1
40
13
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Title
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2023 Special Edition 5 - Low Resource Setting List
Text
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Citation List Month
2023 SE5 - Low Resource Setting
URL Address
<a href="http://doi.org/10.26719/emhj.22.038" target="_blank" rel="noreferrer noopener"> http://doi.org/10.26719/emhj.22.038</a>
Dublin Core
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Title
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Palliative care models and innovations in 4 Eastern Mediterranean Region countries: a case-based study
Publisher
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Eastern Mediterranean Health Journal
Date
A point or period of time associated with an event in the lifecycle of the resource
2022
Subject
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Palliative Care; Diffusion of Innovation; Quality Improvement; Case-Control Studies; Program Development; Program Implementation; Human; Pediatric Care; Community Service; Leaders; Mediterranean Region
Creator
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Krakauer E; Al-Shammary SA; Duraisamy B; Rassouli M; Rizkallah R; Fadhil S; Osman H
Description
An account of the resource
Background: There is a global agreement that palliative care should be universally accessible. However, in low- and middle- income countries and conflict zones, most people lack access to it. In the Eastern Mediterranean Region (EMR), no country has achieved integration of palliative care into its health care system, and only 4 countries have better-than-isolated palliative care provision. Aims: To promote and guide palliative care improvement in the EMR, with case studies showing the successes and challenges of palliative care implementation from 4 countries in the Region. Methods: We developed a structured, succinct, case-writing format and invited palliative care leaders in the EMR to use it to describe successes and challenges in palliative care implementation in their countries. Results: Within the EMR, in addition to many challenges and needs, there are examples of successful palliative care policy development, community-based service creation, and paediatric palliative care implementation. Conclusion: The experiences of the regional palliative care leaders documented in succinct, structured case studies, can help guide regional palliative care development in the EMR and other regions. Contexte : Il existe un accord mondial sur le fait que les soins palliatifs devraient être universellement accessibles. Cependant, dans les pays à revenu faible et intermédiaire et les zones de conflit, la plupart des personnes n' y ont pas accès. Dans la Région de la Méditerranée orientale, aucun pays n'est parvenu à intégrer les soins palliatifs dans son système de soins de santé, et seuls quatre pays disposent d'une offre de soins palliatifs qui sont en voie d'intégration. Objectifs : Promouvoir et guider l'amélioration des soins palliatifs dans la Région de la Méditerranée orientale, par le biais d'études de cas montrant les succès et les défis de la mise en oeuvre des soins palliatifs dans quatre pays de la Région. Méthodes : Nous avons mis au point un modèle de rédaction de cas structuré et succinct, et nous avons invité les responsables des soins palliatifs dans la Région de la Méditerranée orientale à s'en servir pour décrire les succès et les défis de la mise en oeuvre de ces soins dans leurs pays. Résultats : Dans la Région de la Méditerranée orientale, outre les nombreux défis et besoins, il existe des exemples de réussite concernant l'élaboration de politiques en matière de soins palliatifs, la mise en place de services communautaires et la mise en oeuvre des soins palliatifs pédiatriques. Conclusion : Les expériences réalisées par les responsables régionaux des soins palliatifs, qui sont documentées dans des études de cas structurées succintes, permettent de guider la mise en place des soins palliatifs au niveau régional.
