Adverse Occurrences in the Pediatric Intensive Care Unit

Riggs, Carl Daniel; Lister, George

doi:10.1016/s0031-3955(16)36183-1

Cited by 10 publications

(2 citation statements)

References 121 publications

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“…The increasing focus on improving patient safety through reducing medical errors and adverse events in the high-risk PICU environment is palpable (11)(12)(13). We need to design better interventions to reduce adverse occurrences and improve our understanding of the types of errors and the circumstances within the environment of care that contribute to these errors.…”

Section: Safetymentioning

confidence: 99%

Integrating the Institute of Medicine???s six quality aims into pediatric critical care: Relevance and applications

Slonim

Pollack

2005

Pediatric Critical Care Medicine

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The Institute of Medicine's report Crossing the Quality Chasm recommends "six aims for improvement." The aims are safety, effectiveness, equity, timeliness, patient-centeredness, and efficiency. This review focuses on the quality of care information relevant to the Institute of Medicine's six aims to assess their relevance, potential impact, and affect on pediatric critical care practice. It is concluded that if the care for pediatric intensive care patients is to be fundamentally improved, an understanding of the current care environment, the existing evidence base, the opportunities for improvement, and the documentation of the improvements needs to be realized. The Institute of Medicine's six aims provide a useful framework to advance the quality of care in this pediatric subspecialty and perhaps others.

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Section: Safetymentioning

confidence: 99%

Integrating the Institute of Medicine???s six quality aims into pediatric critical care: Relevance and applications

Slonim

Pollack

2005

Pediatric Critical Care Medicine

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“…In newborn infants requiring neonatal intensive care, cannulation of the radial artery is often necessary [13,18,19,21]. This enables continuous measurement of arterial blood pressure and facilitates repeated arterial blood sampling.…”

Section: Introductionmentioning

confidence: 99%

Incidence and duration of total occlusion of the radial artery in newborn infants after catheter removal

et al. 1990

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Abstract. The incidence and duration of total occlusion of the radial artery after catheter removal was determined using repeated Doppler flow measurements. Thirty-two newborn infants with birthweights ranging from 945 g to 3890 g (median 1935 g) and gestational age ranging from 26 to 40 weeks (median 32 weeks) were studied. In 20 out of 32 infants (63%), complete occlusion of the radial artery occurred. The number of occlusions were not related to birthweight, gestational age or duration of cannulation. In all infants, blood flow in the radial artery resumed within 1-29 days after catheter removal. The duration of occlusion was directly related to the duration of cannulation and inversely related to birthweight.This study demonstrates a high frequency of total occlusion of the radial artery in newborn infants after percutaneous radial artery cannulation. In the majority of infants with a radial artery catheter, blood flow to the tissue distal to the cannulation site is dependent solely on the existence of an adequate arterial palmar collateral circulation.

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