PMID: 11931339Apr 5, 2002Paper

Early newborn discharge: a tale of two hospitals

Clinical Pediatrics
Arthur N FeinbergRachel Koelsch

Abstract

This study reviews physician documentation of compliance with The American Academy of Pediatrics (AAP) policy RE9539 regarding early newborn hospital discharge and follow-up. All pediatricians in Kalamazoo, MI, were educated at a grand rounds regarding the AAP early newborn discharge policy. Newborns are seen at 2 community hospitals. One of them simultaneously instituted a Quality Improvement/Feedback (QI/F) program regarding early newborn discharge, (intervention) and the other 1 did not (control). This is a retrospective chart analysis that compares performance of 4 pediatric practices seeing newborns at each hospital. Each practice was compared at each hospital for appropriateness of discharge orders before and after the educational grand rounds and the QI/F initiative. Statistical analysis was done using the chi square test and the Breslow-Day test for homogeneity, and the Fisher's Exact Test. Odds ratios with a 95% confidence interval based on Taylor's approximation were used. There were no significant differences between the pediatric practices' performance before and after the educational initiative at the control hospital. There were significant differences before and after the educational initiative in the interventio...Continue Reading

References

Oct 21, 1993·The New England Journal of Medicine·P J Greco, J M Eisenberg
Oct 6, 1997·Archives of Pediatrics & Adolescent Medicine·K D MandlC J Homer
Jun 2, 1998·Pediatrics·M J Maisels, E Kring
Jan 2, 1999·Quality Management in Health Care·M B Gerowitz
Jan 3, 2001·Pediatrics·T G FerrisJ M Perrin

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Citations

Feb 18, 2011·Journal of Midwifery & Women's Health·Janet Molzan TuranMary Lake Polan
Feb 22, 2013·Clinical Pediatrics·Sara L HarmonJames A Blackman
Jul 15, 2005·Clinical Pediatrics·Arthur N Feinberg, Olufemi Soyode
Jan 31, 2003·Journal of Perinatology : Official Journal of the California Perinatal Association·Arthur N Feinberg, William B Hicks
Jun 4, 2004·Journal of Perinatology : Official Journal of the California Perinatal Association·Arthur N FeinbergSuvankar Majumdar
Oct 9, 2002·Clinical Pediatrics·Arthur N Feinberg, William B Hicks

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