Elise Rolison
YOU?
Author Swipe
View article: Developing a “Sepsis Never Event” Measure for Our Hospital-wide Improvement Initiative
Developing a “Sepsis Never Event” Measure for Our Hospital-wide Improvement Initiative Open
Background: Historical measure definitions for our sepsis initiative captured intent-to-treat without connection to final diagnosis or patient outcomes. Objectives: To develop a novel sepsis outcome measure capturing confirmed sepsis-relat…
View article: Improving Pediatric Intensive Care Unit Discharge Timeliness of Infants with Bronchiolitis Using Clinical Decision Support
Improving Pediatric Intensive Care Unit Discharge Timeliness of Infants with Bronchiolitis Using Clinical Decision Support Open
Background Identifying children ready for transfer out of the pediatric intensive care unit (PICU) is an area that may benefit from clinical decision support (CDS). We previously implemented a quality improvement (QI) initiative to acceler…
View article: Key Drivers Associated with Effective Sepsis Care on a Surgical Unit
Key Drivers Associated with Effective Sepsis Care on a Surgical Unit Open
Background: In 2020, we observed an increase in inpatient postoperative patient deteriorations. Preliminary case reviews suggested gaps in sepsis care. Objectives: To identify key drivers associated with effective care escalation and sepsi…
View article: Reducing PICU-to-Floor Time-to-Transfer Decision in Critically Ill Bronchiolitis Patients using Quality Improvement Methodology
Reducing PICU-to-Floor Time-to-Transfer Decision in Critically Ill Bronchiolitis Patients using Quality Improvement Methodology Open
Introduction: Specific criteria for de-escalation from the PICU are often not included in viral bronchiolitis institutional pathways. Variability of transfer preferences can prolong PICU length of stay. We aimed to decrease the time from r…
View article: Reducing Time from Antibiotic Order to Administration in Hospitalized Children with Suspected Sepsis
Reducing Time from Antibiotic Order to Administration in Hospitalized Children with Suspected Sepsis Open
The Children’s Hospital Association’s Improving Pediatric Sepsis Outcomes (IPSO) collaborative is a multi-center quality improvement (QI) learning collaborative of 61 U.S. children’s hospitals that seeks to improve sepsis outcomes through …
View article: Confidence-weighted Testing as an Impactful Education Intervention within a Pediatric Sepsis Quality Improvement Initiative
Confidence-weighted Testing as an Impactful Education Intervention within a Pediatric Sepsis Quality Improvement Initiative Open
Introduction: Confidence-weighted testing assesses learners’ beliefs about their knowledge and skills. As part of a hospital-wide quality improvement initiative to enhance care for pediatric patients with suspected sepsis, we developed a n…
View article: Managing Diagnostic Uncertainty in Pediatric Sepsis Quality Improvement with a Two-Tiered Approach
Managing Diagnostic Uncertainty in Pediatric Sepsis Quality Improvement with a Two-Tiered Approach Open
Introduction: Severe sepsis requires timely, resource-intensive resuscitation, a challenge when a sepsis diagnosis is not confirmed. The overall goals were to create a pediatric sepsis program that provided high-quality critical care in se…
View article: “Is This Sepsis?” Education: Leveraging “Confidently Held Misinformation” and Learner “Struggle”
“Is This Sepsis?” Education: Leveraging “Confidently Held Misinformation” and Learner “Struggle” Open
Background: Sepsis education and knowledge application is one of the key drivers of our sepsis initiative. Institutional sepsis experts developed courses on the Amplifire eLearning platform for frontline personnel. Content targeted both pr…
View article: A Strategy for the Renovation of a Clinical Pathways Program
A Strategy for the Renovation of a Clinical Pathways Program Open
Introduction: Clinical pathways (CPs) translate best available evidence to the local care context and intend to inform clinical decision-making, optimize care, and decrease variation. This article describes a CPs program improvement proces…
View article: Escalation Huddles: Facilitating Sepsis Activations Using Hospital-wide Escalation Processes
Escalation Huddles: Facilitating Sepsis Activations Using Hospital-wide Escalation Processes Open
Background: Bedside huddles can be valuable parts of hospital sepsis responses. These huddles, however, risk duplication of effort with existing care escalation systems, and they may also be of value in settings other than sepsis. Streamli…