Related Experiment Video

Updated: Jan 31, 2026

Improving the Success Rate of Protein Crystallization by Random Microseed Matrix Screening
12:24

Improving the Success Rate of Protein Crystallization by Random Microseed Matrix Screening

Published on: August 31, 2013

18.3K

Quality Improvement Initiative to Improve Abuse Screening Among Infants With Extremity Fractures

Stephanie Anne Deutsch1, M Katherine Henry2, Winnie Lin3

  • 1From the Division of General Pediatrics, Alfred I. DuPont Hospital for Children/Nemours, Wilmington, DE.

Pediatric Emergency Care
|December 27, 2018
PubMed

Insights

Clinical pathway and quality improvement interventions significantly increased skeletal survey use and social work consultations for infants with extremity fractures. These strategies helped identify potential physical abuse cases more effectively.

Area of Science:

  • Pediatric medicine
  • Medical quality improvement
  • Child abuse detection

Background:

  • Infants with extremity fractures require thorough evaluation for suspected physical abuse.
  • Current diagnostic and consultation practices may be inconsistent.

Purpose of the Study:

  • To assess the effectiveness of clinical pathway implementation and quality improvement (QI) interventions.
  • To increase the rate of skeletal surveys (SS) and social work/Child Protection Team consultations for infants with extremity fractures.

Main Methods:

  • Retrospective chart review of infants (<12 months) with extremity fractures.
  • Implementation of QI interventions including clinical decision support and provider education.
  • Statistical process control charts and logistic regression to analyze impact.

Main Results:

  • Skeletal survey use increased from 40% to over 60% post-intervention.
  • Consultation rates rose to nearly 67% during active QI, then settled at 60%.
  • Lack of trauma history and specific fracture types (femur, humerus) predicted higher SS and consultation rates; 20% of SS revealed occult fractures.

Conclusions:

  • Clinical pathway and QI interventions are effective in improving evaluation rates for abusive head trauma in infants.
  • Targeted interventions can enhance the detection of occult fractures and facilitate necessary consultations.
Abstract

More Related Videos

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis06:45

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis

Published on: February 10, 2023

16.2K
Stereoacuity Improvement using Random-Dot Video Games06:25

Stereoacuity Improvement using Random-Dot Video Games

Published on: January 14, 2020

15.0K

Related Concept Videos

Improving Translational Accuracy02:07

Improving Translational Accuracy

3.7K
Improving Translational Accuracy02:07

Improving Translational Accuracy

Base complementarity between the three base pairs of mRNA codon and the tRNA anticodon is not a failsafe mechanism. Inaccuracies can range from a single mismatch to no correct base pairing at all. The free energy difference between the correct and nearly correct base pairs can be as small as 3 kcal/ mol. With complementarity being the only proofreading step, the estimated error frequency would be one wrong amino acid in every 100 amino acids incorporated. However, error frequencies observed in...
14.9K
Initiation of Translation02:33

Initiation of Translation

Initiating translation is complex because it involves multiple molecules. Initiator tRNA, ribosomal subunits, and eukaryotic initiation factors (eIFs) are all required to assemble on the initiation codon of mRNA. This process consists of several steps that are mediated by different eIFs.
First, the initiator tRNA must be selected from the pool of elongator tRNAs by eukaryotic initiation factor 2 (eIF2). The initiator tRNA (Met-tRNAi) has conserved sequence elements including modified bases at...
39.0K
Initiation of Translation02:33

Initiation of Translation

8.1K
Drug Abuse and Addiction: Pharmacological Phenomena01:15

Drug Abuse and Addiction: Pharmacological Phenomena

Drug dependence, abuse, and addiction are complex phenomena that can precipitate various abnormal states. Physical dependence refers to a state of pharmacological adaptation to a drug. This adaptation often results in tolerance—a reduced response to the drug after repeated administrations. When the drug use is abruptly stopped, withdrawal symptoms occur due to the body's need to readjust from the pharmacologically induced imbalance. However, tolerance and withdrawal symptoms do not...
1.3K
Transcription Initiation01:47

Transcription Initiation

Initiation is the first step of transcription in eukaryotes. Prokaryotic RNA Polymerase (RNAP) can bind to the template DNA and start transcribing. On the other hand, transcription in eukaryotes requires additional proteins, called transcription factors, to first bind to the promoter region in the DNA template. This binding helps recruit the specific RNAP that can assemble on the DNA and start transcription.
The promoters and enhancers and their accessory proteins allow tight regulation of...
21.0K