Matthew Scanlon

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OBJECTIVE To determine a contemporary failed extubation rate, risk factors, and consequences of extubation failure in pediatric intensive care units (PICUs). Three hypotheses were investigated: a) Extubation failure is in part disease specific; b) preexisting respiratory conditions predispose to extubation failure; and c) admission acuity scoring does not(More)
BACKGROUND Nursing workload is increasingly thought to contribute to both nurses' quality of working life and quality/safety of care. Prior studies lack a coherent model for conceptualising and measuring the effects of workload in healthcare. In contrast, we conceptualised a human factors model for workload specifying workload at three distinct levels of(More)
OBJECTIVE To identify predictors of nurses' acceptance of bar coded medication administration (BCMA). DESIGN Cross-sectional survey of registered nurses (N=83) at an academic pediatric hospital that recently implemented BCMA. METHODS Surveys assessed seven BCMA-related perceptions: ease of use; usefulness for the job; social influence from non-specific(More)
BACKGROUND Inpatient medical injuries among children are common and result in a longer stay in hospital and increased hospital charges. However, previous studies have used screening criteria that focus on inpatient occurrences only rather than on injuries that also occur in ambulatory or community settings leading to hospital admission. OBJECTIVE To(More)
OBJECTIVE To evaluate the performance of the Pediatric Index of Mortality 2 (PIM-2) for pediatric cardiac surgery patients admitted to the pediatric intensive care unit (PICU). DESIGN : Retrospective cohort analysis. SETTING Multi-institutional PICUs. PATIENTS Children whose PICU admission had an associated cardiac surgical procedure. INTERVENTIONS(More)
CONTENT Violations of safety protocols are paths to adverse outcomes that have been poorly addressed by existing safety efforts. This study reports on nurses' self-reported violations in the medication administration process. OBJECTIVE To assess the extent of violations in the medication administration process among nurses. DESIGN, SETTING AND(More)
The most common change facing nurses today is new technology, particularly bar-coded medication administration technology (BCMA). However, there is a dearth of knowledge on how BCMA alters nursing work. This study investigated how BCMA technology affected nursing work, particularly nurses’ operational problem-solving behavior. Cognitive systems engineering(More)
OBJECTIVES Pediatric quality indicators were developed in 2006 by the Agency for Healthcare Research and Quality to identify potentially preventable complications in hospitalized children. Our objectives for this study were to (1) apply these algorithms to an aggregate children's hospital's discharge abstract database, (2) establish rates for each of the(More)
BACKGROUND The safety benefits of bar-coded medication-dispensing and administration (BCMA) technology depend on its intended users favorably perceiving, accepting, and ultimately using the technology. OBJECTIVES (1) To describe pharmacy workers' perceptions and acceptance of a recently implemented BCMA system and (2) to model the relationship between(More)