The EASE Project Revisited: Improving Safe Sleep Practices in Ohio Birthing and Children’s Hospitals

2019 ◽  
Vol 58 (9) ◽  
pp. 1000-1007 ◽  
Author(s):  
Jamie R. Macklin ◽  
Michael A. Gittelman ◽  
Sarah A. Denny ◽  
Hayley Southworth ◽  
Melissa Wervey Arnold
Keyword(s):  
Quality Improvement ◽  
American Academy ◽  
Quality Improvement Program ◽  
Improvement Program ◽  
Children's Hospitals ◽  
Safe Sleep ◽  
American Academy Of Pediatrics ◽  
Children’S Hospitals ◽  
Improve Compliance ◽  
Sleep Behaviors

Literature has shown hospitalized infants are not often observed in recommended safe sleep environments. Our objective was to implement a quality improvement program to improve compliance with appropriate safe sleep practices in both children’s and birthing hospitals. Hospitalists from both settings were recruited to join an Ohio American Academy of Pediatrics collaborative to increase admitted infant safe sleep behaviors. Participants used a standardized tool to audit infants’ sleep environments. Each site implemented 3 PDSA (Plan-Do-Study-Act) cycles to improve safe sleep behaviors. A total of 37.0% of infants in children’s hospitals were observed to follow the current American Academy of Pediatrics recommendations at baseline; compliance improved to 59.6% at the project’s end ( P < .01). Compliance at birthing centers was 59.3% and increased to 72.5% ( P < .01) at the collaborative’s conclusion. This study demonstrates that a quality improvement program in different hospital settings can improve safe sleep practices. Infants in birthing centers were more commonly observed in appropriate sleep environments than infants in children’s hospitals.

Quality Improvement: An ACQIP Exercise on the Management of Acute Asthma—Part 1

1995 ◽  
Vol 16 (7) ◽  
pp. 273-276
Author(s):  
Shannon Smith-Ross ◽  
Lisa Honigfeld
Keyword(s):  
Quality Improvement ◽  
American Academy ◽  
Ambulatory Care ◽  
Acute Asthma ◽  
Care Quality ◽  
Quality Improvement Program ◽  
Self Assessment ◽  
Improvement Program ◽  
American Academy Of Pediatrics

As part of Pediatrics in Review's ongoing focus on quality improvement, we present a self-assessment exercise taken from the American Academy of Pediatrics' Ambulatory Care Quality Improvement Program (ACQIP). A previous exercise and a description of the program were published last year.1 Tabulated responses of pediatricians who completed this exercise as part of the ACQIP program will be published next month, allowing readers to see how their own answers compare and providing material for thought and discussion.

Quality Improvement: An ACQIP Exercise on the Management of Otitis Media

1996 ◽  
Vol 17 (7) ◽  
pp. 251-256
Author(s):  
Robert H. Sebring ◽  
Keyword(s):  
Quality Improvement ◽  
American Academy ◽  
Otitis Media ◽  
Quality Care ◽  
Care Quality ◽  
Self Assessment ◽  
Improvement Program ◽  
Additional Information ◽  
American Academy Of Pediatrics

As part of Pediatrics in Review's ongoing focus on quality improvement, we present a self-assessment exercise taken from the American Academy of Pediatrics' Ambulatory Care Quality Improvement Program (ACQIP). Tabulated responses of pediatricians who completed this exercise as part of the ACQIP program are presented on pages 253 to 254, allowing readers to see how their own answers compare and providing material for thought and discussion. Readers are encouraged to participate in the ACQIP program. Additional information can be obtained by calling or writing the Division of Quality Care, American Academy of Pediatrics, Box 927, Elk Grove Village, IL 60009-0927. Monitoring Otitis Media EDUCATIONAL OBJECTIVES This exercise and the follow-up materials should help you identify areas of improvement in how your practice monitors and documents information for children with acute or chronic otitis. INSTRUCTIONS Beginning with tomorrow's appointments, answer the questions below for the most recent, but not the current episode of otitis media in the first 10 patients you see who are younger than 4 years of age and experiencing at least their second episode of otitis. You will need to review charts to answer the questions. Put a check in each box in which you find the information in your medical record listed.

