Abstract:
:Involvement in successful and sustained quality improvement can be a very rewarding experience. However, it can be very difficult work. Up to 70% of attempted organizational change is not sustained. There are many reasons why quality-improvement projects might not be successful. In this article, the author reviews items associated with an increased or decreased likelihood of success. Such items have been categorized as structural issues, human issues and environmental context. This paper is intended to serve those embarking on quality-improvement projects as a resource to help position them for success.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Donnelly LFdoi
10.1007/s00247-017-3823-zsubject
Has Abstractpub_date
2017-06-01 00:00:00pages
793-797issue
7eissn
0301-0449issn
1432-1998pii
10.1007/s00247-017-3823-zjournal_volume
47pub_type
杂志文章,评审abstract::Extensive vascular calcification in an 8-year-old girl with perinatally acquired AIDS is reported. Complicating factors included cardiomyopathy, chronic lung disease, disseminated Mycobacterium avium complex (MAC), and wasting syndrome with total nutrition dependence. Plain abdominal films and CT of the abdomen immedi...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF01395718
更新日期:1996-01-01 00:00:00
abstract::Chylopericardium rarely occurs in pediatric patients, but when it does it is most often a result of lymphatic injury during cardiothoracic surgery. Primary idiopathic chylopericardium is especially rare, with few cases in the pediatric literature. We report a 10-year-old boy who presented with primary idiopathic chylo...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-014-3182-y
更新日期:2015-06-01 00:00:00
abstract::The congenital subglottic hemangioma typically appears as an asymmetric subglottic narrowing or mass on frontal neck radiographs. Therefore, soft tissue neck radiography has been advocated as a definitive non-operative approach for diagnosing these lesions. However, we have noted similar asymmetric subglottic narrowin...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02388997
更新日期:1988-01-01 00:00:00
abstract::The safety and diagnostic efficacy of the new non-ionic, monomeric contrast medium iopentol (Imagopaque) were evaluated and compared with those of the ionic medium metrizoate (Isopaque), in urography in children in a randomized, double-blind, parallel study. The trial comprised 59 children aged from 3 months to 8 year...
journal_title:Pediatric radiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/BF02020165
更新日期:1994-01-01 00:00:00
abstract::Three of seven infants afflicted with congenital syphilis at our institution in the past five years showed diffuse pulmonary infiltrates. These persisted long after adequate antibiotic treatment of the primary infection. Review of pathologic literature suggests these infiltrates represent pulmonary immaturity, extrame...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02026670
更新日期:1991-01-01 00:00:00
abstract:BACKGROUND:Artificial intelligence models have been successful in analyzing ordinary photographic images. One type of artificial intelligence model is object detection, where a labeled bounding box is drawn around an area of interest. Object detection can be applied to medical imaging tasks. OBJECTIVE:To demonstrate o...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-020-04895-8
更新日期:2021-01-05 00:00:00
abstract::Radiographic examinations of the paranasal sinuses and chests of 187 patients with C.F. from five months to 27 years of age were reviewed. One hundred eight-five patients consistently had opaque maxillary and ethmoidal sinuses. Forty-five patients had normal chest radiographs. These observations show that the paranasa...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00977665
更新日期:1980-02-01 00:00:00
abstract::Developmental dysplasia of the hip (DDH) is an important but poorly defined entity, the natural history of which is incompletely understood. The term encompasses a disease spectrum ranging from a stable hip with a mildly dysplastic acetabulum to complete hip dislocation. Much controversy surrounds the diagnosis, imagi...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-012-2429-8
更新日期:2012-12-01 00:00:00
abstract::Scrotal abscess in infancy is rare and, in an otherwise healthy infant, an unexpected pathology. We present a 2-week-old boy with a unilateral scrotal swelling, imaged by high-resolution sonography. Sonography with colour Doppler demonstrated an encapsulated heterogeneous mass in the left scrotum with surrounding hype...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-006-0273-4
更新日期:2006-11-01 00:00:00
abstract::We present the CT and MRI findings of an 8-day-old infant with an infected cephalhaematoma complicated by skull osteomyelitis, venous sinus thrombosis and left cerebellar haemorrhage. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-001-0647-6
更新日期:2002-05-01 00:00:00
abstract::Leigh syndrome by definition is (1) a neurodegenerative disease with variable symptoms, (2) caused by mitochondrial dysfunction from a hereditary genetic defect and (3) accompanied by bilateral central nervous system lesions. A genetic etiology is confirmed in approximately 50% of patients, with more than 60 identifie...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-015-3523-5
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:Pleural effusion at presentation in Hodgkin lymphoma has been associated with inferior outcome but has not been systematically evaluated. OBJECTIVE:To determine whether pleural effusion at presentation in children with Hodgkin lymphoma is a primary indicator of poor prognosis or secondary to associated fact...
journal_title:Pediatric radiology
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00247-018-4197-6
更新日期:2018-11-01 00:00:00
abstract:BACKGROUND:The classic metaphyseal lesion (CML) is highly specific for non-accidental trauma in infants. While the radiographic findings are well documented, there is little literature on the ultrasound (US) appearance. OBJECTIVE:To evaluate US findings in CMLs identified on radiographs. MATERIAL AND METHODS:This ins...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-019-04373-w
更新日期:2019-06-01 00:00:00
abstract::We retrospectively reviewed the imaging and surgical findings in 17 patients with duodenal atresia to determine (a) the frequency of coexistent malrotation in patients with duodenal atresia and (b) the reliability of the upper gastrointestinal barium study (UGI) in differentiating malrotation from postoperative deform...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02012180
更新日期:1994-01-01 00:00:00
abstract::Part 1 of this series of two articles describes conventional and advanced MRI techniques that are useful for evaluating brainstem pathologies. In addition, it provides a review of the embryology, normal progression of myelination, and clinically and radiologically salient imaging anatomy of the normal brainstem. Final...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-020-04954-0
更新日期:2021-02-01 00:00:00
abstract:BACKGROUND:Oral contrast preparation is fundamental to ensuring diagnostic examination quality for magnetic resonance enterography (MRE), yet little is known about the relative palatability and tolerability of various oral contrast agents in pediatric patients with known or suspected inflammatory bowel disease. OBJECT...
