Expediting care for children: advanced practice nurses as short stay hospitalists.

Advanced practice nurses (APNs) diagnose and treat acute conditions in children that produce outcomes of efficient, cost effective, timely, and satisfying healthcare to children, families and referring providers. Expediting care for children with acute illnesses in hospital settings by applying the knowledge and skills of nurse practitioners is a smart use of resources.

On the scene at Children's Hospitals and Clinics of Minnesota.

Transformational nursing leadership requires innovation and best practice synthesis to engage and advance nursing practice and outcomes. Children's Hospital and Clinics of Minnesota is creating a sustainable culture of patient safety that expects collaborative practice involving families and all clinical disciplines. Leadership and practice structures are essential to ensure high-reliability processes and achieve breakthrough performance.

Implementation and impact of a rapid response team in a children's hospital.

Like the previous two studies of RRS implementation in a children's hospital, this study--the first to use an RRT model--showed a decrease in the incidence of arrests (although not at a significant level). Low mortality rates and infrequent arrests in children's hospitals make changes in these measures insensitive indicators of the positive impact of RRT implementation. RRTs provide an immediate response for children whose clinical condition is worrisome and whose attending physicians are not immediately present.

Enhancing skin wound healing by direct delivery of intracellular adenosine triphosphate.

Background: A new intracellular adenosine triphosphate (ATP) delivery technique has been developed and was tested for skin wound care.

Methods: Eleven pairs of adult nude mice were used. ATP-vesicles were applied in 11 mice, and another 11 mice were treated with lipid vesicles only.