Reducing Unplanned Pediatric Extubations by Modifying Analgosedative Infusions [0.03%]
通过改进镇痛镇静输注减少计划外的儿科拔管事件
John S Giuliano Jr,Shannon Hassmann,Christine Curello et al.
John S Giuliano Jr et al.
Introduction: To decrease unplanned extubations (UEs), we aimed to reduce the use of fentanyl as the first-line opioid infusion for intubated patients in our combined pediatric and pediatric cardiac intensive care units b...
Reexamining Feeding Tube Safety in Pediatrics: A Safety Event Rooted in Device Design and Instruction Gaps [0.03%]
儿科喂食管安全问题再审视：源于设备设计和使用说明缺陷的安全事件
Christopher J Demas,RoseAnn Dubke,Rebecca A Pehovic et al.
Christopher J Demas et al.
Introduction: Nasogastric (NG) tubes are commonly used in hospitalized infants and children to provide nutrition and medications. Although clinical protocols emphasize the importance of confirming placement and tube paten...
Variation in the Management of Test Results after Hospital Discharge: A Pediatric Safety Concern [0.03%]
住院后的检查结果管理存在差异：一项儿科安全问题
Meenu Krishnasamy,Rhiya Sharma,Lydia Nashed et al.
Meenu Krishnasamy et al.
Introduction: Delay or failure to follow up tests pending at discharge (TPAD) is a major safety concern and a focus in the literature, but few studies exist in the pediatric context. We aimed to explore pediatric hospital...
Adapting PICU UP! to Enhance Early Mobility in a Level IV Neonatal Intensive Care Unit: A Quality Improvement Project [0.03%]
PICU UP!在四级新生儿重症监护病房中促进早期活动的适应性改进项目：一项质量改善项目
Brooke A Krbec,Denise Casey,Benjamin G Ethier et al.
Brooke A Krbec et al.
Introduction: Patient acuity in the neonatal intensive care unit can lead to inadequate focus on developmental care. Structured approaches to promote early mobility can improve outcomes. ...
Improving Teletherapy Enrollment Using Quality Improvement Methodology for Psychiatry Patients Boarding on Acute Care Services [0.03%]
运用质量管理方法改善精神病患者在急性护理服务中的远程治疗注册手续
Katherine A Ritter,Mahdieh Bodaghi,Padmaja Pavuluri et al.
Katherine A Ritter et al.
Introduction: In 2021, the American Academy of Pediatrics, the American Academy of Child and Adolescent Psychiatry, and the Children's Hospital Association declared a state of emergency in children's mental health. Respon...
Improving Single Maintenance and Reliever Therapy for Patients Admitted for Asthma Exacerbation [0.03%]
改善哮喘加重住院患者的单用维持与缓解治疗的效果
Katherine A Pumphrey,Jessica K Hart,Joseph J Zorc et al.
Katherine A Pumphrey et al.
Introduction: In 2020, single maintenance and reliever therapy (SMART) became guideline-recommended care for school-age children in the United States with poorly controlled, persistent asthma. Pediatric inpatient provider...
A Quality Improvement Initiative to Control a Gram-negative Sepsis Outbreak in a Resource-limited Neonatal Intensive Care Unit Using Systems Engineering Initiative for Patient Safety and a Modified Donabedian Framework [0.03%]
基于系统工程的患者安全改进计划和改良Donabedian框架控制资源匮乏NICU医院获得性革兰氏阴性败血症暴发的质量改善项目
Kedar Sawleshwarkar,Mahtab Singh,Ramesh Bajaj et al.
Kedar Sawleshwarkar et al.
Introduction: Each year, 2.6 million newborns die globally, making up 46% of mortality in children younger than 5 years. Most of these deaths (96%) occur in low- and middle-income countries, with India accounting for appr...
Improving Structured Handoff Documentation in a Pediatric Emergency Department [0.03%]
改善儿科急诊科手写交接班文书的质量
Deborah Hammett,Rebecca Matta,Jody Kieffer et al.
Deborah Hammett et al.
Introduction: The I-PASS handoff tool guides provider handoffs and reduces adverse events in the inpatient setting. Transitions of care occur frequently in the emergency department (ED), and the unpredictable environment ...
Shadi Bakjaji,Kathryn Anglin,Trish Clotts et al.
Shadi Bakjaji et al.
Introduction: Congenital hypothyroidism (CH) is a common endocrine disorder that requires optimal management and intensive follow-up to prevent neurocognitive impairment, especially within the first 3 years of life. ...
Survey of Well-being of Young Children: Implementation and Impact on Care Quality [0.03%]
幼儿福利调查：对保育质量的实施和影响
Yusuke Matsuura,Felix Richter,Gabrielle Block et al.
Yusuke Matsuura et al.
Introduction: Despite the American Academy of Pediatrics recommendations to use validated developmental screening tools, national adoption remains low. To address this, we launched a quality improvement project to impleme...