Publications by authors named "Raymond Pruett"
Background And Objective: Asthma is the most common chronic disease of childhood. Treatment adherence by adolescents is often poor, and their outcomes are worse than those of younger patients. We conducted a quality improvement initiative to improve asthma control and outcomes for high-risk adolescents treated in a primary care setting.
View Article and Find Full Text PDFObjective: Human milk has well-established health benefits for preterm infants. We conducted a multidisciplinary quality improvement effort aimed at providing at least 500 mL of human milk/kg in the first 14 days of life to very low birth weight (VLBW) (< 1,500 g) infants in the neonatal intensive care unit.
Subjects And Methods: Improvement activities included antenatal consults with at-risk mothers, staff and parent education, a breast pump loaner program for uninsured/underinsured mothers, pump logs, establishment of a donor milk program, and twice-daily physician evaluation of infants' ability to tolerate feedings.
Article Synopsis
- Narcotics often cause adverse drug events in children, particularly opioid oversedation in hospitalized patients.
- Objectives focused on improving methods to prevent opioid oversedation during perioperative care while ensuring effective pain management.
- Results showed a significant decrease in opioid-related oversedation events and an increase in the interval between these incidents, highlighting the effectiveness of revised prescribing practices and enhanced sedation assessments.
Background: In 2005, The Joint Commission included medication reconciliation as a National Patient Safety Goal to reduce medication errors related to omissions, duplications and interactions. Hospitals continue to struggle to implement successful programmes that meet these objectives.
Methods: The authors used improvement methods and reliability principles to develop and implement a process for medication reconciliation completion at admission at a large, paediatric medical centre.