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New initiative could help improve surgical outcomes in children, study suggests
Date:8/5/2013

A group of pediatric surgeons at hospitals around the country have designed a system to collect and analyze data on surgical outcomes in children the National Surgical Quality Improvement Program (NSQIP) is the first national database able to reliably compare outcomes among different hospitals where children's surgery is performed. The effort could dramatically improve surgical outcomes in children, say the initiative's leaders, who published their findings online August 5, 2013 in the journal, Pediatrics.

The model is based on a similar effort adopted nationwide nearly a decade ago for adult surgery that resulted in reduced mortality and dramatic decreases in post-surgical complications. These efforts, led by the American College of Surgeons (ACS), are being driven not by a federal mandate, but by a desire to improve patient care, says R. Lawrence Moss, MD, corresponding author of this new study and surgeon-in-chief at Nationwide Children's Hospital.

"The real impetus is that people want their patients to do better," said Dr. Moss, who has been involved with the initiative since its inception. "This was a surgeon-directed effort and the ultimate goal is to improve quality of patient care."

The ACS NSQIP-Pediatric began as a pilot in 2008 with four hospitals. The program now has 43 participating institutions that perform children's surgery. The August study is the third published by the group and details how a new statistical model designed specifically for children can be used to reliably discriminate performance among hospitals.

Historically, U.S. hospitals didn't track this kind of information in children or adults, because there was simply no way to collect, analyze and interpret the data in a way that made sense. For example, comparing outcomes of bypass surgery in a cardiac unit at an urban facility performing thousands of the procedures per year to those of an under-staffed rural hospital that rarely does the o
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Contact: Mary Ellen Peacock
maryellen.peacock@nationwidechildrens.org
614-355-0495
Nationwide Children's Hospital
Source:Eurekalert

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