Publications by authors named "D R Padhya"
Remote simulation training provides a unique opportunity to captivate providers despite language, distance, and cultural barriers. Previously we developed a novel electronic decision support and rounding tool, the Checklist for Early Recognition and Treatment of Acute Illness in Pediatrics (CERTAINp). This study was conducted to determine the feasibility and impact of remote simulation training of international PICU providers using CERTAINp.
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- - The study aimed to identify risk factors leading to unplanned readmissions to the Pediatric Intensive Care Unit (PICU) within 48 hours of discharge, highlighting it as a quality metric in critical care.
- - Out of 11 observational studies involving 128,974 children, it was found that complex chronic diseases and significant disabilities were the strongest predictors of early readmission, with other notable factors being unplanned admissions and seasonality.
- - The findings suggest that many identified risk factors are not changeable, raising concerns about the effectiveness of using early unplanned readmissions as a quality measure in pediatric critical care.
Objective: Specific protocols for anticoagulation for children on ECMO vary across institutions, with most using a continuous infusion of unfractionated heparin. The goal of this study is to aid clinician's decision on the best measure of heparin anticoagulation test; which would be the one that correlates well with heparin activity and helps in predicting hemorrhagic and thrombotic complications.
Data Sources: A comprehensive search of MEDLINE, EMBASE, Cochrane Database of Systematic Reviews, and Scopus was conducted from each database's inception to 07/13/2018.
Background: Delirium is associated with poor outcomes in adults but is less extensively studied in children.
Objectives: To describe a quality improvement initiative to implement delirium assessment in a pediatric intensive care unit and to identify barriers to delirium screening completion.
Methods: A survey identified perceived barriers to delirium assessment.