Improving care through collaboration.

Abstract:

:The opportunity to improve health care using existing scientific knowledge is immense. Much is known that is not being used in routine care, leading to a large gap between knowledge and practice. Collaborative improvement models bring health care professionals together to focus on this gap and to accelerate the pace of improvement in their organizations. This article describes one such model, the Institute for Healthcare Improvement's Breakthrough Series Collaborative model. Lessons are drawn to help inform future collaborative efforts that focus on the improvement of care.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Kilo CM

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

384-93

issue

1 Suppl E

eissn

0031-4005

issn

1098-4275

journal_volume

103

pub_type

杂志文章
  • A systematic review of faces scales for the self-report of pain intensity in children.

    abstract:CONTEXT:Numerous faces scales have been developed for the measurement of pain intensity in children. It remains unclear whether any one of the faces scales is better for a particular purpose with regard to validity, reliability, feasibility, and preference. OBJECTIVES:To summarize and systematically review faces pain ...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2010-1609

    authors: Tomlinson D,von Baeyer CL,Stinson JN,Sung L

    更新日期:2010-11-01 00:00:00

  • Growth and development in a child with resistance to thyroid hormone and ectopic thyroid gland.

    abstract::Resistance to thyroid hormone is an uncommon problem, which has rarely been associated with thyroid dysgenesis. We report a case with both thyroid gland ectopy and resistance to thyroid hormone and, thus, a reduced capacity to produce and respond to thyroid hormone. The patient presented at 2 years of age with develop...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2011-0634

    authors: Heather N,Hall K,Neas K,Potter H,Wiltshire E

    更新日期:2012-03-01 00:00:00

  • Adenovirus meningoencephalitis.

    abstract::Central nervous system manifestations in association with adenovirus infections have rarely been documented. In this report, four children, ages 4, 5, 6, and 10 years, with adenoviral meningoencephalitis are described. Adenoviruses were recovered from CSF specimens in all four patients. ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Kelsey DS

    更新日期:1978-02-01 00:00:00

  • Pathogenesis of the prune-belly syndrome: a functional urethral obstruction caused by prostatic hypoplasia.

    abstract::Abdominal muscle deficiency, urinary tract abnormalities, and cryptorchidism are the three major features of the prune-belly syndrome, also referred to as triad syndrome or Eagle-Barrett syndrome. The etiology is unclear and the pathogenesis a subject of continuing debate. Clinical and pathologic experience with seven...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Moerman P,Fryns JP,Goddeeris P,Lauweryns JM

    更新日期:1984-04-01 00:00:00

  • Trisomy 18 and complex congenital heart disease: seeking the threshold benefit.

    abstract::A prenatal diagnosis of ductal-dependent, complex congenital heart disease was made in a fetus with trisomy 18. The parents requested that the genetic diagnosis be excluded from all medical and surgical decision-making and that all life-prolonging therapies be made available to their infant. There was conflict among t...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2012-3643

    authors: Boss RD,Holmes KW,Althaus J,Rushton CH,McNee H,McNee T

    更新日期:2013-07-01 00:00:00

  • Successful use of plasma exchange for profound hemolysis in a child with loxoscelism.

    abstract::We describe a 6-year-old boy who presented with massive hemolysis, shock, disseminated intravascular coagulopathy, and acute renal failure after loxosceles envenomation. In this patient, plasma exchange therapy (PEX) successfully cleared the plasma from an initial hemolytic index of 2000 (equivalent to 2 g/dL hemoglob...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2013-3338

    authors: Said A,Hmiel P,Goldsmith M,Dietzen D,Hartman ME

    更新日期:2014-11-01 00:00:00

  • Sexual history documentation in adolescent emergency department patients.

    abstract:OBJECTIVES:To determine the frequency of physician-documented sexual histories in female adolescents who presented to an emergency department (ED) with symptoms suggestive of a sexually transmitted infection (STI). Our secondary objectives were to determine if physician-documented sexual history is associated with incr...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2010-1775

    authors: Goyal M,McCutcheon M,Hayes K,Mollen C

    更新日期:2011-07-01 00:00:00

  • Prevention of neonatal respiratory distress syndrome by tracheal instillation of surfactant: a randomized clinical trial.

