کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4156086 1273766 2014 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Operationalizing quality improvement in a pediatric surgical practice
ترجمه فارسی عنوان
بهبود عملکرد کیفی در عمل جراحی کودکان
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی

Background/PurposeQuality improvement (QI) is critical to enhancing patient care. It is necessary to prioritize which QI initiatives are relevant to one’s institution and practice, as implementation is resource-intensive. We have developed and implemented a streamlined process to identify QI opportunities in our practice.MethodsWe designed a web-based Pediatric and Infant Case Log and Outcomes (PICaLO) instrument using Research Electronic Data Capture (REDCap™) to record all surgical procedures for our practice. At the time of operation, a surgeon completes a case report form. An administrative assistant enters the data in PICaLO within 5–7 days. Outcomes such as complications, deaths, and “occurrences” (readmissions, reoperations, transfers to ICU, ER visit, additional clinic visits) are recorded at the time of encounter, during M & M Conferences, and during follow-up clinic visits. Variables were chosen and defined based on national standards from the American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP), and Patient Based Learning Log. Occurrences are queried for potential QI initiatives.ResultsIn 2012, 3597 patients were entered, totaling 5177 procedures. There were 220 complications, 278 occurrences, and 16 deaths. Specific QI opportunities were identified and put into place.ConclusionData on procedures and outcomes can be collected effectively in a pediatric surgery practice to delineate pertinent QI initiatives. PICaLO is recognized by the American Board of Surgery as a mechanism to meet Maintenance of Certification 4 criteria.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Surgery - Volume 49, Issue 1, January 2014, Pages 202–206
نویسندگان
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