Identifier
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<a href="http://doi.org/10.26719/emhj.22.038" target="_blank" rel="noreferrer noopener">10.26719/emhj.22.038</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2022
2023 SE5 - Low Resource Setting
Al-Shammary SA
Case-Control Studies
Community Service
Diffusion of Innovation
Duraisamy B
Eastern Mediterranean Health Journal
Fadhil S
Human
Krakauer E
Leaders
Mediterranean Region
Osman H
Palliative Care
Pediatric Care
Program Development
Program Implementation
Quality Improvement
Rassouli M
Rizkallah R
-
Dublin Core
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Title
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April 2023 List
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
April List 2023
URL Address
<a href="http://doi.org/10.1016/j.jpainsymman.2023.01.021" target="_blank" rel="noreferrer noopener"> http://doi.org/10.1016/j.jpainsymman.2023.01.021</a>
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Title
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Measuring Pediatric Palliative Care Quality: Challenges and Opportunities
Publisher
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Journal of Pain and Symptom Management
Date
A point or period of time associated with an event in the lifecycle of the resource
2023
Subject
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Palliative Care; Pediatric palliative care; quality measurement; quality of care; quality improvement
Creator
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Boyden JY; Bogetz JF; Johnston EE; Thienprayoon R; Williams CSP; McNeil MJ; Patneaude A; Widger KA; Rosenberg AR; Ananth P
Description
An account of the resource
Pediatric palliative care (PPC) programs vary widely in structure, staffing, funding, and patient census, resulting in inconsistency in service provision. Improving the quality of palliative care for children living with serious illness and their families requires measuring care quality, ensuring that quality measurement is embedded into day-to-day clinical practice, and aligning quality measurement with healthcare policy priorities. Yet, numerous challenges exist in measuring PPC quality. This paper provides an overview of PPC quality measurement, including challenges, current initiatives, and future opportunities. While important strides toward addressing quality measurement challenges in PPC have been made, including ongoing quality measurement initiatives like the Cambia Metrics Project, the PPC What Matters Most study, and collaborative learning networks, more work remains. Providing high-quality PPC to all children and families will require a multi-pronged approach. In this paper, we suggest several strategies for advancing high-quality PPC, which includes 1) considering how and by whom success is defined, 2) evaluating, adapting, and developing PPC measures, including those that address care disparities within PPC for historically marginalized and excluded communities, 3) improving the infrastructure with which to routinely and prospectively measure, monitor, and report clinical and administrative quality measures, 4) increasing endorsement of PPC quality measures by prominent quality organizations to facilitate accountability and possible reimbursement, and 5) integrating PPC-specific quality measures into the administrative, funding, and policy landscape of pediatric healthcare.
Identifier
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<a href="http://doi.org/10.1016/j.jpainsymman.2023.01.021" target="_blank" rel="noreferrer noopener">10.1016/j.jpainsymman.2023.01.021</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2023
Ananth P
April List 2023
Bogetz JF
Boyden JY
Johnston EE
Journal of Pain and Symptom Management
McNeil MJ
Palliative Care
Patneaude A
Pediatric Palliative Care
Quality Improvement
quality measurement
Quality Of Care
Rosenberg AR
Thienprayoon R
Widger KA
Williams CSP
-
Dublin Core
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Title
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October 2022 List
Text
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Citation List Month
October 2022 List
URL Address
<a href="http://doi.org/10.1016/j.jpainsymman.2022.06.015">http://doi.org/10.1016/j.jpainsymman.2022.06.015</a>
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Title
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Empowering Pediatric Palliative Homecare Patients and Caregivers with Symptom Management Plans
Publisher
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Journal of Pain and Symptom Management
Date
A point or period of time associated with an event in the lifecycle of the resource
2022
Subject
The topic of the resource
Electronic health record; Home care; Pediatric palliative care; Quality improvement; Symptom management
Creator
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Larrow A; Doshi A; Fisher E; Patel A; Marc-Aurele K; Rhee KE; Beauchamp-Walters J
Description
An account of the resource
Pediatric palliative home-based care has been shown to improve symptoms, quality of life, and coordination of care. Despite these successes, hospital utilization in our own palliative home-based care population remained high as some caregivers lacked confidence to manage symptoms at home and had difficulty in recalling or accessing "sick care plans." Our team developed the Symptom Management Plan (SMP), a multi-system "sick care plan," as a quality improvement project with the aim of improving caregiver confidence to manage symptoms at home. An Electronic Health Record-based SMP template was created for common symptoms: respiratory distress, seizures, feeding intolerance, and constipation with core subspecialists' input. Individualized SMPs were created and reviewed with caregivers at every subsequent palliative home nursing visit. Caregivers were surveyed on their confidence 3 and 6-months post-implementation. Resource utilization was analyzed throughout implementation. At 6 months, 73% of caregivers reported "better" or "much better" confidence in managing their child's symptoms after using the SMP, and 76% of caregivers perceived the SMP prevented urgent care or emergency department (ED) visits. After the SMP was launched, the rate of ED visits decreased from 0.86 to 0.47 per 100 patient-days, and admissions decreased from 0.56 to 0.39 per 100 patient-days. These rates further decreased to 0.31 ED visits and 0.19 admissions per 100 patient-days within 4 and 6 months. Introducing the SMP for our home-based palliative care patients was associated with improved caregiver confidence in managing acute symptoms at home and a reduction in hospital utilization.
