Improving Clinical Remission Rates in Pediatric Inflammatory Bowel Disease with Previsit Planning

"PVP [previsit planning] for management of a chronic disease in pediatrics is feasible, even in a high volume practice. Initiation of this process at MGHfC has resulted in the improvement of care provided to children and adolescents with IBD. The primary goal of increasing clinical remission rate from 77% to greater than 80% within one year of initiating PVP was achieved."

Improving Clinical Remission Rates in Pediatric Inflammatory Bowel Disease with Previsit Planning
JR Savarino, JL Kaplan, HS Winter, CJ Moran, EJ Israel
BMJ Quality Improvement Reports 2016;5: doi:10.1136/bmjquality.u211063.w4361

Read more here.

Improving patient outcomes with technology and social media in paediatric diabetes

"The digital initiatives at Southport and Ormskirk Hospital NHS Trust provide strong evidence that the effective use of information technology and social media can significantly improve patient outcomes."

Improving patient outcomes with technology and social media in paediatric diabetes
S May Ng
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u209396.w3846

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Improving paediatric prescribing practice in a district general hospital

"A driver diagram identified three components contributing to prescribing errors and relevant tests of change were developed. The three primary drivers included education and communication, practical prescribing changes, and medicine reconciliation."

Improving paediatric prescribing practice in a district general hospital through implementation of a quality improvement programme
P Donnelly, S Lawson, C Watterson
BMJ Quality Improvement Report2015;4: doi:10.1136/bmjquality.u206996.w3769

 

Read more here.

Facing the Future Together for Child Health

"Facing the Future: Together for Child Health represents a standard of care which children and their parents and carers can expect from the healthcare professionals looking after them. We hope that healthcare professionals will see them not just as standards to strive toward, but as a lever to continue to improve the safety, quality and sustainability of services." 

Facing the Future Together for Child Health
Royal College of Paediatrics and Child Health, the Royal College of General Practitioners, Royal College of Nursing
April 2015

Read more here.

Developing person-centred analysis of harm in a paediatric hospital

"At Great Ormond Street Hospital, we developed and tested a tool specifically designed for patients and families to report harm, with the aim of raising awareness and opportunities for staff to continually improve and provide safe care."

Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report
P Lachman, L Linkson, T Evans, H Clausen, D Hothi
BMJ Quality and Safety 2015;24:337-344 doi:10.1136/bmjqs-2014-003795

Read more here.

Pediatric Trigger Toolkits

"Adapted from proven adult trigger tools, the Pediatric ADE Trigger Tool provides a powerful yet simple method to detect medication-related harm in pediatric inpatients. The related Trigger Toolkit available below can help hospitals implement medication system changes to ensure fewer drug-related injuries."

Pediatric Trigger Toolkit: Measuring Adverse Events in the PICU Using a PICU Trigger Tool 
​Child Health Corporation of America

Access the toolkit here.

Medication Reconciliation Improvement Through the Use of Video

"During implementation of this project, it became immediately clear that despite the known safety benefits to proper medication reconciliation, these benefits were under appreciated by our front line providers."

Medication Reconciliation Improvement Through the Use of Video
M Dewan, B Kraus, D Davis, J McCloskey
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u207581.w3035

Read more here.

How to improve prescription of inhaled salbutamol by providing standardised feedback on administration

"The effectiveness of inhaled salbutamol in routine care depends particularly on prescribed dosage and applied inhalation technique. To achieve maximum effectiveness and to prevent drug-related problems, prescription and administration need to work in concert."

How to improve prescription of inhaled salbutamol by providing standardised feedback on administration: a controlled intervention pilot study with follow-up
MP Neininger et al.
BMC Health Services Research 2015, 15:40  doi:10.1186/s12913-015-0702-x

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Implementation of multidimensional knowledge translation strategies to improve procedural pain in hospitalized children

"The overall aim of this study was to improve pain assessment and management over time.  Multifaceted, tailored KT [knowlegge management] interventions may be the first step in promoting optimal pain practices; however whether or not they are the answer to sustained improvement is unknown." 

Implementation of multidimensional knowledge translation strategies to improve procedural pain in hospitalized children
BJ Stevens, J Yamada, S Promislow, J Stinson, D Harrison, JC Victor
Implementation Science 2014, 9:120  doi:10.1186/s13012-014-0120-1

Read more here.

