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The world’s best practices, shared worldwide.
30 November 2015
OPENPediatrics:
Improving Pediatric Care Worldwide
040415
The Challenge
2
Each year, 6 million children die worldwide from preventable causes.
Wikimedia Commons CC-BY http://commons.wikimedia.org/wiki/File%3ABoston_Collage_4.png
This is greater than the population of the entire Metro Boston area.
	
  
Medical Education: Current Paradigm
OPENPediatrics
4
Launched April 1, 2014
•  IBM provides platform pro bono
•  Funded by BCH, Anesthesia Foundation, philanthropic funding
•  Content (mostly) still ©
•  All content peer reviewed
Community Tools: Profiles
5
Community Tools: Groups
6
Library
7
Library: Videos
8
Congenital Cardiac Defects with Obstruction to
Systemic Blood Flow by Patricia Lincoln, RN, MSm
CCRN, CNS-BC
Chest Tube Placement by Christopher Weldon,
MD, PhD
Endotracheal Suctioning: What do we Really Know?
by Mavilde LG Pedreira, RN, PhD
FEAST Trial: Perspectives on Fluid Therapy
by Kathryn	
  Maitland,	
  MD
Didac&c	
   Procedural	
  
Conference	
   World	
  Shared	
  Prac&ce	
  Forum	
  
210 videos
Library: Videos Q&A and Transcripts
9
Library: Summaries and Calculators
10
•  36 summaries
•  24 calculators
Library: Simulators
11
Mechanical	
  Ven&lator	
  Simulator	
  
Peritoneal	
  Dialysis	
  Simulator	
  
Library: Special Collections
12
Pediatric	
  Cardiovascular	
  Mul&media	
  Library	
  (27	
  defects)	
  
Learning: Guided Learning Pathways
13
OPENPediatrics Public Resources
14
Global Adoption
15
•  Used in 1,171 hospitals and 129 countries
worldwide
Community Growth
16
•  Over 350% community growth in 19 months since launch
Resources Shared
17
•  More than 450,000 total resources shared
Resource Utilization
18
•  Used widely as a teaching tool
19
User Satisfaction
•  90% of users are satisfied with the variety of content
•  94% of users are satisfied with the breadth of content material
•  90% of users found the difficulty level of content to be “just right”
20
An	
  Israeli	
  pediatric	
  resident	
  
struggling	
  to	
  resuscitate	
  a	
  
newborn	
  recalled	
  an	
  
OPENPediatrics	
  diagram	
  that	
  
helped	
  him	
  understand	
  why	
  the	
  
bag	
  mask	
  he	
  was	
  using	
  was	
  not	
  
working.	
  
User Story: Impacting Patient Care
21
“…[he]	
  realized	
  one	
  of	
  the	
  valves	
  in	
  
the	
  breathing	
  device	
  was	
  not	
  
func9oning,	
  and	
  he	
  quickly	
  
replaced	
  it	
  in	
  the	
  proper	
  posi9on	
  
and	
  the	
  baby	
  immediately	
  began	
  
to	
  improve.	
  	
  So	
  the	
  anima9on	
  
really	
  helped	
  save	
  that	
  baby’s	
  life.”	
  
—Physician,	
  Israel	
  	
  	
  	
  
User Story: Impacting Patient Care
22
A	
  Moscow	
  hospital	
  changed	
  its	
  
approach	
  to	
  treaBng	
  burn	
  vicBms	
  
based	
  on	
  OPENPediatrics	
  burn	
  
care	
  videos	
  by	
  Dr.	
  Robert	
  
Sheridan.	
  
User Story: Best Practice Adoption
23
“The	
  presenta9ons	
  on	
  pediatric	
  
burn	
  care	
  by	
  Dr.	
  Sheridan	
  were	
  
excellent,	
  some	
  of	
  the	
  best	
  
teaching	
  on	
  burn	
  care	
  I	
  have	
  ever	
  
heard.”	
  
—Physician,	
  Moscow	
  
User Story: Best Practice Adoption
24
A	
  Turkish	
  hospital	
  reduced	
  its	
  
central	
  venous	
  catheter	
  infecBon	
  
rate	
  by	
  adopBng	
  pracBces	
  learned	
  
from	
  an	
  OPENPediatrics	
  video.	
  
User Story: Impacting Patient Care
25
“After many months using this
strategy learned from an
OPENPediatrics video, the rate
of central line associated
bloodstream infections declined
dramatically.”
—Physician,	
  Turkey	
  
User Story: Best Practice Adoption
Feedback: Email
26
“This is a powerful tool
to help establish and
support pediatric
standards of care.”
— Administrator
“This is a beautiful and
high quality
implementation of an
educational idea; it
definitely stands out.”
— Physician
“My intention is that every
member of my PICU
including nurses and the
residents use OP.”
— Physician
“Our team has been
watching these
sessions monthly
together with the PICU
nurses. It was great
and we had a good
discussion.”
— Attending
“Thank you for your
great work. This is a
spectacular
contribution.”
— Chief, Pediatric
Critical Care
“For us who have no
adequate resource
materials, this
application is very
useful and a long
awaited development.”
— Attending
Future Directions
27
•  Continuing to build community
•  Nurses
•  Respiratory Therapists
•  Global Health Workers
•  Patients and Parents
•  Research
•  Continuing Medical Education
Pediatric	
  Opioid	
  Prescribing	
  CME	
  
