ArticleJournal of hospital medicine2019
Quality and Safety of Pediatric Inpatient Care in Community Hospitals: A Scoping Review.
Article in Journal of hospital medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed.
- Geospatial Access to Pediatric Cardiac and Cardiac-Surgical Services by Neighborhood-Level Determinants of Health.Journal of the American Heart Association · 2026Article
- Readiness of General Hospitals That Participate in Pediatric Quality Improvement Initiatives.Hospital pediatrics · 2025Article
- Evaluation of the quality of care in pediatric hospitals in the Gaza Strip using the WHO integrated tool: the healthcare providers' perspective.Frontiers in pediatrics · 2025Article
- Simultaneously implementing pathways for improving asthma, pneumonia, and bronchiolitis care for hospitalized children: Protocol for a hybrid effectiveness-implementation, cluster-randomized trial.Journal of hospital medicine · 2024Article
- Implementation of the WHO standards to assess the quality of care for children with acute diarrhoea: findings of a multicentre study (CHOICE) in Italy.BMJ paediatrics open · 2024Observational
- Implementation of the WHO standards to assess quality of care for children with acute pain in EDs: findings of a multicentre study (CHOICE) in Italy.BMJ paediatrics open · 2024Observational
- Implementation of the WHO Standards to assess the quality of paediatric care using health workers as source of data: findings of a multicentre study (CHOICE) in Italy.BMJ paediatrics open · 2024Article
- Evaluation of the WHO standards to assess quality of care for children with acute respiratory infections: findings of a baseline multicentre assessment (CHOICE) in Italy.BMJ paediatrics open · 2024Observational
- Barriers and Facilitators of High-Efficiency Clinical Pathway Implementation in Community Hospitals.Hospital pediatrics · 2023Article
- Responsibilities and Interests of Pediatricians Practicing Hospital Medicine in the United States.Journal of hospital medicine · 2021Article
- Prevalence of Invasive Bacterial Infections in Well-Appearing, Febrile Infants.Hospital pediatrics · 2021Article
- Low-Value Diagnostic Imaging in Children with Medicaid.The Journal of pediatrics · 2021Article
- Comparing Patterns of Care for Febrile Infants at Community and University-Affiliated Hospitals.Hospital pediatrics · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundAlthough the majority of children are hospitalized in nonchildren's hospitals, little is known about the quality and safety of pediatric care in community hospitals.
objectiveThe aim of this study was to conduct a scoping review and synthesize literature on the quality and safety of pediatric inpatient care in United States community hospitals.
methodsWe performed a systematic literature search in October 2016 to identify pediatric studies that reported on safety, effectiveness, efficiency, timeliness, patient-centeredness, or equity set in general, nonuniversity, or nonchildren's hospitals. We extracted data on study design, patient descriptors, and quality outcomes and assessed the risk of bias using modified Newcastle-Ottawa Scales.
resultsA total of 44 articles met the inclusion criteria. Study designs, patient populations, and quality outcome measures were heterogeneous; only three clinical domains, (1) perinatal regionalization, (2) telemedicine, and (3) imaging radiation, were explored in multiple studies with consistent directionality of results. A total of 30 studies were observational, and 22 studies compared community hospital quality outcomes with other hospital types. The remaining 14 studies reported testing of interventions; 12 showed improved quality of care postintervention. All studies reported an outcome addressing safety, effectiveness, or efficiency, whereas timeliness, patient-centeredness, and equity were infrequently addressed. Risk of bias was moderate or high for 72% of studies.
conclusionsLiterature on the inpatient care of children in community hospitals is limited, making it difficult to evaluate healthcare quality. Measures of timeliness, patient-centeredness, and equity are underrepresented. The field would benefit from more multicenter collaborations to facilitate the application of robust study designs and to enable a systematic assessment of individual interventions and community hospital quality outcomes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.