James M. Anderson Center for Health Systems Excellence

Menstrual Disorders:

• Menorrhagia

Anxiolytic Medication:

• Patients with Developmental and Behavioral Challenges

Croup:

• Use of Steroids

Diabetes:

• Screening of Hypertension in Pediatric Patients with Diabetes
• Screening and Management of Dyslipidemia in Diabetic Patients

Pediatric Obesity:

• Initial Screening and Referral for Comorbidities in Pediatric Obese Patients

Acute Gastroenteritis:

• Probiotic LGG

Failure to Thrive:

• Treatment Protocol 

Osteomyelitis:

• Short vs. Long IV 

Syncope:

• Evaluation of Syncope 

Tetralogy of Fallot:

• Follow-Up Testing 

Anticoagulation Therapy:

• Management of Low Molecular Weight Heparin 
• Management of Therapeutic Unfractionated Heparin 
• Management of Warfarin Therapy 

Elevated Blood Pressure:

• Blood Pressure Measurement in Children 

Kidney Transplant:

• Readiness for Transition to Adult Care: Pediatric Kidney Transplant Patients

Duchenne Muscular Dystrophy:

• Growth Hormone Therapy 

Amblyopia:

• Treatment of Amblyopia in Children 

ROP:

• Screening for Retinopathy of Prematurity (ROP)

• Aggression, Treatment of
• Major Depressive Disorder, Treatment of
• Screening of Children and Adolescents for Major Depressive Disorder (MDD)

Cystic Fibrosis (CF):

• Airway Clearance Technique in Patients with Cystic Fibrosis 
• Infection Control in Cystic Fibrosis 

Sleep Apnea:

• Long-term Outcomes in Obstructive Sleep Apnea (OSA)

Staffing Mix:

• Use of Unlicensed Assistive Personnel

Amplification:

• Single Sided Deafness
• Unilateral Hearing Loss

Aural Atresia:

• Aural Atresia 

Bilateral Cochlear Implantation:

• Sequential Bilateral Cochlear Implants

Child With a History of Abuse or Neglect:

• Medical Play Preparation 

Support During Medical Procedures:

• Child Life Support During Medical Procedures

End of Life:

• Sibling Support in End of Life Care

Children Undergoing Stressful Healthcare Experience:

• Incentive Use

Craniosacral Therapy

• Children with Autism and / or Sensory Processing Disorder

Massage Therapy:

• Effects on Quality of Life for Youth with Cystic Fibrosis 

Design of NICU:

• Design of NICU

Nonorganic Failure to Thrive:

• Parent-Infant Interaction

Parents of Females with Anorectal Malformation:

• When is the best time to inform parents / guardians of associated gynecologic anomalies?

Psychiatry:

• Preventing Patient Self-Harm
• Sleep Promotion

Sickle Cell Disease:

• Pneumococcal and Influenza Vaccination Rates

Staff Education:

• Disaster Preparedness

Tracheostomy:

• Basic Pediatric Tracheostomy Care
• Suctioning

Music Therapy:

• Well-Being of Inpatients

Axillary Temperature Taking:

• Chemical Dot Thermometer

Methylprednisolone for Migraines:

• Vital Signs Frequency

Blood Draw from IV Catheter:

• Amount of Waste Blood 

Neuroscience / Pregnant Nurses / Healthcare Workers:

• Exposure to Radioisotope-Neurolite Teratogenic Risks

Direct Care Registered Nurses

• Competency Assessment

Eating Disorders

• Environment of Care

NGT Placement:

• Confirmation of Nasogastric Tube (NGT) Placement

Epilepsy, Intractable:

• Parent Support Groups for Intractable Epilepsy

Palliative Care Programs:

• Impact on Quality of Life

Formal Education Plan:

• Pediatric Inpatient Discharge

Patient Rounds:

• Sharing Information

Guided Imagery for Post-Operative Pain:

• Guided Imagery

Registered Nurse Turnover:

• Psychosocial Support Program

Hematopoietic Stem Cell Transplant Patients:

• Blood Sparing Procedures via a Central Access Device

RN Transport Team:

• Impact on Patient Safety

Home Care Self-Infusion:

• Self-Infusion of Subcutaneous Gamma-Globulin

Urologic Endoscopy:

• Irrigation Fluid Temperature

Inpatient Bowel Preparation

• Clear Liquid versus Regular Diet

Vascular Access:

• Use of alteplase in occluded pediatric central venous catheters (CVC)

Maternal Diet in Lactation:

• Maternal Dietary Antigen Avoidance in Lactation 

Autism:

• Motor Evaluations
• Outcomes Assessment
• Sensory Assessment Tools
• Weighted Vest

Physical Therapy:

• Hip Strengthening & Tibial Stress Fracture among Adolescent Runners

Cerebral Palsy:

• Aquatic Therapy for Children with Hemiplegic Cerebral Palsy
• Biofeedback Intervention for Children with Hemiplegic Cerebral Palsy
• Lower Extremity Orthoses for Children with Hemiplegic Cerebral Palsy
• Strengthening for Children with Cerebral Palsy

Plagiocephaly, Torticollis:

• Plagiocephaly

Custom Rehab Equipment:

• Wheelchair Delivery Evaluation

Recreational Therapy

• Equine Facilitated Learning Program

Education:

• Communication of Healthcare Information

Sensory Processing Difficulties:

• Deep Pressure Proprioceptive Protocols
• Sensory Diet

Intervention:

• Aquatic physical therapy combined with land-based physical therapy to improve functional independence 
• Intensive Partial Body Weight Supported Treadmill Training

Electronic Reminders:

• Electronic Reminders to Address Adherence

Simple Procedure

• Irrigation

Asthma Reactive Airway Disease:

• Communication
• Weaning Albuterol

Pediatric Patients with Wheezing:

• Oxygen versus Air Nebulization 

Mechanical Ventilated Patients:

• Neurally Adjusted Ventilatory Assist (NAVA) in decreasing use of sedation

Recruitment Maneuvers:

• Recruitment Maneuvers vs. Chest Physiotherapy for the Mechanically Ventilated Patient
• Acute Lung Injury

Respiratory Distress:

• CPAP vs. HFNC

Acquired Brain Injury:

• Computer Assisted Cognitive Rehabilitation

Home Program:

• Partnering with Parents

Education:

• Communication of Healthcare Information