Perspectives on non-emergent neonatal intensive care unit to pediatric intensive care unit care transfers in the United States.

Background: There is a substantial population of long-stay patients who non-emergently transfer directly from the neonatal intensive care unit (NICU) to the pediatric intensive care unit (PICU) without an interim discharge home. These infants are often medically complex and have higher mortality relative to NICU or PICU-only admissions. Given an absence of data surrounding practice patterns for non-emergent NICU to PICU transfers, we hypothesized that we would encounter a broad spectrum of current practices and a high proportion of dissatisfaction with current processes.

Characterizing fluvial impact on the biochemical composition of particulate organic matter in the Laptev Sea and Western East Siberian Sea during the late summer of 2018.

The Laptev Sea (LS) and Western East Siberian Sea (W-ESS) are paradigmatic examples of seas dominated by terrestrial organic matter, attributed to substantial Siberian River discharges and coastal erosion. The influx of terrestrial organic matter significantly alters the biochemical composition of particulate organic matter (POM) in these Arctic coastal regions, potentially reducing the nutritional quality available to higher trophic levels. This study investigated the origin and qualitative characteristics of POM in the LS and W-ESS during the late summer of 2018 by analyzing elemental ratios (C/N ratio), stable carbon isotopes (δC), and biochemical compositions (biomolecular and amino acid (AA) compositions).

Evaluating interventions that have improved access to community mental health care for Black men: A systematic review.

Background: Black men are one of the most disadvantaged groups when accessing mental health services in the UK. There is extensive guidance from qualitative research on how to bring equity, but it is unclear how this evidence is being implemented.

Aim: To systematically review interventions that help Black men access timely and appropriate mental health care and to explore their nature and effectiveness.

Patient Harm Events and Associated Cost Outcomes Reported to a Patient Safety Organization.

Objectives: The aims of the study were to describe inpatient harm events detected via an automatic electronic trigger system (ETS) and to consider their financial consequences.

Methods: Over a 27-month period, inpatient harm events were identified and documented in 1 healthcare system with 37 acute care facilities. Patients who experienced harm (all harm or preventable harm only) were compared with similar patients who did not.

Evaluation of a Comprehensive Algorithm for PICU Patients With New Fever or Instability: Association of Clinical Decision Support With Testing Practices.

Objectives: Previously, we implemented a comprehensive decision support tool, a "New Fever Algorithm," to support the evaluation of PICU patients with new fever or instability. This tool was associated with a decline in culture rates without safety concerns. We assessed the impact of the algorithm on testing practices by identifying the proportion of cultures pre- vs.