Collaborative quality improvement in the cardiac intensive care unit: development of the Paediatric Cardiac Critical Care Consortium (PC4)
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 re...
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| Published in | Cardiology in the young Vol. 25; no. 5; pp. 951 - 957 |
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| Main Authors | , , , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Cambridge, UK
Cambridge University Press
01.06.2015
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1047-9511 1467-1107 1467-1107 |
| DOI | 10.1017/S1047951114001450 |
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| Abstract | 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. |
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| AbstractList | 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. 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 (PC 4 ) 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 PC 4 including the philosophical, organisational, and infrastructural components that will facilitate collaborative quality improvement in paediatric cardiac critical care. 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.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. |
| Author | Gaies, Michael Shekerdemian, Lara S. Chanani, Nikhil K. Thiagarajan, Ravi R. Gaynor, J. William Scheurer, Mark A. Jacobs, Jeffrey P. Willis, Gina M. Costello, John M. Tabbutt, Sarah Ohye, Richard G. Cooper, David S. Schwartz, Steven M. Donohue, Janet E. Laussen, Peter C. Charpie, John R. Ghanayem, Nancy Pasquali, Sara K. |
| AuthorAffiliation | 5 Department of Pediatrics, Children's Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee, Wisconsin 7 Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois 11 Michigan Congenital Heart Outcomes Research and Discovery (MCHORD) Unit, University of Michigan Congenital Heart Center, Ann Arbor, Michigan 1 Department of Pediatrics and Communicable Diseases, Division of Cardiology, C.S. Mott Children's Hospital and University of Michigan Medical School, Ann Arbor, Michigan 3 Department of Pediatrics, Benioff Children's Hospital and University of California San Francisco School of Medicine, California, United States of America 6 Division of Pediatric Cardiology, Department of Pediatrics, Emory University School of Medicine/Children's Healthcare of Atlanta, Atlanta, Georgia 8 Department of Cardiology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, United States of America 10 Department of Pe |
| AuthorAffiliation_xml | – name: 6 Division of Pediatric Cardiology, Department of Pediatrics, Emory University School of Medicine/Children's Healthcare of Atlanta, Atlanta, Georgia – name: 10 Department of Pediatrics, Section of Critical Care, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas – name: 5 Department of Pediatrics, Children's Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee, Wisconsin – name: 11 Michigan Congenital Heart Outcomes Research and Discovery (MCHORD) Unit, University of Michigan Congenital Heart Center, Ann Arbor, Michigan – name: 7 Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois – name: 9 Departments of Critical Care Medicine and Anaesthesia, The Hospital for Sick Children, University of Toronto School of Medicine, Toronto, Ontario, Canada – name: 12 Division of Pediatric Cardiac Surgery, Department of Surgery, The Cardiac Center, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania – name: 1 Department of Pediatrics and Communicable Diseases, Division of Cardiology, C.S. Mott Children's Hospital and University of Michigan Medical School, Ann Arbor, Michigan – name: 2 Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio – name: 15 Department of Pediatrics, Division of Cardiology, Medical University of South Carolina, Charleston, South Carolina, United States of America – name: 4 Department of Critical Care Medicine and Department of Paediatrics, The Labatt Family Heart Centre, The Hospital for Sick Children, University of Toronto School of Medicine, Toronto, Ontario, Canada – name: 8 Department of Cardiology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, United States of America – name: 14 Section of Pediatric Cardiovascular Surgery, C.S. Mott Children's Hospital, University of Michigan Medical School, Ann Arbor, Michigan – name: 13 Department of Surgery, Division of Cardiac Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland – name: 3 Department of Pediatrics, Benioff Children's Hospital and University of California San Francisco School of Medicine, California, United States of America |
