66 research outputs found
The clinical effectiveness of an integrated multidisciplinary evidence-based program to prevent intraoperative pressure injuries in high-risk children undergoing long-duration surgical procedures: a quality improvement study
Get PDFThe prevention of hospital-acquired pressure injuries (HAPIs) in children undergoing long-duration surgical procedures is of critical importance due to the potential for catastrophic sequelae of these generally preventable injuries for the child and their family. Long-duration surgical procedures in children have the potential to result in high rates of HAPI due to physiological factors and the difficulty or impossibility of repositioning these patients intraoperatively. We developed and implemented a multi-modal, multi-disciplinary translational HAPI prevention quality improvement program at a large European Paediatric University Teaching Hospital. The intervention comprised the establishment of wound prevention teams, modified HAPI risk assessment tools, specific education, and the use of prophylactic dressings and fluidized positioners during long-duration surgical procedures. As part of the evaluation of the effectiveness of the program in reducing intraoperative HAPI, we conducted a prospective cohort study of 200 children undergoing long-duration surgical procedures and compared their outcomes with a matched historical cohort of 200 children who had undergone similar surgery the previous year. The findings demonstrated a reduction in HAPI in the intervention cohort of 80% (p < 0.01) compared to the comparator group when controlling for age, pathology, comorbidity, and surgical duration. We believe that the findings demonstrate that it is possible to significantly decrease HAPI incidence in these highly vulnerable children by using an evidence-based, multi-modal, multidisciplinary HAPI prevention strategy
Portrait [prémonitoire] de Guillaume Apollinaire
No full textOverall view; In 1913 de Chirico sold his first painting at the Salon d’Automne, and attended the social gatherings of Guillaume Apollinaire, finding in him an encouraging critic and an inspiring friend. Apollinaire was the first to apply the term "metaphysical" to de Chirico’s art. In the portrait of Apollinaire, de Chirico’s characteristic device of filling the foreground is exaggerated by the steep perspective and the vertical white slab with fish and shell molds. Color is restricted almost to monochrome, and the composition as a whole is almost abstract but for the classical bust, which acts as a partner to the silhouette of the poet above. Apollinaire encouraged the suggestion that the portrait likened him to the mythical poet Orpheus. Source: Grove Art Online; http://www.oxfordartonline.com/ (accessed 5/30/2014
Portrait [prémonitoire] de Guillaume Apollinaire
No full textDetail, lower portion with classical bust and de Chirico's signature; In 1913 de Chirico sold his first painting at the Salon d’Automne, and attended the social gatherings of Guillaume Apollinaire, finding in him an encouraging critic and an inspiring friend. Apollinaire was the first to apply the term "metaphysical" to de Chirico’s art. In the portrait of Apollinaire, de Chirico’s characteristic device of filling the foreground is exaggerated by the steep perspective and the vertical white slab with fish and shell molds. Color is restricted almost to monochrome, and the composition as a whole is almost abstract but for the classical bust, which acts as a partner to the silhouette of the poet above. Apollinaire encouraged the suggestion that the portrait likened him to the mythical poet Orpheus. Source: Grove Art Online; http://www.oxfordartonline.com/ (accessed 5/30/2014
- …
