Thread by @mommimaya

Kicking off the Year in Review for #PICUQI and #PedsICU #MedEd #CCC50 Search strategy included a review of ALL tables of contents of major pediatric and critical care journals, PUBMED search, key collaborative search, asking on @twitter and discussion with experts in the fields.

First up, discussion of #PICUQI #CCC50.

First up by @ndean75, “The Late Rescue Collaborative: Reducing non-ICU arrests” in @PedCritCareMed Dean & colleagues saw decreased rates of non-ICU arrests & increased participation through @AAP #MOCPart4. #PICUQI #CCC50
journals.lww.com/pccmjournal/Fu…

Editorial by @pccm_doc: journals.lww.com/pccmjournal/Fu…

@wolfe_HA @pediRESQ in @PQS_LWW used a plus/delta approach to assess cold debriefs and found commonly reported barriers to be lack of time, financial support, or interest. Do you do cardiac arrest debriefs at your center? What are your barriers? #PICUQI #CCC50

@mgaies @pc4quality in @PedCritCareMed found the incidence of thrombosis 2%, CLABSI was 1%. Significant risk factors for thrombosis and infection were younger age, greater surgical complexity, and total catheter days. #PICUQI #CCC50
journals.lww.com/pccmjournal/Fu…

@DrKlugs @spsp4kids in @JAMAPediatrics implemented a #PICUQI bundle resulting in 24% reduction in UE events. #CCC50 #PedsICU
jamanetwork.com/journals/jamap…

@DavePPharmD @SapnaKmd in @MediaTJC
increased compliance of PRN sedative/analgesic orders. Screenshots and further details regarding specifics of the order set are available in the article as examples for spread to your institution tomorrow. #CCC50
sciencedirect.com/science/articl…

@drjfowl @alexistopjian in @PedCritCareMed evaluated compliance @AHAScience postcardiac arrest guidelines pre and post pathway development. Pathway adherence was not different pre and post-pathway, only higher rates of continuous EEG monitoring. #CCC50
pubmed.ncbi.nlm.nih.gov/32639467/

Ferguson & colleagues in @CritCareMed evaluated effectiveness of #PICUQI to reduce cardiac arrests in the cardiac ICU. High-risk patients had bolus epinephrine preordered and prepared for immediate administration in the event of acute hypotension. #CCC50
journals.lww.com/ccmjournal/Ful…

Dr. Sahulee in @PQS_LWW set out to reduce mean central venous catheters or CVC duration via a safety checklist. The use of this checklist resulted in an INCREASE in CVC duration. We must study our interventions #PICUQI #choosingwiselyICU #CCC50
journals.lww.com/pqs/fulltext/2…

We must study interventions when we move from paper to automation in #EHR. They will perform differently! @mommimaya @pccm_doc @PedCritCareMed #PICUQI #CCC50

I am sure I missed some outstanding #PICUQI articles form 2020. Post more here! #CCC50

Next we will discuss #MedEd. More than ever, we push our learners to not only master the clinical care when it is at its most complex ever, but also push them to be researchers, systems improvers, educators, and advocates. #CCC50

@meredithboneMD and colleagues in @PedCritCareMed used a Delphi to determine faculty needs for teaching skills, their preferred learning modalities, and factors that motivate their participation in faculty development journals.lww.com/pccmjournal/Fu… #MedEd #PedsICU #CCC50

@landriganc & colleagues in @nejm from the ROSTERS study compared 2 schedules for pediatric residents during #PedsICU rotation. Residents on no extended shift schedules made more mistakes #MedEd #PedsICU #CCC50
nejm.org/doi/full/10.10…

@DrSatid and colleagues in @PedCritCareMed propose a new framework to guide the planning of an educational program that provides clinical knowledge and technical skills for advanced practice providers #MedEd #PedsICU #CCC50

Perspective piece @AAPJournals shows no improvement in diversity for pediatric subspecialty fellows. A call for all of us to increase the diversity of our workforce and also to teach more about racism and health disparities as well. pediatrics.aappublications.org/content/early/… #MedEd #PedsICU #CCC50

All #PedsICU #MedEd need to read @AcadMedJournal
supplement from 12/2020 entitled Addressing Harmful Bias and Eliminating Discrimination in Health Professions Learning Environments journals.lww.com/academicmedici… #MedEd #PedsICU #CCC50

@DrMonicaPeek describes 12 lessons within 4 themes on how to successfully teach about race and racism through a careful balance of emotional safety and honest truth-telling. #MedEd #PedsICU #CCC50

@MarkitaSuttle and colleagues @PedCritCareMed assesses the overall level of burnout in pediatric critical care medicine fellows and examine factors that may contribute to or protect against its development. journals.lww.com/ccmjournal/Ful… #MedEd #PedsICU #CCC50

@mzackoff and colleagues @CincyKidsPCCM @PedCritCareMed study the role of augmented and virtual reality in #PedsICU #MedEd journals.lww.com/pccmjournal/Fu… #CCC50

@sapnaKMd @ChrisCarrollMD @PedCritCareMed describe impact of #Twitter on international collaboration and rapid information dissemination through #PedsICU journals.lww.com/pccmjournal/fu… #CCC50

I am sure I missed some outstanding #MedED #PedsICU articles form 2020. Post more here! #CCC50