Louis Vernacchio

Variation in Otitis Media Treatment Index by Location and Sociodemographic Groups in Pediatric Urgent Cares.

Amanda Nedved, Louis Vernacchio, Brian R Lee, Luis E Sainz et autres

BACKGROUND: Antibiotic use is often driven by overdiagnosis. Otitis media is the most common diagnosis for which antibiotics are prescribed in pediatrics. Otitis Media Treatment Index (OMTI) measures the proportion of acute respiratory infections (ARIs) that have a diagnosis of otitis media …

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Spread and Sustainability of an Antimicrobial Stewardship Initiative Within a Pediatric Network

Louis Vernacchio, Laura Burckett Patane, Naveed Rabbani, Jonathan Hatoun

BACKGROUND: Projects employing performance feedback with education have been used to improve antimicrobial prescribing practices, but improvements may not be sustainable after the active intervention. We sought to determine whether ongoing clinical decision support (CDS) could sustain improvements achieved through initial feedback …

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A Multi-Agent Large Language Model Reasoning Engine for Early Detection of Pediatric Growth Disorders

Naveed Rabbani, Jannik Mettner, Kyungjoon Lee, Carmen L. Soto-Rivera et autres

Routine childhood growth surveillance is a cornerstone of pediatric care. Growth pattern abnormalities are often early manifestations of chronic disease. Yet subtle abnormalities are frequently underrecognized, leading to diagnostic delays and avoidable morbidity. We introduce SPROUT (System for Pediatric Recognition Of Undiagnosed …

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Postnatal Growth Patterns in Children Born at Term and Preterm in a Large Primary Care Network

Allison C. Lure, Eleanor Verhagen, Emily Trudell Correa, Louis Vernacchio et autres

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Feedback with Education versus Digital Otoscopy for Acute Otitis Media Diagnosis and Treatment

Jonathan Hatoun, Laura Burckett Patane, Jane Bittner Gould, Louis Vernacchio

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The Otitis Media Treatment Index: A Measure of Antibiotic Stewardship in Pediatric Otitis Media

Louis Vernacchio, Laura Burckett Patane, Jonathan Hatoun, Naveed Rabbani

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Patient and Family Outcomes of Psychological Interventions in Integrated Pediatric Primary Care

Heather J. Walter, Emily Trudell Correa, Margaret Fry, Michelle Lock et autres

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Bridging the Gap in Autism Diagnosis: An Evaluation of a Novel Primary Care Training Model

Julie Bickel, Jonathan Hatoun, Margaret Fry, Lisa Albers Prock et autres

OBJECTIVE: The current study assesses the impact of an educational program designed to train primary care clinicians (PCCs) to diagnose children between age 18 and 36 months at high risk for autism spectrum disorder (ASD). METHODS: Two cohorts of PCCs completed an …

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Increasing Short-Course Treatment of Acute Otitis Media in a Pediatric Primary Care Network

Naveed Rabbani, Laura Burckett Patane, Jonathan Hatoun, Louis Vernacchio

OBJECTIVE: This quality improvement effort aimed to increase the proportion of shorter-duration prescriptions for acute otitis media (AOM) in patients aged at least 2 years from a baseline of 30% to 50% without using an electronic health record (EHR) alert. METHODS: The …

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Trends in Pediatric Clinician Wellbeing During and Immediately After the COVID-19 Pandemic

Elisabeth Kahl DiPietro, Margaret Fry, Heather J. Walter, Jonathan Hatoun et autres

Ambient Artificial Intelligence Scribes in Pediatric Primary Care: A Mixed Methods Study

Naveed Rabbani, Mondira Ray, Jonathan Hatoun, Laura Burckett Patane et autres

Quantify the effect of ambient artificial intelligence (AI) scribe technology on work experience, clinical operations, and patient experience in pediatric primary care.We conducted a 12-week study of 39 clinicians within a large pediatric primary care network. Clinician experience was measured using a …

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Implementing Sudden Cardiac Death Risk Screening Within a Pediatric Primary Care Network

Naveed Rabbani, Margaret Fry, Louis Vernacchio, Emily Trudell Correa et autres

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