Outcomes Analysis and Quality Improvement for the Treatment of Patients With Pediatric and Congenital Cardiac Disease

Author:

Jacobs Jeffrey Phillip1,Pasquali Sara K.2,Jeffries Howard3,Jones Schonay Barnett-,Cooper David S.4,Vincent Robert5

Affiliation:

1. Division of Thoracic and Cardiovascular Surgery, The Congenital Heart Institute of Florida (CHIF), All Children’s Hospital, Cardiac Surgical Associates of Florida (CSAoF), University of South Florida College of Medicine, Saint Petersburg and Tampa, FL, USA

2. Department of Pediatrics, Duke University School of Medicine, and Duke Clinical Research Institute, Durham, NC, USA

3. Division of Pediatric Critical Care Medicine, Seattle Children’s Hospital, University of Washington School of Medicine, Seattle, WA, USA

4. Division of Critical Care, The Congenital Heart Institute of Florida (CHIF), All Children’s Hospital, University of South Florida College of Medicine, Saint Petersburg and Tampa, FL, USA

5. Children’s Healthcare of Atlanta and the Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA

Abstract

Tremendous progress has been made in the science of assessing the outcomes of the treatments of patients with pediatric and congenital cardiac disease. Multi-institutional databases have been developed that span subspecialty, geographic, and temporal boundaries. Linking of different databases enables additional analyses not possible using the individual data sets alone and can facilitate quality improvement initiatives. Measures of quality can be developed, in the domains of structure, process, and outcome, which can facilitate quality improvement. Parents are an integral part of the health care team and are key partners with regard to quality improvement. The role of the parent in the process of health care delivery can be facilitated by enhancing the organizational culture and creating methods of transparency, empowering parents, and implementing effective strategies of communication. The professionals caring for patients with pediatric and congenital cardiac disease, in collaboration with the patients and their families, now have the opportunity to capitalize on the power of our databases and move beyond outcome assessment and benchmarking, to collaborative quality improvement.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Pediatrics, Perinatology and Child Health,Surgery

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