Measuring and Mapping National Pediatric Acute Care Outcomes
衡量和绘制全国儿科急性护理成果
基本信息
- 批准号:10714729
- 负责人:
- 金额:$ 38.98万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2023
- 资助国家:美国
- 起止时间:2023-09-22 至 2028-06-30
- 项目状态:未结题
- 来源:
- 关键词:Accident and Emergency departmentAdultAlgorithmic AnalysisAppendicitisAreaAtlasesCaringChildChild CareChildhoodCommunitiesComparative Effectiveness ResearchComplexContinuity of Patient CareCost AnalysisCritical IllnessCritically ill childrenDataData SetDatabasesDetectionDiagnosisDiseaseDistrict of ColumbiaEmergency CareEmergency MedicineEmergency SituationEmergency department visitEmergency medical serviceEnsureEpidemiologyExpenditureFamilyGeographic LocationsGeographyHealth Service AreaHealth ServicesHealthcareHospitalsHuman ResourcesIndividualIndividual AdjustmentInjuryInterdisciplinary StudyKnowledgeLeadLinkMapsMeasurementMeasuresMethodologyMethodsModelingNational Institute of Child Health and Human DevelopmentNervous System TraumaOperative Surgical ProceduresOutcomeOutcome MeasurePathway AnalysisPatient-Focused OutcomesPatientsPatternPatterns of CarePerformancePhysiciansPolicy MakerPopulationPositioning AttributePrivatizationProtocols documentationQuality of lifeReadinessReportingResearchResearch PersonnelResourcesRiskRisk AdjustmentRuralSepsisSeverity of illnessSmall-Area AnalysisStrategic PlanningStructureSystemTranslatingTraumaVariantWorkaccurate diagnosisacute carecare outcomescare seekingcare systemscostdata qualityexperiencehealth care service utilizationimprovedimproved outcomeinjuredinnovationlarge scale datalongitudinal databasemultilevel analysispediatric emergencypediatric patientspopulation healthpublic health priorities
项目摘要
PROJECT SUMMARY/ABSTRACT
Across 25 million emergency department (ED) visits annually, children experience widely variable care due to
major differences in readiness and capabilities between EDs. These differences bear on the likelihood that a
patient will receive an accurate diagnosis and timely, high-quality treatment. Measuring outcomes across the
entire national pediatric acute care system has proved difficult because granular, national, geocoded
healthcare data have been unavailable; investigators have focused on individual diseases; regional healthcare
maps are outdated; challenges abound with risk adjustment for individuals’ personal risk; and because each
disease requires a different approach to measure its outcomes. Further complicating efforts is the complex
network of relationships between hospitals in which multiple facilities share responsibility for outcomes. These
relationships are substantially different between adult and child patients, and there is no working understanding
of the structure of the national pediatric network. This proposal will overcome those challenges to create the
Atlas of Pediatric Acute Care, a comprehensive examination of the acute care outcomes of 37.7 million
children across the nation, which represents half of the US child population. The Atlas will map regional
hospital systems using sophisticated network analysis algorithms known as community detection. The map
that results will define regions of pediatric care in which there is a shared responsibility for care. It will be used
to determine regional outcomes across three serious conditions in children: appendicitis (the most common
surgical condition in children), neurotrauma (the most common cause of serious injury), and sepsis (a
notoriously difficult-to-diagnose condition that is one of the costliest). This knowledge will then provide the
basis to compare regional systems to elucidate the factors associated with high performance. We will also use
the highest-quality methods to understand costs, using actual patient and payer expenditures, across US
pediatric regions. This proposal reflects the priorities of the Eunice Kennedy Shriver National Institute of Child
Health and Human Development: to use “large-scale datasets to optimize outcomes for traumatized, injured,
and critically ill children” and to “examine the epidemiology and treatment of all forms of critical illness.”
Focusing efforts to improve outcomes nationally has the potential to improve the population health, but
depends on an accurate, multi-disease understanding of outcomes. The Atlas will provide such an
understanding and will emerge as an enduring resource to support efforts to improve pediatric acute care,
which will translate to better survival and higher quality of life for the nation’s children.
