PICU Quality and Safety
@PICUQI
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Our goal is to highlight pediatric ICU quality and safety work throughout the world.
Joined December 2018
November QI Spotlight: Investigators at @nationwidekids implemented screening and prevention tool to identify and reduce the rate of hospital-acquired venous thromboembolism (HA-VTE). @PICUQI @PedCritCareMed #PedsICU @SCCM_Pediatrics
https://t.co/I1PV7nPiP6
journals.lww.com
G: The PICU of an urban academic free-standing children’s hospital in the United States. PATIENTS: All patients admitted to the PICU between December 2020 and December 2023. INTERVENTIONS: We...
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October QI Spotlight: To reduce the incidence of hyperventilation during CPR, researchers at @KidsAtColumbia designed a QI program to educate providers and give feedback focused on goal CPR ventilation rates. @PICUQI @AmerAcadPeds @AAPJournals
https://t.co/8Zbr1ll5hJ
publications.aap.org
BACKGROUND. Excessive ventilation at rates of 30 breaths per minute (bpm) or more during cardiopulmonary resuscitation (CPR) decreases venous return and coronary perfusion pressure, leading to lower...
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September QI Spotlight: Published in 2021 in @PQS_LWW, investigators at @nationwidekids developed a value-based mucolytic use pathway to reduce dornase alfa and prioritize lower cost alternatives without affecting patient health or outcomes. @PICUQI
https://t.co/Cpg0kbNR3l
journals.lww.com
evelop a value-based clinical pathway to guide provider choice in mucolytic utilization in a quaternary pediatric intensive care unit. This pathway was designed to continue using low-cost mucolytic...
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September QI Spotlight: Published in 2021 in @PQS_LWW, investigators at @nationwidekids developed a value-based mucolytic use pathway to reduce dornase alfa and prioritize lower cost alternatives without affecting patient health or outcomes. @PICUQI
https://t.co/Cpg0kbNR3l
journals.lww.com
evelop a value-based clinical pathway to guide provider choice in mucolytic utilization in a quaternary pediatric intensive care unit. This pathway was designed to continue using low-cost mucolytic...
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August QI Spotlight: @khummelaz and @PCICS_Society investigators developed a survey to assess the state of QI research in children with heart disease and help improve collaboration and resources for this population. @PICUQI #pedscicu @CardiologyYoung
https://t.co/9LOqXkVuFx
cambridge.org
Current state of quality improvement research across cardiac ICUs: a Pediatric Cardiac Intensive Care Society (PCICS) survey - Volume 34 Issue 12
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August QI Spotlight: @khummelaz and @PCICS_Society investigators developed a survey to assess the state of QI research in children with heart disease and help improve collaboration and resources for this population. @PICUQI #pedscicu @CardiologyYoung
https://t.co/9LOqXkVuFx
cambridge.org
Current state of quality improvement research across cardiac ICUs: a Pediatric Cardiac Intensive Care Society (PCICS) survey - Volume 34 Issue 12
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June QI Spotlight: Providers at @ChildrensPhila developed a measurable harm index using QI methods to increase surveillance and reduce injury in critically ill patients with arterial catheters. @PedCritCareMed #PICUQI #PedsICU
https://t.co/QF5Lp03Ixa
journals.lww.com
arterial catheters (ACs) in the PICU at the Children’s Hospital of Philadelphia from January 2020 to December 2022. INTERVENTIONS: Phase I (January 2021 to December 2021) included defining ACAPII and...
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April QI Spotlight: @UofUHealth and @primarychildren investigators used QI methods through collaborative huddles and digital prompts to increase pediatric palliative care consultation for children with congenital heart disease @PQS_LWW #PICUQI #PedsICU
journals.lww.com
ards increasing PPC consultations in patients with heart disease and cardiac intensive care unit (CICU) length of stay (LOS) ≥ 14 days. Methods: We conducted a mixed methods QI study using CICU team...
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April QI Spotlight: @UofUHealth and @primarychildren investigators used QI methods through collaborative huddles and digital prompts to increase pediatric palliative care consultation for children with congenital heart disease @PQS_LWW #PICUQI #PedsICU
journals.lww.com
ards increasing PPC consultations in patients with heart disease and cardiac intensive care unit (CICU) length of stay (LOS) ≥ 14 days. Methods: We conducted a mixed methods QI study using CICU team...
