s)
- Nora Colman
- Division of Pediatric Critical Care, Department of Pediatrics, 1367Children's Healthcare of Atlanta, GA, USA
| | - Mary Bond Edmond
- Advanced Analytics and Outcomes, 1367Children's Healthcare of Atlanta, GA, USA
| | - Ashley Dalpiaz
- Department of Pediatrics, 1367Children's Healthcare of Atlanta, GA, USA
| | - Sarah Walter
- EYP Architecture and Engineering, Atlanta, GA, USA
| | | | - Kiran Hebbar
- Division of Pediatric Critical Care, Department of Pediatrics, 1367Children's Healthcare of Atlanta, GA, USA
| |
Collapse
|
5
|
Karisalmi N, Mäenpää K, Kaipio J, Lahdenne P. Measuring patient experiences in a Children's hospital with a medical clowning intervention: a case-control study. BMC Health Serv Res 2020; 20:360. [PMID: 32336267 PMCID: PMC7183700 DOI: 10.1186/s12913-020-05128-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2019] [Accepted: 03/19/2020] [Indexed: 12/18/2022] Open
Abstract
BACKGROUND Because the healthcare sector is shifting to a customer-oriented approach, it is important to understand experiences of children as users of healthcare services. So far, studies that measure the influence of medical clowning on patient experiences are scarce. This study aims to measure experiences of children and their parents during day-surgery in hospital setting. METHODS A case-control study was conducted in a large Finnish children's hospital. Seventy children aged 4-17 years coming for a minor operative procedure including pre-operative cannula insertion prior to surgery were included. Thirty-eight children were exposed to the medical clowning intervention and 32 children (the reference group) did not receive exposure to medical clowning. A novel digital survey tool was used to measure patient experiences before and after the insertion of a venous cannula needed for anaesthesia. The children were asked about their emotions, anxiety levels, the pain from the cannula insertion and the best and worst things about the hospital. The parents were asked about their emotions, expectations and the fluency of the procedure and the hospital day. RESULTS Before the procedure, 32% or 36% of the children in the intervention group and 44% or 28% of those in the reference group expressed positive or neutral emotions, respectively. After the procedure, 76% or 63% of children in the intervention group or reference group, respectively, expressed positive emotions. The intervention group rated the medical clowns as the best aspect of the hospital day. Both groups reported that the best aspects of the hospital day were related to the nurses and food and the worst were related to waiting and pain. Most commonly the parents felt uncertainty, anxiety or calmness before the procedure and relief afterwards. Their expectations towards the procedure related to its success and the certainty of the diagnosis. CONCLUSIONS The results show a trend towards more positive emotions in children with exposure to medical clowning. The digital survey tool was suitable for gathering information about the experiences of children and their parents. Information on emotions and expectations of children and parents during a procedure is useful when improving the quality of healthcare services. TRIAL REGISTRATION Current Controlled Trials NCT04312217, date of registration 17.03.2020. Retrospectively registered.
Collapse
Affiliation(s)
- Nina Karisalmi
- Department of Computer Science, Aalto University, P.O. Box 15400, FI-00076, Aalto, Finland.
| | - Katja Mäenpää
- Department of Computer Science, Aalto University, P.O. Box 15400, FI-00076, Aalto, Finland
| | - Johanna Kaipio
- Department of Computer Science, Aalto University, P.O. Box 15400, FI-00076, Aalto, Finland
| | - Pekka Lahdenne
- Hospital for Children and Adolescents, Helsinki University Hospital, Helsinki, Finland
| |
Collapse
|
6
|
Chauvelin L, Gindt M, Olliac B, Robert P, Thümmler S, Askenazy F. Emergency Organization of Child Psychiatric Care Following the Terrorist Attack on July 14, 2016, in Nice, France. Disaster Med Public Health Prep 2019; 13:144-6. [PMID: 29916338 DOI: 10.1017/dmp.2018.51] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
In the actual context of terrorism targeting children and families, it seems essential to describe different experiences of pediatric psychological emergency devices after such unexpected mass trauma. Here we testify our experience of the psychological emergency care setup dedicated to children and families during the first 48 hours after the terrorist attack of Nice, France, on July 14, 2016. Activated within the hour following the attack, the device included two child psychiatry teams turning over each day, receiving at least 163 individuals (99 children and 64 adults) within the first 2 days. (Disaster Med Public Health Preparedness. 2019;13:144-146).
