Collaborative quality improvement in the cardiac intensive care unit: development of the Paediatric Cardiac Critical Care Consortium (PC4)

被引：121

作者：

Gaies, Michael ^{[1
,2
]}

Cooper, David S. ^{[3
]}

Tabbutt, Sarah ^{[4
,5
]}

Schwartz, Steven M. ^{[6
,7
]}

Ghanayem, Nancy ^{[8
]}

Chanani, Nikhil K. ^{[9
]}

Costello, John M. ^{[10
]}

Thiagarajan, Ravi R. ^{[11
]}

Laussen, Peter C. ^{[12
,13
]}

Shekerdemian, Lara S. ^{[14
]}

Donohue, Janet E. ^{[15
]}

Willis, Gina M. ^{[15
]}

Gaynor, J. William ^{[16
]}

Jacobs, Jeffrey P. ^{[17
]}

Ohye, Richard G. ^{[18
]}

Charpie, John R. ^{[1
,2
]}

Pasquali, Sara K. ^{[1
,2
]}

Scheurer, Mark A. ^{[19
]}

机构：

[1] Univ Michigan, CS Mott Childrens Hosp, Dept Pediat & Communicable Dis, Div Cardiol, Ann Arbor, MI 48109 USA

[2] Univ Michigan, Sch Med, Ann Arbor, MI 48109 USA

[3] Cincinnati Childrens Hosp Med Ctr, Inst Heart, Cincinnati, OH 45229 USA

[4] Benioff Childrens Hosp, Dept Pediat, San Francisco, CA USA

[5] Univ Calif San Francisco, Sch Med, San Francisco, CA 94143 USA

[6] Univ Toronto, Hosp Sick Children, Sch Med, Labatt Family Heart Ctr,Dept Crit Care Med, Toronto, ON M5G 1X8, Canada

[7] Univ Toronto, Hosp Sick Children, Sch Med, Dept Paediat,Labatt Family Heart Ctr, Toronto, ON M5G 1X8, Canada

[8] Med Coll Wisconsin, Childrens Hosp Wisconsin, Dept Pediat, Milwaukee, WI 53226 USA

[9] Emory Univ, Sch Med, Dept Pediat, Childrens Healthcare Atlanta,Div Pediat Cardiol, Atlanta, GA USA

[10] Northwestern Univ, Ann & Robert H Lurie Childrens Hosp Chicago, Feinberg Sch Med, Chicago, IL 60611 USA

[11] Harvard Univ, Sch Med, Dept Cardiol, Boston Childrens Hosp, Boston, MA USA

[12] Univ Toronto, Hosp Sick Children, Sch Med, Dept Crit Care Med, Toronto, ON M5G 1X8, Canada

[13] Univ Toronto, Hosp Sick Children, Sch Med, Dept Anaesthesia, Toronto, ON M5G 1X8, Canada

[14] Texas Childrens Hosp, Baylor Coll Med, Sect Crit Care, Dept Pediat, Houston, TX 77030 USA

[15] Univ Michigan, Congenital Heart Ctr, Michigan Congenital Heart Outcomes Res & Discover, Ann Arbor, MI 48109 USA

[16] Univ Penn, Childrens Hosp Philadelphia, Perelman Sch Med, Div Pediat Cardiac Surg,Dept Surg,Cardiac Ctr, Philadelphia, PA 19104 USA

[17] Johns Hopkins Univ, Sch Med, Dept Surg, Div Cardiac Surg, Baltimore, MD 21205 USA

[18] Univ Michigan, CS Mott Childrens Hosp, Sch Med, Sect Pediat Cardiovasc Surg, Ann Arbor, MI 48109 USA

[19] Med Univ S Carolina, Dept Pediat, Div Cardiol, Charleston, SC 29425 USA

来源：

CARDIOLOGY IN THE YOUNG | 2015年 / 25卷 / 05期

基金：

美国国家卫生研究院;

关键词：

Critical care; cardiac surgery; paediatric; quality improvement; OUTCOMES; SURGERY; OPERATIONS; DEATH;

D O I：

10.1017/S1047951114001450

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Despite many advances in recent years for patients with critical paediatric and congenital cardiac disease, significant variation in outcomes remains across hospitals. Collaborative quality improvement has enhanced the quality and value of health care across specialties, partly by determining the reasons for variation and targeting strategies to reduce it. Developing an infrastructure for collaborative quality improvement in paediatric cardiac critical care holds promise for developing benchmarks of quality, to reduce preventable mortality and morbidity, optimise the long-term health of patients with critical congenital cardiovascular disease, and reduce unnecessary resource utilisation in the cardiac intensive care unit environment. The Pediatric Cardiac Critical Care Consortium (PC4) has been modelled after successful collaborative quality improvement initiatives, and is positioned to provide the data platform necessary to realise these objectives. We describe the development of PC4 including the philosophical, organisational, and infrastructural components that will facilitate collaborative quality improvement in paediatric cardiac critical care.

引用

页码：951 / 957

页数：7

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