Journal for healthcare quality : official publication of the National Association for Healthcare Quality
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In 2001, the Committee on Quality in Health Care in America found it took 17 years for evidence from randomized controlled trials to be applied to practice, with little improvement over the last decade. Even abbreviated and summarized evidence fails to be consistently implemented at the bedside. More emphasis needs to be placed on understanding which Implementation Methods are most effective in successfully implementing evidence-based practice at the bedside. ⋯ The 20 Implementation Methods identified as part of this study, represented the vast majority of Implementation Methods used by PICUs.
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Recognizing the inconsistencies in sedation practices, the Society for Pediatric Sedation convened this meeting to begin the process of defining quality as it relates to the field of pediatric sedation. ⋯ The conference findings outlined in this document address the Agency for Healthcare Research and Quality's (AHRQ) mission of improving quality healthcare for all Americans, especially for underrepresented groups such as children. The conference outlines a key next step in defining and achieving quality in pediatric procedural sedation.
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The purpose of our pre-post intervention study was to reduce the number of near-miss events pertaining to wrong-site surgery, including incorrectly sided surgical bookings and incorrectly performed preoperative time-out procedures. Pre- and postintervention, incorrectly booked cases, and improperly performed presurgical time-out procedures were recorded. We then educated each surgeon and their staff regarding the importance of and proper way to perform these tasks. Subsequently, the monthly percentage of incorrectly booked surgical procedures and improperly performed time-outs were significantly decreased. ⋯ A program designed to educate physicians to the importance of decreasing near misses for wrong-site surgery is effective. When analyzing the literature, it is clear that the reduction in near misses observed in this study decreases the likelihood of a wrong-site surgery.