Deborah E. Campbell
Boston Children's Hospital
ObstetricsSurgeryNursingRenal functionHealth careIntensive care medicinePediatricsNeonatal intensive care unitGestational ageMEDLINECreatinineHearing lossIntensive careHearing screeningPediatric careHospital dischargeAnesthesiaIncidence (epidemiology)GestationNeonatologyAudiologyBirth weightQuality managementMedicine
Publications 45
At the time of discharge from the NICU, many infants have ongoing complex medical issues that will require coordinated, multispecialty follow-up. Discharge planning and transfer of care for infants with medical complexity require a multidisciplinary team effort that begins early during the NICU hospitalization. It is critical that the primary care physician is involved in this process because he or she will serve as the chief communicator and coordinator of care after discharge. Although some in...
BACKGROUND A 56 US hospital collaborative, Improving Pediatric Sepsis Outcomes, has developed variables, metrics and a data analysis plan to track quality improvement (QI)-based patient outcomes over time. Improving Pediatric Sepsis Outcomes expands on previous pediatric sepsis QI efforts by improving electronic data capture and uniformity across sites. METHODS An expert panel developed metrics and corresponding variables to assess improvements across the care delivery spectrum, including the em...
#1Gitte Y. Larsen (Primary Children's Hospital)H-Index: 17
#2Richard J. BrilliH-Index: 37
Last. W. Charles Huskins (Mayo Clinic)H-Index: 22
view all 24 authors...
Pediatric sepsis is a major public health problem. Published treatment guidelines and several initiatives have increased adherence with guideline recommendations and have improved patient outcomes, but the gains are modest, and persistent gaps remain. The Children's Hospital Association Improving Pediatric Sepsis Outcomes (IPSO) collaborative seeks to improve sepsis outcomes in pediatric emergency departments, ICUs, general care units, and hematology/oncology units. We developed a multicenter qu...
#1Timothy P. Stevens (URMC: University of Rochester Medical Center)H-Index: 25
#2Eileen P. Shields (NYSDOH: New York State Department of Health)H-Index: 5
Last. Marilyn A. Kacica (SUNY: State University of New York System)H-Index: 5
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Objective To decrease the incidence of postnatal growth restriction, defined as discharge weight Study design The quality improvement cohort consisted of infants Results We achieved a 19% reduction, from 32.6% to 26.3%, in postnatal growth restriction before hospital discharge. Reductions in the difference in z-score between birth and discharge weights were significant, and differences in z-score between birth and discharge head circumference approached significance. In survey data, regional per...
#4Jennifer A. Hudson (Greenville Health System)H-Index: 4
The scope of practice for newborn care in nonintensive hospital settings is ever changing, with obstetric care advances, shorter length of stay (LOS), and increased family-centered care.[1][1] In response to the US Surgeon General’s call to support breastfeeding and Baby Friendly USA, more infants
#1Mohamed Farooq Ahamed (Southern Illinois University School of Medicine)H-Index: 1
#2Deborah E. Campbell (Albert Einstein College of Medicine)H-Index: 15
Last. Orna Rosen (Albert Einstein College of Medicine)H-Index: 2
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Exogenous noise has deleterious effects on the developing fetus and infant. The aim of this quality improvement project was to lower the mean ambient noise level within a level IV neonatal intensive care unit (NICU) by 10% from the baseline in one year. Multiple noise reduction strategies were tested through Plan-Do-Study-Act cycles based on the Institute for Healthcare Improvement model for improvement. Strategies targeted environmental and behavioral modifications. Noise levels were recorded c...
#1Annie JanvierH-Index: 31
#2John D. Lantos (Children's Mercy Hospital)H-Index: 47
Last. Alan R. SpitzerH-Index: 44
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For parents, the experience of having an infant in the NICU is often psychologically traumatic. No parent can be fully prepared for the extreme stress and range of emotions of caring for a critically ill newborn. As health care providers familiar with the NICU, we thought that we understood the impact of the NICU on parents. But we were not prepared to see the children in our own families as NICU patients. Here are some of the lessons our NICU experience has taught us. We offer these lessons in ...
Understanding the role of religious views in the discussion about resuscitation at the threshold of viability
#1Deborah E. CampbellH-Index: 15
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