Reducing Intubations and Related Risks in Neonates with Retinopathy of Prematurity Undergoing Laser Photocoagulation [0.03%]
减少激光光凝治疗早产儿视网膜病肺表面活性物质的相关风险
Vilmaris Quinones Cardona,Emma McNell Byrne,Novisi Arthur et al.
Vilmaris Quinones Cardona et al.
Introduction: Although associated with respiratory morbidity, elective endotracheal intubation (ETI) for laser photocoagulation for retinopathy of prematurity (ROP) is the standard practice at our institution, with 100% o...
Increasing Premedication for Neonatal Intubation: A Quality Improvement Initiative [0.03%]
新生儿气管插管前用药的改善医疗行动项目
Michelle H Lucena,Toshiba Morgan-Joseph,Alecia Thompson-Branch
Michelle H Lucena
Introduction: Endotracheal intubation is frequent in the neonatal intensive care unit (NICU) but may result in neonatal distress and instability. Premedication reduces adverse effects, such as hypoxia, bradycardia, and pa...
Using Quality Improvement to Design and Evaluate an Outpatient Day Treatment Pathway for Pediatric Patients with Diabetes Mellitus Requiring Insulin Initiation [0.03%]
运用质量改进方法设计并评估一种针对需要开始胰岛素治疗的糖尿病患儿的日间门诊治疗路径
Svetlana Azova,Charumathi Baskaran,Sara Einis et al.
Svetlana Azova et al.
Introduction: Education and management of children with new-onset or established diabetes mellitus (DM) requiring insulin initiation do not always require hospitalization. We developed a pathway for outpatient day treatme...
Implementation of a Neonatal Hyperbilirubinemia Clinical Pathway in a Pediatric Emergency Department [0.03%]
儿科急诊中新生儿高胆红素血症临床路径的实施
Collin R Miller,Catherine Haut,Arezoo Zomorrodi et al.
Collin R Miller et al.
Background: High volumes and competing priorities delay care initiation for neonatal hyperbilirubinemia within the pediatric emergency department (ED). Our freestanding children's hospital developed a quality improvement ...
The Business Case for Simulation-based Hospital Design Testing; $90M Saved in Costs Avoided [0.03%]
基于模拟的医院设计测试的投资回报率：避免九亿美元的成本支出
Nora Colman,Christopher Chelette,Jayne Woodward et al.
Nora Colman et al.
Introduction: Simulation-based hospital design testing (SbHDT) applied during the design of a healthcare facility ensures that the architectural design supports safe, high-quality, and efficient care delivery beyond appli...
Diagnostic Safety: Needs Assessment and Informed Curriculum at an Academic Children's Hospital [0.03%]
学术型儿童医院的诊断安全：需求评估和知情课程构建
Morgan Congdon,Irit R Rasooly,Regina L Toto et al.
Morgan Congdon et al.
Background: Diagnostic excellence is central to healthcare quality and safety. Prior literature identified a lack of psychological safety and time as barriers to diagnostic reasoning education. We performed a needs assess...
Implementing Screening for Neonatal Delirium in the Neonatal Intensive Care Unit: A Quality Improvement Initiative [0.03%]
新生儿重症监护室中实施筛查 neonatal delirium 的质量改善举措
Meghana Karmarkar,Mark Speziale,Willough Jenkins et al.
Meghana Karmarkar et al.
Introduction: Delirium is not commonly diagnosed in neonatal intensive care units and can adversely impact patient outcomes in the ICU setting. Recognition of delirium in the NICU is a necessary first step to address the ...
Matthew J Kielt,L Dupree Hatch rd
Matthew J Kielt
Outpatient Management of Fever and Neutropenia in Low-risk Children with Solid Tumors: A Quality Improvement Initiative [0.03%]
低危实体瘤发热性中性粒细胞减少儿童门急诊治疗质量管理改进项目
Wallace Bourgeois,Jonathan Paolino,Riley Garland et al.
Wallace Bourgeois et al.
Background: Management of febrile neutropenia in pediatric oncology usually requires inpatient parenteral antibiotics after initial evaluation, but some patients at lower risk of sepsis could be safely managed outpatient....
A Quality Improvement Initiative to Reduce Duplicate Inflammatory Marker Use [0.03%]
降低炎症标志物重复使用的质量改进倡议
Kathryn E Bakkum,Kathy H Stoner,David A Gannon et al.
Kathryn E Bakkum et al.
Introduction: Inflammatory markers (IMs) are often ordered in multiples, even though evidence suggests that this does not add any clinical benefit. The project aimed to reduce the number of duplicate IMs for patients by 1...