journal_title:Pediatric radiology
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00247-019-04378-5
更新日期:2019-06-01 00:00:00
abstract::Four cases of congenital megacalycosis associated with ipsilateral segmental megaureter in children are presented. This association has not been emphasized, although review of the English and French literature revealed eight such cases. In all cases, the concurrent entities are unilateral, with a left-sided predominan...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02386591
更新日期:1987-01-01 00:00:00
abstract:BACKGROUND:Whole-body MRI is used for staging paediatric Hodgkin lymphoma, commonly using size thresholds, which fail to detect disease in normal-size lymph nodes. OBJECTIVE:To investigate quantitative whole-body MRI metrics for nodal characterisation. MATERIALS AND METHODS:Thirty-seven children with Hodgkin lymphoma...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-019-04463-9
更新日期:2019-09-01 00:00:00
abstract:BACKGROUND:Safety concerns are increasingly raised regarding the use of gadolinium-based contrast media for MR imaging. OBJECTIVE:To determine the accuracy of pre-contrast abdominal MR imaging for lesion detection and characterization in pediatric oncology patients. MATERIALS AND METHODS:We included 120 children (37 ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-016-3664-1
更新日期:2016-11-01 00:00:00
abstract:BACKGROUND:Optic pathway gliomas (OPGs) are common pediatric brain tumors that pose significant clinical challenges with regard to predicting which tumors are likely to become symptomatic and require treatment. These tumors can arise sporadically or in the context of the inherited cancer predisposition syndrome neurofi...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-008-1003-x
更新日期:2008-12-01 00:00:00
abstract::Pediatric blunt scrotal trauma is most often the consequence of sports injury and presents a diagnostic challenge because swelling and pain make a scrotal physical exam difficult. US with color flow and duplex Doppler is the first-line imaging modality with the goal of accurate and timely diagnosis of injury requiring...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-016-3600-4
更新日期:2016-06-01 00:00:00
abstract:BACKGROUND:We have previously shown that urinary bladder volume index (BVI = length x width x depth of bladder) and bladder volume wall thickness index (BVWI = BVI at full bladder/average bladder wall thickness) are useful indicators of bladder dysfunction in children with enuresis and urinary tract infection. These in...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-006-0376-y
更新日期:2007-02-01 00:00:00
abstract::One hundred barium meal examinations performed on infants of less than 4 months of age are reviewed. All the infants presented with vomiting as a major symptom and the diagnosis remained in doubt following the initial clinical assessment. Fifty seven per cent of the examinations showed an abnormality of which 45% were...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF01625813
更新日期:1984-01-01 00:00:00
abstract::Twenty patients with massive trichuriasis were studied with double contrast barium enema. The following changes were observed: 1) Impregnation defects of the colonic wall probably due to abundant mucous secretions. 2) Granular features. 3) Pear-shaped caecum. 4) Radiolucid ringlike images with some contrast material i...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00973995
更新日期:1979-04-19 00:00:00
abstract:BACKGROUND:Knowledge of the synovial and tenosynovial appearance of the clinically non-arthritic symptomatic juvenile wrist using contrast-enhanced magnetic resonance imaging (MRI) is sparse. OBJECTIVES:To analyze contrast-enhanced MRI findings of the clinically non-inflamed symptomatic pediatric wrist, focusing on th...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-020-04739-5
更新日期:2020-09-01 00:00:00
abstract:BACKGROUND:Lymphatic malformations (LMs) are congenital lesions of the lymphatic system and consist of lymphatic channels and cystic spaces of varying sizes. Recent evidence has shown that LMs respond well to intralesional sclerotherapy. OBJECTIVE:The purpose of this retrospective study is to evaluate the outcome and ...
journal_title:Pediatric radiology
pub_type: 临床试验,杂志文章
doi:10.1007/s00247-012-2406-2
更新日期:2012-09-01 00:00:00
abstract::A young woman died following bronchography. The bilateral bronchogram done under general anesthesia without fluoroscopic control was associated with extensive small airway filling or "alveolarization" of the contrast medium. The oily Dionosil used had been heated in an autoclave. Experiments showed that the viscosity ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02387657
更新日期:1989-01-01 00:00:00
abstract::Infantile metastatic choriocarcinoma is a rare tumor of placental origin that can be observed with or without maternal metastases. A single cutaneous mass may be the only clinically observed sign. Reports of imaging findings are scarce given the extreme rarity of the tumor, and the disease can be rapidly fatal in the ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-018-4115-y
更新日期:2018-08-01 00:00:00
abstract::Fifty-one patients aged 1 year to 56 years with metabolic bone disease underwent renal ultrasound. Medullary nephrocalcinosis was found in nine of 24 patients with X-linked hypophosphatemic rickets and is considered to be iatrogenic, related to vitamin D therapy. Another three in this group of 24 with both medullary a...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02386638
更新日期:1986-01-01 00:00:00
abstract::Inflammatory bowel diseases (IBDs), including Crohn disease (CD) and ulcerative colitis (UC), often affect children and adolescents. Their diagnosis is based on the integration of clinical, biological, endoscopic, histological and radiological data. The paediatric radiologist may help the clinician in many ways. In ch...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-007-0573-3
更新日期:2007-11-01 00:00:00