A Pediatric PBRN (Pediatric PitNet) and a Pilot Project

描述（由申请人提供）：基于实践的研究网络（PBRN）是研究实验室，初级保健提供者与大学部门可以在这里产生证据，以确定最佳临床实践和治疗效果。此应用程序的目的是创建一个儿科PBRN，将招募和保留有兴趣的从业人员参与临床研究，重点关注日常实践中的重要问题。PBRN的中心是UPMC卫生系统匹兹堡儿童医院（CHP UPMCHS）。参与实践的是儿童社区儿科，由68名儿科医生组成的CHP UPMCHS的子公司（服务10万名），匹兹堡儿科协会，一个紧密的附属实践（服务12,000名）和CHP初级保健中心（服务13,500名儿童）。这个PBRN的规模和多样性非常适合进行有效的研究，从而得出可推广的结果。社区医生和卫生中心UPMCHS的这种合作将在网络内外产生研究并促进最佳儿科实践。

DESCRIPTION (provided by applicant): Practice-based research networks (PBRN) are research laboratories where primary care providers in concert with the University departments can generate evidence that will determine best clinical practice and treatment effectiveness. The aim of this application is to create a pediatric PBRN that will recruit and retain practices with interested practitioners to participate in clinical research focused on important problems in daily practice. The hub of the PBRN is the Children's Hospital of Pittsburgh of UPMC Health System (CHP UPMCHS). Participating practices are Children's Community Pediatrics, a subsidiary of CHP UPMCHS comprised of 68 pediatricians (serving 100,000), Pittsburgh Pediatric Associates, a closely affiliated practice (serving 12,000) and the Primary Care Center of CHP(serving 13,500 children). The size and diversity of this PBRN are ideal for the conduct of efficient studies leading to results that will be generalizable. This collaboration of community physicians and CHP UPMCHS will generate research and foster best pediatric practice within and beyond the network. The proposed pilot project will apply the core components of the Wagner chronic disease model to health promotion and disease prevention in primary care. The initial study will be aimed at increasing adherence to recommendations for the prevention of unintentional injuries, which are the most common cause of death and disability in young children. The study will be a prospective, controlled, clinical trial. The intervention will revolve around 5 safety issues: use of car restraints, presence of functional smoke detectors, appropriate tap water temperature, safe storage of hazardous materials and safe storage of guns. The study will focus on providing decision support and clinical information systems to the physicians, redesigning the health care delivery system, facilitating self-management for families and providing effective links with community resources. The purpose of the pilot is to determine the feasibility and acceptability of this model for changing behaviors of families and physicians. We will determine the differential impact, if any, on several minority populations (racial, rural, urban) and will estimate sample size and costs for a PBRN-wide study as the next step.