Collapse
|
7
|
Vallès-Peris N, Angulo C, Domènech M. Children's Imaginaries of Human-Robot Interaction in Healthcare. Int J Environ Res Public Health 2018; 15:E970. [PMID: 29757221 DOI: 10.3390/ijerph15050970] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/22/2018] [Revised: 05/08/2018] [Accepted: 05/09/2018] [Indexed: 11/17/2022]
Abstract
This paper analyzes children’s imaginaries of Human-Robots Interaction (HRI) in the context of social robots in healthcare, and it explores ethical and social issues when designing a social robot for a children’s hospital. Based on approaches that emphasize the reciprocal relationship between society and technology, the analytical force of imaginaries lies in their capacity to be embedded in practices and interactions as well as to affect the construction and applications of surrounding technologies. The study is based on a participatory process carried out with six-year-old children for the design of a robot. Imaginaries of HRI are analyzed from a care-centered approach focusing on children’s values and practices as related to their representation of care. The conceptualization of HRI as an assemblage of interactions, the prospective bidirectional care relationships with robots, and the engagement with the robot as an entity of multiple potential robots are the major findings of this study. The study shows the potential of studying imaginaries of HRI, and it concludes that their integration in the final design of robots is a way of including ethical values in it.
Collapse
|
8
|
Turner RB, Valcarlos E, Loeffler AM, Gilbert M, Chan D. Impact of an Antimicrobial Stewardship Program on Antibiotic Use at a Nonfreestanding Children's Hospital. J Pediatric Infect Dis Soc 2017; 6:e36-e40. [PMID: 28903514 DOI: 10.1093/jpids/piw059] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/18/2016] [Accepted: 09/12/2016] [Indexed: 12/24/2022]
Abstract
BACKGROUND Pediatric stewardship programs have been successful at reducing unnecessary antibiotic use. Data from nonfreestanding children's hospitals are currently limited. This study is an analysis of antibiotic use after implementation of an antimicrobial stewardship program at a community nonfreestanding children's hospital. METHODS In April 2013, an antimicrobial stewardship program that consisted of physician-group engagement and pharmacist prospective auditing and feedback was initiated. We compared antibiotic use in the preintervention period (April 2012 to March 2013) with that in the postintervention period (April 2013 to March 2015) in all units except the neonatal intensive care unit and the emergency department. In addition, drug-acquisition costs, antibiotic-specific use, death, length of stay, and case-mix index were examined. RESULTS Antibiotic use decreased by 16.8% (95% confidence interval, 18.0% to -9.2%; P < .001) in the postintervention period. Vancomycin use decreased by 38% (P = .001), whereas antipseudomonal β-lactam use was unaltered. Drug-acquisition cost savings were estimated to be $67 000/year over the 2-year postintervention period. Lengths of stay and mortality rates were unchanged in the postintervention period after adjusting for case-mix index. CONCLUSIONS Implementation of a simple stewardship initiative with limited resources at a community nonfreestanding children's hospital effectively reduced antibiotic use without an overt negative impact on overall clinical outcomes. The results of this study suggest that nonfreestanding children's hospitals can achieve substantial reductions in antibiotic use despite limited resources.
