Transforming Care at the Bedside (TCAB): Lessons Learned at one Children's Hospital

2010 ◽  
Vol 25 (2) ◽  
pp. e10-e11
Author(s):  
Laura Shroyer ◽  
Susan Widener
2010 ◽  
Vol 25 (5) ◽  
pp. 375-381 ◽  
Author(s):  
Paul Cannava ◽  
Dina Cicillini ◽  
Marybeth Higgins ◽  
Ann McGrath ◽  
Jerry O'Leary

2021 ◽  
pp. 100041
Author(s):  
Elizabeth Silvestro ◽  
Maria Camila Velez-Florez ◽  
Daria F. Ferro ◽  
Ethan Larsen ◽  
Asif Chinwalla ◽  
...  

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 1382-P
Author(s):  
HOLLY CORNWELL ◽  
SEVKET YIGIT ◽  
RADHIKA PURUSHOTHAMAN

2001 ◽  
Vol 7 (2_suppl) ◽  
pp. 25-28 ◽  
Author(s):  
Robert Mccrossin

Grand rounds at the Royal Children's Hospital in Brisbane began to be conducted by videoconference in 1997. They were held each week and started at 07:45. A total of 44 multisite videoconferences were held in the year 2000, to an average of 10 sites in Queensland. The remote audience for each conference was about 60 people. The local audience at the Royal Children's Hospital comprised 20–40 people. Many other centres made requests to join the grand rounds, but expansion was not possible because of technical limitations. The lessons learned during four years of close partnership with provincial centres mirror Hippocrates: ‘The need is great, the scope wide, growth inexorable and timing difficult’. Everyone basically wants to do a good job, and most errors can be overcome by good design and dedicated technical support.


2018 ◽  
Vol 105 (1) ◽  
pp. 49-52 ◽  
Author(s):  
Laura B. Ramsey ◽  
Cynthia A. Prows ◽  
Kejian Zhang ◽  
Shannon N. Saldaña ◽  
Michael T. Sorter ◽  
...  

Children ◽  
2021 ◽  
Vol 8 (1) ◽  
pp. 39
Author(s):  
Nandini Arul ◽  
Irfan Ahmad ◽  
Justin Hamilton ◽  
Rachelle Sey ◽  
Patricia Tillson ◽  
...  

Newborn resuscitation requires a multidisciplinary team effort to deliver safe, effective and efficient care. California Perinatal Quality Care Collaborative’s Simulating Success program was designed to help hospitals implement on-site simulation-based neonatal resuscitation training programs. Partnering with the Center for Advanced Pediatric and Perinatal Education at Stanford, Simulating Success engaged hospitals over a 15 month period, including three months of preparatory training and 12 months of implementation. The experience of the first cohort (Children’s Hospital of Orange County (CHOC), Sharp Mary Birch Hospital for Women and Newborns (SMB) and Valley Children’s Hospital (VCH)), with their site-specific needs and aims, showed that a multidisciplinary approach with a sound understanding of simulation methodology can lead to a dynamic simulation program. All sites increased staff participation. CHOC reduced latent safety threats measured during team exercises from 4.5 to two per simulation while improving debriefing skills. SMB achieved 100% staff participation by identifying unit-specific hurdles within in situ simulation. VCH improved staff confidence level in responding to neonatal codes and proved feasibility of expanding simulation across their hospital system. A multidisciplinary approach to quality improvement in neonatal resuscitation fosters engagement, enables focus on patient safety rather than individual performance, and leads to identification of system issues.


2018 ◽  
Vol 1 (1) ◽  
pp. 1-3
Author(s):  
Napoleon Chen ◽  
María Sabina Ah Chu ◽  
Roberto Yee ◽  
Daniel Sanchez

2019 ◽  
Vol 17 (3) ◽  
pp. 286-292 ◽  
Author(s):  
Kathryn M Wagner ◽  
Michael G Z Ghali ◽  
Visish M Srinivasan ◽  
Sandi Lam ◽  
Jeremiah Johnson ◽  
...  

Abstract BACKGROUND Vein of Galen malformations (VOGM) comprise nearly a third of pediatric cerebrovascular anomalies, with potentially devastating neurological and systemic complications. Advances in endovascular therapies have dramatically improved outcomes compared to historical surgical treatments, and neurosurgeons are an essential component of the multidisciplinary critical care team. OBJECTIVE To retrospectively review pediatric patients with VOGM treated at Texas Children's Hospital (TCH), a quaternary referral center, over 15 yr, and present lessons learned in treating children with modern endovascular techniques. METHODS Charts from TCH were retrospectively reviewed for the past 15 yr. Patients with diagnosis including “Vein of Galen,” “Vein of Galen malformation,” “Vein of Galen aneurysmal malformation,” or any abbreviations (ie, VOG, VOGM, VOGAM) were reviewed. Presentation, imaging, treatment specifics, and clinical outcomes were reported. RESULTS There were 18 patients with VOGM managed at TCH from 2002 to 2018 with a total of 29 embolizations. Seventeen were performed with a single embolisate (NBCA or Onyx), and 12 with a combination. A dual lumen balloon catheter was used as an adjunct in 3 embolizations. Complications occurred in 5 embolizations (24%), including hemorrhage, embolisate migration, and femoral vessel occlusion. Surviving patients were followed for a mean of 38 mo, with 12 having normal or near-normal neurological development. CONCLUSION VOGM can present with a myriad of neurological and systemic symptoms, potentially in extremis. Neurosurgical involvement in these cases is critical, as urgent treatment can be lifesaving. Patients may require multiple treatment sessions using a variety of endovascular tools and techniques.


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