    abstract::With a randomized clinical trial, the possibility was assessed that a tracheal instillation of pulmonary surfactant prior to the first breath might prevent the development of some of the signs of neonatal respiratory distress syndrome. Of the 72 infants in the trial, all born at a gestational age of less than 30 weeks...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Enhorning G,Shennan A,Possmayer F,Dunn M,Chen CP,Milligan J

    更新日期:1985-08-01 00:00:00

  • A Core Outcome Set for Neonatal Opioid Withdrawal Syndrome.

    abstract:BACKGROUND:As rates of neonatal opioid withdrawal are increasing, the need for research to evaluate new treatments is growing. Large heterogeneity exists in health outcomes reported in current literature. Our objective is to develop an evidence-informed and consensus-based core outcome set in neonatal opioid withdrawal...

    journal_title:Pediatrics

    pub_type: 共识发展会议,杂志文章

    doi:10.1542/peds.2020-0018

    authors: Kelly LE,Shan F,MacVicar S,Czaplinksi E,Moulsdale W,Simpson S,Allegaert K,Jansson LM,Offringa M

    更新日期:2020-07-01 00:00:00

  • Clinical significance of primary vesicoureteral reflux and urinary antibiotic prophylaxis after acute pyelonephritis: a multicenter, randomized, controlled study.

    abstract:OBJECTIVES:To evaluate the role of primary vesicoureteral reflux (VUR) in increasing the frequency and severity of urinary tract infections (UTIs) and renal parenchymal damage among patients with acute pyelonephritis and to determine whether urinary antibiotic prophylaxis reduces the frequency and/or severity of UTIs a...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1542/peds.2005-1362

    authors: Garin EH,Olavarria F,Garcia Nieto V,Valenciano B,Campos A,Young L

    更新日期:2006-03-01 00:00:00

  • A national survey of pediatrician knowledge and attitudes regarding human papillomavirus vaccination.

    abstract:OBJECTIVE:A human papillomavirus vaccine was licensed in June 2006. The vaccine is quadrivalent, protecting against 2 human papillomavirus strains that cause cervical cancer and 2 that cause genital warts. The objective of this study was to determine physician characteristics, knowledge, and attitudes associated with a...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2006-1946

    authors: Daley MF,Liddon N,Crane LA,Beaty BL,Barrow J,Babbel C,Markowitz LE,Dunne EF,Stokley S,Dickinson LM,Berman S,Kempe A

    更新日期:2006-12-01 00:00:00

  • Breastfeeding and the risk of life-threatening enterotoxigenic Escherichia coli diarrhea in Bangladeshi infants and children.

    abstract:OBJECTIVE:To assess the relationship between breastfeeding and the risk of life-threatening enterotoxigenic Escherichia coli (ETEC) diarrhea among Bangladeshi infants and young children <36 months of age. DESIGN:Case-control study. SETTING:A rural Bangladesh community. PARTICIPANTS:A total of 168 cases with clinical...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.100.6.e2

    authors: Clemens JD,Rao MR,Chakraborty J,Yunus M,Ali M,Kay B,van Loon FPL,Naficy A,Sack DA

    更新日期:1997-12-01 00:00:00

  • Parental angst making and revisiting decisions about treatment of attention-deficit/hyperactivity disorder.

    abstract:BACKGROUND:Attention-deficit/hyperactivity disorder (ADHD) is one of the most common neurobehavioral conditions of childhood and adolescence. Despite availability of effective treatment options, initiation of treatment is variable and persistence with therapeutic regimens is poor. OBJECTIVE:We sought to better underst...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2008-2569

    authors: Brinkman WB,Sherman SN,Zmitrovich AR,Visscher MO,Crosby LE,Phelan KJ,Donovan EF

    更新日期:2009-08-01 00:00:00

  • Simulation in Pediatric Emergency Medicine Fellowships.

    abstract:BACKGROUND AND OBJECTIVES:Graduate medical education faces challenges as programs transition to the next accreditation system. Evidence supports the effectiveness of simulation for training and assessment. This study aims to describe the current use of simulation and barriers to its implementation in pediatric emergenc...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2014-4158

    authors: Doughty CB,Kessler DO,Zuckerbraun NS,Stone KP,Reid JR,Kennedy CS,Nypaver MM,Auerbach MA

    更新日期:2015-07-01 00:00:00

  • Association of center volume with mortality and complications in pediatric heart surgery.

