Christoph U Lehmann
Affiliation: Johns Hopkins University
- Medical information systems in pediatricsChristoph U Lehmann
Eudowood Neonatal Pulmonary Division and Division of Health, Sciences Informatics, Johns Hopkins University, Baltimore, MD 21287, USA
Pediatrics 111:679. 2003
- Prevention of medication errorsChristoph U Lehmann
Eudowood Neonatal Pulmonary Division, Department of Pediatrics, Johns Hopkins University, Harvey Nelson 2 133, 600 North Wolfe Street, Baltimore, MD 21287 3200, USA
Clin Perinatol 32:107-23, vii. 2005..The most important component of error prevention and reduction is the proactive promotion of a safety culture by organizational leadership, with sustained education and support for users...
- Preventing provider errors: online total parenteral nutrition calculatorChristoph U Lehmann
Division of Neonatology, Department of Pediatrics, Johns Hopkins University, Baltimore, Maryland 21287 3200, USA
Pediatrics 113:748-53. 2004..To describe the development of a pragmatic low-cost medical information system that reduces errors in the ordering of total parenteral nutrition (TPN) in the newborn intensive care unit at the Johns Hopkins Hospital...
- Computerized provider order entry and patient safetyChristoph U Lehmann
Eudowood Neonatal Pulmonary Division, Department of Pediatrics, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Nelson 2 133, Baltimore, MD 21287, USA
Pediatr Clin North Am 53:1169-84. 2006..CPOE/CDS adoption requires significant expertise in health care processes, information technology, and change management. Adoption is a high-cost, high-risk venture with political implications...
- Detection and management of pornography-seeking in an online clinical dermatology atlasChristoph U Lehmann
Division of Health Sciences Informatics, Department of Dermatology, Johns Hopkins University School of Medicine, Baltimore, Maryland 21287 3200, USA
J Am Acad Dermatol 54:633-7. 2006..Increased use of an online educational archive of photographic dermatology case materials (DermAtlas) indicated unexpected pornography-seeking behavior and misuse...
- Sustained savings from a longitudinal cost analysis of an internet-based preapproval antimicrobial stewardship programAnna C Sick
Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA
Infect Control Hosp Epidemiol 34:573-80. 2013..To evaluate an internet-based preapproval antimicrobial stewardship program for sustained reduction in antimicrobial prescribing and resulting cost savings...
- Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysisGeorge R Kim
Division of Health Sciences Informatics, The Johns Hopkins School of Medicine, Baltimore, MD 21287 3200, USA
Arch Pediatr Adolesc Med 160:495-8. 2006..To implement and evaluate the impact of computerized provider order entry (CPOE) on reducing ordering errors in pediatric chemotherapy...
- Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition from the hospital to homeBenjamin H Lee
Department of Anesthesiology Critical Care Medicine, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA
J Pain 10:160-6. 2009..The high rate of prescribing errors highlights the importance of developing, testing and implementing effective error-prevention strategies, especially in high-risk medications such as narcotics...
- Decreasing errors in pediatric continuous intravenous infusionsChristoph U Lehmann
Johns Hopkins Children s Medical and Surgical Center, Baltimore, MD, USA
Pediatr Crit Care Med 7:225-30. 2006..To evaluate the effect of a Web-based calculator and decision-support system on infusion ordering errors and to estimate error frequency in pharmacy infusion preparation...
- Patient safety rounds in a pediatric tertiary care centerMichael L Rinke
Department of Pediatrics, John Hopkins University, Balitimore, USA
Jt Comm J Qual Patient Saf 34:5-12. 2008..Completed issues were categorized into both Modified Vincent and University HealthSystem Consortium (UHC) categorization schemes to compare and contrast their attributes...
- Neonatal nucleated red blood cells and the prediction of cerebral white matter injury in preterm infantsAnadir M Silva
Division of Maternal Fetal Medicine, Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA
Obstet Gynecol 107:550-6. 2006..To estimate whether neonates with cerebral white matter injury have significant elevations in nucleated red blood cell counts and to estimate their predictive ability in identifying injury...
- Ventilator-associated tracheitis in children: does antibiotic duration matter?Pranita D Tamma
Department of Pediatric Infectious Diseases, Johns Hopkins Medical Institutions, Baltimore, MD 21287, USA
Clin Infect Dis 52:1324-31. 2011..The secondary objective was to determine whether prolonged-course therapy was more likely to result in the acquisition of multidrug-resistant organisms (MDROs) compared with short-course therapy...
- Self-reported treatment patterns in patients with Sturge-Weber syndrome and migrainesEric H Kossoff
Department of Neurology, Johns Hopkins Medical Institutions, Baltimore, Maryland 21287, USA
J Child Neurol 22:720-6. 2007..The small sample size precludes any safety analysis, however, and future prospective trials of both treatment options are needed...
- Progressive dilation of the ascending aorta in children with isolated bicuspid aortic valveKathryn W Holmes
Department of Pediatrics, Johns Hopkins University, Baltimore, Maryland, USA
Am J Cardiol 99:978-83. 2007..06 for both). In conclusion, the progression of AA diameter in patients with normal z scores on initial examination suggests that serial echocardiograms are required to screen for the development of significant aortic dilation...
- Patient safety in emergency situations: A web-based pediatric arrest medication calculatorCharles G Blackledge
Center for Innovation in Quality Patient Care, Johns Hopkins Medical Institutions, USA
J Healthc Qual 28:27-31. 2006..This article describes a simple low-cost technological solution for improving patient safety and care-provider assurance. Follow-up studies provide validation of the technology tool...
- A World Wide Web-based antimicrobial stewardship program improves efficiency, communication, and user satisfaction and reduces cost in a tertiary care pediatric medical centerAllison L Agwu
Divisions of Pediatric Infectious Diseases, Johns Hopkins Medical Institutions, Baltimore, Maryland 21287, USA
Clin Infect Dis 47:747-53. 2008..At the Johns Hopkins Children's Medical and Surgical Center (Baltimore, MD), we implemented a World Wide Web-based antimicrobial restriction program to address problems with the existing restriction program...
- An Analysis of 34,218 Pediatric Outpatient Controlled Substance PrescriptionsJessica A George
From the Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland Departments of Pediatrics and Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, Tennessee and Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland
Anesth Analg 122:807-13. 2016..We sought to determine the ongoing efficacy of the program in prescription error reduction and the patterns with which providers prescribe controlled substances for children and young adults (ages 0-21 years) at hospital discharge...
- Association of self-reported hospital discharge handoffs with 30-day readmissionsIbironke Oduyebo
Departments of Medicine, The Johns Hopkins University, Baltimore, MD 21287, USA
JAMA Intern Med 173:624-9. 2013..Poor health care provider communication across health care settings may lead to adverse outcomes...
- Magnitude of arterial carbon dioxide change at initiation of extracorporeal membrane oxygenation support is associated with survivalMelania M Bembea
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins Hospital, Baltimore, Maryland, USA
J Extra Corpor Technol 45:26-32. 2013....
- Implementation of computerized provider order entry in a neonatal intensive care unit: Impact on admission workflowAlison K Chapman
Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA
Int J Med Inform 81:291-5. 2012....
- The impact of the Internet on pediatric medicineGeorge R Kim
Division of Health Sciences Informatics, Johns Hopkins University, Baltimore, Maryland 21287 3200, USA
Paediatr Drugs 5:433-41. 2003....
- No time to waste: decreasing patient wait times for chemotherapy administration using automated prioritization in an oncology pharmacy systemHanan J Aboumater
Center for Innovation in Quality Patient Care, John Hopkins University School of Medicine, Baltimore, MD 21287 0765, USA
Am J Manag Care 14:309-16. 2008..To implement an automated pharmacy dispensing prioritization system and to evaluate its effect on the timing of dispensing and administration of chemotherapy...
- Medication errors in neonatesTheodora A Stavroudis
Eudowood Neonatal Pulmonary Division, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA
Clin Perinatol 35:141-61, ix. 2008..Safety initiatives applicable to minimizing medication errors also are discussed...
- Primary care pediatricians' interest in diagnostic error reductionMichael L Rinke
Department of Pediatrics, The Children s Hospital at Montefiore and the Albert Einstein College of Medicine, Bronx, NY, USA
Diagnosis (Berl) 3:65-69. 2016..Diagnostic errors causing harm in children are understudied, resulting in a knowledge gap regarding pediatricians' interest in reducing their incidence...
- Brief Report: Gonorrhea and Chlamydia Testing Increasing but Still Lagging in HIV Clinics in the United StatesStephen A Berry
Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD Department of Medicine, University of California, San Diego School of Medicine, San Diego, CA Department of Medicine, Oregon Health and Science University, Portland, OR Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN and Drexel University School of Medicine, Philadelphia, PA
J Acquir Immune Defic Syndr 70:275-9. 2015..Interventions to improve gonorrhea/chlamydia screening are needed. A more targeted screening approach may be warranted. ..