Identifier
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<a href="http://doi.org/10.1016/j.jpainsymman.2022.06.015">10.1016/j.jpainsymman.2022.06.015</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2022
Beauchamp-Walters J
Doshi A
electronic health record
Fisher E
Home Care
Journal of Pain and Symptom Management
Larrow A
Marc-Aurele K
October 2022 List
Patel A
Pediatric Palliative Care
Quality Improvement
Rhee KE
Symptom Management
-
Dublin Core
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Title
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August 2021 List
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
August 2021 List
URL Address
<a href="http://doi.org/10.1016/j.jpainsymman.2021.06.020" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.jpainsymman.2021.06.020</a>
Dublin Core
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Title
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The Pediatric Palliative Improvement Network: a national healthcare learning collaborative
Publisher
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Journal of Pain and Symptom Management
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
Subject
The topic of the resource
collaborative; healthcare learning network; palliative care; pediatric hospice care; pediatric palliative care; quality; quality improvement
Creator
An entity primarily responsible for making the resource
Thienprayoon R; Jones E; Humphrey L; Ragsdale L; Williams C; Klick JC
Description
An account of the resource
BACKGROUND: Although multiple national organizations have created consensus guidelines and metrics for pediatric palliative care (PPC), standardized implementation and measurement has been challenging. In 2016, 6 PPC physician-experts in program development and quality improvement (QI) formed a healthcare learning collaborative network entitled the Pediatric Palliative Improvement Network (PPIN). MEASURES AND INTERVENTIONS: The primary drivers identified were 1) Feasibility of a national learning network demonstrated through the completion of one small QI project, 2) Standard education in QI methodology and 3) Salient pediatric palliative care operational, clinical and satisfaction metrics clearly defined. OUTCOMES: PPIN now includes146 members representing 51 organizations. In 2019 the group completed a national collaborative QI project focused on pain assessment at the time of initial consult, demonstrating a national increase in pain assessment from 75.8% to >90% over 12 months. PPIN has hosted two national QI workshops training more than 50 PPC clinicians in QI, with a 2-hour webinar provided in 2020 due to COVID. Monthly calls since 2017 provide QI methods "refreshers", share local works in progress, and provide infrastructure for future collaborative projects. CONCLUSIONS: PPIN has become a sustainable organization which improves the quality of PPC through focus on national QI methods training, successful collaborative projects, and the creation of a learning and peer support community with regular calls. With the advent of the Palliative Care Quality Collaborative in 2020, PPIN provides critical educational and organizational infrastructure to inform ongoing quality efforts in PPC, now and in the future.
