Editor’s Choice Articles for April

April 2021–another exciting and informative issue of Pediatric Critical Care Medicine (PCCM). There are three articles for this month’s Editor’s Choice. Please also look at the announcement about PCCM Narratives, Letters, and Correspondence in the PCCM Notes, Methods, and Statistics section (1). Each of my Editor’s Choice articles are focused on the theme of teamwork and practice improvement. In PCCM’s Online First section, over the last few months, these articles have already attracted significant attention. The first article is about real-time coaching and cardiopulmonary resuscitation (CPR) in the setting of simulated pediatric cardiac arrest (2). The second article reports on a before-versus-after study focused on standardizing work rounds in the PICU (3). My third choice describes sustainability and lessons learned 3 years after implementing an early mobilization program in the PICU (4). All three articles (2–4) and their related editorials (5–7) will be freely available for the next 2 months. DOES THE ADDITION OF A TRAINED CPR COACH TO PEDIATRIC RESUSCTIATION TEAMS HAVE THE POTENTIAL TO MAKE A DIFFERENCE? Kessler DO, Grabinski Z, Shephard LN, et al: Influence of Cardiopulmonary Resuscitation on Interruptions in Chest Compressions During Simulated Pediatric Cardiac Arrest (2). This article describes the consequence of randomization of CPR teams in a cardiac arrest simulation, to either include the presence of a trained CPR coach, or to have an additional member who does not work as a coach. The study involved four centers in Canada and the United States, with 200 health care professionals participating in a number of 5-person resuscitation teams. Our editorialists discuss the implications of the results but, more importantly, the need for a paradigm shift in how we think about team support and activity and the application of simulation research to real-life resuscitation events (5). ARE THERE BENEFITS TO STANDARDIZING PICU WORK ROUNDS? Lucrezia S, Noether J, Sochet AA: Standardized Work Rounds Enhance Teaming, Comprehensiveness, Shared Mental Model Development, and Achievement Rate of End-of-Shift Goals (3). This article describes two pre-to-post Plan-Do-Study-Act cycles involving 154 PICU work round encounters with a nurse-led, team-science approach (definitely look at Figure 1 in the article for a clearer understanding). Our editorialists help us to see the importance of the report and ask two questions related to everyday clinical care: ‘what could we do better?’ and ‘how does better teamwork lead to better patient care?’ (6). CAN WE INITIATE, INTEGRATE AND SUSTAIN THE PICU-CULTURE CHANGES NEEDED FOR PRACTICING EARLY PATIENT MOBILIZATION? Patel RV, Redivo J, Nelliot A, et al: Early Mobilization in a PICU: A Qualitative Sustainability Analysis of PICU Up! (4) The third article is a much-needed follow-up detailing interprofessional perspectives, engagement, and practice 3 years after starting a PICU mobilization program. (The figures are definitely worth reviewing; in color too). The accompanying editorial is written by Dr. Brenda Morrow, one of the new Senior Associate Editors at PCCM, who guides us through the challenges and necessity of qualitative research (70. This month, the three Editor’s Choice articles serve as important updates for general education in what’s new in research related to PICU teamwork in everyday practice, these are: the potential benefits of a coach for real-time CPR (2); the reframing of work rounds in the PICU (3); and, real-world sustainability of new practice initiatives such as early mobilization (4). All are good reading material as evidenced by their already impressive Altmetric scores.

Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.