Pediatric Hospitalists: Report of a Leadership Conference

Lye, Patricia S.; Rauch, Daniel A.; Ottolini, Mary; Landrigan, Christopher P.; Chiang, Vincent W.; Srivastava, Rajendu; Muret-Wagstaff, Sharon; Ludwig, Stephan

doi:10.1542/peds.2005-0401

Cited by 31 publications

(26 citation statements)

References 48 publications

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“…5,6 A growing number of academic medical centers have expanded pediatric hospitalist-based systems of care. [7][8][9] In these settings, hospitalists are charged with 2 roles: (1) leading the care of medically complex children; and (2) teaching house staff and students. Studies comparing hospitalists with other attending physicians as teachers suggest that trainees are generally more satisfi ed with their education from hospitalists.…”

Section: Introductionmentioning

confidence: 99%

Resident Perceptions of Autonomy in a Complex Tertiary Care Environment Improve When Supervised by Hospitalists

Burgis

Lockspeiser

Stumpf

et al. 2012

Hospital Pediatrics

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Section: Introductionmentioning

confidence: 99%

Resident Perceptions of Autonomy in a Complex Tertiary Care Environment Improve When Supervised by Hospitalists

Burgis

Lockspeiser

Stumpf

et al. 2012

Hospital Pediatrics

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“…1 The field of pediatrics is no exception, and by 2005 there were an estimated 1000 pediatric hospitalists in the workforce. 2 Current numbers are likely to be greater than 2500, as the need for pediatric hospitalists has grown considerably.…”

Section: Discussionmentioning

confidence: 99%

Pediatric hospitalist systems versus traditional models of care: Effect on quality and cost outcomes

Mussman

Conway

2011

Journal of Hospital Medicine

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“…The progressive compartmentalization of health care has separated clinical responsibilities for transitional and inpatient care: emergency physicians for emergent care, hospitalists for general inpatient and observation-unit services, neonatologists and intensivists for critical care services, specialists for specific problems and procedures, and nursing for inpatient unit management and patient care administration. Inpatient HIT tools must support the work of inpatient staff to organize patient care, facilitate communication, and make care transitions (including shift change, admission, transfer, and discharge) safe while reinforcing staff roles in patient care [17][18][19][20][21][22][23] (including issues of training and certification requirements [24][25][26] for pediatric care).…”

Section: Stakeholders In Pediatric Inpatient Carementioning

confidence: 99%

Pediatric Aspects of Inpatient Health Information Technology Systems

Lehmann¹

2008

Pediatrics

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US adoption of health information technology as a path to improved quality of patient care (effectiveness, safety, timeliness, patient-centeredness, efficiency, and equity) has been promoted by the medical community. Children and infants (especially those with special health care needs) are at higher risk than are adults for medical errors and their consequences (particularly in environments in which children are not the primary patient population). However, development and adoption of health information technology tools and practices that promote pediatric quality and patient safety are lagging. Two inpatient clinical processesmedication delivery and patient care transitions-are discussed in terms of health information technology applications that support them and functions that are important to pediatric quality and safety. Pediatricians and their partners (pediatric nurses, pharmacists, etc) must develop awareness of technical and adaptive issues in adopting these tools and collaborate with organizational leaders and developers as advocates for the best interests and safety of pediatric patients. Pediatric health information technology adoption cannot be considered in terms of applications (such as electronic health records or computerized physician order entry) alone but must be considered globally in terms of technical (health information technology applications), organizational (structures and workflows of care), and cultural (stakeholders) aspects of what is best. Pediatrics 2008;122:e1287-e1296 INTRODUCTION US adoption of health information technology (HIT) has been advocated by federal agencies, health care industry groups, and patient-advocacy organizations as a major approach to improve patient safety through reduction and prevention of medical errors. 1-5 Adoption of HIT tools such as electronic health records (EHRs), computerized provider order entry (CPOE), and clinical decision support (CDS) is increasing, and although current implementation of all these HIT tools is not yet widespread in US hospitals, 6,7 most hospitals that provide care for children and infants use some form of an electronic information system to manage personal health information and other data that affect children's health. 8 Children and infants have vulnerabilities and needs that are distinct from adults with regard to the management of their clinical care and its associated information. The extended normal ranges of body weights, sizes, and physiologic responses require modifications of clinical, technical, and information workflows to provide pediatricspecific care that is safe. A systematic evidence base for design and implementation of effective HIT that improves care quality and safety is needed but lacking, 9 and recent observations and experience indicate that changes (such as the adoption of information technology) can introduce new and unanticipated errors. [10][11][12]

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Pediatric Hospitalists: Report of a Leadership Conference

Cited by 31 publications

References 48 publications

Resident Perceptions of Autonomy in a Complex Tertiary Care Environment Improve When Supervised by Hospitalists

Resident Perceptions of Autonomy in a Complex Tertiary Care Environment Improve When Supervised by Hospitalists

Pediatric hospitalist systems versus traditional models of care: Effect on quality and cost outcomes

Pediatric Aspects of Inpatient Health Information Technology Systems

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