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Results Total Results: 36

Aug, 2017
Article
Authors:

Fiks AG, Mayne SL, Michel JJ, Miller J, Abraham M, Suh A, Jawad AF, Guevara JP, Grundmeier RW, Blum NJ, Power TJ

OBJECTIVE: To evaluate a distance-learning, quality improvement intervention to improve pediatric primary care provider use of attention-deficit/hyperactivity disorder (ADHD) rating scales. METHODS: Primary care practices were cluster randomized to a 3-part distance-learning, quality im...

Jul, 2017
Article
Authors:

Fiks AG, Fleisher L, Berrigan L, Sykes E, Mayne SL, Gruver R, Halkyard K, Jew OS, FitzGerald P, Winston F, McMahon

OBJECTIVE: Pediatric dermatology appointment wait times often exceed several months. We evaluated the usability, acceptability, and clinical impact of a store-and-forward teledermatology mobile application (app) linking families with pediatric dermatologists. METHODS: Parents of childre...

May, 2017
Article
Authors:

Adams SA, Leach MC, Feudtner C, Miller VA, Kenyon CC

BACKGROUND: The use of inhaled corticosteroid (ICS) medications has been shown to improve asthma control and reduce asthma-related morbidity and mortality. Two recent randomized trials demonstrated dramatic improvements in ICS adherence by monitoring adherence with electronic sensors and...

Dec, 2016
Article
Authors:

Mollen CJ, Henien M, Jacobs L, Myers S

OBJECTIVE: Real-time audiovisual consultation (telemedicine) has been proven feasible and is a promising alternative to interfacility transfer. We sought to describe caregiver perceptions of the decision to transfer his or her child to a pediatric emergency department and the potential u...

Jul, 2016
Article
Authors:

Day TE, Gellad ZF

ABSTRACT: Health care delivery is subject to entropy, and health care delivery organizations must engage in quality improvement (QI) efforts in order to ensure reliable, efficient, safe patient care. The role of QI in maintaining wellfunctioning health care delivery has been noted broadl...

Jun, 2016
Article
Authors:

Freeman B, Mayne S, Localio RA, Luberti A, Zorc JJ, Fiks AG

BACKGROUND: Video-capable mobile phones are widely available, but few studies have evaluated their use in telephone triage for pediatric patients. We assessed the feasibility, acceptability, and utility of videos sent via mobile phones to enhance pediatric telephone triage for an underse...

Jun, 2016
Article
Authors:

Fiks AG, DuRivage N, Mayne SL, Finch S, Ross ME, Giacomini K, Suh A, McCarn B, Brandt E, Karavite D, Staton EW, Shone LP, McGoldrick V, Noonan K, Miller D, Lehmann CU, Pace WD, Grundmeier RW

BACKGROUND: Patient portals may improve communication between families of children with asthma and their primary care providers and improve outcomes. However, the feasibility of using portals to collect patient-reported outcomes from families and the barriers and facilitators of portal i...

Jun, 2016
Article
Authors:

Kenyon CC, Chang J, Wynter SA, Folwer JC, Long J, Bryant-Stephens TC

BACKGROUND: Inner-city, minority children with asthma have the highest rates of morbidity and death from asthma and the lowest rates of asthma controller medication adherence. Some recent electronic medication monitoring interventions demonstrated dramatic improvements in adherence in lo...

Apr, 2016
Article
Authors:

Jenssen BP, Bryant-Stephens T, Leone FT, Grundmeier RW, Fiks AG

OBJECTIVES: We created a clinical decision support (CDS) tool and evaluated its feasibility, acceptability, usability, and clinical impact within the electronic health record to help primary care pediatricians provide smoking cessation treatment to parents/caregivers who smoke. METHODS:...

Feb, 2016
Article
Authors:

Fiks A, Luan X, Mayne S

BACKGROUND: Many pediatricians are now required to participate in American Board of Pediatrics Maintenance of Certification (MOC) Part IV programs focused on improving health care quality, but the benefits of participation are unproven. METHODS: Twenty-seven primary care pediatricians f...

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