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Arch Dis Child Educ Pract Ed 2022 May 23. Epub 2022 May 23.

Paediatrics, Basildon University Hospital, Basildon, UK.

Arch Dis Child Educ Pract Ed 2022 May 17. Epub 2022 May 17.

Emergency Department, Temple Street Children's University Hospital, Dublin, Dublin, Ireland.

It's 21:00 and you receive a stand-by call from the local ambulance service. Peter, a 9-year-old boy, was riding an electric scooter and has collided with a car. He has reduced consciousness, signs of shock and is hypoxic. Read More

Arch Dis Child Educ Pract Ed 2022 May 5. Epub 2022 May 5.

Paediatrics, Hillingdon Hospitals NHS Foundation Trust, Uxbridge, Greater London, UK.

We describe an ongoing quality improvement project to reduce paediatric prescribing errors following our earlier interventions previously published. Read More

Arch Dis Child Educ Pract Ed 2022 May 2. Epub 2022 May 2.

Department of Child Health, Centre for Medical Education, Queens University Belfast, Belfast, UK.

The benefits of involving patients and the public in medical education are well documented, however there is a need to further explore how this can be translated to the setting of paediatric medical education. This article aims to identify how organisations can facilitate the involvement of paediatric patients and their parents/carers.While involving children in research can present challenges, we describe examples where organisations have successfully involved young people in clinical research and selection of research topics. Read More

Arch Dis Child Educ Pract Ed 2022 Apr 25. Epub 2022 Apr 25.

Department of General Paediatrics, Royal Hospital for Children, Glasgow, UK.

Autoantibodies can be an important indicator of paediatric rheumatic disease and useful in establishing a diagnosis. However, autoantibodies may be requested in cases where the patient does not have clinical features strongly suggestive of a rheumatic disease. This can lead to further unnecessary investigations, specialist referral and undue anxiety for the family. Read More

Arch Dis Child Educ Pract Ed 2022 Apr 25. Epub 2022 Apr 25.

Centre for Medical Education, Queen's University Belfast, Belfast, UK.

Arch Dis Child Educ Pract Ed 2022 Apr 5. Epub 2022 Apr 5.

NICU, Homerton University Hospital NHS Foundation Trust, London, UK.

Arch Dis Child Educ Pract Ed 2022 Mar 31. Epub 2022 Mar 31.

The Royal Children's Hospital Melbourne, Parkville, Victoria, Australia

Objectives: To understand parents' attitudes to medical education of junior doctors and students during ward rounds, and to explore how parents' perceptions vary in medical and surgical paediatric wards.

Design: A mixed-methods descriptive study was done using 100 semistructured interviews across two departments at a single tertiary-level paediatric hospital. Quantitative data were derived from closed-ended interview responses and analysed using descriptive statistics to explore overall parental satisfaction with education on rounds. Read More

Arch Dis Child Educ Pract Ed 2022 Mar 9. Epub 2022 Mar 9.

Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK

Children admitted to our hospital with cystic fibrosis had frequent medication errors due to polypharmacy and addition of specialist and high-risk medications despite an electronic prescribing and medicines administration system in place. We describe a multidisciplinary quality improvement project that combined a computerised order entry system (CPOE) with human factor process changes. Over 12 months, our run chart showed a 43% reduction in prescription errors. Read More

Arch Dis Child Educ Pract Ed 2022 Mar 9. Epub 2022 Mar 9.

Medical School, University College London, London, UK.

Arch Dis Child Educ Pract Ed 2022 Mar 9. Epub 2022 Mar 9.

Department of General Paediatrics, Royal Hospital for Children, Glasgow, UK.

Arch Dis Child Educ Pract Ed 2022 Feb 22. Epub 2022 Feb 22.

Institute of Applied Health Research, Birmingham Clinical Trials Unit, University of Birmingham, Birmingham, UK.

Arch Dis Child Educ Pract Ed 2022 Feb 17. Epub 2022 Feb 17.

Department of Oncohematology, Institute for Maternal and Child Health, IRCCS Burlo Garofolo, Trieste, Italy.

Arch Dis Child Educ Pract Ed 2022 Feb 17. Epub 2022 Feb 17.

Medical Imaging Department, Barnsley Hospital NHS Foundation Trust, Barnsley, UK

Palpable cervical lymph nodes are common in children and are a frequent reason for presentation to both primary and secondary care. Enlarged lymph nodes are most commonly the result of self-limiting infection, and in children, are rarely the first indicator of a malignant process. This article presents an evidenced-based approach to evaluating these patients. Read More

Arch Dis Child Educ Pract Ed 2022 Feb 8. Epub 2022 Feb 8.

Paediatrics, Royal Belfast Hospital for Sick Children, Belfast, UK.

Arch Dis Child Educ Pract Ed 2022 Feb 7. Epub 2022 Feb 7.

Child Health Unit, Imperial College London Department of Primary Care and Public Health, London, UK.

Food insecurity is a major problem in the UK. It has been both highlighted and exacerbated by the COVID-19 pandemic, and particularly affects children and young people (CYP). The effects of inadequate nutrition manifest themselves in all stages of child development and adversely affect health and educational outcomes. Read More

Arch Dis Child Educ Pract Ed 2022 Feb 3. Epub 2022 Feb 3.

