Navigation Links
First pediatric surgical quality program shows potential to measure children's outcomes
Date:1/26/2011

CHICAGO (January 26, 2011) A first of its kind surgical quality improvement program for children has the potential to identify outcomes of children's surgical care that can be targeted for quality improvement efforts to prevent complications and save lives. The results of a study of the American College of Surgeons National Surgical Quality Improvement Program-Pediatric (ACS NSQIP Peds) phase 1 pilot were published in the January issue of the Journal of the American College of Surgeons.

A partnership of the American College of Surgeons (ACS) and the American Pediatric Surgical Association, ACS NSQIP Peds was developed based on the ACS NSQIP program, which has been shown to help hospitals prevent between 250-500 complications and save 12-36 lives per hospital per year.1 Based on the successes of ACS NSQIP, there has been great interest in a quality improvement program focused on measuring outcomes for pediatric surgery patients. The study shows the principles of ACS NSQIP can be translated to pediatric cases to help hospitals measure children's outcomes. Hospitals could then use that data to learn how to prevent complications, save lives and reduce costs.

"As health reform components are implemented over the next several years, we will see a greater focus on measuring patient outcomes and tying reimbursement to quality of care," said Clifford Y. Ko, MD, FACS, MS, MSHS, Director, ACS Division of Research and Optimal Patient Care, and one of the study's authors. "Having robust clinical data in a nationally benchmarked, continuously updated database is an essential element to quality improvement. We now know the tools that have prevented complications and saved lives of adults can also be used for children."

In the study, outcomes for 7,287 patients who underwent a surgical procedure between October 2008 and December 2009 were collected from four participating hospitals (Yale New Haven Children's Hospital, New Haven, CT; A.I. DuPont Hospital for Children, Wilmington, DE; The Children's Hospital, Aurora, CO; and Children's Hospital of Wisconsin, Milwaukee, WI). Participants collected data for general/thoracic surgery, otolaryngology, orthopedic surgery, urology, neurosurgery and plastic surgery. The overall mortality rate was 0.3 percent and 3.9 percent of patients experienced a post-operative complication (n=287). Infection was the most common complication, and rates varied by specialty and procedure. Variability in the rate of complications indicates that there are opportunities to identify what rates are above and below the hospital's expected rate, and for hospitals with higher than expected rates of complication to learn from those centers with low rates in order to improve quality of care.

The program is currently in the pilot stage, and future developments will focus on risk-adjusting data to account for the health of the patient prior to the operation, and targeting specific procedures so that hospitals can focus quality improvement efforts on procedures with higher rates of complications. The program is now in phase 2 of development at 29 hospitals around the country.


'/>"/>

Contact: Sally Garneski
pressinquiry@facs.org
312-202-5409
Weber Shandwick Worldwide
Source:Eurekalert

Related medicine news :

1. Practical Radiation Oncology publishes first issue
2. MSD Wellcome Trust Hilleman Laboratories announces first project
3. First liver transplant patients receive experimental drug to prevent hepatitis C infection
4. High birth weight in First Nations babies linked to a higher risk of postneonatal death
5. Mount Sinai develops first screening tool for war veterans to assess traumatic brain injury
6. IDSA announces first guidelines for treatment of MRSA infections
7. MSU leads first study of resiliency on the battlefield
8. First Physical With Medicare Now Free
9. First Impressions of Attractive People Often Correct: Study
10. Which comes first: Exercise-induced asthma or obesity?
11. Mount Sinai first in US to implant aortic valve prosthesis to treat severe aortic stenosis
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... ... June 25, 2016 , ... Experts from the ... AcademyHealth’s Annual Research Meeting June 26-28, 2016, at the Hynes Convention Center in ... topics including advance care planning, healthcare costs and patient and family engagement. , ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... The temporary closing of Bruton Memorial Library ... City Observer , brings up a new, often overlooked aspect of head lice: the parasite’s ... for fumigation is not a common occurrence, but a necessary one in the event that ...
(Date:6/25/2016)... ... June 25, 2016 , ... First Choice Emergency Room ... Dr. Sesan Ogunleye, as the Medical Director of its new Mesquite-Samuell Farm facility. ... of our new Mesquite location,” said Dr. James M. Muzzarelli, Executive Medical Director of ...
(Date:6/25/2016)... ... June 25, 2016 , ... Dr. ... from injury. Recently, he has implemented orthobiologic procedures as a method for treating ... one of the first doctors to perform the treatment. Orthobiologics are substances that ...
(Date:6/25/2016)... ... June 25, 2016 , ... Conventional wisdom preaches the ... In terms of the latter, setting the bar too high can result in disappointment, ... just slow progress toward their goal. , Research from PsychTests.com reveals ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... HILLS, Calif. , June 23, 2016 Any ... the many challenges of the current process. Many of them ... because of the technical difficulties and high laboratory costs involved. ... have to offer it at such a high cost that ... afford it. Dr. Parsa Zadeh , founder ...
(Date:6/23/2016)... -- Roche (SIX: RO, ROG; OTCQX: RHHBY) announced that ... PCT (procalcitonin) assay as a dedicated testing solution for ... clearance, Roche is the first IVD company in the ... risk assessment and management. PCT is a ... in blood can aid clinicians in assessing the risk ...
(Date:6/23/2016)... June 23, 2016 Research and Markets ... Issue 52" report to their offering. ... treatment creates a favourable commercial environment for MedImmune to enter. ... base that will serve to drive considerable growth for effective ... serve to cap sales considerably, but development is still in ...
Breaking Medicine Technology: