Jason W. Custer

Diagnostic Uncertainty Among Critically Ill Children Admitted to the PICU: A Multicenter Study

Christina L. Cifra, Jason W. Custer, Craig M. Smith, Kristen A. Smith et autres

OBJECTIVES: This study aimed to identify the prevalence of and factors associated with diagnostic uncertainty when critically ill children are admitted to the PICU. Understanding diagnostic uncertainty is necessary to develop effective strategies to reduce diagnostic errors in the PICU. DESIGN: Multicenter …

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Prevalence and Characteristics of Diagnostic Error in Pediatric Critical Care: A Multicenter Study*

Christina L. Cifra, Jason W. Custer, Craig M. Smith, Kristen A. Smith et autres

OBJECTIVES: Effective interventions to prevent diagnostic error among critically ill children should be informed by diagnostic error prevalence and etiologies. We aimed to determine the prevalence and characteristics of diagnostic errors and identify factors associated with error in patients admitted to the …

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Encephalitis and cytokine storm secondary to respiratory viruses in children: Two case reports

Adrian Holloway, Liliana Simon, Jason W. Custer, Tomaz Alves et autres

Introduction Encephalitis is a syndrome characterized by brain damage secondary to an inflammatory process that is manifested by cognitive impairment and altered cerebral spinal fluid analysis; it may evolve with seizures and coma. Despite viral infections representing the main cause of encephalitis …

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Encephalitis and cytokine storm secondary to respiratory viruses in children: Two case reports

Pollyana C. P. Santos, Adrian Holloway, Jason W. Custer, Tomaz Alves et autres

Introduction: Encephalitis is a syndrome characterized by brain damage secondary to an inflammatory process that is manifested by cognitive impairment and altered cerebral spinal fluid analysis; it may evolve with seizures and coma. Despite viral infections representing the main cause of encephalitis …

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Outcomes of Pediatric Patients with Sepsis Managed on Extracorporeal Membrane Oxygenation: An Analysis of the Extracorporeal Life Support Organization Registry

Adrian Holloway, Jason W. Custer, Ripal Patel, Peta Alexander et autres

Abstract Extracorporeal membrane oxygenation (ECMO) support is increasingly used for refractory septic shock. There is a lack of data on the outcomes of children requiring ECMO support for refractory septic shock. Our study objective was to describe the variables associated with survival, …

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40: CHARACTERISTICS OF DIAGNOSTIC ERROR IN PEDIATRIC CRITICAL CARE: A MULTICENTER STUDY

Christina L. Cifra, Jason W. Custer, Craig J. Smith, Kristen A. Smith et autres

Cifra, Christina1; Custer, Jason2; Smith, Craig3; Smith, Kristen4; Bloxham, Jodi5; Ramesh, Sonali6; Eyck, Patrick Ten7; Dawson, Jeffrey8; Reisinger, Heather9; Singh, Hardeep10; Herwaldt, Loreen11 Author Information

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A Research Agenda for Diagnostic Excellence in Critical Care Medicine

Christina L. Cifra, Jason W. Custer, James C. Fackler

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Outcomes of Pediatric Patients With Sepsis Related to Staphylococcus aureus and Methicillin-Resistant Staphylococcus aureus Infections Requiring Extracorporeal Life Support: An ELSO Database Study

Cortney Foster, Dayanand Bagdure, Jason W. Custer, Adrian Holloway et autres

Background: Extracorporeal membrane oxygenation (ECMO) is increasingly utilized for pediatric sepsis unresponsive to steroids and inotropic support. Outcomes of children with sepsis are influenced by the type of pathogen causing their illness. Objective: To determine if the outcomes of children with Staphylococcus …

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Diagnostic Errors in Pediatric Critical Care: A Systematic Review*

Christina L. Cifra, Jason W. Custer, Hardeep Singh, James C. Fackler

OBJECTIVES: To summarize the literature on prevalence, impact, and contributing factors related to diagnostic error in the PICU. DATA SOURCES: Search of PubMed, EMBASE, and the Cochrane Library up to December 2019. STUDY SELECTION: Studies on diagnostic error and the diagnostic process …

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Preventing Retained Surgical Items During Endovascular Procedures: Bridging the Gap Between Guidelines and Practice

Kendal M. Endicott, Rebekah Friedrich, Jason W. Custer, Rajabrata Sarkar et autres

A retained surgical item (RSI) can be a devastating and costly procedural complication. Although the current incidence of RSIs is unknown, perioperative personnel routinely perform surgical counts according to their facility's policies and procedures to prevent this sentinel event. The American College …

Reduction in paediatric intensive care admissions during COVID-19 lockdown in Maryland, USA

Ana Lía Graciano, Adnan Bhutta, Jason W. Custer

As a public health measure during the COVID-19 pandemic, governments around the world instituted a variety of interventions to 'flatten the curve'. The government of Maryland instituted similar measures. We observed a striking decline in paediatric intensive care unit (PICU) admissions during …

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Bedside Rounds in Intensive Care Units during the COVID-19 Pandemic and Beyond

Jason W. Custer, Shari Simone, Adnan Bhutta

A survey-based pilot study was performed to examine the feasibility of videoconferencing to facilitate multidisciplinary rounds following the initiation of strict isolation and social distancing policies in a pediatric intensive care unit (PICU). The use of a mobile workstation was implemented as …

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