Current Problems in Pediatric and Adolescent Health Care最新文献

{"title":"Selecting the correct control chart: A practical example from adolescent care","authors":"Beth Williams ,&nbsp;Lisa Ziemnik","doi":"10.1016/j.cppeds.2025.101805","DOIUrl":"10.1016/j.cppeds.2025.101805","url":null,"abstract":"<div><div>Oftentimes physicians or clinic leaders are asked to embark on strategic or quality improvement initiatives to improve selected preventive and well child metrics. The first step in selecting the correct control chart for this work is understanding the type of data being measured. Once the type of data is determined, a standardized flowchart is used to select the correct control chart. Each type of data requires the correct control chart to display and monitor quality improvement efforts effectively. Understanding types of data and using a flowchart to select the appropriate control chart helps remove the mystery behind selection and ensures control charts can be used and interpreted correctly.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 7","pages":"Article 101805"},"PeriodicalIF":3.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improvement science and implementation science – railroads for achieving better patient health outcomes","authors":"Mellissa Mahabee MD, MSHS ,&nbsp;Micheal Schibler BSN, RN ,&nbsp;Hemanth Lingadevaru MD, MPH ,&nbsp;Jeremy Larson MD ,&nbsp;Daniel Evans MD","doi":"10.1016/j.cppeds.2025.101803","DOIUrl":"10.1016/j.cppeds.2025.101803","url":null,"abstract":"<div><div>Implementation science (IS) and quality improvement science (QIS) inhabit distinct areas in scholarly literature but are often blended in practice. IS and QIS have different origins, goals, and methodologies. Despite these differences, the two fields are closely intertwined and equally significant in improving healthcare outcomes. They can lead to improved patient outcomes when used in conjunction.</div><div>QIS typically commences with the identification of a problem and subsequently employs various tools and methods to address these problems. Conversely, IS begins with a solution grounded in evidence and seeks to integrate evidence-based practices (EBP) into routine usage through diverse implementation frameworks to solve problems.</div><div>This discussion aims to compare these frameworks and present a case study regarding the management of asthma exacerbations across departments within a tertiary care hospital, thereby illustrating how these approaches can collaboratively enhance health outcomes.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 7","pages":"Article 101803"},"PeriodicalIF":3.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"FOREWORD: Quality Improvement-Part II","authors":"Associate Editor John M. Pascoe MD, MPH","doi":"10.1016/j.cppeds.2025.101842","DOIUrl":"10.1016/j.cppeds.2025.101842","url":null,"abstract":"","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 7","pages":"Article 101842"},"PeriodicalIF":3.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building consensus in quality improvement","authors":"Sarah Van Nostrand DO ,&nbsp;Mellissa Mahabee MD, MSHS ,&nbsp;Maddie Mock BSME","doi":"10.1016/j.cppeds.2025.101806","DOIUrl":"10.1016/j.cppeds.2025.101806","url":null,"abstract":"<div><div>Consensus-building is essential for quality and safety initiatives, ensuring all stakeholders have a shared understanding of key issues. This alignment enhances commitment to solutions and encourages participation in implementing changes, reducing reliance on workarounds and improving outcomes.</div><div>Teams can effectively integrate consensus-building in their initiatives by focusing on certain key conditions and using tools like brainstorming, multi-voting, the nominal group technique, T-charts, the Delphi method, and decision matrices. A practical example from our Neonatal Intensive Care Unit (NICU) on a quality improvement project regarding nutrition and blood transfusions will illustrate some of these tools in action.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 7","pages":"Article 101806"},"PeriodicalIF":3.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A guide to developing teams for successful healthcare quality improvement projects","authors":"Amy M. Jeffers ,&nbsp;Christopher Anderson","doi":"10.1016/j.cppeds.2025.101802","DOIUrl":"10.1016/j.cppeds.2025.101802","url":null,"abstract":"<div><div>Successful healthcare quality improvement (QI) initiatives depend on the development of effective, well-structured teams. This paper explores key components of team formation and development, emphasizing the importance of clear goals, defined roles, open communication, and multidisciplinary collaboration. Two QI projects from Dayton Children’s Hospital illustrate how strategic team-building led to successful QI projects: increasing completion rates of standardized discharge instructions and improving pediatric asthma scoring in the emergency department. By fostering teamwork, engaging diverse perspectives, and addressing challenges proactively, healthcare organizations can enhance patient care, improve efficiency, and achieve sustainable quality improvements.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 7","pages":"Article 101802"},"PeriodicalIF":3.