Decreasing Time to Antibiotics for Patients with Sepsis in the Emergency Department [0.03%]
急诊科就诊的脓毒症患者使用抗生素的时间前移降低措施
Beth L Emerson,Rebecca Ciaburri,Cheryl Brophy et al.
Beth L Emerson et al.
Background: Sepsis is a significant cause of morbidity and mortality. Patients may present in a spectrum, from nonsevere sepsis through septic shock. Literature supports improvement in patient outcomes with timely care. T...
Operating Room Codes Redefined: A Highly Reliable Model Integrating the Core Hospital Code Team [0.03%]
重新定义手术室代码：整合核心医院编码团队的高可靠性模型
Thomas J Caruso,Asheen Rama,Lynda J Knight et al.
Thomas J Caruso et al.
Introduction: Typically, multidisciplinary teams manage cardiac arrests occurring outside of the operating room (OR). This approach results in reduced morbidity. However, arrests that occur in the OR are usually managed b...
Design and Development of Daily Morning Surgical Rounds in ICU by Quality Function Deployment [0.03%]
质量功能展开在ICU每日晨间手术流程中的设计和开发
Sandeep Tripathi,Ann J Naevor,LaMonica L Henrekin et al.
Sandeep Tripathi et al.
Objective: Most healthcare quality improvement projects focus on change management rather than the design of the process. In this article, we describe the development of a new rounding model based on quality function depl...
Improving Thermal Support in Very and Extremely Low Birth Weight Infants during Interfacility Transport [0.03%]
提高NICU之间转运过程中VLBW和ELBW婴儿的保温措施
Emily M McNellis,Amy R Leonard,Kimberly A Thornton et al.
Emily M McNellis et al.
Introduction: Review of very low birth weight (VLBW) and extremely low birth weight (ELBW) neonates transported by our specialized pediatric/neonatal transport team revealed hypothermia in up to 52% of admissions. This pr...
Quality Initiative to Reduce Cardiac CT Angiography Radiation Exposure in Patients with Congenital Heart Disease [0.03%]
针对先天性心脏病患者的降低心脏CT造影辐射暴露的质量改进举措
Fatima Ali,Arjumand Rizvi,Huzaifa Ahmad et al.
Fatima Ali et al.
Background: The use of cardiac computed tomography angiography (CCTA) as a complementary diagnostic modality to echocardiography in patients with congenital heart diseases (CHDs) is expanding in low- and middle-income cou...
Encouraging Resident Adverse Event Reporting: A Qualitative Study of Suggestions from the Front Lines [0.03%]
关于居民不良事件报告的定性研究：来自基层的意见
John Szymusiak,Thomas J Walk,Maggie Benson et al.
John Szymusiak et al.
Introduction: Little is known about what motivates residents to report adverse events. The goals of the qualitative study were to: (1) better understand facilitators to residents' event reporting and (2) identify effectiv...
Improving Quality of Chest Computed Tomography for Evaluation of Pediatric Malignancies [0.03%]
提高胸部计算机断层扫描的质量以评估儿童恶性肿瘤
Sara A Mansfield,Michael Dykes,Brent Adler et al.
Sara A Mansfield et al.
Introduction: Atelectasis is a problem in sedated pediatric patients undergoing cross-sectional imaging, impairing the ability to accurately interpret chest computed tomography (CT) imaging for the presence of malignancy,...
Standardized Implementation of Evidence-based Guidelines to Decrease Blood Transfusions in Pediatric Intensive Care Units [0.03%]
基于证据指南的标准化实施减少儿科重症监护病房血液 transfusion
Sheila J Hanson,Erin B Owen,Mark J McDonald et al.
Sheila J Hanson et al.
Introduction: Despite evidence that red blood cell (RBC) transfusions may be associated with more harm than benefit, current transfusion practices vary significantly. This multicenter, quality improvement study aimed to s...
Prevention of Pressure Ulcers in a Pediatric Cardiac Intensive Care Unit [0.03%]
儿科心脏重症监护室压力性溃疡的预防措施
Janet M Simsic,Kevin Dolan,Sarah Howitz et al.
Janet M Simsic et al.
Background: Pressure ulcer (PU) is an injury to skin or underlying tissue as a result of pressure or pressure with shear stress. We classify PUs by the level of tissue injury: stage I-IV, unstageable, suspected deep tissu...
Patient-Centered Goal Setting in Developmental Therapy: Discordance between Documented Goals and Caregiver-Perceived Goals [0.03%]
以患者为中心的发育治疗目标设定：记录目标与照护者感知目标的不一致
Jennifer M Angeli,Karen Harpster,Lobke Huijs et al.
Jennifer M Angeli et al.
Introduction: Productive interactions between engaged patients and clinical teams are key to effective clinical practice. Accordingly, the identification of needs and priorities through the process of collaborative goal s...