John Patrick T Co

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BACKGROUND Electronic results management may improve the reliability and efficiency of test results management, but few studies have investigated this topic in pediatrics. METHODS We conducted semi-structured, key informant interviews before and after implementation of electronic results management at 8 pediatric ambulatory care practices. We also(More)
OBJECTIVE Patient assessments of care are increasingly being considered an important dimension of quality of care. Few studies have examined the types and extent of problems identified by parents in the care of hospitalized children and whether hospital characteristics are associated with some of these problems. The objective of this study was to describe(More)
OBJECTIVE To assess how parent reports about the inpatient care of their children vary according to the health status of children with and without chronic conditions. DESIGN We analyzed parent responses to the Picker Institute Pediatric Inpatient Survey. SETTING Thirty-nine hospitals between January 1, 1997, and December 31, 1999. PARTICIPANTS(More)
OBJECTIVES The objective of this study was to assess the effect of electronic health record (EHR) decision support on physician management and documentation of care for children with attention-deficit/hyperactivity disorder (ADHD). METHODS This study involved 79 general pediatricians in 12 pediatric primary care practices that use the same EHR who were(More)
OBJECTIVE The aim of this study was to determine whether resident or program characteristics are associated with effective self-directed learning of residents. METHODS A cross-sectional survey of pediatric and medicine/pediatric residents and program directors from a nationally representative sample of residency programs was conducted. Self-directed(More)
BACKGROUND The ability to measure and improve the quality of children's health care is of national importance. Despite the existence of numerous health care quality measures, the collective ability of measures to assess children's health care quality is unclear. A review of existing health care quality measures for children is timely for both assessing the(More)
PURPOSE Quality, patient safety and value are important topics for graduate medical education (GME). Spaced education delivers case-based content in a structured longitudinal experience. Use of spaced education to deliver quality and safety education in GME at an institutional level has not been previously evaluated. OBJECTIVES To implement a spaced(More)
BACKGROUND Computerized decision support (CDS) can potentially improve patient safety and guideline adherence. The authors developed an acute respiratory illness interactive template (ARI-IT) within an electronic health record (EHR) to manage pediatric ARIs and assessed the impact on antibiotic prescribing. METHODS They randomized 12 practices either to(More)