| Author_xml | – sequence: 1 givenname: Michael surname: Gaies fullname: Gaies, Michael email: mgaies@med.umich.edu organization: Department of Pediatrics and Communicable Diseases, Division of Cardiology, C.S. Mott Children’s Hospital and University of Michigan Medical School, Ann Arbor, Michigan, United States of America – sequence: 2 givenname: David S. surname: Cooper fullname: Cooper, David S. organization: Heart Institute, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio, United States of America – sequence: 3 givenname: Sarah surname: Tabbutt fullname: Tabbutt, Sarah organization: Department of Pediatrics, Benioff Children’s Hospital and University of California San Francisco School of Medicine, California, United States of America – sequence: 4 givenname: Steven M. surname: Schwartz fullname: Schwartz, Steven M. organization: Department of Critical Care Medicine and Department of Paediatrics, The Labatt Family Heart Centre, The Hospital for Sick Children, University of Toronto School of Medicine, Toronto, Ontario, Canada – sequence: 5 givenname: Nancy surname: Ghanayem fullname: Ghanayem, Nancy organization: Department of Pediatrics, Children’s Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee, Wisconsin, United States of America – sequence: 6 givenname: Nikhil K. surname: Chanani fullname: Chanani, Nikhil K. organization: Division of Pediatric Cardiology, Department of Pediatrics, Emory University School of Medicine/Children’s Healthcare of Atlanta, Atlanta, Georgia, United States of America – sequence: 7 givenname: John M. surname: Costello fullname: Costello, John M. organization: Ann & Robert H. Lurie Children’s Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois, United States of America – sequence: 8 givenname: Ravi R. surname: Thiagarajan fullname: Thiagarajan, Ravi R. organization: Department of Cardiology, Boston Children’s Hospital, Harvard Medical School, Boston, Massachusetts, United States of America – sequence: 9 givenname: Peter C. surname: Laussen fullname: Laussen, Peter C. organization: Departments of Critical Care Medicine and Anaesthesia, The Hospital for Sick Children, University of Toronto School of Medicine, Toronto, Ontario, Canada – sequence: 10 givenname: Lara S. surname: Shekerdemian fullname: Shekerdemian, Lara S. organization: 0 Department of Pediatrics, Section of Critical Care, Baylor College of Medicine, Texas Children’s Hospital, Houston, Texas, United States of America – sequence: 11 givenname: Janet E. surname: Donohue fullname: Donohue, Janet E. organization: 1 Michigan Congenital Heart Outcomes Research and Discovery (MCHORD) Unit, University of Michigan Congenital Heart Center, Ann Arbor, Michigan, United States of America – sequence: 12 givenname: Gina M. surname: Willis fullname: Willis, Gina M. organization: 1 Michigan Congenital Heart Outcomes Research and Discovery (MCHORD) Unit, University of Michigan Congenital Heart Center, Ann Arbor, Michigan, United States of America – sequence: 13 givenname: J. William surname: Gaynor fullname: Gaynor, J. William organization: 2 Division of Pediatric Cardiac Surgery, Department of Surgery, The Cardiac Center, The Children’s Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, United States of America – sequence: 14 givenname: Jeffrey P. surname: Jacobs fullname: Jacobs, Jeffrey P. organization: 3 Department of Surgery, Division of Cardiac Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States of America – sequence: 15 givenname: Richard G. surname: Ohye fullname: Ohye, Richard G. organization: 4 Section of Pediatric Cardiovascular Surgery, C.S. Mott Children’s Hospital, University of Michigan Medical School, Ann Arbor, Michigan, United States of America – sequence: 16 givenname: John R. surname: Charpie fullname: Charpie, John R. organization: Department of Pediatrics and Communicable Diseases, Division of Cardiology, C.S. Mott Children’s Hospital and University of Michigan Medical School, Ann Arbor, Michigan, United States of America – sequence: 17 givenname: Sara K. surname: Pasquali fullname: Pasquali, Sara K. organization: Department of Pediatrics and Communicable Diseases, Division of Cardiology, C.S. Mott Children’s Hospital and University of Michigan Medical School, Ann Arbor, Michigan, United States of America – sequence: 18 givenname: Mark A. surname: Scheurer fullname: Scheurer, Mark A. organization: 5 Department of Pediatrics, Division of Cardiology, Medical University of South Carolina, Charleston, South Carolina, United States of America |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25167212$$D View this record in MEDLINE/PubMed |
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| SubjectTerms | Cardiac Surgical Procedures - standards Cooperative Behavior Heart Defects, Congenital - surgery Humans Intensive Care Units - organization & administration Original Articles Pediatrics - standards Quality Improvement - organization & administration Registries United States |
| Title | Collaborative quality improvement in the cardiac intensive care unit: development of the Paediatric Cardiac Critical Care Consortium (PC4) |
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