|
|
The Official Journal of the
National Association for Healthcare Quality
|
September/October 2008
Contents
| 2 |
Guest Editorial: Quality Healthcare for America’s Children, Part 2
Christy L. Beaudin
|
|
4
|
Abstract:
The Pediatric Data Quality Systems (Pedi-QS) Collaborative has produced two consensus measure sets and an assessment of nursing-sensitive indicators in pediatric care. The framework and development process are described, lessons learned are summarized, and future directions are suggested.
|
| 13 |
Interdisciplinary Analysis of Chemotherapy Preparation at a Pediatric Hospital
Heather A. Jackson, Matthew J. Kelm, Paul Intrevado, Steven R. Abel
Abstract:
In an interprofessional investigation of the pharmaceutical procedures for hematology and oncology at a pediatric hospital, pharmacists and industrial engineers identified areas for improvement, including a reduction in the interruption of regular pharmaceutical operations for the expedited preparation of chemotherapy treatments and the development of more robust drug preparation procedures that would ensure medication safety. The establishment of a satellite hematology/oncology pharmacy was also examined.
|
20
|
Communicating the Death of a Child in the Emergency Department: Managing Dialectical Tensions
Jessica Parker-Raley, Barbara L. Jones, R. Todd Maxson
Abstract: This study highlighted the tensions that physicians face when communicating the death of a child to parents. Ten pediatric physicians participated in interviews in which they were asked to provide specific details about end-of-life discussions they have had with families in pediatric emergency rooms. |
32
|
Interview with a Quality Leader: Uma Kotagal on Advances in Pediatric Quality
Christy L. Beaudin
Abstract:
Uma Kotagal, MBBS MSc, serves as senior vice president for quality and transformation and is responsible for executing the strategic plan related to transforming the healthcare delivery system at Cincinnati Children’s Hospital Medical Center (CCHMC), Cincinnati, OH. As a result of the quality improvement and transformation efforts at CCHMC, the facility has received the American Hospital Association–McKesson Quest for Quality Prize, in addition to numerous other awards for healthcare performance.
|
| 36 |
Pressure Ulcer Development in Infants: State of the Science
Ivy Razmus, Lynette Lewis, David Wilson
Abstract:
The science of pressure ulcer development in infants is underdeveloped. Although recent conceptual frameworks have been applied to younger populations, this article focuses on the unique attributes of full-term and preterm newborns that have an impact on pressure ulcer development. A proposed schema identifies the theoretical elements associated with pressure ulcer development in infants. |
| 43 |
Gaps in Pediatric Clinician Communication and Opportunities for Improvement
Donna M. Woods, Jane L. Holl, Denise B. Angst, Susan C. Echiverri, Daniel Johnson, David F. Soglin, Gopal Srinivasan, Laura B. Amsden, Julia Barnathan, Teri Hason, Leonard Lamkin, Kevin B. Weiss
Abstract:
A focus-group protocol was used to analyze themes of effective and problematic clinician communication related to patient safety (the communication process for orders, consultations, acuity assessment, management of surgical and medical patients, and the discharge process) in five Chicago Pediatric Patient Safety Consortium hospitals.
|
| 55 |
Finding the Right Words: Using the Terms Allow Natural Death (AND) and Do Not Resuscitate (DNR) in Pediatric Palliative Care
Barbara L. Jones, Jessica Parker-Raley, Renee Higgerson, LeeAnn McCoy Christie, Sarah Legett, Julie Greathouse
Abstract:
When children are dying in a hospital setting, healthcare providers need to help families make important end-of-life care decisions. This study investigated pediatric healthcare providers’ beliefs about using allow natural death (AND) as opposed to do not resuscitate when suggesting a course of action that involves not using extraordinary lifesaving measures. Results revealed that providers believe the term AND is somewhat ambiguous but may be more family centered.
|
JHQ Web Exclusives
|
|
q&a Beth Rowett on Quality and the Pediatric Specialty Hospital
Michelle Horvath
Media Reviews
Quality NETwork
Industry Trends
|
|
|
|
|
|
|
|
|
