Institution
Primary Children's Hospital
Healthcare•Salt Lake City, Utah, United States•
About: Primary Children's Hospital is a healthcare organization based out in Salt Lake City, Utah, United States. It is known for research contribution in the topics: Population & Health care. The organization has 1770 authors who have published 2594 publications receiving 107857 citations. The organization is also known as: Intermountain Primary Children's Medical Center & Intermountain Primary Children's Hospital.
Topics: Population, Health care, Transplantation, Poison control, Medicine
Papers published on a yearly basis
Papers
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TL;DR: In general, those lesions that are causing or have caused neurologic injury, chronic pain, or spinal deformity or place the patient at high risk for developing these require treatment.
118 citations
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TL;DR: The early North American multicenter experience with ETV + CPC in infants demonstrates that the procedure has reasonable safety in selected cases and may be associated with a surgeon's learning curve and appears to affect success, suggesting that surgeon training might improve results.
Abstract: Object The use of endoscopic third ventriculostomy (ETV) with choroid plexus cauterization (CPC) has been advocated as an alternative to CSF shunting in infants with hydrocephalus. There are limited reports of this procedure in the North American population, however. The authors provide a retrospective review of the experience with combined ETV + CPC within the North American Hydrocephalus Clinical Research Network (HCRN). Methods All children (< 2 years old) who underwent an ETV + CPC at one of 7 HCRN centers before November 2012 were included. Data were collected retrospectively through review of hospital records and the HCRN registry. Comparisons were made to a contemporaneous cohort of 758 children who received their first shunt at < 2 years of age within the HCRN. Results Thirty-six patients with ETV + CPC were included (13 with previous shunt). The etiologies of hydrocephalus were as follows: intraventricular hemorrhage of prematurity (9 patients), aqueductal stenosis (8), myelomeningocele (4), and ...
117 citations
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TL;DR: A generalist model of chronic disease management was formulated at Intermountain Healthcare to overcome the limitations associated with specialization and early results from the application show improved patient outcomes and improved physician productivity.
Abstract: Management of chronic disease is performed inadequately in the United States in spite of the availability of beneficial, effective therapies. Successful programs to manage patients with these disea...
117 citations
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Boston Children's Hospital1, Washington University in St. Louis2, Baylor College of Medicine3, University of Iowa4, University of Southern California5, Stanford University6, Primary Children's Hospital7, Harvard University8, University of Arkansas for Medical Sciences9, University of Cologne10, Université de Montréal11, University of British Columbia12, University of Toronto13, University of Kentucky14, University of Göttingen15, University of Pennsylvania16
TL;DR: Patients with nonpost-operative JET have a wide range of clinical presentations, with younger patients demonstrating higher morbidity and mortality, with the majority of patients having a good clinical outcome.
116 citations
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TL;DR: More intensive surveillance methods yielded higher rates of medical device problems than found with traditional voluntary reporting, with little overlap between methods.
Abstract: ContextAlthough adverse drug events have been extensively evaluated by computer-based
surveillance, medical device errors have no comparable surveillance techniques.ObjectivesTo determine whether computer-based surveillance can reliably identify
medical device–related hazards (no known harm to patient) and adverse
medical device events (AMDEs; patient experienced harm) and to compare alternative
methods of detection of device-related problems.Design, Setting, and ParticipantsThis descriptive study was conducted from January through September
2000 at a 520-bed tertiary teaching institution in the United States with
experience in using computer tools to detect and prevent adverse drug events.
All 20 441 regular and short-stay patients (excluding obstetric and newborn
patients) were included.Main Outcome MeasuresMedical device events as detected by computer-based flags, telemetry
problem checklists, International Classification of Diseases,
Ninth Revision (ICD-9) discharge code (which could include AMDEs present
at admission), clinical engineering work logs, and patient survey results
were compared with each other and with routine voluntary incident reports
to determine frequencies, proportions, positive predictive values, and incidence
rates by each technique.ResultsOf the 7059 flags triggered, 552 (7.8%) indicate a device-related hazard
or AMDE. The estimated 9-month incidence rates (number per 1000 admissions
[95% confidence intervals]) for AMDEs were 1.6 (0.9-2.5) for incident reports,
27.7 (24.9-30.7) for computer flags, and 64.6 (60.4-69.1) for ICD-9 discharge codes. Few of these events were detected by more than
1 surveillance method, giving an overall incidence of AMDE detected by at
least 1 of these methods of 83.7 per 1000 (95% confidence interval, 78.8-88.6)
admissions. The positive predictive value of computer flags for detecting
device-related hazards and AMDEs ranged from 0% to 38%.ConclusionsMore intensive surveillance methods yielded higher rates of medical
device problems than found with traditional voluntary reporting, with little
overlap between methods. Several detection methods had low efficiency in detecting
AMDEs. The high rate of AMDEs suggests that AMDEs are an important patient
safety issue, but additional research is necessary to identify optimal AMDE
detection strategies.
116 citations
Authors
Showing all 1777 results
Name | H-index | Papers | Citations |
---|---|---|---|
Scott Thomas | 131 | 1219 | 85507 |
Michael R. Bristow | 113 | 508 | 60747 |
Ikuo Ueda | 106 | 1053 | 48642 |
David Robinson | 101 | 757 | 38372 |
Pedram Argani | 97 | 372 | 35607 |
Glenn D. Prestwich | 88 | 690 | 42758 |
Melvin M. Scheinman | 86 | 531 | 25883 |
John M. Opitz | 85 | 1193 | 40257 |
George R. Saade | 82 | 872 | 30325 |
James Neil Weinstein | 81 | 325 | 24918 |
Michael Charlton | 79 | 333 | 28494 |
James M. Ford | 79 | 314 | 20750 |
Michael W. Varner | 74 | 405 | 19346 |
Murray D. Mitchell | 74 | 540 | 20408 |
Jeffrey L. Anderson | 73 | 300 | 25916 |