BACKGROUND: Patient portals provide parents access to their child’s health information and direct communication with providers. Our study aimed to improve portal activation rates of newborns during nursery hospitalization to >70% over 6 months. Secondarily, we describe the facilitators and barriers to portal use. METHODS: The study design used a mixed-methodology framework of quality improvement (QI) and cross-sectional analyses. The Model for Improvement guided QI efforts. The primary outcome was the proportion of portals activated for newborns during nursery hospitalization. Interventions included portal activation algorithm, staff huddles, and documentation templates. Telephone interviews were conducted with a randomized sample of mothers of infants who activated the portal. These mothers were divided into portal “users” and “nonusers.” We examined sociodemographic variables and health care utilization outcomes in the 2 groups. RESULTS: Portal activation increased from 12.9% to 85.4% after interventions. Among 482 mothers with active portals, 127 (26.3%) were interviewed. Of those, 70% (89 of 127) reported using the portal, and 85.4% (76 of 89) found it useful. Reasons for accessing the portal included checking appointments and reviewing test results. Lack of knowledge of portal functionality was the main barrier to portal use (42.1%). Portal users were less likely to have a no-show to primary care appointments compared with nonusers (44.9% versus 78.9%, P < .001). CONCLUSIONS: Portal activation rates increased after QI interventions in the nursery. Most parents accessed the portal and found it useful. Portals can improve health care delivery and patient engagement in the newborn period.

Objective: The advantages and acceptance of resident-led subspecialty journal clubs are understudied. The study aimed to implement a resident-led virtual subspecialty journal club in a pediatric residency program to assess its perceived benefits and acceptability. Materials and Methods: This prospective pilot study, conducted from January 2023 to June 2024, involved all pediatric residents at the institution State University of New York (SUNY) Downstate, Health Sciences University, Brooklyn, New York. It consisted of 2 phases: implementation of a resident-led, attending-supervised virtual journal club and a subsequent resident survey. The biweekly journal club reviewed a range of articles—including basic science, clinical trials, and systematic reviews—focused on neonatology and infant health. After 20 sessions, an anonymous online survey was distributed to residents across all postgraduate years to assess perceived educational benefits. Results: Out of 84 residents, 73 responded to the survey, and 83.5% (61/73) attended at least 1 session. More than 60% of residents indicated that the journal club facilitated staying updated on literature and improving medical knowledge. Over half of the residents noted that the journal club aided in understanding methodology, statistics, and bolstered confidence in reviewing literature. Conclusion: The resident-led journal club garnered positive feedback, with most residents reporting multiple perceived benefits. Cite this article as: Sriraman S, Demirhan M, Golombek S. Implementation of a resident-led subspecialty journal club: The impacts of peer-led learning. Turk Arch Pediatr. 2025;60(6):646-652.

Background: G6PD deficiency is among the leading causes of neonatal hyperbilirubinemia and kernicterus. Following a 2022 New York State Department of Health recommendation to test high-risk neonates, we implemented universal G6PD deficiency screening in the well-baby nursery. Objectives: We aimed to increase the proportion of infants screened from 0% to more than 75% within 6 months and to describe the prevalence of G6PD deficiency and the early outcomes of affected neonates. Methods: This quality improvement (QI) initiative, guided by the Model for Improvement, included a cross-sectional analysis of screening yield and early neonatal outcomes. A statistical process control p-chart tracked monthly screening. Outcomes were compared between screen-positive and screen-negative infants using the Fisher exact test. Results: Screening rose from 0% to a sustained mean of 81.1%, exceeding the 75% aim. Of 580 screened neonates, 52 (9.0%) screened positive for G6PD deficiency. Screen-positive infants were more likely than screen-negative infants to undergo repeat serum bilirubin testing (38.5% vs. 19.3%; p = 0.002) and to reach a peak bilirubin above 10 mg/dL (30.8% vs. 10.2%; p < 0.001). A higher rate of readmission for phototherapy was also observed (5.8% vs. 0.9%; p = 0.028), though based on few events. Phototherapy during the birth hospitalization, IVIG, and exchange transfusion did not differ. Conclusions: Universal G6PD screening was feasibly implemented and sustained in a high-risk well-baby nursery through routine workflow changes, without additional phlebotomy. Nearly 1 in 11 screened neonates tested positive for G6PD deficiency.