Near Miss in Intraoperative Magnetic Resonance Imaging: A Case for In Situ Simulation [0.03%]
术中磁共振成像险情事件：现况模拟案例研究
Asheen Rama,Lynda J Knight,Marc Berg et al.
Asheen Rama et al.
Pediatric patients in intraoperative magnetic resonance imaging (iMRI) settings are at high risk for morbidity should an adverse event occur. We describe an experience in the iMRI scanner where no harm occurred, yet revealed an opportunity ...
Introducing a Virtual Fracture Clinic Increases Efficiency and Reduces Costs in Torus Fracture Management [0.03%]
虚拟骨折门诊在 torus 骨折管理中的应用提高了效率并减少了成本
Sheena Seewoonarain,Satish Babu,Dhrumin Sangoi et al.
Sheena Seewoonarain et al.
Torus fractures of the distal radius are both a common pediatric forearm fracture and a common source of referral to orthopedic departments. Management of these injuries has moved away from traditional casting methods to using splints and s...
Quality Improvement Interventions to Improve Critical Congenital Heart Disease Screening [0.03%]
提高严重先天性心脏畸形筛查质量的改善干预措施
Lisa A Hom,Clarissa Chan Salcedo,Mary Revenis et al.
Lisa A Hom et al.
Newborn screening for critical congenital heart disease (CCHD) using pulse oximetry improves detection and is associated with decreased related infant mortality. In 2015, the Healthy Hearts of Babies Act required hospitals to screen all new...
Using a Second Stakeholder-Driven Variance Reporting System Improves Pediatric Perioperative Safety [0.03%]
使用第二种利益相关者驱动的偏差报告系统可提高儿科围手术期安全性能
Akemi L Kawaguchi,Ranu Jain,Nutan B Hebballi et al.
Akemi L Kawaguchi et al.
Despite recognizing the occurrence of variances, we noted a low rate of reporting with the established computer variance program. Therefore, we developed and introduced a simple, handwritten variance reporting system. The goal of this study...
Andrew P J Olson
Andrew P J Olson
Project RedDE: Cluster Randomized Trial to Reduce Missed or Delayed Abnormal Laboratory Value Actions [0.03%]
红DE项目：减少异常实验室结果处理遗漏或延迟的集群随机试验
Michael L Rinke,David G Bundy,Christoph U Lehmann et al.
Michael L Rinke et al.
Failure of timely abnormal laboratory result follow-up is relatively common and may lead to harm. This study hypothesized that a quality improvement collaborative (QIC) could reduce the frequency of missed or delayed action on abnormal labo...
Increasing Recognition and Diagnosis of Adolescent Depression: Project RedDE: A Cluster Randomized Trial [0.03%]
提高青少年抑郁识别和诊断的认同感：红DE项目：集群随机试验
Michael L Rinke,David G Bundy,Ruth E K Stein et al.
Michael L Rinke et al.
Adolescent depression causes appreciable morbidity and is underdiagnosed in primary care. This study investigated whether a quality improvement collaborative (QIC) increases the frequency of adolescent depression diagnoses, thus reducing mi...
Addressing Challenges of Baseline Variability in the Clinical Setting: Lessons from an Emergency Department [0.03%]
临床环境基线变异性的挑战及急诊科的应对经验教训
Deena Berkowitz,James Chamberlain,Lloyd P Provost
Deena Berkowitz
To demonstrate methods of adjusting data in quality improvement projects for better learning about interventions over time. Methods: A secondary analysis ...
Becoming Trauma Informed: Validating a Tool to Assess Health Professional's Knowledge, Attitude, and Practice [0.03%]
创伤知情：验证一种评估卫生专业人员知识、态度和实践的工具
Simmy King,Kuan-Lung Daniel Chen,Binny Chokshi
Simmy King
To effectively address the negative health effects of early childhood trauma and adversity, healthcare professionals and healthcare institutions must understand the impact of adverse childhood experiences and trauma on health. This study ai...
Utilization of a Neonatal Early-Onset Sepsis Calculator to Guide Initial Newborn Management [0.03%]
利用新生儿早期发作性败血症计算器指导初始新生儿管理
Bianca M Leonardi,Margaret Binder,Katherine J Griswold et al.
Bianca M Leonardi et al.
Within our hospital system, all infants born to mothers with chorioamnionitis were directly admitted to the neonatal intensive care unit (NICU) for evaluation and treatment of presumed sepsis for a minimum of 48 hours, regardless of clinica...