Identifier
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<a href="http://doi.org/10.1016/j.jpainsymman.2021.06.020" target="_blank" rel="noreferrer noopener">10.1016/j.jpainsymman.2021.06.020</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2021
August 2021 List
Collaborative
healthcare learning network
Humphrey L
Jones E
Journal of Pain and Symptom Management
Klick JC
Palliative Care
Pediatric Hospice Care
Pediatric Palliative Care
Quality
Quality Improvement
Ragsdale L
Thienprayoon R
Williams C
-
Dublin Core
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Title
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August 2021 List
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
August 2021 List
URL Address
<a href="http://doi.org/10.1177/10499091211026675" target="_blank" rel="noreferrer noopener">http://doi.org/10.1177/10499091211026675</a>
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Title
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Evaluation of a Quality Improvement Intervention to Improve Pediatric Palliative Care Consultation Processes
Publisher
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American Journal of Hospital and Palliative Care
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
Subject
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psychosocial; pediatrics; palliative care; Covid-19; interdisciplinary; quality improvement; Pdsa; quality measures
Creator
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Stoyell JF; Jordan M; Derouin A; Thompson J; Gall S; Jooste KR; Keskinyan VS; Lakis KR; Lee YA; Docherty S
Description
An account of the resource
BACKGROUND: A critical aspect of pediatric palliative care consultations is the assessment and documentation of patient and family needs. While these assessments usually include a focus on physical pain, there is less standardization of assessments of other physical symptoms and psychosocial, emotional, or spiritual needs. AIMS: To improve the breadth of assessment of psychosocial and emotional needs, screen for symptoms other than pain among pediatric patients utilizing palliative care services, and to increase documentation of assessment data from 30%-40% to 80% through practice changes implemented in 2 Plan-Do-Study-Act (PDSA) cycles. METHODS: This quality improvement project involved implementing provider education and adapting the palliative care consultation template in the electronic health record to improve breadth and consistency of assessment and documentation during consultations by the interdisciplinary pediatric palliative care team. Two PDSA cycles were performed. Chi squared tests and statistical control charts were used for data analysis. RESULTS: There was statistically significant improvement in the inclusion of documentation of a pediatric palliative care social work note from baseline (32%) to Cycle 2 (57%). Physical symptom screening declined slightly, but not significantly (p = .32) and socio-emotional discussions also declined but not significantly (p = .05). CONCLUSIONS: Screening for physical symptoms and discussions with patients and families about psychosocial/emotional needs during the initial palliative care consultations are extremely important in providing effective, holistic, patient-centered care. There is a need for development of pediatric-centric guidelines and quality measures to evaluate pediatric palliative care programs; further research is indicated to determine methods for evaluating compliance with these guidelines.
Identifier
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<a href="http://doi.org/10.1177/10499091211026675" target="_blank" rel="noreferrer noopener">10.1177/10499091211026675</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2021
American Journal of Hospital and Palliative Care
August 2021 List
COVID-19
Derouin A
Docherty S
Gall S
Interdisciplinary
Jooste KR
Jordan M
Keskinyan VS
Lakis KR
Lee YA
Palliative Care
PDSA
Pediatrics
psychosocial
Quality Improvement
quality measures
Stoyell JF
Thompson J
-
Dublin Core
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Title
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December 2020 List
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
December 2020 List
URL Address
<a href="http://doi.org/10.1111/nicc.12567" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/nicc.12567</a>
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Title
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Improving mealtimes for paediatric intensive care children and families: A quality improvement initiative
Publisher
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Critical Care Nurse
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
Subject
The topic of the resource
burn out; family-centred care; meal service; post-intensive care syndrome; quality improvement; rehabilitation
Creator
An entity primarily responsible for making the resource
De Monte M; Marty Petit EML; Baudin F; Zamor J; Ford-Chessel C; Tume LN; Bordet F; Valla FV
Description
An account of the resource
INTRODUCTION: Many critically ill children can be fed orally at some point during their paediatric intensive care (PICU) stay, but reduced appetite and other factors may impact their intake. At home, oral feeding is usually delivered by parents, so involving parents more actively during mealtimes in the PICU may contribute to improved patient/family satisfaction. We aimed to assess the impact of a new "room service" initiative involving parents on mealtime quality and on both family and health care professional (HCP) satisfaction. METHODS: A prospective, single-centre, before-and-after intervention study was designed as part of a PICU quality-of-care improvement programme in 2013 to 2016. Two questionnaires assessing oral nutrition practices and family/HCP overall satisfaction were disseminated among the parents of critically ill children capable of oral feeding during their PICU admission and among the whole PICU HCP team (nurses, nurse assistants, and medical doctors). Categorical variables were compared using the chi-square test, and Likert scales were compared between groups with the Mann-Whitney-Wilcoxon test. RESULTS: the pre-intervention surveys were completed by 97 of 130 (75%) HCPs and 52 families and the post-intervention surveys by 74 of 130 (57%) HCPs and 54 families. After the intervention, a marked improvement was observed in the overall quality of meal service rating by both HCPs and families (medians and IQR: 5 (5-7) to 7 (7, 8) and 6 (6-8) to 8 (7-9), respectively; P < .01) and also in parents' involvement; in children's, families', and HCP satisfaction; in meal-dedicated facilities and equipment; and in perception that oral nutrition is an important aspect of PICU care. CONCLUSIONS: Implementation of an improved "room service" initiative in the PICU was feasible and improved the perceived quality of care and satisfaction around oral feeding. This family-centred care initiative can be integrated in an overall quality improvement strategy.