The reconfiguration of clinical services

"This paper aims to help those planning and implementing major clinical service reconfigurations ensure that change is as evidence-based as possible. It investigates the five key drivers – quality, workforce, cost, access and technology"

The reconfiguration of clinical services: What is the evidence?
C Imison, L Sonola, M Honeyman, S Ross
The King's Fund
November 2014

Read more here.

A qualitative analysis of information sharing for children with medical complexity within and across health care organizations

"Information exchange is critically important in high quality care of complex patients at high risk for poor care coordination. Written care plans for children with medical complexity are an excellent test case for how well information sharing is currently occurring. The purpose of this study was to identify the barriers to and facilitators of information sharing for CMC across providers, care settings, and families."

A qualitative analysis of information sharing for children with medical complexity within and across health care organizations
L Quigley, A Lacombe-Duncan, S Adams, C Moore Hepburn, E Cohen
BMC Health Services Research 2014, 14:283

Read more here.

Prevalence and severity of patient harm detected by the Paediatric Trigger Tool

"There is a significant, measurable level of harm experienced by children admitted to hospitals in the UK. While most of this harm is temporary, some of it is serious. The UKPTT offers organisations the means to measure and examine the adverse events occurring in their hospital in order to reduce harm."

Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatric Trigger Tool
SM Chapman, J Fitzsimons, N Davey, P Lachman
BMJ Open, 2014; 4: e005066

Read more here.

RCS commissioning guide: general children’s surgery

"Commissioners should aim to build on the successes of existing clinical networks. Where these networks do not exist, commissioners should aim to create them. The south west, North West and the East Midlands have developed a network approach to general paediatric surgery which provides a good reference point."

Commissioning guide: provision of general children’s surgery
Royal College of Surgeons, British Association of Paediatric Surgeons

April 2014 

Read more here.

Leeds children’s heart surgery services review

"The Leeds children’s heart surgery services review was undertaken to issues raised regarding the safety and quality of care at the Leeds Teaching Hospitals NHS Trust. A significant amount of work has been undertaken to establish an accurate picture of the services provided by the Trust, including a detailed review of cases and interviews with families to understand their experiences."

The review contains two papers:

• Mortality Case Review for the period 2009- 2013
• Family Experience Report

Children’s Congenital Cardiac Surgery Services at Leeds Teaching Hospitals NHS Trust
NHS England
March 2014

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Nurse staffing ratios and hospital readmission

"Children with common conditions treated in hospitals in which nurses care for fewer patients each are significantly less likely to experience readmission between 15 and 30 days after discharge."

An observational study of nurse staffing ratios and hospital readmission among children admitted for common conditions
HL Tubbs-Cooley, JP Cimiotti, JH Silber, DM Sloane, LH Aiken
BMJ Quality and Safety, 2013, 22:735-742

Read more here.

Epilepsy12

"The key aims of Epilepsy12 are:

• To facilitate health providers and commissioners to measure and improve quality of care for children and young people with seizures and epilepsies; and
• To contribute to the continuing improvement of outcomes for those children, young people and their families."

Epilepsy12
Royal College of Paediatrics and Child Health
September 2012

Read more here.

Evaluating the role and perceived impact of the Regional Paediatric Diabetes Network Coordinator in Yorkshire and the Humber

"The report describes how the network coordinator post has helped the Yorkshire and the Humber Paediatric Diabetes Network deliver its objectives by providing effective and efficient administrative and communication support, and by facilitating discussions between the network and key internal and external stakeholders."

Evaluating the role and perceived impact of the Regional Paediatric Diabetes Network Coordinator in Yorkshire and the Humber
L Richards
NHS Diabetes
August 2012

Read more here.

Bringing networks to life

"This document aims to help all paediatricians across the UK contribute to the development of effective networked care and thus deliver the highest quality care to their patients."

Bringing networks to life: an RCPCH guide to implementing clinical networks
Royal College of Paediatrics and Child Health
March 2012

Read more here.

Are we there yet? A review of organisational and clinical aspects of children's surgery

"This is the third study that NCEPOD has undertaken on surgery and anaesthesia in children."

Are we there yet? A review of organisational and clinical aspects of children's surgery
DG Mason, K Wilkinson, MJ Gough, SB Lucas, H Freeth, H Shotton, M Mason
National Confidential Enquiry into Patient Outcome and Death
October 2011

Read more here.