Pediatr Crit Care Me
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Pediatr Crit Care Me · Jun 2013
Multicenter StudyAre pediatric critical care medicine fellowships teaching and evaluating communication and professionalism?
To describe the teaching and evaluation modalities used by pediatric critical care medicine training programs in the areas of professionalism and communication. ⋯ A wide range of techniques are currently used within pediatric critical care medicine to teach communication and professionalism, but there are a number of required elements that are not specifically taught by fellowship programs. These areas of deficiency represent opportunities for future investigation and improved education in the important competencies of communication and professionalism.
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Pediatr Crit Care Me · Jun 2013
Multicenter Study Comparative StudyThe ideal time interval for critical care severity-of-illness assessment.
Determine if the shortest sampling interval for laboratory variables used to estimate baseline severity of illness in pediatric critical care is equivalently sensitive across multiple sites without site-specific bias, while accounting for the vast majority of dysfunction compared with the standard 0- to 12-hour Pediatric Risk of Mortality III score. ⋯ Prognostically important laboratory physiologic data collected within the interval from 2 hours prior to PICU to admission through 4 hours after admission account for the vast majority of dysfunction that these variables would contribute to Pediatric Risk of Mortality III scores. There was no institutional bias associated with this sampling period.
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Pediatr Crit Care Me · Jun 2013
Multicenter Study Comparative StudyUsing administrative data for mortality risk adjustment in pediatric congenital cardiac surgery.
To evaluate the performance of risk-adjustment models from the University HealthSystem Consortium and the Agency for Healthcare Research Quality on an administrative dataset for children undergoing congenital cardiac surgery. ⋯ Administrative data can be used to create risk-adjustment models in the congenital cardiac surgery population. Risk-adjustment models generated from administrative data may represent an attractive addition to clinically derived models in pediatric congenital cardiac surgery patients and should be considered for use either alone or in combination with clinical data in future analyses where mortality is a measure of performance and quality.