Despite wide adoption in the healthcare of safety event report (SER) systems, there is a paucity unified structures for prompt analysis and action while retaining reporter confidentiality. We used synesis framework to change siloed reviews reports comprehensive appraisal quality, safety, productivity reliability facilitate interventions. After needs assessment survey, we launched serial plan-do-study-act cycles (1) enhance teams' ability access SERs, (2) regular multidisciplinary review SERs...

Family-initiated rapid response (FIRR) empowers families to express concern and seek care from specialized teams. We studied FIRRs that occurred in a pediatric tertiary hospital over 3-year period. The main aims were describe the characteristics outcomes of compare them with clinician-activated RRs (C-RRs). Of 1,906 events reviewed, 49 (2.6%) FIRRs. All had appropriate clinical triggers most common being uncontrolled pain. Chronic conditions previous admissions present 61%. More than half...

Children with medical cardiac disease experience poorer survival to hospital discharge after cardiopulmonary arrest compared children surgical disease. Limited literature exists describing epidemiology and factors associated mortality in this heterogeneous population. We aim evaluate the clinical characteristics outcomes patients.We performed a retrospective review of pediatric patients who underwent resuscitation tertiary care ICU. Surgical surgery immediately prior ICU admission....

Coronavirus disease 2019 containment strategies created challenges with patient-centered ICU rounds. We examined how hybrid rounds virtual communication added to in-person could facilitate social distancing while maintaining care.Continuous quality improvement.Quaternary care referral pediatric hospital.Daytime conducted on PICU patients.Following a needs assessment survey and pilot trials, multiple technological solutions were implemented in series of plan-do-study-act cycles. Hybrid model...

Social determinants of health (SDH) are known to impact hospital and intensive care unit (ICU) outcomes. Little is about the association between SDH pediatric rapid response (RR) events understanding this will help guide future interventions aimed eliminate disparities in inpatient setting.The primary objective study describe RR utilization (number events, time event, shift event caller). The secondary determine if can predict length stay (LOS), ICU transfer, critical deterioration (CD),...

Objective: We studied rapid response events after acute clinical instability outside ICU settings in pediatric cardiac patients. Our objective was to describe the characteristics and outcomes this high-risk cohort elucidate conditions risk factors associated with worse outcomes. Design: A retrospective single-center study carried out over a 3-year period from July 2011 June 2014. Setting: Referral high-volume center located within tertiary academic hospital. Patients: All that occurred...

Sign-out of patient data at change shifts is vulnerable to errors that impact safety. Although sign-outs are complex in intensive care units (ICU), a paucity studies exists evaluating optimal ICU sign-out. Our prospective interventional study investigated the use standard verbal template Pediatric improve sign-out process. We designed and validated survey tool measure 10 items The analysis information exchanged was performed pre- postintervention. Forty-eight clinicians participated, with...

We describe the characteristics and outcomes of pediatric repeat rapid response events within a single hospitalization. hypothesized that triggers for initial are similar, associated with high prevalence medical complexity worse outcomes.A 3-year retrospective study.High-volume tertiary academic hospital.All were reviewed to identify events.None.Patient demographics, triggers, primary clinical diagnoses, illness acuity scores, interventions, transfers ICU, occurrence critical deterioration,...

BACKGROUND AND OBJECTIVES Authors of adult rapid response (RRT) studies have established that RRT triggers play an important role in outcomes, but this association is not studied pediatrics. In study, we explore the characteristics and outcomes pediatric with a respiratory trigger (Resp-RRT). We hypothesize differ on basis patients’ primary diagnoses at time Resp-RRT. METHODS conducted 2-year retrospective observational study academic tertiary care hospital. RESULTS Among 1287 Resp-RRTs 1060...

Widespread implementation of rapid response (RR) systems positively impacts outcomes clinically unstable hospitalized patients. Collaboration between bedside providers and specialized responding teams is crucial for effective functioning RR system. Bedside, often harbor negative feelings about having to 'call help' that could impact their active participation in RR.The objective the study enhance by fostering self-determination through targeted education.Needs assessment affirmed our...

Abstract Introduction: While the efficacy and guidelines for implementation of rapid response systems are well established, limited information exists about paradigms paediatric cardiac patients despite their unique pathophysiology. Methods: With endorsement from Paediatric Cardiac Intensive Care Society, we designed implemented a web-based survey multidisciplinary ICU medical directors in United States America Canada to better understand practices. Results: Sixty-five (52%) 125 centres...

Procalcitonin (PCT) is a biomarker of bacterial infections with more sensitivity and specificity than commonly used inflammatory markers. PCT can be particularly helpful in the postsurgical population where surgery itself often leads to noninfectious inflammation. We aimed examine utility perioperative profiles predicting infection two pediatric surgical populations.We conducted prospective observational study children undergoing cardiac or neurosurgery. Consenting patients no preoperative...

OBJECTIVES: Rapid response (RR) systems reduce mortality and cardiopulmonary arrests outside the ICU. Patient characteristics, RR practices, hospital context and/or mechanism influence post-RR outcomes. We aim to describe compare function outcomes within our institution’s multiple sites. METHODS: conducted a 3-year retrospective study use, clinical between hospital’s central campus (CC) 2 satellite campuses (SCs). training procedures are uniform across all campuses. RESULTS: Among 2935 RRs...

Copyright © by 2015 the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved.

Critical Care Medicine: December 2015 - Volume 43 Issue 12 p 29-30 doi: 10.1097/01.ccm.0000473941.62439.58

Copyright © by 2015 the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved.