Lung Transplant Index: A Quality Improvement Initiative.

Autor:	Hayes D Jr; Department of Pediatrics, The Ohio State University College of Medicine, Columbus, Ohio.; Department of Internal Medicine, The Ohio State University College of Medicine Columbus, Ohio.; Department of Surgery, The Ohio State University College of Medicine Columbus, Ohio.; Section of Pulmonary Medicine, Nationwide Children's Hospital, Columbus, Ohio., Feeney B; Quality Improvement Services, Nationwide Children's Hospital, Columbus, Ohio., O'Connor DJ; Section of Pulmonary Medicine, Nationwide Children's Hospital, Columbus, Ohio., Nicholson KL; Section of Pulmonary Medicine, Nationwide Children's Hospital, Columbus, Ohio., Nance AE; Section of Pulmonary Medicine, Nationwide Children's Hospital, Columbus, Ohio., Sakellaris KK; Section of Pulmonary Medicine, Nationwide Children's Hospital, Columbus, Ohio., Dempster NR; Department of Psychiatry and Behavioral Health, Nationwide Children's Hospital, Columbus, Ohio., Groh JD; The Heart Center, Nationwide Children's Hospital, Columbus, Ohio., Kirkby SE; Department of Pediatrics, The Ohio State University College of Medicine, Columbus, Ohio.; Department of Internal Medicine, The Ohio State University College of Medicine Columbus, Ohio.; Section of Pulmonary Medicine, Nationwide Children's Hospital, Columbus, Ohio.
Jazyk:	angličtina
Zdroj:	Pediatric quality & safety [Pediatr Qual Saf] 2019 Sep 19; Vol. 4 (5), pp. e209. Date of Electronic Publication: 2019 Sep 19 (Print Publication: 2019).
DOI:	10.1097/pq9.0000000000000209
Abstrakt:	Limited long-term survival is a recognized problem in adolescent/young adult lung transplant recipients. A quality improvement (QI) initiative included the development of a Lung Transplant Index (LTI) composed of key elements that we used as a comprehensive approach to screen and identify potential harms in this at-risk patient population. Methods: A single-center, uncontrolled QI study was completed from January 2014 to February 2019. The elements of the LTI are events that should have occurred within the most recent 12 months. If an element did not occur, it was counted as a missed element of preventing harm and summated later serving as the LTI score. Implementation of the LTI occurred on January 1, 2015, with a retrospective chart review of patients seen in clinic the prior year serving as baseline measures for comparison. Results: The year before implementing the LTI, numerous opportunities failed to identify preventable harm in our adolescent/young adult lung transplant population. The LTI resulted in a sustained reduction of these missed opportunities without negatively influencing patient/family satisfaction with lengthening of the clinic visit. Conclusions: A single-center QI initiative identified preventable harms in an adolescent/young adult lung transplant population and reduced the number of preventable harm elements not performed. Future work is needed to determine if this type of QI initiative is associated with less healthcare utilization. (Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc.)
Databáze:	MEDLINE
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