Implementation of Postoperative Respiratory Care for Pediatric Orthopedic Patients

Shaughnessy, Erin E.; White, Cynthia; Shah, Samir S.; Hubbell, Brittany B; Sucharew, Heidi; Sawnani, Hemant

doi:10.1542/peds.2014-3322

Cited by 8 publications

(9 citation statements)

References 16 publications

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“…In addition, adverse events associated with unrecognized misplaced ETTs may be modifiable or minimized with measures to ensure more prompt recognition and adjustment. For example, an increased rate of atelectasis may not be clinically significant in the short-term, but uncorrected it has been shown to progress to important clinical complications, such as prolonged hypoxia or the development of pneumonia (27). For these reasons, we felt that reporting the frequency of adverse events associated with misplaced ETTs that initially go undetected was important.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Misplaced Endotracheal Tubes During Intubation in Pediatric Patients

Miller

Kimia

Monuteaux

et al. 2016

The Journal of Emergency Medicine

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Section: Discussionmentioning

confidence: 99%

Factors Associated with Misplaced Endotracheal Tubes During Intubation in Pediatric Patients

Miller

Kimia

Monuteaux

et al. 2016

The Journal of Emergency Medicine

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“…However, due to their simplicity and simple rules for detecting non-random patterns and variation over time, the run chart has been described as the 'universal tool' for virtually every improvement project. 11 They have been employed by clinical teams for a wide variety of health care processes such as HIV screening in primary care, 12 for inpatient bronchiolitis, 13 chemotherapy, 14 measuring inpatient harms, 15 central line associated bacteraemia, 16 orthopaedics, 17 acute coronary syndrome, 18 inhaled corticosteroid prescribing, 19 insulin therapy 20 and also by patients. 5,21 At the time of the study, the two PHOs also used run charts to track immunisation and to illustrate progress towards population health priority areas such as giving brief advice for smoking cessation.…”

Section: Discussionmentioning

confidence: 99%

Using run charts for cardiovascular disease risk assessments in general practice

et al. 2016

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1Management recommendations are based on five-year CVD risk stratification, with greater the intensity of lifestyle and medication management recommended for people with higher estimated ABSTRACT IntroductIon: Run charts are quality improvement tools.AIm: To investigate the feasibility and acceptability of run charts displaying weekly cardiovascular disease (CVD) risk assessments in general practice and assess their impact on CVD risk assessments.methods: A controlled non-randomised observational study in nine practices using run charts and nine control practices. We measured the weekly proportion of eligible patients with completed CVD risk assessments for 19 weeks before and after run charts were introduced into intervention practices. A random coefficients model determined changes in CVD risk assessment rates (slope) from pre-to post-intervention by aggregating and comparing intervention and control practices' mean slopes. We interviewed staff in intervention practices about their use of run charts.results: Seven intervention practices used their run chart; six consistently plotting weekly data for >12 weeks and positioning charts in a highly visible place. Staff reported that charts were easy to use, a visual reminder for ongoing team efforts, and useful for measuring progress. There were no significant differences between study groups: the mean difference in pre-to post-run chart slope in the intervention group was 0.03% more CVD risk assessments per week; for the control group the mean difference was 0.07%. The between group difference was 0.04% per week (95% CI: -0.26 to 0.35, P = 0.77).dIscussIon: Run charts are feasible in everyday general practice and support team processes. There were no differences in CVD risk assessment between the two groups, likely due to national targets driving performance at the time of the study.

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“…The first study meeting eligibility criteria was published in 2004; 11 the majority (71.5%; N=113) were published between 2014 and 2019. 8,9,21,22,25,27,[30][31][32][34][35][36][37]39,[41][42][43][44][47][48][49]51,53,[56][57][58]62,63,65,[67][68][69][70]72,74,76,77,79,81,83,85,87,89,90,[92][93][94]96,97,[99][100]…”

Section: Year and Location Of Studiesmentioning

confidence: 99%

Huddles and their effectiveness at the frontlines of clinical care: a scoping review

et al. 2021

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BACKGROUND: Brief, stand-up meetings known as huddles may improve clinical care, but knowledge about huddle implementation and effectiveness at the frontlines is fragmented and setting specific. This work provides a comprehensive overview of huddles used in diverse health care settings, examines the empirical support for huddle effectiveness, and identifies knowledge gaps and opportunities for future research. METHODS: A scoping review was completed by searching the databases PubMed, EBSCOhost, ProQuest, and OvidSP for studies published in English from inception to May 31, 2019. Eligible studies described huddles that (1) took place in a clinical or medical setting providing health care patient services, (2) included frontline staff members, (3) were used to improve care quality, and (4) were studied empirically. Two reviewers independently screened abstracts and full texts; seven reviewers independently abstracted data from full texts. RESULTS: Of 2,185 identified studies, 158 met inclusion criteria. The majority (67.7%) of studies described huddles used to improve team communication, collaboration, and/or coordination. Huddles positively impacted team process outcomes in 67.7% of studies, including improvements in efficiency, process-based functioning, and communication across clinical roles (64.4%); situational awareness and staff perceptions of safety and safety climate (44.6%); and staff satisfaction and engagement (29.7%). Almost half of studies (44.3%) reported huddles positively impacting clinical care outcomes such as patients receiving timely and/or evidence-based assessments and care (31.4%); decreased medical errors and adverse drug events (24.3%); and decreased rates of other negative outcomes (20.0%). DISCUSSION: Huddles involving frontline staff are an increasingly prevalent practice across diverse health care settings. Huddles are generally interdisciplinary and aimed at improving team communication, collaboration, and/or coordination. Data from the scoping review point to the effectiveness of huddles at improving work and team process outcomes and indicate the positive impact of huddles can extend beyond processes to include improvements in clinical outcomes. STUDY REGISTRATION: This scoping review was registered with the Open Science Framework on 18 January 2019 (https://osf.io/bdj2x/).

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Implementation of Postoperative Respiratory Care for Pediatric Orthopedic Patients

Cited by 8 publications

References 16 publications

Factors Associated with Misplaced Endotracheal Tubes During Intubation in Pediatric Patients

Factors Associated with Misplaced Endotracheal Tubes During Intubation in Pediatric Patients

Using run charts for cardiovascular disease risk assessments in general practice

Huddles and their effectiveness at the frontlines of clinical care: a scoping review

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