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The SMART aim of this study was to standardize the identification and care of infants age 0 to 49 days at risk of hypothermia in pediatric primary care by decreasing the percent of infants with temperatures \u226436.5\u00b0C from 24% to 10% within 2 years. Over the course of this project, variation in documented temperatures \u226436.5\u00b0C decreased from 24% to 7% of encounters. Temperatures \u226436.5\u00b0C were documented for 951 infants or 13.4% (1078 of 8020 encounters). Of the 951 infants with temperatures \u226436.5\u00b0C, 96.1% were rewarmed in the office. Thirty-one patients ultimately required hospitalization. Application of quality improvement in a primary-care office decreased low temperatures by standardizing care, empowering staff, and triaging at-risk infants to the most appropriate level of care.<\/jats:p>","DOI":"10.1177\/00099228231200408","type":"journal-article","created":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T08:55:16Z","timestamp":1694768116000},"page":"963-970","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Decreasing Variation to Enhance Accurate Identification of Hypothermic Infants in Pediatric Primary Care"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9081-7713","authenticated-orcid":false,"given":"Mary Carol","family":"Burkhardt","sequence":"first","affiliation":[{"name":"Division of General and Community Pediatrics, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, OH, USA"},{"name":"Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haley","family":"Schlottmann","sequence":"additional","affiliation":[{"name":"Division of General and Community Pediatrics, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allison","family":"Reyner","sequence":"additional","affiliation":[{"name":"James M. 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