Hospital pediatrics
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Hospital pediatrics · Oct 2018
Multicenter StudyA Pragmatic Method for Identification of Long-Stay Patients in the PICU.
To develop a pragmatic method of identifying long-stay patients (LSPs) in the PICU. ⋯ We present a pragmatic method for the retrospective identification of LSPs in the PICU that incorporates unit- and/or patient-specific characteristics. The next steps would be to validate this method using other patient and/or unit characteristics in different PICUs and over time.
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Hospital pediatrics · Oct 2018
Care Standardization Reduces Blood Donor Exposures and Transfusion in Complex Cranial Vault Reconstruction.
Complex cranial vault reconstruction (CCVR) often requires a large-volume transfusion of blood products. We implemented a series of improvement interventions to reduce blood donor exposures (BDE) and transfusion requirements in CCVR. ⋯ The implementation of sequential clinical improvement strategies resulted in a sustained reduction in BDE whereas only the use of whole blood resulted in a significant reduction in the total volume of blood products transfused in children undergoing CCVR.