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Paul J. Sharek
Journal Articles

Development, Testing, and Findings of a Pediatric- Focused Trigger Tool to Identify Medication Related Harm in US Children's Hospitals

Takata G, Mason W, Takatoma C, Logsdon T, Paul Sharek
Pediatrics , 2008

OBJECTIVES: The purposes of this study were to develop a pediatric-focused tool for adverse drug event detection and describe the incidence and characteristics of adverse drug events in children's hospitals identified by this tool.

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Journal Articles

An Intervention to Decrease Narcotic Related Adverse Drug Events in Children's Hospitals

Paul J. Sharek, McClead RE, Taketomo C, Luria JW, Takata GS, Walti B, Tanski M, Carla N, Logsdon TR, Thurm C, Federico F
Pediatrics , 2008

OBJECTIVES: Narcotic-related adverse drug events are the most common adverse drug events in hospitalized children. Despite multiple published studies describing interventions that decrease adverse drug events from narcotics, large-scale collaborative quality improvement efforts to address narcotic-related adverse drug events in pediatrics have not been described. The purpose of this study was to evaluate collaborative-wide narcotic-related adverse drug event rates after a collection of expert panel-defined best practices was implemented.

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Journal Articles

Improving Communication in the Pediatric Intensive Care Unit Using Daily Goal Sheets

Agarwal S, Frankel L, Tourner S, McMillan A, Paul J. Sharek
Journal of Critical Care , 2008

The aim of the study was to determine if a pediatric intensive care unit (PICU) daily patient goal sheet would improve communication between health care providers and decrease length of stay (LOS).

MATERIALS AND METHODS: We evaluated a daily patient goal sheet's impact on questionnaire-based measures of effectiveness of communication, nurses' knowledge of physicians in charge, and on LOS in the PICU.

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Journal Articles

Sustained Reduction in Hospital- Wide Mortality Associated with Implementation of a Rapid Response Team in an Academic Children's Hospital

Paul J. Sharek, Parast LM, Leong K, Coombs J, Earnest K, Sullivan J, Frankel LR, Roth SJ
JAMA , 2007
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Journal Articles

Best Practice Implementation: Lessons Learned from 20 Partnerships.

Paul J. Sharek, Mullican C, Lavanderos A, Palmer C, Snow VSnow V, Kmetik KKmetik K, Antman M, Knutson D, Dembry LM
Joint Commission Journal on Quality and Patient Safety , 2007

Partnerships can facilitate effective implementation of best practices, but literature describing effective and ineffective strategies to address barriers to implementation in partnerships is lacking. METHODS: Principal investigators (PIs) were surveyed to identify barriers to best practice implementation, rank their significance, and articulate the success and failure of solutions attempted. RESULTS: The top four categories of barriers to implementation were partnership challenges, practitioner/local organization variables, time frame challenges, and financial concerns.

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