Identifier
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<a href="http://doi.org/10.1111/nicc.12567" target="_blank" rel="noreferrer noopener">10.1111/nicc.12567</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2020
Baudin F
Bordet F
burn out
Critical Care Nurse
De Monte M
December 2020 List
Family-centred Care
Ford-Chessel C
Marty Petit EML
meal service
post-intensive care syndrome
Quality Improvement
Rehabilitation
Tume LN
Valla FV
Zamor J
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1016/s0885-3924(02)00492-x" target="_blank" rel="noreferrer">http://doi.org/10.1016/s0885-3924(02)00492-x</a>
Dublin Core
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Title
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Can _palliative care reports_ improve end-of-life care for hospitalized patients?
Publisher
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Journal Of Pain And Symptom Management
Date
A point or period of time associated with an event in the lifecycle of the resource
2002
Subject
The topic of the resource
Evaluation feedback; physician reports; Quality improvement
Creator
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Jacobs LG; Bonuck K; Burton W
Description
An account of the resource
Improvement in the care of dying hospitalized patients was sought by providing evaluative feedback to individual physicians (n = 46) and nurses in three biannual _Palliative Care Reports._ Hospitalized adult patients (n = 194) for whom _death was probable_ were prospectively identified from the critical care or geriatric services, and a _palliative care_ social work evaluation provided. Educational sessions on palliative care were held for physicians and nurses. Medical record review and family interviews were used to generate 10 scores per patient, which evaluated satisfaction with care, relief of symptoms (pain, dyspnea, gastrointestinal, psychological), and the timeliness of care planning. Subjective comments from a quality improvement committee and focussed educational material was also included. Despite these efforts, no change in the cohort's median report scores occurred over the 18 months, but several institutional policies were examined and altered, and interest and support for a palliative care consultation service was obtained.
2002
Identifier
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<a href="http://doi.org/10.1016/s0885-3924(02)00492-x" target="_blank" rel="noreferrer">10.1016/s0885-3924(02)00492-x</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2002
Backlog
Bonuck K
Burton W
Evaluation feedback
Jacobs LG
Journal Article
Journal of Pain and Symptom Management
physician reports
Quality Improvement
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1097/00006565-198503000-00006" target="_blank" rel="noreferrer">http://doi.org/10.1097/00006565-198503000-00006</a>
Dublin Core
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Title
A name given to the resource
Variation in clinical practice in the managmenet of febrile seizures
Publisher
An entity responsible for making the resource available
Pediatric Emergency Care
Date
A point or period of time associated with an event in the lifecycle of the resource
1985
Subject
The topic of the resource
Quality improvement
Creator
An entity primarily responsible for making the resource
Chessare J; Berwick D
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/00006565-198503000-00006" target="_blank" rel="noreferrer">10.1097/00006565-198503000-00006</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
Description
An account of the resource
1985
1985
Backlog
Berwick D
Chessare J
Journal Article
Pediatric Emergency Care
Quality Improvement
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1097/00005650-199112000-00004" target="_blank" rel="noreferrer">http://doi.org/10.1097/00005650-199112000-00004</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Controlling Variation in Health Care
Publisher
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Medical Care
Date
A point or period of time associated with an event in the lifecycle of the resource
1992
Subject
The topic of the resource
Quality improvement; PDSA
Creator
An entity primarily responsible for making the resource
Berwick D
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/00005650-199112000-00004" target="_blank" rel="noreferrer">10.1097/00005650-199112000-00004</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
