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Outcomes Analysis and Quality Improvement in Children With Congenital and Acquired Cardiovascular Disease

Jeffries, Howard E. MD, MPH, MBA; Gaies, Michael G. MD, MPH

doi: 10.1097/PCC.0000000000000785
Congenital Heart Disease

Objectives: In this review, the current state of outcomes analysis and quality improvement in children with acquired and congenital cardiovascular disease will be discussed, with an emphasis on defining and measuring outcomes and quality in pediatric cardiac critical care medicine and risk stratification systems.

Data Source: MEDLINE and PubMed

Conclusion: Measuring quality and outcomes in the pediatric cardiac critical care environment is challenging owing to many inherent obstacles, including a diverse patient mix, difficulty in determining how the care of the ICU team contributes to outcomes, and the lack of an adequate risk-adjustment method for pediatric cardiac critical care patients. Despite these barriers, new solutions are emerging that capitalize on lessons learned from other quality improvement initiatives, providing opportunities to build upon previous successes.

1Department of Pediatrics, Section of Critical Care Medicine, University of Washington School of Medicine, Seattle Children’s Hospital, Seattle, WA.

2Department of Pediatrics, Section of Cardiology, University of Michigan Medical School, C.S. Mott Children’s Hospital, Ann Arbor, MI.

Dr. Jeffries is a VPS clinical consultant. Dr. Gaies has disclosed that he does not have any potential conflicts of interest.

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©2016The Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies