We are inundated by data;healthcare is no different.The electronic medical record,the numerous patient care monitors,and the thousands of medications to be reconciled with specific dosing parameters are a few examples...We are inundated by data;healthcare is no different.The electronic medical record,the numerous patient care monitors,and the thousands of medications to be reconciled with specific dosing parameters are a few examples of the omnipresent and intimidating nature of data in healthcare.Across the world,healthcare without data does not exist.The data represent many forms but are quickly moving towards electronic formats.As ubiquitous as data are the near universal finding that such data are lagging.There is an urgent need for real-time data in improving processes and ultimately outcomes in healthcare.If data lag by four to eight weeks,if not longer,then true change cannot occur and harm continues in that interval.This review article discusses the urgent need for real-time data and demonstrates examples of how Children's National Medical Center in Washington,DC uses real-time data to drive outcomes.展开更多
Dr.Jiao et al1 from Beijing Children’s Hospital present an impressive report on the novel use of a holmium laser and subsequent cryotherapy delivered via a flexible bronchoscopy as a treatment modality for post-intub...Dr.Jiao et al1 from Beijing Children’s Hospital present an impressive report on the novel use of a holmium laser and subsequent cryotherapy delivered via a flexible bronchoscopy as a treatment modality for post-intubation acquired subglottic stenosis in children.Excellent outcomes were achieved in 16 consecutive patients with serial procedures,including clinical cure(defined as:resolution of respiratory symptoms,significant improvement in subglottic stenosis grade,and tracheotomy decannulation)in 15 of 16 patients.They had no serious complications.This novel approach with promising results adds to the toolbox of methods available to address the vexing problem of post-intubation subglottic stenosis.展开更多
文摘We are inundated by data;healthcare is no different.The electronic medical record,the numerous patient care monitors,and the thousands of medications to be reconciled with specific dosing parameters are a few examples of the omnipresent and intimidating nature of data in healthcare.Across the world,healthcare without data does not exist.The data represent many forms but are quickly moving towards electronic formats.As ubiquitous as data are the near universal finding that such data are lagging.There is an urgent need for real-time data in improving processes and ultimately outcomes in healthcare.If data lag by four to eight weeks,if not longer,then true change cannot occur and harm continues in that interval.This review article discusses the urgent need for real-time data and demonstrates examples of how Children's National Medical Center in Washington,DC uses real-time data to drive outcomes.
文摘Dr.Jiao et al1 from Beijing Children’s Hospital present an impressive report on the novel use of a holmium laser and subsequent cryotherapy delivered via a flexible bronchoscopy as a treatment modality for post-intubation acquired subglottic stenosis in children.Excellent outcomes were achieved in 16 consecutive patients with serial procedures,including clinical cure(defined as:resolution of respiratory symptoms,significant improvement in subglottic stenosis grade,and tracheotomy decannulation)in 15 of 16 patients.They had no serious complications.This novel approach with promising results adds to the toolbox of methods available to address the vexing problem of post-intubation subglottic stenosis.
