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  1. Article ; Online: Visual Diagnosis: A Neonate with Rash and Fever.

    Shay, Rebecca / Hoffner, Wendy / Zeltser, Deena / Mitchell, Marcus

    Pediatrics in review

    2017  Volume 38, Issue 8, Page(s) e28–e30

    MeSH term(s) Exanthema/virology ; Female ; Fever/virology ; Herpes Simplex/complications ; Herpes Simplex/diagnosis ; Herpesvirus 1, Human/isolation & purification ; Humans ; Infant, Newborn
    Language English
    Publishing date 2017-08
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 774515-1
    ISSN 1526-3347 ; 0191-9601
    ISSN (online) 1526-3347
    ISSN 0191-9601
    DOI 10.1542/pir.2016-0095
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 2595: Show issues Location:
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    Zs.MO 53: Show issues

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  2. Article ; Online: Sixteen Weeks Later: Expanding the Risk Period for Multisystem Inflammatory Syndrome in Children.

    Cirks, Blake T / Rowe, Samantha J / Jiang, Sarah Y / Brooks, Robert M / Mulreany, Michael P / Hoffner, Wendy / Jones, Olcay Y / Hickey, Patrick W

    Journal of the Pediatric Infectious Diseases Society

    2021  Volume 10, Issue 5, Page(s) 686–690

    Abstract: Multisystem inflammatory syndrome in children (MIS-C) has been observed in temporal association with coronavirus disease 2019 (COVID-19), typically within 2 to 6 weeks of illness or exposure. We present a case of MIS-C occurring 16 weeks after initial ... ...

    Abstract Multisystem inflammatory syndrome in children (MIS-C) has been observed in temporal association with coronavirus disease 2019 (COVID-19), typically within 2 to 6 weeks of illness or exposure. We present a case of MIS-C occurring 16 weeks after initial COVID-19 illness to highlight the prolonged period of risk for developing MIS-C.
    MeSH term(s) Adolescent ; Biomarkers/blood ; COVID-19/diagnosis ; COVID-19/therapy ; Female ; Humans ; Prognosis ; SARS-CoV-2 ; Systemic Inflammatory Response Syndrome/diagnosis ; Systemic Inflammatory Response Syndrome/therapy ; Time Factors
    Chemical Substances Biomarkers
    Language English
    Publishing date 2021-02-12
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2668791-4
    ISSN 2048-7207 ; 2048-7193
    ISSN (online) 2048-7207
    ISSN 2048-7193
    DOI 10.1093/jpids/piab007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Visual Diagnosis: 8-year-old Male with a Skin Mass and Inguinal Lymphadenopathy. Clear Cell Sarcoma.

    Hittson, Lauren / Pedati, Caitlin / Hoffner, Wendy

    Pediatrics in review

    2015  Volume 36, Issue 8, Page(s) e26–9

    MeSH term(s) Child ; Diagnosis, Differential ; Foot Diseases/pathology ; Foot Diseases/surgery ; Groin/pathology ; Groin/surgery ; Humans ; Lymph Nodes/pathology ; Lymph Nodes/surgery ; Lymphatic Metastasis ; Male ; Sarcoma, Clear Cell/pathology ; Sarcoma, Clear Cell/surgery
    Language English
    Publishing date 2015-08
    Publishing country United States
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 774515-1
    ISSN 1526-3347 ; 0191-9601
    ISSN (online) 1526-3347
    ISSN 0191-9601
    DOI 10.1542/pir.36-8-e26
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: The Value of Pediatricians on Pharmacy and Therapeutics Committees.

    Austin, Jared P / Gunden, Sara / Hoffner, Wendy / Ismail, Lana / Mendez, Suzanne / Alvarez, Francisco

    P & T : a peer-reviewed journal for formulary management

    2018  Volume 44, Issue 1, Page(s) 2–4

    Language English
    Publishing date 2018-12-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1036637-4
    ISSN 1052-1372
    ISSN 1052-1372
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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  5. Article: Parental Understanding of Hospital Course and Discharge Plan.

    Bhansali, Priti / Washofsky, Anne / Romrell, Evan / Birch, Sarah / Winer, Jeffrey C / Hoffner, Wendy

    Hospital pediatrics

    2016  Volume 6, Issue 8, Page(s) 449–455

    Abstract: Objectives: Hospital discharge marks an important transition in care from the inpatient team to the family and primary care provider. Parents must know the hospital course and discharge plan to care for their child at home and provide background for ... ...

    Abstract Objectives: Hospital discharge marks an important transition in care from the inpatient team to the family and primary care provider. Parents must know the hospital course and discharge plan to care for their child at home and provide background for future providers. Our study aimed to determine parental knowledge of key aspects of their child's hospital course and discharge plan and to identify markers of increased risk for incomplete or incorrect knowledge among participants.
    Methods: We conducted a descriptive prospective cohort study of parents within 24 hours of hospital discharge. The primary outcome was concordance of parent responses to verbal interview questions about their child's hospital treatment, laboratory testing, imaging, procedures and discharge plan with the medical record.
    Results: Of 174 participants, 15% felt less than "completely prepared" to explain the hospital course to their primary care provider or to provide care after discharge. There was >83% overall concordance with interview responses and the medical record, with concordance higher for hospital course events than discharge plan. There were few significant differences in understanding between trainee-based teams and the attending physician-run unit. No patient or family characteristics were consistently associated with poor understanding of hospital course or discharge plan.
    Conclusions: Although parents were generally knowledgeable about hospital course and discharge plan, areas for improved communication were identified. Individualized counseling about hospital course and discharge plan should be initiated for all parents early during hospitalization. Methods that assess and bolster caregiver comprehension and minimize dependence on written instructions may help with transition to outpatient care.
    MeSH term(s) Adult ; Child ; Cohort Studies ; Female ; Health Knowledge, Attitudes, Practice ; Hospitals, Pediatric/organization & administration ; Humans ; Information Literacy ; Male ; Middle Aged ; Needs Assessment ; Parents/psychology ; Patient Discharge/standards ; Professional-Family Relations ; Quality Improvement ; Transitional Care/organization & administration ; Transitional Care/standards
    Language English
    Publishing date 2016-08
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2154-1663
    ISSN 2154-1663
    DOI 10.1542/hpeds.2015-0111
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Facilitating the Timely Discharge of Well Newborns by Using Quality Improvement Methods.

