Improving Pediatric Ovarian Torsion Evaluation in the Pediatric Emergency Department: A Quality Improvement Initiative [0.03%]
改善急诊科儿科附件扭转评估:一项质量改进倡议
Brian L Park,Sara Fenstermacher,A Luana Stanescu et al.
Brian L Park et al.
Background: Transabdominal pelvic ultrasound (TPUS) is the diagnostic test of choice for the evaluation of ovarian torsion, a time-sensitive surgical emergency. A full bladder is required to visualize the ovaries. Bladder...
Promoting a Sleep-friendly Environment by Minimizing Overnight Room Entries [0.03%]
通过减少夜间房间进入次数来营造有利于睡眠的环境
Lauren M McDaniel,Nilesh Seshadri,Elizabeth A Harkins et al.
Lauren M McDaniel et al.
Introduction: Despite its importance in illness recovery, the sleep of hospitalized children is frequently interrupted. This quality improvement intervention aimed to reduce overnight room entries by minimizing unnecessar...
Multidisciplinary Initiative to Increase Guideline-concordant Antibiotic Prescription at Discharge for Hospitalized Children with Uncomplicated Community-acquired Pneumonia [0.03%]
针对社区获得性肺炎住院儿童简化且符合规范的抗生素处方的多学科合作计划
Alexandra B Yonts,Laura B ONeill,Matthew A Magyar et al.
Alexandra B Yonts et al.
Background: Clinical practice guidelines recommend using narrow-spectrum antibiotics to treat uncomplicated pneumonia in children. This quality improvement (QI) project aimed to evaluate if QI methods could improve guidel...
Reducing the Time to Action on Bilirubin Results Overnight in a Newborn Nursery [0.03%]
缩短新生儿病房胆红素结果的行动时间
Andrew M Beverstock,Lily Rubin,Meredith Akerman et al.
Andrew M Beverstock et al.
Introduction: Infants commonly require phototherapy in the nursery to prevent kernicterus, but it can interfere with parent-infant bonding. Minimizing unnecessary phototherapy is important. We noticed frequent delays in i...
Establishing a Quality Improvement Program for Pediatric In-hospital Cardiac Arrest [0.03%]
住院儿童心脏骤停的质量改进计划的建立
Anya J Freedman,Erik C Madsen,Lia Lowrie
Anya J Freedman
Background: Pediatric In-hospital Cardiac Arrest (IHCA) is a rare event with a 50-55% mortality rate. Techniques of Cardiopulmonary Resuscitation (CPR), medication and electrical therapy timing, team dynamics, simulation ...
Decreasing Blood Culture Collection in Hospitalized Patients with CAP, SSTI, and UTI [0.03%]
社区获得性肺炎、皮肤和软组织感染及尿路感染住院患者的血培养采集量下降趋势分析
Monica D Combs,Danica B Liberman,Vivian Lee
Monica D Combs
Background: Blood culture collection in pediatric patients with community-acquired pneumonia (CAP), skin and soft tissue infections (SSTI), and urinary tract infections (UTI) remains high despite evidence of its limited u...
Increasing COVID-19 Immunization Rates through a Vaccination Program for Hospitalized Children [0.03%]
通过住院儿童疫苗项目提高COVID-19免疫率
Victoria Mattick,Katelyn Cappotelli Nevin,Anne Fallon et al.
Victoria Mattick et al.
Introduction: Inpatient coronavirus disease 2019 (COVID-19) vaccination initiatives offer a novel strategy to eliminate barriers to care, provide access to interprofessional teams, and decrease COVID-19 morbidity and mort...
Decreasing ICU and Hospital Length of Stay through a Standardized Respiratory Therapist-driven Electronic Clinical Care Pathway for Status Asthmaticus [0.03%]
基于呼吸治疗师的电子临床护理路径在哮喘持续状态中降低ICU和医院住院时间
Merrick Lopez,Michele Wilson,Ekua Cobbina et al.
Merrick Lopez et al.
Introduction: Status asthmaticus (SA) is a cause of many pediatric hospitalizations. This study sought to evaluate how a standardized asthma care pathway (ACP) in the electronic medical record impacted the length of stay ...
Improving Asthma Action Plan Completion Rates across Five Divisions in an Academic Children's Hospital [0.03%]
改善学术儿童医院五个部门的哮喘行动计划完成率
Maria G Alfieri,Katie Catalano,Tregony Simoneau et al.
Maria G Alfieri et al.
Introduction: Asthma is the most common chronic disease among children. Asthma Action Plans (AAPs) enable asthma self-management tailored to each patient and should be updated annually. At our institution, providers face ...
Reducing Overutilization of High-flow Nasal Cannula in Children with Bronchiolitis [0.03%]
降低急性支气管炎患儿高频鼻导管吸氧过度治疗率
Diana Jo,Nisha Gupta,David Bastawrous et al.
Diana Jo et al.
Background: Bronchiolitis is a leading cause of pediatric hospitalizations. A high-flow nasal cannula (HFNC) does not significantly improve clinical outcomes and is associated with increased costs and intensive care unit ...