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Research ArticleOriginal Research

Categorization in Mechanically Ventilated Pediatric Subjects: A Proposed Method to Improve Quality

Brian K Walsh, Craig D Smallwood, Jordan S Rettig, John E Thompson, Robert M Kacmarek and John H Arnold
Respiratory Care September 2016, 61 (9) 1168-1178; DOI: https://doi.org/10.4187/respcare.04723
Brian K Walsh
Department of Anesthesiology, Perioperative, and Pain Medicine, Division of Critical Care Medicine, Boston Children's Hospital and Pediatric Anesthesia, Harvard Medical School, Boston, Massachusetts.
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  • For correspondence: [email protected]
Craig D Smallwood
Department of Anesthesiology, Perioperative, and Pain Medicine, Division of Critical Care Medicine, Boston Children's Hospital and Pediatric Anesthesia, Harvard Medical School, Boston, Massachusetts.
Department of Anesthesiology, Perioperative, and Pain Medicine, Division of Critical Care Medicine, Boston Children's Hospital, Boston, Massachusetts.
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Jordan S Rettig
Department of Anesthesiology, Perioperative, and Pain Medicine, Division of Critical Care Medicine, Boston Children's Hospital and Pediatric Anesthesia, Harvard Medical School, Boston, Massachusetts.
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John E Thompson
Department of Anesthesiology, Perioperative, and Pain Medicine, Division of Critical Care Medicine, Boston Children's Hospital and Pediatric Anesthesia, Harvard Medical School, Boston, Massachusetts.
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Robert M Kacmarek
Department of Respiratory Care, Massachusetts General Hospital, Boston, Massachusetts.
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John H Arnold
Department of Anesthesiology, Perioperative, and Pain Medicine, Division of Critical Care Medicine, Boston Children's Hospital and Pediatric Anesthesia, Harvard Medical School, Boston, Massachusetts.
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    Fig. 1.

    Multiple data sources and flow of data from one system to another. ADT = admission, discharge, transfer; DOB = date of birth; PIP = peak inspiratory pressure; RT = respiratory therapy; QI = quality improvement; EMR = electronic medical record.

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    Fig. 2.

    How the inputs combined with the algorithms provided by an “IF” “THEN” script were programmed into the analysis software to provide an output. CPGs = clinical practice guidelines, HR = heart rate, PIP = peak inspiratory pressure, ̄Paw = mean airway pressure, MRN = medical record number.

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    Fig. 3.

    Abnormal categories of ventilation by subject cohort. The bars represent the percentage of time spent within each category.

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    Fig. 4.

    Abnormal categories of oxygenation by subject cohort. The bars represent the percentage of time spent within each category.

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Respiratory Care: 61 (9)
Respiratory Care
Vol. 61, Issue 9
1 Sep 2016
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Categorization in Mechanically Ventilated Pediatric Subjects: A Proposed Method to Improve Quality
Brian K Walsh, Craig D Smallwood, Jordan S Rettig, John E Thompson, Robert M Kacmarek, John H Arnold
Respiratory Care Sep 2016, 61 (9) 1168-1178; DOI: 10.4187/respcare.04723

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Categorization in Mechanically Ventilated Pediatric Subjects: A Proposed Method to Improve Quality
Brian K Walsh, Craig D Smallwood, Jordan S Rettig, John E Thompson, Robert M Kacmarek, John H Arnold
Respiratory Care Sep 2016, 61 (9) 1168-1178; DOI: 10.4187/respcare.04723
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Keywords

  • computer decision support
  • mechanical ventilation
  • ventilator-induced lung injury
  • Quality
  • protocols
  • evidence-based practice
  • data

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