Description
An account of the resource
1992
1992
Backlog
Berwick D
Journal Article
Medical Care
PDSA
Quality Improvement
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.2310/8000.2011.100298" target="_blank" rel="noreferrer">http://doi.org/10.2310/8000.2011.100298</a>
Dublin Core
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Title
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Esophageal coin removal by emergency physicians: a continuous quality improvement project incorporating rapid sequence intubation
Publisher
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Canadian Journal Of Emergency Medical Care
Date
A point or period of time associated with an event in the lifecycle of the resource
2011
Subject
The topic of the resource
Child; Female; Humans; Male; Time Factors; Preschool; infant; retrospective studies; Emergency Medicine/methods; Quality improvement; Esophagus/injuries; Foreign Bodies/surgery; Intubation/methods; Numismatics
Creator
An entity primarily responsible for making the resource
Bhargava R; Brown L
Description
An account of the resource
OBJECTIVE: The objective of this study was to describe our experience removing esophageal coins from children in a tertiary care pediatric emergency department over a 4-year period. METHODS: We retrospectively reviewed a continuous quality improvement data set spanning October 1, 2004, through September 30, 2008. RESULTS: In 96 of 101 cases (95%), emergency physicians successfully retrieved the coin. The median age of the children was 19 months (interquartile range [IQR] 13-43 months; range 4 months-12.8 years). The median time to removal of coin from initiation of intubation was 8 minutes (IQR 4-14 minutes; range 1-60 minutes). Coins were extracted using forceps only in 56 cases, whereas forceps and a Foley catheter were used in the remainder. Succinylcholine and etomidate were used in almost all cases for rapid sequence intubation prior to coin removal. Complications were identified in 46 cases: minor bleeding (13), lip laceration (7), multiple attempts (5), hypoxia (3), accidental extubation (3), dental injuries (3), bradycardia (2), coin advanced (1), right main-stem bronchus intubation (1), and other (8). CONCLUSIONS: Emergency physicians successfully removed esophageal coins following rapid sequence intubation in most cases. Our approach may be considered for the management of pediatric esophageal coins, particularly in an academic pediatric emergency department.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.2310/8000.2011.100298" target="_blank" rel="noreferrer">10.2310/8000.2011.100298</a>
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2011
Backlog
Bhargava R
Brown L
Canadian Journal Of Emergency Medical Care
Child
Emergency Medicine/methods
Esophagus/injuries
Female
Foreign Bodies/surgery
Humans
Infant
Intubation/methods
Journal Article
Male
Numismatics
Preschool
Quality Improvement
Retrospective Studies
Time Factors
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
n/a
URL Address
<a href="http://doi.org/10.1542/peds.2015-0117" target="_blank" rel="noreferrer">http://doi.org/10.1542/peds.2015-0117</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Reducing Perinatal Mortality in Nepal Using Helping Babies Breathe
Publisher
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Pediatrics
Date
A point or period of time associated with an event in the lifecycle of the resource
2016
Subject
The topic of the resource
Quality Improvement; Female; Guideline Adherence; Humans; Infant; Nepal/epidemiology; Newborn; Perinatal Death/prevention & Control; Perinatal Mortality/trends; Pregnancy; Resuscitation/education/standards/utilization; Stillbirth/epidemiology
Creator
An entity primarily responsible for making the resource
Kc A; Wrammert J; Clark RB; Ewald U; Vitrakoti R; Chaudhary P; Pun A; Raaijmakers H; Malqvist M
Description
An account of the resource