- Eliminating Health Care Disparities With Mandatory Clinical Decision Support: The Venous Thromboembolism (VTE) ExampleBrandyn D Lau
Department of Surgery, Division of Acute Care Surgery, The Johns Hopkins University School of Medicine The Armstrong Institute for Patient Safety, Johns Hopkins Medicine Division of Health Sciences Informatics Department of Anesthesiology and Critical Care Medicine Department of Surgery, Center for Surgical Trials and Outcomes Research CSTOR, The Johns Hopkins University School of Medicine Department of Health Policy and Management, The Johns Hopkins University Bloomberg School of Public Health Department of Medicine, Division of Hematology, The Johns Hopkins University School of Medicine, Baltimore, MD Department of Pediatrics, Division of Neonatal Perinatal Medicine, Vanderbilt University School of Medicine, Nashville, TN Department of Pharmacy, The Johns Hopkins Hospital Section of Hematology, Department of Internal Medicine, Yale University, New Haven, CT Department of Emergency Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD
Med Care 53:18-24. 2015..The tool requires completion of checklists to evaluate VTE risk factors and contraindications to pharmacological prophylaxis, and then recommends the risk-appropriate VTE prophylaxis regimen...
- Anticoagulation monitoring during pediatric extracorporeal membrane oxygenationMelania M Bembea
Department of Anesthesiology and Critical Care, Johns Hopkins University, Baltimore, Maryland 21287, USA
ASAIO J 59:63-8. 2013..Additional studies are warranted to determine optimal ECMO anticoagulation monitoring...
- Real-time forecasting of pediatric intensive care unit length of stay using computerized provider ordersScott R Levin
Departments of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA
Crit Care Med 40:3058-64. 2012..The model was designed to be integrated within a computerized decision support system to improve patient flow management...
- Computerized provider order entry in pediatric oncology: design, implementation, and outcomesAllen R Chen
Departments of Oncology and Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD
J Oncol Pract 7:218-22. 2011..Pediatric oncology is a challenging environment for computerized provider order entry (CPOE). Our goal was to build on the proven safety features of CPOE and facilitate input of expert clinicians...
- Neonatal brain imaging and the identification of metabolic acidemia and hypoxic-ischemic encephalopathyKristy A Ruis
Division of Maternal Fetal Medicine, Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland 21287 1228, USA
J Matern Fetal Neonatal Med 22:823-8. 2009..To determine the precision with which intrapartum metabolic acidemia and hypoxic-ischemic encephalopathy (HIE) in term and near-term infants can be identified by neonatal brain imaging...
- Hyperglycemia and retinopathy of prematurity in very low birth weight infantsRuchira Garg
Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD 21287 3200, USA
J Perinatol 23:186-94. 2003..Retinopathy of prematurity (ROP) remains a leading cause of morbidity in the very low-birth-weight (VLBW) infant. This study investigates a possible association between serum/blood glucose and the development of ROP...
- Patient safety: a tale of two institutionsMarion J Ball
Johns Hopkins University School of Nursing, USA
J Healthc Inf Manag 20:26-34. 2006..Simulation-based training targets critical procedures and performance for physicians and nurses, and a "smart room" is slated for development...
- Heat loss prevention in the delivery room for preterm infants: a national survey of newborn intensive care unitsRobin B Knobel
School of Nursing, University of North Carolina, Chapel Hill, NC 27599 7460, USA
J Perinatol 25:514-8. 2005..Three recent trials have shown that wrapping such infants instead of drying prevents heat loss, resulting in higher infant temperatures at Newborn Intensive Care Unit (NICU) admission...
- Know thy source: medical information on the internetChristoph U Lehmann
J Perinatol 23:353. 2003
- Electronic prescribing systems in pediatrics: the rationale and functionality requirementsRobert S Gerstle
Pediatrics 119:e1413-22. 2007..This technical report supports the accompanying American Academy of Pediatrics policy-statement recommendations on the adoption of electronic prescribing systems by pediatricians...
- Standardization and the practice of medicineChristoph U Lehmann
J Perinatol 24:135-6. 2004
- Efficacy and feasibility of teledermatology for paediatric medical educationNader Shaikh
Children s Hospital of Pittsburgh, General Academic Pediatrics, Pittsburgh, PA 15213 2583, USA
J Telemed Telecare 14:204-7. 2008..We believe that teledermatology has great potential in the education of medical trainees...