Search Results: MCHLine

Annotation: These recommendations provide guidelines on perinatal systems that are consistent with the Guidelines for Perinatal Care, 6th edition, issued in 2007 by the American Academy of Pediatrics (AAP) and the American College of Obstetricians and Gynecologists. Guidelines are provided in the following areas: organization, obstetrical unit capabilities, neonatal unit capabilities, obstetric personnel, pediatric personnel, other personnel, laboratory, diagnostic imaging capabilities, equipment, medications, and education program.

Contact: Maryland Department of Health, Maternal and Child Health Bureau, Office of Family and Community Health Services, 201 West Preston Street, Third Floor, Baltimore, MD 21201-2399, Secondary Telephone: (800) 456-8900 E-mail: https://health.maryland.gov/Pages/contactus.aspx Web Site: http://phpa.dhmh.maryland.gov/mch/Pages/Home.aspx Available from the website.

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Keywords: Diagnostic imaging, Diagnostic techniques, Education, Guidelines, Health care systems, Laboratories, Neonatal intensive care units, Obstetrical care, Pediatrics, Perinatal care, Perinatal services, Standards

Annotation: This report summarizes a research study funded by the Maternal and Child Health Bureau and presented at a seminar January 5, 1995. This study focuses on four factors affecting patient mortality in the pediatric intensive care unit: size of the unit, teaching status of the hospital housing the unit, presence of pediatric intensivists, and unit coordination. Regionalization of pediatric care was also addressed. The report ends with reaction to the project and a list of references. [Funded by the Maternal and Child Health Bureau]

Contact: National Center for Education in Maternal and Child Health, Georgetown University, Telephone: (202) 784-9770 E-mail: [email protected] Web Site: https://www.ncemch.org Photocopy available at no charge; also available from the website.

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Keywords: Evaluation methods, Infant mortality, MCH research, Pediatric intensive care unit, Regional factors

Annotation: Data indicated that the quality of pediatric intensive care was not uniform, resulting in the unnecessary deaths of numerous infants and children each year. This proposal investigated four primary, intensive care characteristics using an objective, quantitative methodology that could be applied to future studies. This methodology, validated in a national study, indicated that there was a precise relationship between severity of illness (physiologic instability as assessed by the Pediatric Risk of Mortality [PRISM] score) and intensive care outcome (i.e, survival or death) in university pediatric ICUs with intensivist directors. The investigators hypothesized that the precise relationship between severity of illness and outcome would not hold consistently in all pediatric ICUs, resulting in underestimation of mortality. [Funded by the Maternal and Child Health Bureau]

Contact: National Technical Information Service, O.S. Department of Commerce, 5301 Shawnee Road, Alexandria, VA 22312, Telephone: (703) 605-6050 Secondary Telephone: (888) 584-8332 E-mail: [email protected] Web Site: http://www.ntis.gov Document Number: NTIS PB95-227864.

Keywords: Child Mortality, Intensive Care, MCH Research, Pediatric Intensive Care Units, Research, Standards of Care

Annotation: This project tested four hypotheses related to the assessment and use of severity of illness in Pediatric intensive care units (PICUs). Nine PICUs collected data prospectively for 6 months, or on 200 consecutive admissions. Among the study's findings were the following: (1) Mortality rate differences among PICUs can be quantitatively explained by differences in the distributions for severity of illness; (2) indications that significant PICU cost reductions could occur by improving PICU efficiency; and (3) the pediatric intensivist reduced the severity of illness-adjusted mortality rate and significantly improved efficiency by decreasing the bed days of low risk monitor patients. The findings indicate potential areas for cost containment and demonstrate that the addition of a pediatric intensivist could improve care. [Funded by the Maternal and Child Health Bureau]

Contact: National Technical Information Service, O.S. Department of Commerce, 5301 Shawnee Road, Alexandria, VA 22312, Telephone: (703) 605-6050 Secondary Telephone: (888) 584-8332 E-mail: [email protected] Web Site: http://www.ntis.gov Document Number: NTIS PB89-218648.

Keywords: Cardiovascular disease, Chronic illnesses and disabilities, Data bases, Neurological disorders, Pediatric Intensive Care Units, Respiratory illness

Keywords: Hospitals, Neonatal intensive care, Pediatric care, Pediatric hospitals, Pediatric intensive care units, Pediatric intermediate care facilities, Pediatric nursing