BACKGROUND AND OBJECTIVE: Newborns are at the highest risk of dying around the time of birth, due to intrapartum-related complications. Our study's objective was to improve adherence to the Helping Babies Breathe (HBB) neonatal resuscitation protocol and reduce perinatal mortality by using a quality improvement cycle (QIC) in a tertiary hospital in Nepal. METHODS: The HBB QIC was implemented through a multifaceted approach, including the formation of quality improvement teams; development of quality improvement goals, objectives, and standards; HBB protocol training; weekly review meetings; daily skill checks; use of self-evaluation checklists; and refresher training. A cohort design, including a nested case-control study was used to measure changes in clinical outcomes and adherence to the resuscitation protocol through video recording, before and after implementation of the QIC. RESULTS: The intrapartum stillbirth rate decreased from 9.0 to 3.2 per thousand deliveries, and first-day mortality from 5.2 to 1.9 per thousand live births after intervention, demonstrating a reduction of approximately half in the odds of intrapartum stillbirth (adjusted odds ratio [OR] 0.46, 95% confidence interval [CI] 0.32-0.66) and first-day mortality (adjusted OR 0.51, 95% CI 0.31-0.83). After intervention, the odds of inappropriate use of suction and stimulation decreased by 87% (OR 0.13, 95% CI 0.09-0.17) and 62% (OR 0.38, 95% CI 0.29-0.49), respectively. Before intervention, none of the infants received bag-and-mask ventilation within 1 minute of birth, compared with 83.9% of infants after. CONCLUSIONS: The HBB QIC reduced intrapartum stillbirth and first-day neonatal mortality and led to use of suctioning and stimulation more frequently. The HBB QIC requires further testing in primary settings across Nepal.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1542/peds.2015-0117" target="_blank" rel="noreferrer">10.1542/peds.2015-0117</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2016
Chaudhary P
Clark RB
Ewald U
Female
Guideline Adherence
Humans
Infant
Kc A
Malqvist M
Nepal/epidemiology
Newborn
Pediatrics
Perinatal Death/prevention & Control
Perinatal Mortality/trends
Pregnancy
Pun A
Quality Improvement
Raaijmakers H
Resuscitation/education/standards/utilization
Stillbirth/epidemiology
Vitrakoti R
Wrammert J
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
December 2017 List
URL Address
<a href="http://doi.org/10.1002/ppul.23559" target="_blank" rel="noreferrer">http://doi.org/10.1002/ppul.23559</a>
Notes
<p>Kazmerski, Traci M<br />Weiner, Daniel J<br />Matisko, Janice<br />Schachner, Diane<br />Lerch, Whitney<br />May, Carol<br />Maurer, Scott H</p>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Advance care planning in adolescents with cystic fibrosis: A quality improvement project
Publisher
An entity responsible for making the resource available
Pediatric Pulmonology
Date
A point or period of time associated with an event in the lifecycle of the resource
2016
Subject
The topic of the resource
Advance Care Planning; Attitude To Health; Cystic Fibrosis/th [therapy]; Adolescent; Advance Directives; Cystic Fibrosis/pp [physiopathology]; Female; Forced Expiratory Volume; Humans; Male; Noninvasive Ventilation; Oxygen Inhalation Therapy; Patient Care Planning; Proxy; Quality Improvement; Severity Of Illness Index; Surveys And Questionnaires; Terminal Care; Young Adult
Creator
An entity primarily responsible for making the resource
Kazmerski TM; Weiner DJ; Matisko J; Schachner D; Lerch W; May C; Maurer SH
Description
An account of the resource
INTRODUCTION: Advance care planning (ACP), though recommended, has not been studied in adolescents with cystic fibrosis (CF). This quality improvement project engaged adolescents with advanced CF disease in ACP and assessed patient and CF provider attitudes and preferences regarding ACP discussions and tools. MATERIALS AND METHODS: Patients <=22 years with advanced CF (FEV<sub>1</sub> <=40% predicted, >2 pulmonary exacerbations requiring IV antibiotics in 1 year, and/or use of home oxygen or non-invasive ventilation) were referred to the pediatric palliative care team (PC). After establishing rapport, ACP was discussed using Voicing My CHOiCESTM: An Advanced Care Planning Guide (VMC). Patients completed a survey assessing attitudes and preferences around ACP. PC also led a training session for CF providers around ACP and VMC and provider attitudes were assessed via a pre- and post-training survey. RESULTS: Twelve patients (mean age 17.9+/-2.2 years) reviewed VMC and completed the ACP survey. The majority (83%) found ACP helpful. None felt it was harmful. All found VMC easy to understand and 90% felt it was appropriate for patients with CF. Of participating CF providers (pre-training, n=6; post-training, n=7), 83% found ACP worthwhile, but desired more training in this area. All found the training session useful and felt VMC was appropriate for patients with CF. DISCUSSION: Adolescents with advanced CF disease felt ACP was a positive experience and not harmful. CF providers valued ACP, but desired more training. Both patients and providers felt that VMC was a useful, disease-appropriate tool. Pediatr Pulmonol. 2016;51:1304-1310. � 2016 Wiley Periodicals, Inc.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1002/ppul.23559" target="_blank" rel="noreferrer">10.1002/ppul.23559</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2016
