Pennsylvania Hospital

Barriers to Reducing Subthreshold Phototherapy for Neonatal Jaundice

OBJECTIVE: In a national, multicenter quality improvement (QI) collaborative to reduce subthreshold inpatient phototherapy, the proportion of subthreshold encounters was high at baseline and remained high after the intervention period. This study aimed to assess why clinicians st...

Implementing Respiratory Illness Care Pathways in General Hospitals: A Cluster Randomized Trial

BACKGROUND AND OBJECTIVES: A prior study at a freestanding children's hospital tested simultaneous implementation of multiple clinical pathways and demonstrated improved guideline adherence and patient health outcomes. This high-efficiency approach has not been studied in general...

Glucagon‐Like Peptide‐1 Agonists and the Incidence of Atrial Fibrillation in Obese Patients With Heart Failure With Preserved Ejection Fraction and No Diabetes

ABSTRACT Background Glucagon‐like peptide‐1 receptor agonists (GLP‐1 RAs) reduce cardiovascular risk in obesity, but their effect on atrial fibrillation (AF) in heart failure with preserved ejection fraction (HFpEF) remains unclear. Methods We analyzed TriNetX data comparing obes...

Accuracy and Disparities in Pediatric Emergency Triage: A Multicenter Retrospective Cohort Study

OBJECTIVES: To assess the accuracy of the Emergency Severity Index (ESI) in correctly stratifying high-risk pediatric patients and predicting resource use across multiple pediatric emergency departments (EDs), and to identify patient and environmental factors associated with tria...

Patient Portal Use and Care Utilization Among Hospitalized Children

OBJECTIVE: Patient portals allow patients and caregivers to better engage with health care. Disparities in portal use among high-risk populations, like hospitalized children, could limit their benefits. Additionally, little is known about the association between pediatric portal...

Navigating physician-scientist careers: insights from American Board of Internal Medicine Research Pathway graduates

The American Board of Internal Medicine Research Pathway (ABIM RP) is designed to train physician-scientists by shortening postgraduate clinical training and increasing research time. We surveyed ABIM RP graduates to understand career trajectories, research engagement, and barrie...

Moving Upstream: Perinatal Cash Transfers as a Tool to Address Inequities in Birth Outcomes

The United States has an exceptionally high preterm birth rate, which features inequities that impact many Black, Indigenous, and Pacific Islander families. Unconditional perinatal cash transfers, which offer cash assistance to pregnant and postpartum women with no strings attach...

Addressing Medical Neglect in Children With Complex Chronic Conditions

In this issue of Pediatrics, Cleveland et al report a cross-sectional analysis of a 2-state, multiyear database of linked child protective services (CPS) and Medicaid claims data to characterize the prevalence and associations of complex chronic condition (CCC) status across CPS...

Increased risk of early failure of multiply revised total hip arthroplasty

Aims: As the demand for revision total hip arthroplasty (rTHA) grows, understanding how successive revision procedures influence implant survivorship and patient outcomes becomes increasingly important. This study aimed to evaluate the association between revision number and impl...