The world’s best practices, shared worldwide.
Thank you.
Slide master photo credit: Gates Foundation CC-BY-NC-ND 2.0 http://bit.ly/1IepmyK
openpediatrics@childrens.harvard.edu	
  

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OPENPediatrics: Improving Pediatric Care Worldwide

  • 1. The world’s best practices, shared worldwide. 30 November 2015 OPENPediatrics: Improving Pediatric Care Worldwide 040415
  • 2. The Challenge 2 Each year, 6 million children die worldwide from preventable causes. Wikimedia Commons CC-BY http://commons.wikimedia.org/wiki/File%3ABoston_Collage_4.png This is greater than the population of the entire Metro Boston area.  
  • 4. OPENPediatrics 4 Launched April 1, 2014 •  IBM provides platform pro bono •  Funded by BCH, Anesthesia Foundation, philanthropic funding •  Content (mostly) still © •  All content peer reviewed
  • 8. Library: Videos 8 Congenital Cardiac Defects with Obstruction to Systemic Blood Flow by Patricia Lincoln, RN, MSm CCRN, CNS-BC Chest Tube Placement by Christopher Weldon, MD, PhD Endotracheal Suctioning: What do we Really Know? by Mavilde LG Pedreira, RN, PhD FEAST Trial: Perspectives on Fluid Therapy by Kathryn  Maitland,  MD Didac&c   Procedural   Conference   World  Shared  Prac&ce  Forum   210 videos
  • 9. Library: Videos Q&A and Transcripts 9
  • 10. Library: Summaries and Calculators 10 •  36 summaries •  24 calculators
  • 11. Library: Simulators 11 Mechanical  Ven&lator  Simulator   Peritoneal  Dialysis  Simulator  
  • 12. Library: Special Collections 12 Pediatric  Cardiovascular  Mul&media  Library  (27  defects)  
  • 15. Global Adoption 15 •  Used in 1,171 hospitals and 129 countries worldwide
  • 16. Community Growth 16 •  Over 350% community growth in 19 months since launch
  • 17. Resources Shared 17 •  More than 450,000 total resources shared
  • 18. Resource Utilization 18 •  Used widely as a teaching tool
  • 19. 19 User Satisfaction •  90% of users are satisfied with the variety of content •  94% of users are satisfied with the breadth of content material •  90% of users found the difficulty level of content to be “just right”
  • 20. 20 An  Israeli  pediatric  resident   struggling  to  resuscitate  a   newborn  recalled  an   OPENPediatrics  diagram  that   helped  him  understand  why  the   bag  mask  he  was  using  was  not   working.   User Story: Impacting Patient Care
  • 21. 21 “…[he]  realized  one  of  the  valves  in   the  breathing  device  was  not   func9oning,  and  he  quickly   replaced  it  in  the  proper  posi9on   and  the  baby  immediately  began   to  improve.    So  the  anima9on   really  helped  save  that  baby’s  life.”   —Physician,  Israel         User Story: Impacting Patient Care
  • 22. 22 A  Moscow  hospital  changed  its   approach  to  treaBng  burn  vicBms   based  on  OPENPediatrics  burn   care  videos  by  Dr.  Robert   Sheridan.   User Story: Best Practice Adoption
  • 23. 23 “The  presenta9ons  on  pediatric   burn  care  by  Dr.  Sheridan  were   excellent,  some  of  the  best   teaching  on  burn  care  I  have  ever   heard.”   —Physician,  Moscow   User Story: Best Practice Adoption
  • 24. 24 A  Turkish  hospital  reduced  its   central  venous  catheter  infecBon   rate  by  adopBng  pracBces  learned   from  an  OPENPediatrics  video.   User Story: Impacting Patient Care
  • 25. 25 “After many months using this strategy learned from an OPENPediatrics video, the rate of central line associated bloodstream infections declined dramatically.” —Physician,  Turkey   User Story: Best Practice Adoption
  • 26. Feedback: Email 26 “This is a powerful tool to help establish and support pediatric standards of care.” — Administrator “This is a beautiful and high quality implementation of an educational idea; it definitely stands out.” — Physician “My intention is that every member of my PICU including nurses and the residents use OP.” — Physician “Our team has been watching these sessions monthly together with the PICU nurses. It was great and we had a good discussion.” — Attending “Thank you for your great work. This is a spectacular contribution.” — Chief, Pediatric Critical Care “For us who have no adequate resource materials, this application is very useful and a long awaited development.” — Attending
  • 27. Future Directions 27 •  Continuing to build community •  Nurses •  Respiratory Therapists •  Global Health Workers •  Patients and Parents •  Research •  Continuing Medical Education Pediatric  Opioid  Prescribing  CME  
  • 28. The world’s best practices, shared worldwide. Thank you. Slide master photo credit: Gates Foundation CC-BY-NC-ND 2.0 http://bit.ly/1IepmyK openpediatrics@childrens.harvard.edu