    abstract:OBJECTIVE:Previous analyses have suggested center volume is associated with outcome in children undergoing heart surgery. However, data are limited regarding potential mediating factors, including the relationship of center volume with postoperative complications and mortality in those who suffer a complication. We exa...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.2011-1188

    authors: Pasquali SK,Li JS,Burstein DS,Sheng S,O'Brien SM,Jacobs ML,Jaquiss RD,Peterson ED,Gaynor JW,Jacobs JP

    更新日期:2012-02-01 00:00:00

  • Diagnosis of ill-defined pulmonary infiltrates by lateral decubitus chest radiography.

    abstract::The lateral decubitus chest radiograph is a useful procedure in the evaluation of ill-defined pulmonary densities that may stimulate infiltrates. This procedure, although described previously in the radiologic literature, has not been in frequent use. The procedure assists diagnosis in patients who are not able to tak...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Faerber EN,Darling DB,Leonidas JC

    更新日期:1983-02-01 00:00:00

  • Reassessment of the indications for ribavirin therapy in respiratory syncytial virus infections. American Academy of Pediatrics Committee on Infectious Diseases.

    abstract::The purpose of this statement is to inform practitioners about new information concerning lack of demonstrated clinical effectiveness of ribavirin in the treatment of infants with respiratory syncytial virus (RSV) disease. The intent of the new recommendation is to allow practitioners to decide whether ribavirin thera...

    journal_title:Pediatrics

    pub_type: 指南,杂志文章,实务指引,评审

    doi:

    authors:

    更新日期:1996-01-01 00:00:00

  • A prospective comparison of diaphragmatic ultrasound and chest radiography to determine endotracheal tube position in a pediatric emergency department.

    abstract:BACKGROUND:Investigators report endotracheal tube misplacement in up to 40% of emergent intubations. The standard elements of confirmation have significant limitations. Diaphragmatic ultrasound is a potentially viable addition to the confirmatory process. Our primary hypothesis is that ultrasound is equivalent to chest...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2008-2828

    authors: Kerrey BT,Geis GL,Quinn AM,Hornung RW,Ruddy RM

    更新日期:2009-06-01 00:00:00

  • Language ability in children with permanent hearing impairment: the influence of early management and family participation.

    abstract:OBJECTIVE:The goal was to examine the relationships between management after confirmation, family participation, and speech and language outcomes in the same group of children with permanent childhood hearing impairment. METHODS:Speech, oral language, and nonverbal abilities, expressed as z scores and adjusted in a re...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2006-2116

    authors: Watkin P,McCann D,Law C,Mullee M,Petrou S,Stevenson J,Worsfold S,Yuen HM,Kennedy C

    更新日期:2007-09-01 00:00:00

  • Screening for congenital adrenal hyperplasia: the Delfia Screening Test overestimates serum 17-hydroxyprogesterone in preterm infants.

    abstract:OBJECTIVE:To compare 17-hydroxyprogesterone (17-OHP) levels measured by quantitative serum radioimmunoassay (RIA), including an extraction step, and by screening fluoroimmunoassay (FIA) on blood spots in preterm infants. METHODS:Subjects were 39 healthy infants born at less than 31 weeks' gestational age. Each infant ...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章

    doi:

    authors: al Saedi S,Dean H,Dent W,Stockl E,Cronin C

    更新日期:1996-01-01 00:00:00

  • Bilirubin photoisomerization in premature neonates under low- and high-dose phototherapy.

    abstract::Photoisomerization of native bilirubin to more polar configurational isomers (Z,E-bilirubin) and structural isomers (lumirubin) was studied in 20 premature infants with physiologic jaundice to determine the effect of low-dose (6 microW/cm2/nm) v high-dose (12 microW/cm2/nm) phototherapy. Patients were assigned prospec...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章

    doi:

    authors: Costarino AT,Ennever JF,Baumgart S,Speck WT,Paul M,Polin RA

    更新日期:1985-03-01 00:00:00

  • Onset of jaundice in glucose-6-phosphate dehydrogenase-deficient neonates.

    abstract:OBJECTIVE:We asked whether neonatal jaundice associated with glucose-6-phosphate dehydrogenase (G-6-PD) deficiency commences either in utero or in the immediate postnatal period and whether this perinatal bilirubinemia is the precursor of the subsequent neonatal jaundice and hyperbilirubinemia. METHODS:Mandatory serum...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.108.4.956

    authors: Kaplan M,Algur N,Hammerman C

    更新日期:2001-10-01 00:00:00

  • Use and accuracy of diagnostic imaging by hospital type in pediatric appendicitis.