Collapse
Affiliation(s)
- R Brigg Turner
- Department of Pharmacy, Legacy Health, Portland.,School of Pharmacy, Pacific University, Hillsboro
| | | | - Ann M Loeffler
- Department of Pediatrics, Randall Children's Hospital at Legacy Emanuel, Portland, Oregon
| | - Michael Gilbert
- Department of Pediatrics, Randall Children's Hospital at Legacy Emanuel, Portland, Oregon
| | | |
Collapse
|
9
|
Abstract
Objective The aim of this article is to examine characteristics of birth tourism (BT) neonates admitted to a neonatal intensive care unit (NICU). Methods This was a retrospective review over 3 years; BT cases were identified, and relevant perinatal, medical, social, and financial data were collected and compared with 100 randomly selected non-birth tourism neonates. Results A total of 46 BT neonates were identified. They were more likely to be born to older women (34 vs. 29 years; p < 0.001), via cesarean delivery (72 vs. 48%; p = 0.007), and at a referral facility (80 vs. 32%; p < 0.001). BT group had longer hospital stay (15 vs. 7 days; p = 0.02), more surgical intervention (50 vs. 21%; p < 0.001), and higher hospital charges (median $287,501 vs. $103,105; p = 0.003). One-third of BT neonates were enrolled in public health insurance program and four BT neonates (10%) were placed for adoption. Conclusion Families of BT neonates admitted to the NICU face significant challenges. Larger studies are needed to better define impacts on families, health care system, and society.
Collapse
Affiliation(s)
- Michel Mikhael
- Neonatal-Perinatal Medicine Division, Children’s Hospital of Orange County, Orange, California
| | - John P. Cleary
- Neonatal-Perinatal Medicine Division, Children’s Hospital of Orange County, Orange, California
| | - Vijay Dhar
- Neonatal-Perinatal Medicine Division, Children’s Hospital of Orange County, Orange, California
| | - Yanjun Chen
- Institute for Clinical and Translational Science, University of California, Irvine, California
| | - Danh V. Nguyen
- Institute for Clinical and Translational Science, University of California, Irvine, California,Department of Medicine, University of California Irvine School of Medicine, Orange, California
| | - Anthony C. Chang
- Cardiology Division, Children’s Hospital of Orange County, Orange, California
| |
Collapse
|
10
|
Abstract
Objective Medication administration is the last step in the medication process. It can act as a safety net to prevent unintended harm to patients if detected. However, medication administration errors (MAEs) during this process have been documented and thought to be preventable. In pediatric medicine, doses are usually administered based on the child’s weight or body surface area. This in turn increases the risk of drug miscalculations and therefore MAEs. The aim of this review is to report MAEs occurring in pediatric inpatients. Methods Twelve bibliographic databases were searched for studies published between January 2000 and February 2015 using “medication administration errors”, “hospital”, and “children” related terminologies. Handsearching of relevant publications was also carried out. A second reviewer screened articles for eligibility and quality in accordance with the inclusion/exclusion criteria. Key findings A total of 44 studies were systematically reviewed. MAEs were generally defined as a deviation of dose given from that prescribed; this included omitted doses and administration at the wrong time. Hospital MAEs in children accounted for a mean of 50% of all reported medication error reports (n=12,588). It was also identified in a mean of 29% of doses observed (n=8,894). The most prevalent type of MAEs related to preparation, infusion rate, dose, and time. This review has identified five types of interventions to reduce hospital MAEs in children: barcode medicine administration, electronic prescribing, education, use of smart pumps, and standard concentration. Conclusion This review has identified a wide variation in the prevalence of hospital MAEs in children. This is attributed to the definition and method used to investigate MAEs. The review also illustrated the complexity and multifaceted nature of MAEs. Therefore, there is a need to develop a set of safety measures to tackle these errors in pediatric practice.
