2018
Reducing Unplanned Extubations Across a Children’s Hospital Using Quality Improvement Methods
Kandil SB, Emerson BL, Hooper M, Ciaburri R, Bruno CJ, Cummins N, DeFilippo V, Blazevich B, Loth A, Grossman M. Reducing Unplanned Extubations Across a Children’s Hospital Using Quality Improvement Methods. Pediatric Quality And Safety 2018, 3: e114. PMID: 31334446, PMCID: PMC6581473, DOI: 10.1097/pq9.0000000000000114.Peer-Reviewed Original ResearchRate of UEIntensive care unitUnplanned extubationVentilator daysQuality improvement methodologyNational benchmarksPediatric intensive care unitNeonatal intensive care unitStudy-Act cyclesSignificant patient harmUnintended dislodgementsCritical illnessCare unitChildren's HospitalEndotracheal tubeHigh-risk situationsPatient harmQuality improvement methodsImprovement methodologyET tubeStudy periodExtubationHospitalDaysSafety culture
2017
An Initiative to Improve the Quality of Care of Infants With Neonatal Abstinence Syndrome
Grossman MR, Berkwitt AK, Osborn RR, Xu Y, Esserman DA, Shapiro ED, Bizzarro MJ. An Initiative to Improve the Quality of Care of Infants With Neonatal Abstinence Syndrome. Pediatrics 2017, 139: e20163360. PMID: 28562267, PMCID: PMC5470506, DOI: 10.1542/peds.2016-3360.Peer-Reviewed Original ResearchConceptsNeonatal abstinence syndromeAdverse eventsAbstinence syndromeHospital costsYale-New Haven Children's HospitalTreatment of NASMethadone-exposed infantsLonger hospital stayProportion of infantsAdministration of morphineTransfer of infantsStudy-Act cyclesQuality of careMusculoskeletal disturbancesNonpharmacologic careNonpharmacologic therapiesHospital stayMorphine useOpioid withdrawalChildren's HospitalPostimplementation periodSustained decreaseOutcome measuresInpatient unitMultidisciplinary team