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Board Page","authors":"","doi":"10.1016/S1538-5442(25)00104-X","DOIUrl":"10.1016/S1538-5442(25)00104-X","url":null,"abstract":"","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 7","pages":"Article 101830"},"PeriodicalIF":3.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pareto charts, scatter plots, and bubble charts","authors":"Jeremy Larson ,&nbsp;Eric Whitney","doi":"10.1016/j.cppeds.2025.101804","DOIUrl":"10.1016/j.cppeds.2025.101804","url":null,"abstract":"<div><div>Data visualization is essential for exploring potential cause-effect relationships, prioritizing interventions, and communicating findings in healthcare quality improvement. This paper uses clinical examples to explore three key tools—Pareto charts, scatter plots, and bubble charts—that help teams analyze system variables and patient outcomes.</div><div>Pareto charts highlight the most significant contributors to a system’s processes and outcomes using the 80/20 principle. We illustrate their use in improving the timing of antibiotic administration in a pediatric emergency department.</div><div>Scatter plots reveal correlations between two variables. Using the same example, we show how these plots can assess the impact of factors such as patient age on antibiotic administration timing.</div><div>Bubble charts enhance scatter plots by visualizing a third variable through bubble size. Here, we compare antibiotic timing with each provider’s years of experience and number of patients seen.</div><div>Use of these tools enables quality improvement teams to identify trends, target interventions, and effectively communicate system performance. Regular practice with these tools can enhance quality improvement efforts and patient outcomes.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 7","pages":"Article 101804"},"PeriodicalIF":3.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Foreword: Issue 1 providing a PCPs learning pathway around the RBC, CBC, and bleeding in a pediatric patient.","authors":"John W Harrington","doi":"10.1016/j.cppeds.2025.101764","DOIUrl":"https://doi.org/10.1016/j.cppeds.2025.101764","url":null,"abstract":"","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":" ","pages":"101764"},"PeriodicalIF":3.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How the public’s knowledge, attitudes, and practice intersect with scientific evidence about fluoride","authors":"Ruth A. Etzel MD, PhD (Associate Editor)","doi":"10.1016/j.cppeds.2025.101800","DOIUrl":"10.1016/j.cppeds.2025.101800","url":null,"abstract":"","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 6","pages":"Article 101800"},"PeriodicalIF":3.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144865913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How the public’s knowledge, attitudes, and practice intersect with scientific evidence about fluoride","authors":"Christine Till PhD ,&nbsp;Jana El-Sabbagh B.Sc. ,&nbsp;Carly Goodman MA ,&nbsp;Mikel Subiza-Pérez PhD ,&nbsp;Meaghan Hall MA","doi":"10.1016/j.cppeds.2025.101768","DOIUrl":"10.1016/j.cppeds.2025.101768","url":null,"abstract":"<div><div>For over 75 years, community water fluoridation has been implemented as a public health strategy to reduce dental caries. While early studies suggested dramatic reductions in dental caries, recent evidence indicates that the benefits of community water fluoridation are more modest. Concurrently, concerns have grown over rising rates of enamel fluorosis and possible links between fluoride intake and lowered intelligence in children and thyroid hormone disruption, even at exposure levels found in fluoridated regions. This first part of this paper discusses the historical context and current scientific evidence on the effectiveness of community water fluoridation and safety of systemic fluoride. The second part presents findings from a fluoride survey conducted with 8011 adults in Canada and the U.S. The survey assessed knowledge about fluoride, public perceptions of the risks and benefits of community water fluoridation, and fluoride use with young children. Overall, 60 % of respondents correctly identified why fluoride is added to drinking water. Knowledge of community water fluoridation was higher among older, more educated, and White participants. Among those familiar with community water fluoridation, 51 % expressed support, 27 % opposed it, and 25 % were neutral. Support was primarily driven by confidence in its safety and benefits, while opposition was driven by safety concerns and perceived violations of personal freedom. Trust in public health officials was higher among supporters (87 %) compared with non-supporters of community water fluoridation (52.1 %). When presented with hypothetical risk-benefit scenarios, participants consistently prioritized the prevention of potential health risks, such as reduced IQ, over the relatively modest dental benefit of preventing one cavity. The survey also revealed that most parents report using more fluoride toothpaste for young children than recommended, suggesting a gap in adherence to safe fluoride use guidelines. Our findings highlight mixed public views on community water fluoridation and knowledge gaps surrounding fluoride toothpaste use with children, underscoring the need for clear, evidence-based communication about fluoride exposures.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 6","pages":"Article 101768"},"PeriodicalIF":3.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}