{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T03:50:04Z","timestamp":1768449004111,"version":"3.49.0"},"reference-count":0,"publisher":"International Union Against Tuberculosis and Lung Disease","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["public health action"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:p>\n                    <jats:bold>Setting:<\/jats:bold>\n                    Gondar University Hospital (GUH) is a resource-limited tertiary care hospital in northern Ethiopia.\n                    <jats:bold>Objective:<\/jats:bold>\n                    To evaluate the aggregate effect of care standardization, institutional guidelines, and simulation-based training on pediatric mortality at a resource-limited hospital.\n                    <jats:bold>Design:<\/jats:bold>\n                    Uncontrolled pre-post study. GUH in-patients aged from 30 days to 14 years were included in the program evaluation (baseline 11 September\u201318 November 2010; intervention 19 September\u20139 December 2011). Interns attached to the GUH pediatrics department from 6 September to 9 December 2011 were included in the training evaluation. Institution-specific management guidelines were prepared for choking, respiratory distress, dehydration, sepsis, congestive heart failure, coma, and seizure. Approval for the protocols was obtained from each pediatric faculty member. Interns received a 3.5 h simulation-based training in triage, procedural skills, and protocol usage. Primary outcome was overall deaths (%); secondary outcomes were deaths within 24 h of admission (%) and median pre\/post-training emergency management test scores (%).\n                    <jats:bold>Results:<\/jats:bold>\n                    No difference in mortality (OR 0.72, 95%CI 0.40\u20131.29,\n                    <jats:italic>P<\/jats:italic>\n                    = 0.265) or first 24 h mortality (crude OR 0.97, 95%CI 0.37\u20132.55) was observed. Trainee examination scores improved from 33% to 74% (\n                    <jats:italic>P<\/jats:italic>\n                    &lt; 0.001).\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Combining care standardization, management protocols, and simulation-based training did not reduce mortality among pediatric in-patients. Focused, simulation-based training improved short-term test scores among interns.\n                  <\/jats:p>","DOI":"10.5588\/pha.14.0077","type":"journal-article","created":{"date-parts":[[2014,12,18]],"date-time":"2014-12-18T09:12:52Z","timestamp":1418893972000},"page":"265-270","source":"Crossref","is-referenced-by-count":0,"title":["Implementation of an in-patient pediatric mortality reduction intervention, Gondar University Hospital, Ethiopia"],"prefix":"10.5588","volume":"4","author":[{"given":"D. M.","family":"Gordon","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Shehibo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Tazebew","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. R.","family":"Huddart","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Kadir","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"Allen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Draper","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Kokeb","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3554","published-online":{"date-parts":[[2014,12,1]]},"container-title":["Public Health Action"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.5588\/pha.14.0077","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T17:10:55Z","timestamp":1768410655000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.theunion.org\/lookup\/doi\/10.5588\/pha.14.0077"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,12]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2014,12,1]]},"published-print":{"date-parts":[[2014,12]]}},"alternative-id":["10.5588\/pha.14.0077"],"URL":"https:\/\/doi.org\/10.5588\/pha.14.0077","relation":{},"ISSN":["2220-8372"],"issn-type":[{"value":"2220-8372","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,12]]}}}