#1 Ranked Children’s Hospital by U.S. News & World Report
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Boston Children's has launched the world's 1st program dedicated to offering hand transplants to children who qualify.
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Boston Children's Hospital recognizes the improvement of pain management as a high priority aspect of patient care.
All documented pain scores are extracted from the electronic medical record to show pain prevalence as percentages of:
Safe Opioid Prescribing
Opioid analgesics have clear benefits for patients with severe pain due to cancer, sickle cell disease, surgery and critical illness. However, opioids generate risks and adverse symptoms for hospitalized children, as well as a major public health concern due to increasing frequency of deaths due to addiction and overdose. Members of our program have led hospital-wide efforts to make opioid prescribing safer for inpatients and outpatients. This effort has included:
a. Development of updated hospital-wide policies on chronic opioid prescribing
b. Electronic tracking of all opioid prescriptions to identify patterns associated with multiple prescriptions and potential concerns
c. System-wide process to eliminate codeine prescribing
d. Innovative unit dose formulations to reduce medication errors and
e. Pathways for procedure specific prescribing to foster appropriate numbers of doses prescribed for outpatients.
f. Following a multicenter trial for protocol-driven sedation and analgesia for children undergoing mechanical ventilation during intensive care (Curley et al JAMA 2015), a hospital wide process led to practice changes around weaning of infants and children from opioids and benzodiazepines. Accelerated weaning has been shown to be safe and well tolerated. Interim review indicates that this protocol has been associated with shorter duration of exposure to opioids and sedatives, with resultant reductions in hospital stay and costs.
We are grateful to have been ranked #1 on U.S. News & World Report's list of the best children's hospitals in the nation for the third year in a row, an honor we could not have achieved without the patients and families who inspire us to do our very best for them. Thanks to you, Boston Children's is a place where we can write the greatest children's stories ever told.”