المؤلفون: Gaies, Michael, Cooper, David S, Tabbutt, Sarah, Schwartz, Steven M, Ghanayem, Nancy, Chanani, Nikhil K, Costello, John M, Thiagarajan, Ravi R, Laussen, Peter C, Shekerdemian, Lara S, Donohue, Janet E, Willis, Gina M, Gaynor, J William, Jacobs, Jeffrey P, Ohye, Richard G, Charpie, John R, Pasquali, Sara K, Scheurer, Mark A

المصدر: Cardiology in the Young. 25(5)

مصطلحات موضوعية: Biomedical and Clinical Sciences, Cardiovascular Medicine and Haematology, Heart Disease, Health Services, Pediatric, Cardiovascular, Clinical Research, Good Health and Well Being, Cardiac Surgical Procedures, Cooperative Behavior, Heart Defects, Congenital, Humans, Intensive Care Units, Pediatrics, Quality Improvement, Registries, United States, Critical care, cardiac surgery, paediatric, quality improvement, Cardiorespiratory Medicine and Haematology, Cardiovascular System & Hematology, Cardiovascular medicine and haematology

الوصف: Despite many advances in recent years for patients with critical paediatric and congenital cardiac disease, significant variation in outcomes remains across hospitals. Collaborative quality improvement has enhanced the quality and value of health care across specialties, partly by determining the reasons for variation and targeting strategies to reduce it. Developing an infrastructure for collaborative quality improvement in paediatric cardiac critical care holds promise for developing benchmarks of quality, to reduce preventable mortality and morbidity, optimise the long-term health of patients with critical congenital cardiovascular disease, and reduce unnecessary resource utilisation in the cardiac intensive care unit environment. The Pediatric Cardiac Critical Care Consortium (PC4) has been modelled after successful collaborative quality improvement initiatives, and is positioned to provide the data platform necessary to realise these objectives. We describe the development of PC4 including the philosophical, organisational, and infrastructural components that will facilitate collaborative quality improvement in paediatric cardiac critical care.

وصف الملف: application/pdf

الوصول الحر: https://escholarship.org/uc/item/7jt8r8fvTest

المؤلفون: Gaies, Michael, Donohue, Janet E, Willis, Gina M, Kennedy, Andrea T, Butcher, John, Scheurer, Mark A, Alten, Jeffrey A, William Gaynor, J, Schuette, Jennifer J., Cooper, David S, Jacobs, Jeffrey P, Pasquali, Sara K, Tabbutt, Sarah

المصدر: Pediatrics Faculty Publications

مصطلحات موضوعية: Cardiology, Clinical Audit, Cooperative Behavior, Critical Care, Data Accuracy, Databases, Factual, Hospitals, Pediatrics, Quality Improvement, Registries, United States

الوصف: BACKGROUND: Clinical databases in congenital and paediatric cardiac care provide a foundation for quality improvement, research, policy evaluations and public reporting. Structured audits verifying data integrity allow database users to be confident in these endeavours. We report on the initial audit of the Pediatric Cardiac Critical Care Consortium (PC4) clinical registry. Materials and methods Participants reviewed the entire registry to determine key fields for audit, and defined major and minor discrepancies for the audited variables. In-person audits at the eight initial participating centres were conducted during a 12-month period. The data coordinating centre randomly selected intensive care encounters for review at each site. The audit consisted of source data verification and blinded chart abstraction, comparing findings by the auditors with those entered in the database. We also assessed completeness and timeliness of case submission. Quantitative evaluation of completeness, accuracy, and timeliness of case submission is reported. RESULTS: We audited 434 encounters and 29,476 data fields. The aggregate overall accuracy was 99.1%, and the major discrepancy rate was 0.62%. Across hospitals, the overall accuracy ranged from 96.3 to 99.5%, and the major discrepancy rate ranged from 0.3 to 0.9%; seven of the eight hospitals submitted >90% of cases within 1 month of hospital discharge. There was no evidence for selective case omission. CONCLUSIONS: Based on a rigorous audit process, data submitted to the PC4 clinical registry appear complete, accurate, and timely. The collaborative will maintain ongoing efforts to verify the integrity of the data to promote science that advances quality improvement efforts.

العلاقة: https://hsrc.himmelfarb.gwu.edu/smhs_peds_facpubs/1799Test; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4788573Test/

الإتاحة: https://hsrc.himmelfarb.gwu.edu/smhs_peds_facpubs/1799Test
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4788573Test/