SECTION ON HOSPITAL MEDICINE LEADERSHIP AND STAFF

[摘要] MembersMatthew Garber, MD, FAAPPaul D. Hain, MD, FAAPBrian K. Alverson, MD, FAAPErin R. Stucky Fisher, MD, FAAPDaniel A. Rauch, MD, FAAP, Special Consultant/Committee on Hospital Care Elena Aragona, MD, Liaison, Section on Medical Students, Residents, and Fellowship Trainees S. Niccole Alexander, MPP,Manager, Division of Hospital and Surgical Services Ruth Trailer, BGS, Coordinator, Division of Hospital and Surgical Services Ricardo Quinonez, MD, FAAPChairpersonI often think of pediatric hospitalists as agents of clarity and reason. Evidence-based medicine, quality improvement, outcomes research and comparative effectiveness research are just some of the tools that hospitalists use in an effort to make sense of complex problems where conjecture sometimes clouds reason. Such is the case with the ongoing debate about pediatric readmissions. In adult medicine, unplanned readmissions are accepted surrogates for poor quality, though even this view has been challenged.1 For some adult conditions, readmissions are tied to decreased Medicare reimbursement. Are pediatric readmissions a reflection on the quality of care received by hospitalized children? Pediatric hospitalists are beginning to answer this question.Original research articles and commentaries in the seminal journals Pediatrics and JAMA recently addressed this issue with pediatric hospitalists leading the charge.2–4 We are learning that a one size fits all approach to readmissions is unlikely to work for children. Pediatric readmissions are low in number (much lower than adults), frequently planned, rarely preventable (with little consensus that the small portion of possibly preventable readmissions actually are preventable) and affect certain patient populations disproportionately, ie, children with medical complexity, who …

[学科分类] 儿科学

[关键词] Campylobacter;proljev;dob