Quality Improvement in Congenital Heart Surgery

Author:

Pettitt Timothy W.12

Affiliation:

1. Department of Pediatric Cardiovascular Surgery, Children’s Hospital of New Orleans, New Orleans, LA

2. Department of Surgery, Louisiana State University Health Science Center, New Orleans, LA

Abstract

Congenital heart disease is a major public health concern in the United States. Outcomes of surgery for children with congenital heart disease have dramatically improved over the last several decades with current aggregate operative mortality rates approximating 3%, inclusive of all ages and defects. However, there remains significant variability among institutions, especially for higher-risk and more complex patients. As health care moves toward the quadruple aim of improving patient experience, improving the health of populations, lowering costs, and increasing satisfaction among providers, congenital heart surgery programs must evolve to meet the growing scrutiny, demands, and expectations of numerous stakeholders. Improved outcomes and reduced interinstitutional variability are achieved through prioritization of quality assurance and improvement.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology and Child Health

Reference74 articles.

1. Centers for Disease Control and Prevention. Congenital Heart Defects (CHDs). Available at https://www.cdc.gov/ncbddd/heartdefects/index.html. Accessed October 28, 2019

2. American Heart Association. Current and emerging payment models. Available at http://www.aha.org/advocacy/current-and-emerging-payment-models. Accessed October 12, 2019

3. The quality of care. How can it be assessed?;Donabedian;JAMA,1988

4. Quality measures for congenital and pediatric cardiac surgery;Jacobs;World J Pediatr Congenit Heart Surg,2012

5. Institute for Heathcare Improvement. Plan-Do-Study-Act (PDSA) Worksheet. Available at http://www.ihi.org. Accessed October 12, 2019

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