Articles: intensive-care-units.
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Timely, high quality communication with families is essential to family-centered decision-making. Quality communication is represented by widespread documentation of prognostic, goals-of-care conversations (PGOCC) in the pediatric intensive care unit (PICU) and should occur without variation by patient characteristics. ⋯ This study reveals the opportunity for improvement in documentation of PGOCC for critically ill children. It raises the questions of why there is variation of PGOCC across disease categories and whether PGOCC should be considered a quality measure for family-centered care.
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Critical care medicine · Mar 2013
A National Emergency Airway Registry for children: landscape of tracheal intubation in 15 PICUs.
To characterize the landscape of process of care and safety outcomes for tracheal intubation across pediatric intensive care units ⋯ National Emergency Airway Registry for Children was feasible to characterize PICU tracheal intubation procedural process of care and safety outcomes. Self-reported adverse tracheal intubation associated events occurred frequently and were associated with patient, provider, and practice characteristics.
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Pediatr Crit Care Me · Mar 2013
Comparative StudyCharacteristics of family conferences at the bedside versus the conference room in pediatric critical care.
To compare characteristics of family conferences at the bedside vs. the conference room in the PICU. ⋯ Family conferences in the PICU are common both at the bedside and in conference rooms in a subpopulation of the most critically ill children and frequently result in a treatment decision or change in code status.