Adolescent
Advance Care Planning
Advance Directives
Attitude To Health
Cystic Fibrosis/pp [physiopathology]
Cystic Fibrosis/th [therapy]
December 2017 List
Female
Forced Expiratory Volume
Humans
Kazmerski TM
Lerch W
Male
Matisko J
Maurer SH
May C
Noninvasive Ventilation
Oxygen Inhalation Therapy
Patient Care Planning
Pediatric Pulmonology
Proxy
Quality Improvement
Schachner D
Severity Of Illness Index
Surveys And Questionnaires
Terminal Care
Weiner DJ
Young Adult
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
June 2016 List
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Screening Criteria Improve Access To Palliative Care In The Picu.
Publisher
An entity responsible for making the resource available
Pediatric Critical Care Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2016
Subject
The topic of the resource
Ipal-icu Project; Unit; Consultation; Pediatrics; Child; Pediatric Intensive-care; Critical Care Medicine; Guidelines; Integrated; Model; Quality Improvement; Delivery Of Healthcare; Intensive Care; Palliative Care; Pediatrics; Referral And Consultation
Creator
An entity primarily responsible for making the resource
Lutmer JE; Humphrey L; Kempton TM; Moore-Clingenpeel M; Ayad O
Description
An account of the resource
OBJECTIVES:
To test the ability of palliative care screening criteria to improve access to palliative care services in the PICU and examine the association between palliative care team involvement and ICU and hospital length of stay.
DESIGN:
Prospective interventional quality improvement study.
SETTING:
PICU at a quaternary academic medical center.
PATIENTS:
All patients admitted to the PICU who met criteria for palliative care referral over a 9-month period.
INTERVENTION:
Consensus palliative care consultation criteria were created by pediatric critical care medicine and palliative care providers, and palliative care referral was encouraged for all PICU patients meeting criteria.
MEASUREMENTS AND MAIN RESULTS:
Palliative care referral rates increased significantly after screening criteria implementation. We identified 100 patients who were eligible for palliative care services, and referrals were made for 70 patients (70%). Patients were divided into three groups based on palliative care status: patients new to the palliative care team, patients with an existing palliative care relationship, and patients who did not have a palliative care referral. By the end of study, patients who had an existing relationship with the palliative care team were more likely to still be alive and to have limitations of medical interventions in place, whereas patients who did not have a palliative care referral were more likely to be deceased and to have died in the PICU. After correcting for other factors, including severity of illness, patients who were new to the palliative care team experienced greater delay in palliative care referral and had significantly longer PICU and hospital length of stay than those who were already known to the palliative care team.
CONCLUSIONS:
Palliative care screening criteria are effective tools for improving access to palliative care services in the PICU; however, widespread adoption may produce a significant increase in palliative care demand. The association between an existing palliative care relationship and reduction in resource utilization deserves further investigation as does the perceived benefit of palliative care involvement in the patient, family, and staff experience.
Identifier
An unambiguous reference to the resource within a given context
DOI: 10.1097/PCC.0000000000000848
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2016
Ayad O
Child
Consultation
Critical Care Medicine
Delivery Of Healthcare
Guidelines
Humphrey L
Integrated
Intensive Care
Ipal-icu Project
June 2016 List
Kempton TM
Lutmer JE
Model
Moore-Clingenpeel M
Palliative Care
Pediatric Critical Care Medicine
Pediatric Intensive-care
Pediatrics
Quality Improvement
Referral And Consultation
Unit