Quality Improvement: An ACQIP Exercise on Vaccine Administration—Part 1

1994 ◽  
Vol 15 (10) ◽  
pp. 400-400
Author(s):  
Shannon Smith-Ross ◽  
Keyword(s):  
Quality Improvement ◽  
American Academy ◽  
Otitis Media ◽  
Health Maintenance Organizations ◽  
Care Quality ◽  
Improvement Program ◽  
Health Maintenance ◽  
American Academy Of Pediatrics ◽  
Practice Parameters ◽  
Tract Infections

As part of Pediatrics in Review's ongoing focus on quality improvement, we present for the use of our readers this self-assessment exercise taken from the American Academy of Pediatrics' Ambulatory Care Quality Improvement Program (ACQIP). ACQIP is an educational program for pediatricians that embodies the concept of continuous quality improvement. It has been implemented successfully in physicians' offices, health maintenance organizations, and hospitals. Currently, more than 2000 physicians worldwide are enrolled in ACQIP. The program is designed to help pediatricians evaluate their practices by comparing themselves with other physicians in similar practices and communities. Pediatricians in groups can use ACQIP to analyze practice variations within the group. Three aspects of care are addressed: • Practice management • Delivery of preventive care • Patient satisfaction Each year, a theme is selected. In 1992-1993, the first year, the theme was immunizations. The 1993-1994 program focused on telephone management, developmental assessment, and management of asthma. ACQIP is being used by the American Academy of Pediatrics (AAP) as a vehicle to disseminate and implement its new practice parameters on asthma, neonatal hyperbilirubinemia, otitis media, gastroenteritis, head trauma, febrile seizures, and urinary tract infections. This year's exercises (September 1994 to August 1995) will be on otitis media and hyperbilirubinemia and will be based on the parameters.

News and Announcements

PEDIATRICS ◽  
1975 ◽  
Vol 56 (2) ◽  
pp. 343-344
Keyword(s):  
American Academy ◽  
Pediatric Patients ◽  
Pediatric Anesthesia ◽  
Medical Society ◽  
Community Hospitals ◽  
Children's Hospitals ◽  
Hospital Medical ◽  
American Academy Of Pediatrics ◽  
Children’S Hospitals ◽  
Respiratory Treatment

SECTION ON ANESTHESIOLOGY—NEW PROGRAM: The Section on Anesthesiology of the American Academy of Pediatrics is co-sponsoring two-day visits to community hospitals by one or two pediatric anesthesiologists from children's hospitals in their areas. One talk will be given each day. Suggested topics are: ventilatory care for neonates; advances in pediatric anesthesia; respiratory treatment for pediatric patients; temperature maintainance and transport of sick infants; and evaluation of new equipment. The Section on Anesthesiology will pay the honorarium and the hospital/medical society/community will be expected to pay the expenses.

Upper Extremity Free Flap Transfers: An Analysis of the National Surgical Quality Improvement Program Database

2020 ◽  
Author(s):  
George A. Beyer ◽  
Karan Dua ◽  
Neil V. Shah ◽  
Joseph P. Scollan ◽  
Jared M. Newman ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Upper Extremity ◽  
Free Flap ◽  
Quality Improvement Program ◽  
Readmission Rates ◽  
Improvement Program ◽  
Surgical Quality ◽  
Flap Transfer ◽  
Free Flap Transfer ◽  
Reoperation Rates

Abstract Introduction We evaluated the demographics, flap types, and 30-day complication, readmission, and reoperation rates for upper extremity free flap transfers within the National Surgical Quality Improvement Program (NSQIP) database. Materials and Methods Upper extremity free flap transfer patients in the NSQIP from 2008 to 2016 were identified. Complications, reoperations, and readmissions were queried. Chi-squared tests evaluated differences in sex, race, and insurance. The types of procedures performed, complication frequencies, reoperation rates, and readmission rates were analyzed. Results One-hundred-eleven patients were selected (mean: 36.8 years). Most common upper extremity free flaps were muscle/myocutaneous (45.9%) and other vascularized bone grafts with microanastomosis (27.9%). Thirty-day complications among all patients included superficial site infections (2.7%), intraoperative transfusions (7.2%), pneumonia (0.9%), and deep venous thrombosis (0.9%). Thirty-day reoperation and readmission rates were 4.5% and 3.6%, respectively. The mean time from discharge to readmission was 12.5 days. Conclusion Upper extremity free flap transfers could be performed with a low rate of 30-day complications, reoperations, and readmissions.

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