Research Topics
| Paul J SharekSummaryAffiliation: Stanford University School of Medicine Country: USA Publications
| Collaborators
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Detail Information
Publications
Best practice implementation: lessons learned from 20 partnershipsPaul J Sharek
Department of Pediatrics, Stanford University School of Medicine, Stanford California, USA
Jt Comm J Qual Patient Saf 33:16-26. 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...
An intervention to decrease narcotic-related adverse drug events in children's hospitalsPaul J Sharek
Division of General Pediatrics, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California, USA
Pediatrics 122:e861-6. 2008..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...- Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a Children's HospitalPaul J Sharek
Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA 94304, USA
JAMA 298:2267-74. 2007..No published studies to date show significant reductions in mortality or cardiopulmonary arrests in pediatric inpatients... 
Performance characteristics of a methodology to quantify adverse events over time in hospitalized patientsPaul J Sharek
Division of General Pediatrics, Department of Pediatrics, Lucile Packard Children s Hospital and Stanford University School of Medicine, Palo Alto, CA 94304, USA
Health Serv Res 46:654-78. 2011..To assess the performance characteristics of the Institute for Healthcare Improvement Global Trigger Tool (GTT) to determine its reliability for tracking local and national adverse event rates...- The incidence of adverse events and medical error in pediatricsPaul J Sharek
Division of General Pediatrics, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA 94070, USA
Pediatr Clin North Am 53:1067-77. 2006..This article discusses differences between error and harm, methods used to measure harm, and available evidence that identifies the incidence of adverse events in pediatric inpatients and outpatients... - Evaluation and development of potentially better practices to improve pain management of neonatesPaul J Sharek
Department of Pediatrics, Stanford University School of Medicine, Lucile Packard Children s Hospital, Palo Alto, CA 94304, USA
Pediatrics 118:S78-86. 2006..The objective for this study was to use proven quality improvement methods to develop a process to improve neonatal pain management collaboratively... - Adverse events in the neonatal intensive care unit: development, testing, and findings of an NICU-focused trigger tool to identify harm in North American NICUsPaul J Sharek
Division of General Pediatrics, Department of Pediatrics, Stanford University School of Medicine, 700 Welch Rd, Suite 227, Palo Alto, CA 94304, USA
Pediatrics 118:1332-40. 2006..The purpose of this work was to develop a NICU-focused tool for adverse event detection and to describe the incidence of adverse events in NICUs identified by this tool... - Improved pain management in pediatric postoperative liver transplant patients using parental education and non-pharmacologic interventionsPaul J Sharek
Division of General Pediatrics, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA
Pediatr Transplant 10:172-7. 2006..No increases in lengths of stay (PICU, postoperative, total), time to extubation, or total cost were found... - Development, testing, and findings of a pediatric-focused trigger tool to identify medication-related harm in US children's hospitalsGlenn S Takata
Division of General Pediatrics, Department of Pediatrics, University of Southern California School of Medicine, Los Angeles, California, USA
Pediatrics 121:e927-35. 2008..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... - Evaluation and development of potentially better practices to prevent chronic lung disease and reduce lung injury in neonatesPaul J Sharek
Lucile Packard Children s Hospital, Stanford University School of Medicine, Palo Alto, California, USA
Pediatrics 111:e426-31. 2003..The objective of this study was to develop and implement a process that uses quality improvement techniques to collaboratively improve CLD rates... - Decrease in hospital-wide mortality rate after implementation of a commercially sold computerized physician order entry systemChristopher A Longhurst
Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California, USA
Pediatrics 126:14-21. 2010..Despite widespread enthusiasm for CPOE as a tool to help transform quality and patient safety, no published studies to date have associated CPOE implementation with significant reductions in hospital-wide mortality rates... - Reducing mortality related to adverse events in childrenAndrew Y Shin
Division of Cardiology, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA 94304, USA
Pediatr Clin North Am 59:1293-306. 2012..Pediatric experiences with rapid response teams and preventing central-line infections parallel the published experience of adults, with promise to significantly reduce preventable pediatric mortality... - Agreement among measures of asthma status: a prospective study of low-income children with moderate to severe asthmaPaul J Sharek
Division of General Pediatrics, Stanford University School of Medicine, Palo Alto, California, USA
Pediatrics 110:797-804. 2002..Understanding the relationship between these measures may facilitate more parsimonious and valid evaluation strategies without loss of information... - Effect of an evidence-based hand washing policy on hand washing rates and false-positive coagulase negative staphylococcus blood and cerebrospinal fluid culture rates in a level III NICUPaul J Sharek
Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA, USA
J Perinatol 22:137-43. 2002..Exploratory data analysis revealed a possible effect on true-positive coagulase negative staphylococcal blood and CSF culture rates, but these results need to be confirmed in future studies... - Integrating the home management plan of care for children with asthma into an electronic medical recordShilpa J Patel
Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA
Jt Comm J Qual Patient Saf 38:359-65. 2012..A user-friendly electronic medical record (EMR)-generated HMPC was developed and implemented at Lucile Packard Children's Hospital (LPCH) Palo Alto, California, an HPMC needed to be completed before entry of an inpatient discharge order... - Improving communication in a pediatric intensive care unit using daily patient goal sheetsSwati Agarwal
Division of Pediatric Critical Care, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA, USA
J Crit Care 23:227-35. 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)... - A quality improvement project to increase breast milk use in very low birth weight infantsHenry C Lee
Division of Neonatology, Department of Pediatrics, University of California, San Francisco, San Francisco, CA 94143 0734, USA
Pediatrics 130:e1679-87. 2012..To evaluate a multihospital collaborative designed to increase breast milk feeding in premature infants... - Simulation-based medical error disclosure training for pediatric healthcare professionalsKaren I Wayman
Lucile Packard Children s Hospital, Stanford, Palo Alto, CA, USA
J Healthc Qual 29:12-9. 2007..Ratings of setting "realism" and simulation effectiveness were high (21 out of 25 composite score). Findings provide preliminary support for further research on simulation-based disclosure training for healthcare professionals... - Effects of the accreditation council for graduate medical education duty hour limits on sleep, work hours, and safetyChristopher P Landrigan
Division of Sleep Medicine, Department of Medicine, Brigham and Women s Hospital, 221 Longwood Ave, Boston, MA 02115, USA
Pediatrics 122:250-8. 2008..Our goal was to determine whether work hours, sleep, and safety changed after implementation of the Accreditation Council for Graduate Medical Education standards... - Implementation and case-study results of potentially better practices to improve pain management of neonatesAlston E Dunbar
Division of Neonatology, Woman s Hospital, Baton Rouge, Louisiana, USA
Pediatrics 118:S87-94. 2006..Collaborative quality improvement techniques were used to facilitate local quality improvement in the management of pain in infants. Several case studies are presented to highlight this process... - Implementing potentially better practices to reduce lung injury in neonatesKelly Burch
St John s Mercy Medical Center, St Louis, Missouri 63141, USA
Pediatrics 111:e432-6. 2003..The objective of this study was to identify and assess implementation strategies that facilitate quality improvements in the respiratory care of extremely low birth weight infants... - Rates of medication errors among depressed and burnt out residents: prospective cohort studyAmy M Fahrenkopf
Harvard Medical School, Department of Medicine, Children s Hospital Boston, Boston, MA 02115, USA
BMJ 336:488-91. 2008..To determine the prevalence of depression and burnout among residents in paediatrics and to establish if a relation exists between these disorders and medication errors...