Collapse
Affiliation(s)
- Ahmed Ameer
- Department of Pharmacy, School of Life and Medical Sciences, University of Hertfordshire, Hatfield, UK
| | - Soraya Dhillon
- Department of Pharmacy, School of Life and Medical Sciences, University of Hertfordshire, Hatfield, UK
| | - Mark J Peters
- Paediatric Intensive Care Unit, Great Ormond Street Hospital, London, UK
| | - Maisoon Ghaleb
- Department of Pharmacy, School of Life and Medical Sciences, University of Hertfordshire, Hatfield, UK
| |
Collapse
|
11
|
Friedrichsdorf SJ, Postier A, Eull D, Weidner C, Foster L, Gilbert M, Campbell F. Pain Outcomes in a US Children's Hospital: A Prospective Cross-Sectional Survey. Hosp Pediatr 2015; 5:18-26. [PMID: 25554755 DOI: 10.1542/hpeds.2014-0084] [Citation(s) in RCA: 105] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
BACKGROUND AND OBJECTIVES Pain in hospitalized children may be underrecognized and undertreated. The objective of this survey was to benchmark pain prevalence, intensity, assessment, and pharmacologic as well as integrative treatment of pain in inpatients in a US children's hospital. METHODS This was a single-day, cross-sectional survey and electronic medical record review of inpatients who received medical care at a pediatric hospital. Inpatients and emergency department patients were asked to report their experience with pain and its management during the previous 24 hours. RESULTS Of 279 inpatients listed on the morning census, 178 children and parents were located and completed the survey. Seventy-six percent had experienced pain during the previous 24 hours, usually acute or procedural pain, 12% of whom possibly suffered from chronic pain. Twenty percent of all children surveyed experienced moderate and 30% severe pain in that time period. The worst pain reported by patients was caused by needle pokes (40%), followed by trauma/injury (34%). Children and their parents rated 5 integrative, nonpharmacologic modalities as more effective than medications. Pain assessments and management were documented in the medical record for 58% of patients covering the 24-hour period before the morning census. The most commonly prescribed analgesics were acetaminophen, morphine, and ibuprofen. CONCLUSIONS Despite existing hospital policies and a pain consult team, significant room for improvement in pain management was identified. A hospital-wide, 3-year Lean quality improvement initiative on reducing pain was commenced as a result of this survey.
Collapse
Affiliation(s)
- Stefan J Friedrichsdorf
- Children's Hospitals and Clinics of Minnesota, Minneapolis, Minnesota; University of Minnesota Medical School, Minneapolis, Minnesota;
| | - Andrea Postier
- Children's Hospitals and Clinics of Minnesota, Minneapolis, Minnesota
| | - Donna Eull
- Children's Hospitals and Clinics of Minnesota, Minneapolis, Minnesota
| | - Christian Weidner
- Children's Hospitals and Clinics of Minnesota, Minneapolis, Minnesota
| | - Laurie Foster
- Children's Hospitals and Clinics of Minnesota, Minneapolis, Minnesota
| | - Michele Gilbert
- Children's Hospitals and Clinics of Minnesota, Minneapolis, Minnesota
| | - Fiona Campbell
- The Hospital for Sick Children, Toronto, Canada; and University of Toronto, Toronto, Canada
| |
Collapse
|
12
|
Anoshiravani A, Gaskin G, Kopetsky E, Sandborg C, Longhurst CA. Implementing an Interoperable Personal Health Record in Pediatrics: Lessons Learned at an Academic Children's Hospital. J Particip Med 2011; 3:e30. [PMID: 21853160 PMCID: PMC3156478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023] Open
Abstract
This paper describes the development of an innovative health information technology creating a bidirectional link between the electronic medical record (EMR) of an academic children's hospital and a commercially available, interoperable personal health record (PHR). The goal of the PHR project has been to empower pediatric patients and their families to play a more active role in understanding, accessing, maintaining, and sharing their personal health information to ultimately improve health outcomes. The most notable challenges proved more operational and cultural than technological. Our experience demonstrates that an interoperable PHR is technically and culturally achievable at a pediatric academic medical center. Recognizing the complex social, cultural, and organizational contexts of these systems is important for overcoming barriers to a successful implementation.
Collapse
|