项目总结/文摘
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
数据更新时间:{{ journalArticles.updateTime }}
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
数据更新时间:{{ journalArticles.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ monograph.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ sciAawards.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ conferencePapers.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ patent.updateTime }}
Kenneth Michelson其他文献
Kenneth Michelson的其他文献
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
{{ truncateString('Kenneth Michelson', 18)}}的其他基金
Delayed Diagnosis of Serious Pediatric Emergency Conditions
严重儿科紧急情况的延迟诊断
- 批准号:
10468713 - 财政年份:2019
- 资助金额:
$ 38.98万 - 项目类别:
Delayed Diagnosis of Serious Pediatric Emergency Conditions
严重儿科紧急情况的延迟诊断
- 批准号:
10246799 - 财政年份:2019
- 资助金额:
$ 38.98万 - 项目类别:
Delayed Diagnosis of Serious Pediatric Emergency Conditions
严重儿科紧急情况的延迟诊断
- 批准号:
10866851 - 财政年份:2019
- 资助金额:
$ 38.98万 - 项目类别:
Delayed Diagnosis of Serious Pediatric Emergency Conditions
严重儿科紧急情况的延迟诊断
- 批准号:
10001484 - 财政年份:2019
- 资助金额:
$ 38.98万 - 项目类别:
相似海外基金
Co-designing a lifestyle, stop-vaping intervention for ex-smoking, adult vapers (CLOVER study)
为戒烟的成年电子烟使用者共同设计生活方式、戒烟干预措施(CLOVER 研究)
- 批准号:
MR/Z503605/1 - 财政年份:2024
- 资助金额:
$ 38.98万 - 项目类别:
Research Grant
Early Life Antecedents Predicting Adult Daily Affective Reactivity to Stress
早期生活经历预测成人对压力的日常情感反应
- 批准号:
2336167 - 财政年份:2024
- 资助金额:
$ 38.98万 - 项目类别:
Standard Grant
RAPID: Affective Mechanisms of Adjustment in Diverse Emerging Adult Student Communities Before, During, and Beyond the COVID-19 Pandemic
RAPID:COVID-19 大流行之前、期间和之后不同新兴成人学生社区的情感调整机制
- 批准号:
2402691 - 财政年份:2024
- 资助金额:
$ 38.98万 - 项目类别:
Standard Grant
Elucidation of Adult Newt Cells Regulating the ZRS enhancer during Limb Regeneration
阐明成体蝾螈细胞在肢体再生过程中调节 ZRS 增强子
- 批准号:
24K12150 - 财政年份:2024
- 资助金额:
$ 38.98万 - 项目类别:
Grant-in-Aid for Scientific Research (C)
Migrant Youth and the Sociolegal Construction of Child and Adult Categories
流动青年与儿童和成人类别的社会法律建构
- 批准号:
2341428 - 财政年份:2024
- 资助金额:
$ 38.98万 - 项目类别:
Standard Grant
Understanding how platelets mediate new neuron formation in the adult brain
了解血小板如何介导成人大脑中新神经元的形成
- 批准号:
DE240100561 - 财政年份:2024
- 资助金额:
$ 38.98万 - 项目类别:
Discovery Early Career Researcher Award
Laboratory testing and development of a new adult ankle splint
新型成人踝关节夹板的实验室测试和开发
- 批准号:
10065645 - 财政年份:2023
- 资助金额:
$ 38.98万 - 项目类别:
Collaborative R&D
Usefulness of a question prompt sheet for onco-fertility in adolescent and young adult patients under 25 years old.
问题提示表对于 25 岁以下青少年和年轻成年患者的肿瘤生育力的有用性。
- 批准号:
23K09542 - 财政年份:2023
- 资助金额:
$ 38.98万 - 项目类别:
Grant-in-Aid for Scientific Research (C)
Identification of new specific molecules associated with right ventricular dysfunction in adult patients with congenital heart disease
鉴定与成年先天性心脏病患者右心室功能障碍相关的新特异性分子
- 批准号:
23K07552 - 财政年份:2023
- 资助金额:
$ 38.98万 - 项目类别:
Grant-in-Aid for Scientific Research (C)
Issue identifications and model developments in transitional care for patients with adult congenital heart disease.
成人先天性心脏病患者过渡护理的问题识别和模型开发。
- 批准号:
23K07559 - 财政年份:2023
- 资助金额:
$ 38.98万 - 项目类别:
Grant-in-Aid for Scientific Research (C)