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

ont 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.


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