    abstract:OBJECTIVE:Accurate, timely diagnosis of pediatric appendicitis minimizes unnecessary operations and treatment delays. Preoperative abdominal-pelvic computed tomography (CT) scan is sensitive and specific for appendicitis; however, concerns regarding radiation exposure in children obligate scrutiny of CT use. Here, we c...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2012-1665

    authors: Saito JM,Yan Y,Evashwick TW,Warner BW,Tarr PI

    更新日期:2013-01-01 00:00:00

  • Blue Diaper Syndrome and PCSK1 Mutations.

    abstract::Blue diaper syndrome (BDS) (Online Mendelian Inheritance in Man number 211000) is an extremely rare disorder that was first described in 1964. The characteristic finding is a bluish discoloration of urine spots in the diapers of affected infants. Additional clinical features of the first described patients included di...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2017-0548

    authors: Distelmaier F,Herebian D,Atasever C,Beck-Woedl S,Mayatepek E,Strom TM,Haack TB

    更新日期:2018-04-01 00:00:00

  • Cerebral oxygenation in preterm infants.

    abstract:BACKGROUND AND OBJECTIVE:Prone sleeping is a major risk factor for sudden infant death syndrome (SIDS) and preterm infants are at significantly increased risk. In term infants, prone sleeping is associated with reduced mean arterial pressure (MAP) and cerebral tissue oxygenation index (TOI). However, little is known ab...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2014-0773

    authors: Fyfe KL,Yiallourou SR,Wong FY,Odoi A,Walker AM,Horne RS

    更新日期:2014-09-01 00:00:00

  • Use of antimicrobial drugs in general hospitals: IV. Infants and children.

    abstract::The use of antimicrobial drugs was studied among 933 randomly selected infants and children who were hospitalized in 20 short-stay general hospitals in Pennsylvania. Twenty-two percent of pediatric patients received antimicrobial drugs: 5% of neonates and 57% of patients aged 12 to 18 months. Sixty-eight percent of th...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Townsend TR,Shapiro M,Rosner B,Kass EH

    更新日期:1979-11-01 00:00:00

  • Health-related quality of life and depressive symptoms in adolescents with extreme obesity presenting for bariatric surgery.

    abstract:OBJECTIVE:We sought to document health-related quality of life (HRQoL) impairment and depressive symptomatology in adolescents with extreme obesity considering surgical weight loss. STUDY DESIGN:A retrospective review of clinical data was conducted for 33 consecutive extremely obese adolescents presenting for evaluati...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2005-1141

    authors: Zeller MH,Roehrig HR,Modi AC,Daniels SR,Inge TH

    更新日期:2006-04-01 00:00:00

  • The best-interest standard is not applied for neonatal resuscitation decisions.

    abstract:OBJECTIVE:Legal and ethical standards require resuscitation when it is considered to be in the patient's best interest. We hypothesized that newborn infants might be dealt with according to different standards, compared with older patients. METHODS:An anonymous questionnaire describing 8 currently incompetent patients...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2007-1520

    authors: Janvier A,Leblanc I,Barrington KJ

    更新日期:2008-05-01 00:00:00

  • Late-onset neutropenia in very low birth weight infants.

    abstract:BACKGROUND:Neutropenia, defined as absolute neutrophil count (ANC) <1500/mm(3), affects 6% to 58% of premature infants in the first week of life. This early-onset neutropenia in premature infants has previously been correlated with sepsis, maternal hypertension, severe asphyxia, and periventricular hemorrhage. Late-ons...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.106.4.e55

    authors: Omar SA,Salhadar A,Wooliever DE,Alsgaard PK

    更新日期:2000-10-01 00:00:00

  • Neurologic manifestations in children with Lyme disease.

    abstract:OBJECTIVE:Lyme disease (LD) is a tick-borne spirochetal infection with a wide range of neurologic and non-neurologic manifestations. The clinical diversity of LD and limitations in serologic diagnosis often make it difficult to document the diagnosis of neuroborreliosis with certainty. METHODS:We reviewed clinical man...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Bingham PM,Galetta SL,Athreya B,Sladky J

    更新日期:1995-12-01 00:00:00