{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T14:48:44Z","timestamp":1784126924691,"version":"3.55.0"},"reference-count":17,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,3,28]],"date-time":"2022-03-28T00:00:00Z","timestamp":1648425600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2022,5]]},"abstract":"Abstract<\/jats:title>Background<\/jats:title>Asthma is a leading cause of pediatric hospitalization in the United States. Children hospitalized with asthma are often managed in different care settings during hospitalization, posing challenges to accurate communication among care providers about illness severity. Our objective was to study the feasibility, reliability, and safety of a new pediatric hospital\u2010wide asthma severity score (HASS) across different care units within a single tertiary\u2010care pediatric center.<\/jats:p><\/jats:sec>Methods<\/jats:title>150 patients between the ages of 2 and 18 years hospitalized with a principal diagnosis of status asthmaticus were included in this study. Study patients were followed from the time of initial triage in the emergency department until the time of medical readiness for discharge. Rates of medical errors, early transfers to a higher level of care and medically indicated hospital length of stay (LOS) were compared between 75 patients before and 75 patients after widespread implementation of the HASS using retrospective chart review and anonymous staff reporting. Interrater reliability was determined by collecting independent HASS scores from blinded staff members after tandem or simultaneous patient assessment.<\/jats:p><\/jats:sec>Results<\/jats:title>Interrater reliability among untrained staff members using the HASS was high. Hospital LOS, rates of adverse events, medical errors, and early transfer to a higher level of care were not significantly different before and after widespread HASS implementation.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>The HASS is a reliable asthma severity tool that can be used throughout hospitalization and among multiple clinical providers to trend clinical progress and optimize communication, particularly during times of care handoffs.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ppul.25861","type":"journal-article","created":{"date-parts":[[2022,2,19]],"date-time":"2022-02-19T08:57:45Z","timestamp":1645261065000},"page":"1223-1228","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["A pediatric hospital\u2010wide asthma severity score: Reliability and effectiveness"],"prefix":"10.1002","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6099-0320","authenticated-orcid":false,"given":"Sarah C.","family":"McBride","sequence":"first","affiliation":[{"name":"Department of Pediatrics Boston Children's Hospital Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kendall","family":"McCarty","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Boston Children's Hospital Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jackson","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Boston Children's Hospital Boston Massachusetts USA"},{"name":"Department of Pediatrics Broward Health Medical Center Fort Lauderdale Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Baskin","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Boston Children's Hospital Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise","family":"Currier","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Boston Children's Hospital Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent W.","family":"Chiang","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Boston Children's Hospital Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,3,28]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"CDC.gov. (2018). CDC \u2013 asthma \u2013 data and surveillance \u2013 asthma surveillance data. Accessed June 13 2019.\u00a0http:\/\/www.cdc.gov\/asthma\/asthmadata.htm"},{"key":"e_1_2_10_3_1","unstructured":"United States Environmental Protection Agency. Asthma facts.2016.\u00a0Accessed April 2021.https:\/\/www.epa.gov\/sites\/production\/files\/2016-05\/documents\/asthma_fact_sheet_english_05_2016.pdf"},{"key":"e_1_2_10_4_1","unstructured":"Healthcare Cost and Utilization Project\u00a0(HCUP) Agency for Healthcare Research and Quality.\u00a0CDC Asthma Surveillance Data Healthcare Use Data;\u00a02017."},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anai.2011.03.011"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12422"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(96)00027-3"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(92)90190-X"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1197\/aemj.9.2.99"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/02770903.2020.1852414"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1197\/j.aem.2003.07.015"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2007.08.034"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.06447"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1984.02140440058015"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.5409\/wjcp.v6.i1.34"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1081-1206(10)60987-8"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199810083391503"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.13-2298"}],"container-title":["Pediatric Pulmonology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ppul.25861","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ppul.25861","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ppul.25861","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T07:17:38Z","timestamp":1692688658000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ppul.25861"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,28]]},"references-count":17,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,5]]}},"alternative-id":["10.1002\/ppul.25861"],"URL":"https:\/\/doi.org\/10.1002\/ppul.25861","archive":["Portico"],"relation":{},"ISSN":["8755-6863","1099-0496"],"issn-type":[{"value":"8755-6863","type":"print"},{"value":"1099-0496","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,28]]},"assertion":[{"value":"2021-02-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-02-12","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-28","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}