    Rochester, Nicole T / Banach, Laurie P / Hoffner, Wendy / Zeltser, Deena / Lewis, Phyllis / Seelbach, Elizabeth / Cuzzi, Sandra

    Pediatrics

    2018  Volume 141, Issue 5

    Abstract: Background and objectives: Discharges are a key driver of hospital throughput. Our pediatric hospitalist team sought to improve newborn nursery throughput by increasing the percentage of newborns on our service with a discharge order by 11 am. We ... ...

    Abstract Background and objectives: Discharges are a key driver of hospital throughput. Our pediatric hospitalist team sought to improve newborn nursery throughput by increasing the percentage of newborns on our service with a discharge order by 11 am. We hypothesized that implementing a discharge checklist would result in earlier discharge times for newborns who met discharge criteria.
    Methods: We identified barriers to timely discharge through focus groups with key stakeholders, chart reviews, and brainstorming sessions. We subsequently created and implemented a discharge checklist to identify and address barriers before daily rounds. We tracked mean monthly discharge order times. Finally, we performed chart reviews to determine causes for significantly delayed discharge orders and used this information to modify rounding practices during a second plan-do-study-act cycle.
    Results: During the 2-year period before the intervention, 24% of 3224 newborns had a discharge order entered by 11 am. In the 20 months after the intervention, 39% of 2739 newborns had a discharge order by 11 am, a 63% increase compared with the baseline. Observation for group B
    Conclusions: There are many factors that affect the timely discharge of well newborns. The development and implementation of a discharge checklist improved our ability to discharge newborns on our pediatric hospitalist service by 11 am. Future studies to identify nonphysician barriers to timely newborn discharges may lead to further improvements in throughput between the labor and delivery and maternity suites units.
    MeSH term(s) Checklist ; Efficiency, Organizational ; Hospitals, Teaching/organization & administration ; Hospitals, Teaching/standards ; Humans ; Infant, Newborn ; Length of Stay ; Maryland ; Patient Discharge/standards ; Quality Improvement ; Time Factors ; Workflow
    Language English
    Publishing date 2018-04-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 207677-9
    ISSN 1098-4275 ; 0031-4005
    ISSN (online) 1098-4275
    ISSN 0031-4005
    DOI 10.1542/peds.2017-0872
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: A time-motion study of inpatient rounds using a family-centered rounds model.

    Bhansali, Priti / Birch, Sarah / Campbell, Joyce K / Agrawal, Dewesh / Hoffner, Wendy / Manicone, Paul / Shah, Kyle / Krieger, Evelina / Ottolini, Mary

    Hospital pediatrics

    2013  Volume 3, Issue 1, Page(s) 31–38

    Abstract: Objective: Family-centered rounds (FCR) have become increasingly prevalent in pediatric hospital settings. The objective of our study was to describe time use and discrete events during pediatric inpatient rounds by using a FCR model.: Methods: We ... ...

    Abstract Objective: Family-centered rounds (FCR) have become increasingly prevalent in pediatric hospital settings. The objective of our study was to describe time use and discrete events during pediatric inpatient rounds by using a FCR model.
    Methods: We conducted a prospective observational study at Children's National Medical Center between September 2010 and February 2011. Investigators directly observed rounds on hospitalist and neurology services. Events were timed, and key features were recorded by using a Microsoft Access-based program. Associations with increased time spent during rounds were determined by using regression analyses.
    Results: One hundred fifty-nine rounding encounters were observed. Rounds lasted 7.9 minutes on average per patient. An average of 1.3 minutes was spent between patients during rounds. Eighty-six (54%) encounters occurred outside the patient's room, 3% of the time because of the family's request. Infectious isolation was associated with rounds occurring outside the room (P<.0001). Participation of the parent, location of rounds inside or outside the patient's room, most teaching behaviors, and interruptions were not significantly associated with increased time spent during rounds. Teaching physical examination techniques by allowing multiple trainees to examine the patient was associated with increased rounding time (P= .02).
    Conclusions: The majority of rounds occurred outside the patient's room, yet rarely at the parent's request. Patients on infectious isolation were more likely to have rounds occur outside the patient's room. Neither parental participation nor most teaching behaviors were associated with increased time spent on rounds. These findings will enrich the evidence base needed to establish FCR best practices.
    MeSH term(s) Hospitals, Pediatric ; Humans ; Parents ; Patient Isolation ; Patient Participation ; Patients' Rooms ; Professional-Family Relations ; Prospective Studies ; Teaching Rounds/methods ; Time Factors
    Language English
    Publishing date 2013-12-01
    Publishing country United States
    Document type Journal Article
    ISSN 2154-1663
    ISSN 2154-1663
    DOI 10.1542/hpeds.2012-0021
    Database MEDical Literature Analysis and Retrieval System OnLINE

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