RESUMEN
This quality improvement project helped streamline the process of newborn and infant physical examinations on maternity inpatient ward and improved patient journey and workforce satisfaction.
Asunto(s)
Cuidado del Lactante , Examen Físico , Mejoramiento de la Calidad , Humanos , Lactante , Recién Nacido , Pautas de la Práctica en Medicina , Factores de TiempoRESUMEN
Improving communication between health-care professionals is essential for patient safety. This article outlines a quality improvement project carried out to improve the quality of medical handover on a paediatric ward. The project incorporated the use of the SBAR (situation, background, assessment, recommendation) tool and use of a job book to highlight outstanding jobs in the daily handover. The project showed an improvement in the quality of handover and highlighted that a standardized approach to medical handover helped to ensure continuity of care of paediatric patients.
Asunto(s)
Cuidado del Lactante/normas , Pase de Guardia/normas , Mejoramiento de la Calidad/normas , Comunicación , Hospitales Pediátricos/normas , Humanos , Lactante , Auditoría Médica , Grupo de Atención al Paciente , Pase de Guardia/estadística & datos numéricos , Seguridad del Paciente , Relaciones RacialesRESUMEN
INTRODUCTION: Infections can act as a trigger for juvenile dermatomyositis, with a predominance of respiratory tract infections reported previously. We present the first case of juvenile dermatomyositis following varicella infection to be described in the literature. CASE PRESENTATION: A 15-month-old Caucasian girl was diagnosed with juvenile dermatomyositis 3 months after a varicella infection. The diagnosis was challenging due to her young age, but was supported by magnetic resonance imaging, and confirmed following a later appearance of the characteristic skin rash. CONCLUSION: Varicella infection may be a trigger for juvenile dermatomyositis. Further understanding of disease triggers is required.
Asunto(s)
Aneurisma Infectado/terapia , Infección Hospitalaria/terapia , Embolización Terapéutica/métodos , Aneurisma Ilíaco/terapia , Infecciones Estafilocócicas/terapia , Aneurisma Infectado/diagnóstico por imagen , Infección Hospitalaria/diagnóstico por imagen , Humanos , Aneurisma Ilíaco/diagnóstico por imagen , Recién Nacido , Masculino , Resistencia a la Meticilina , Infecciones Estafilocócicas/diagnóstico por imagen , Tomografía Computarizada por Rayos XRESUMEN
We present an unusually severe case of pneumococcal infection in an immunocompetent child who progressed from pneumonia to empyema, pericarditis with cardiac tamponade, and severe venous thromboembolism leading to life-threatening pulmonary embolus.