Department of Paediatric Neurology, St George's University Hospitals NHS Foundation Trust, London, UK.

Arch Dis Child Educ Pract Ed 2022 Feb 1. Epub 2022 Feb 1.

Department of Paediatrics, Imperial College Healthcare NHS Trust, London, UK.

Connecting Care for Children, an integrated care collaborative in northwest London, responded to local child health needs during the start of the COVID-19 pandemic through the co-production of infographics. Here we describe the development and evaluation of co-produced infographics using quality improvement methodology, to highlight their effectiveness in swiftly responding to local community health concerns. Read More

Arch Dis Child Educ Pract Ed 2022 Jan 31. Epub 2022 Jan 31.

Oliver Fisher Neonatal Unit, Medway NHS Foundation Trust, Gillingham, UK

Umbilical venous catheters are widely used in neonatal practice, therefore promoting safe use of such catheters to reduce complications remains a healthcare priority. This report will equip the reader with essential knowledge for successful catheter insertion and maintenance, which is key to better outcomes. Recent advances in safe localisation of catheter tip and the development of a red flag system will enhance the clinician's ability to predict potential complications related to these catheters as they remain in situ. Read More

Arch Dis Child Educ Pract Ed 2022 Jan 25. Epub 2022 Jan 25.

Neonatal Medicine, Leeds General Infirmary, Leeds, UK.

Arch Dis Child Educ Pract Ed 2022 Jan 21. Epub 2022 Jan 21.

Paediatric Emergency Department, Royal Belfast Hospital for Sick Children, Belfast, UK

Burn injuries are a common presentation to the paediatric emergency department (PED) and are painful, distressing and may have long-term sequelae. In adhering to the first aid principles of burns management, we aim to alleviate pain, prevent bacterial contamination and minimise the extent of injury. First aid involves cooling the burn and covering with an appropriate material while simultaneously providing analgesia. Read More

Arch Dis Child Educ Pract Ed 2022 Jan 19. Epub 2022 Jan 19.

Neonatal Clinical Care Unit, King Edward Memorial Hospital Neonatal Clinical Care Unit, Subiaco, Western Australia, Australia

An extremely preterm infant is one born at less than 27 weeks' gestation. Over time, survival rates in this population have improved. This cohort remains at high risk of mortality and life-long morbidity. Read More

Arch Dis Child Educ Pract Ed 2021 Dec 17. Epub 2021 Dec 17.

Paediatrics, Yeovil District Hospital, Yeovil, UK.

Arch Dis Child Educ Pract Ed 2021 Dec 14. Epub 2021 Dec 14.

Paediatrics, Taunton and Somerset NHS Foundation Trust, Taunton, UK.

Arch Dis Child Educ Pract Ed 2021 Dec 14. Epub 2021 Dec 14.

General Paediatrics, Daisy Hill Hospital, Newry, UK.

Prioritising teaching when clinical practice is hectic can be difficult. Often teaching is seen to be confined to formal structured events. This article aims to highlight the abundance of learning opportunities that arise outside of such formal teaching events in daily clinical practice. Read More

Arch Dis Child Educ Pract Ed 2021 Dec 8. Epub 2021 Dec 8.

Department of Paediatrics, Oxford University Hospitals NHS Foundation Trust, Oxford, Oxfordshire, UK

Paracetamol is one of the most frequent reasons for poisonings across the UK with an estimated 90,000 patients and 150 deaths annually. International normalised ratio (INR) may be elevated due to hepatocellular damage and is frequently used to monitor progress on N-acetyl cysteine. N-acetyl cysteine is associated with reduced activity of vitamin K dependent clotting factors leading to a benign elevation of INR. Read More

Arch Dis Child Educ Pract Ed 2021 Dec 8. Epub 2021 Dec 8.

Department of Women's and Children's Health, University of Liverpool, Liverpool, UK

Arch Dis Child Educ Pract Ed 2021 Dec 2. Epub 2021 Dec 2.

Department of General Paediatrics, Royal Hospital for Children, Glasgow, UK.

Arch Dis Child Educ Pract Ed 2021 Dec 2. Epub 2021 Dec 2.

Postgraduate Medical and Dental Education, Health Education England West Midlands, Edgbaston, Birmingham, UK.

Differential attainment is the gap in attainment between different demographic groups undertaking the same assessment. Across the UK, we see differences in outcome in undergraduate and postgraduate medical education on the basis of gender, age, ethnicity and country of primary medical qualification which cannot be explained by a difference in ability. The largest gaps appear when we look at the variation in outcome between UK and international medical graduates (IMGs) and between white British and black, Asian and minority ethnic (BAME) doctors in postgraduate medical education. Read More

Arch Dis Child Educ Pract Ed 2021 Dec 2. Epub 2021 Dec 2.

Centre for Medical Education, Queen's University Belfast, Belfast, UK.

This article suggests communicative steps and strategies to help healthcare professionals achieve the ideals of child-centred care, which place children and young people at the centre of policy and practice. For those with 15 s, not 15 min, our suggestions can be summarised like this: help children be active agents in their own care by asking, listening well, being curious and explaining things clearly in an accessible but not condescending way. Read More