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March QI Spotlight: Air Medical Journal used QI methods to implement a simulation-based learning program to improve pediatric intubation during neonatal and pediatric critical care transports with improved performance and self-competency! #PICUQI #PedsICU
https://t.co/kTOKLzwkfa
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March QI Spotlight: Air Medical Journal used QI methods to implement a simulation-based learning program to improve pediatric intubation during neonatal and pediatric critical care transports with improved performance and self-competency! #PICUQI #PedsICU
https://t.co/kTOKLzwkfa
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February QI Spotlight: from @PQS_LWW: @MUSCkids used QI methods to implement a formal ICU mobility protocol and showed decreased time to therapy consultation, increase in therapy consults, and an increase in mobilization rate #PICUQI #PedsICU
journals.lww.com
ient mobilization at a single institution. Methods: A formal ICU mobility protocol was implemented as part of a unit-wide ICU liberation bundle. As part of the ongoing program assessment, over a...
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Happy New Year! The January QI Spotlight is on the @UofUpedsICU team in SLC, UT and their work implementing a Targeted Temperature Management bundle after Cardiac Arrest in the PICU! @PedCritCareMed #PedsQI #PedsICU @SCCM_Pediatrics @PedsICU_tweets
https://t.co/p1EJxRAmll
journals.lww.com
control period was February 2019 to March 2021, and the intervention test period was April 2021 to June 2022. SETTING: The PICU of a freestanding, tertiary children’s hospital, in the United States....
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November QI Spotlight: @RazvanAzamfirei, @SapnaKmd, et al. present a secondary analysis of the PICU Up! dataset to highlight a need for quality improvement processes to standardize/increase frequency of delirium screening. @PedCritCareMed #PICUQI #PedsICU
https://t.co/Bp6waEgGcK
journals.lww.com
trial (NCT03860168). SETTING: Six PICUs in the United States. PATIENTS: One thousand sixty-four patients who were admitted to a PICU for 3 or more days. INTERVENTIONS: None. MEASUREMENTS AND MAIN...
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October QI Spotlight: Investigators at the University of Calgary performed a systematic review to examine quality improvement methods to prevent unplanned extubations in the PICU and optimize patient safety. #PICUQI #PedsICU
https://t.co/wpWLiF1mw5
pmc.ncbi.nlm.nih.gov
An unplanned extubation is the uncontrolled and accidental removal of a breathing tube and is an important quality indicator in pediatric critical care. The objective of this review was to comprehe...
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September QI Spotlight: Physicians from @OHSUDoernbecher & @UMMC discuss the importance and advantage of supporting Pediatric Neurocritical Care in the @pedneurojournal to improve neurocognitive outcomes for patients via QI methodologies: #PICUQI #PedsICU
https://t.co/ufXSxqR481
pedneur.com
The field of pediatric neurocritical care (PNCC) has expanded and evolved over the last three decades. As mortality from pediatric critical care illness has declined, morbidity from neurodevelopmen...
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September QI Spotlight: Physicians from @OHSUDoernbecher & @UMMC discuss the importance and advantage of supporting Pediatric Neurocritical Care in the @pedneurojournal to improve neurocognitive outcomes for patients via QI methodologies: #PICUQI #PedsICU
https://t.co/ufXSxqR481
pedneur.com
The field of pediatric neurocritical care (PNCC) has expanded and evolved over the last three decades. As mortality from pediatric critical care illness has declined, morbidity from neurodevelopmen...
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August QI Spotlight: Researchers @seattlechildren implemented a standard pathway using QI methods to optimize the use of iNO in the PICU, CICU, and NICU. What did results show? Read the article @PedCritCareMed @PedsICU_tweets #PICUQI #PedsICU
journals.lww.com
and neonatal ICU (NICU) by establishing a standard approach to iNO utilization. DESIGN: A quality improvement study using a prospective cohort design with historical controls. SETTING: Four hundred...
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July QI Spotlight: Repost from @PQS_LWW on this quality improvement initiative in the emergency department @Nemours to decrease high flow nasal cannula use in mild to moderate bronchiolitis #PICUQI #PedsICU
Courtney Nelson and authors from @Nemours aimed to decrease the rate of high-flow nasal cannula use in the pediatric emergency department for mild to moderate bronchiolitis from 37% to less than 18.5% and they detail their clinical pathway here: 🔗 https://t.co/4L3CWF5ZyN
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April QI Spotlight: @childrensatl customized a reporting tool to facilitate handoffs between the Emergency Department and the Pediatric Intensive Care Unit to mitigate adverse events and safely transfer patient care using QI methods. #PICUQI #PedsICU
https://t.co/Gdm8VXzs27
pediatricnursing.org
Transfer of care, moving hospitalized patients between care areas, is a critical point of vulnerability for healthcare organizations. Patient information handoff is an essential activity occurring...
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