A Improving Birth-dose Hepatitis-B Vaccination in a Tertiary Level IV Neonatal Intensive Care Unit [0.03%]
改善三级IV水平新生儿重症监护单元的出生剂量乙肝疫苗接种率
Indirapriya Avulakunta,Palanikumar Balasundaram,Alma Rechnitzer et al.
Indirapriya Avulakunta et al.
Background: Perinatal hepatitis B is a global public health concern. To reduce perinatal hepatitis B and its complications, the Hepatitis B vaccine (HBV) is recommended by the New York State Department of Health and Advis...
Closing the Fluid Gap: Improving Isotonic Maintenance Intravenous Fluid Use in a Community Hospital Network [0.03%]
缩短"液体间隙"：社区医院网络等张维持性静脉输液的使用改进
Shraddha Mittal,Sheila Knerr,Julianne Prasto et al.
Shraddha Mittal et al.
Introduction: The American Academy of Pediatrics recommends using isotonic intravenous fluids (IVF) for maintenance needs to decrease the risk of hyponatremia. We conducted a quality improvement project to increase the us...
Identifying Children in Foster Care and Improving Foster Care Documentation in Primary Care [0.03%]
识别寄养系统中的儿童并改进初级保健中的寄养护理文档
Camille A Broussard,Julia M Kim,Brittany Hunter et al.
Camille A Broussard et al.
Background: Children and youth in foster care (CYFC) are a population with special healthcare needs, and the American Academy of Pediatrics has healthcare standards to care for this population, but implementation challeng...
Handoff Tool Improves Transitions from the Operating Room to the Neonatal Intensive Care Unit [0.03%]
交接工具可改善新生儿从手术室到重症监护病房的过渡
Julie B Gallois,Jessica A Zagory,Brian Barkemeyer et al.
Julie B Gallois et al.
Introduction: Standardized handoffs reduce medical errors and prevent adverse events or near misses. This article describes a quality improvement initiative implementing a unique standardized handoff tool and process to t...
Improving Documentation of Pain Reassessment after Pain Management Interventions in the NICU [0.03%]
提高NICU疼痛管理干预后的疼痛 reassessment 文档记录水平
Smitha Israel,Sofia Perazzo,Morgan Lee et al.
Smitha Israel et al.
Background: Neonates exposed to painful procedures require pain assessment and reassessment using nonverbal scales. Nurses perform initial assessments routinely, but reassessment is variable. The goal was to increase pain...
Transthoracic Echocardiography in the Preoperative Assessment of Newborn Coarctation: Limiting Risks Associated with Advanced Imaging Techniques [0.03%]
新生儿主动脉缩窄术前经胸超声心动图检查：降低高级影像技术相关风险
Christina L Benjamin,Erik G Ellsworth,Roosevelt Bryant rd et al.
Christina L Benjamin et al.
A newborn male child with prenatally identified aortic arch hypoplasia presented to our facility for cardiac management. He had been started on prostaglandins at the delivery facility and was subsequently placed on a high-flow nasal cannula...
Improving Situational Awareness to Decrease Emergency ICU Transfers for Hospitalized Pediatric Cardiology Patients [0.03%]
提高情况意识以减少住院儿科心脏病患者的急诊ICU转移次数
Tara C Cosgrove,Robert J Gajarski,Kevin F Dolan et al.
Tara C Cosgrove et al.
Introduction: Failure to recognize and mitigate critical patient deterioration remains a source of serious preventable harm to hospitalized pediatric cardiac patients. Emergency transfers (ETs) occur 10-20 times more ofte...
Firearm Safety Screening in the Pediatric Hospital Setting: A Quality Improvement Initiative [0.03%]
儿科住院环境中的枪支安全筛查：一项质量改进倡议
Elizabeth R Oddo,Neha Kumar,Annie L Andrews et al.
Elizabeth R Oddo et al.
Background: Firearm injuries are a leading cause of morbidity and mortality for US youth. Secure storage is protective against firearm injuries in children. Despite this evidence and national recommendations, rates of fir...
Quality Tool School: Improving the Delivery of Quality Improvement Education in a Children's Hospital [0.03%]
儿童医院质量改善教育的交付质量工具学校：提升 качества обучения по улучшению质量管理教育的质量工具学校：改进儿童医院中的教育效果
James Gallup,Don Buckingham,Kevin Dolan et al.
James Gallup et al.
Background: In 2013, Nationwide Children's Hospital's (NCH) Quality Tool School (QTS) was created as an initial Quality Improvement educational series, composed of three separate classes, totaling 5.5 hours of hands-on QI...
Decreasing Radiation Exposure to the Abdomen in Children with Chronic Constipation [0.03%]
减少慢性便秘患儿腹部放射暴露
Bennet C Chun,Margarita Chmil,Lynne Ruess
Bennet C Chun
Background: Bowel management for children with chronic constipation may include repeated single-view abdomen radiographs (AXR) to monitor treatment success. Only one image of the abdomen is needed to include most of the c...