The past, present and future of ACS NSQIP-Pediatric: Evolution from a quality registry to a comparative quality performance platform.

Autor: Saito JM; Division of Pediatric Surgery, Washington University, St. Louis, MO, USA. Electronic address: saitoj@wustl.edu., Barnhart DC; Division of Pediatric Surgery, University of Utah, Salt Lake City, UT, USA., Grant C; Division of Research and Optimal Patient Care, American College of Surgeons, Chicago, IL, USA., Brighton BK; Division of Pediatric Orthopedic Surgery, Carolinas Medical Center, Wake Forest School of Medicine, Charlotte, NC, USA., Raval MV; Division of Pediatric Surgery, Department of Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA., Campbell BT; Pediatric Surgery, Connecticut Children's, Hartford, CT, USA., Kenney B; Department of Pediatric Surgery, Nationwide Children's Hospital and Ohio State University, Columbus, OH, USA., Jatana KR; Department of Pediatric Otolaryngology, Nationwide Children's Hospital and Ohio State University, Columbus, OH, USA., Ellison JS; Division of Pediatric Urology, Department of Urology, Medical College of Wisconsin, Milwaukee, WI, USA., Cina RA; Division of Pediatric Surgery, Department of Surgery, Shawn Jenkins Children's Hospital, The Medical University of South Carolina, Charleston, SC, USA., Allori AC; Division of Plastic, Maxillofacial and Oral Surgery, Department of Surgery and Department of Population Health Sciences, Duke University, Durham, NC, USA., Uejima T; Department of Pediatric Anesthesiology and Perioperative Medicine, Nemours Children's Hospital Delaware, Thomas Jefferson University, Philadelphia, USA., Roke D; Department of Anesthesia & Critical Care Medicine, St. Louis University, St. Louis, MO, USA., Lam S; Division of Pediatric Neurosurgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Department of Neurosurgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA., Johnson EK; Division of Urology, Ann & Robert H. Lurie Children's Hospital of Chicago, Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA., Goretsky MJ; Division of Pediatric Surgery, Children's Hospital of the King's Daughters, Eastern Virginia Medical School, Norfolk, VA, USA., Byrd C; Division of Research and Optimal Patient Care, American College of Surgeons, Chicago, IL, USA., Iwaniuk M; Independent Statistical Consultant, Phoenixville, PA, USA., Nayak R; Division of Research and Optimal Patient Care, American College of Surgeons, Chicago, IL, USA., Thompson VM; Division of Research and Optimal Patient Care, American College of Surgeons, Chicago, IL, USA., Cohen ME; Division of Research and Optimal Patient Care, American College of Surgeons, Chicago, IL, USA., Hall BL; Division of Research and Optimal Patient Care, American College of Surgeons, Chicago, IL, USA; Department of Surgery, Washington University St. Louis School of Medicine and BJC Healthcare, St. Louis, MO, USA., Ko CY; Division of Research and Optimal Patient Care, American College of Surgeons, Chicago, IL, USA., Rangel SJ; Department of Surgery, Boston Children's Hospital, Boston, MA, USA.
Jazyk: angličtina
Zdroj: Seminars in pediatric surgery [Semin Pediatr Surg] 2023 Apr; Vol. 32 (2), pp. 151275. Date of Electronic Publication: 2023 Apr 11.
DOI: 10.1016/j.sempedsurg.2023.151275
Abstrakt: Quality and process improvement (QI/PI) in children's surgical care require reliable data across the care continuum. Since 2012, the American College of Surgeons' (ACS) National Surgical Quality Improvement Program-Pediatric (NSQIP-Pediatric) has supported QI/PI by providing participating hospitals with risk-adjusted, comparative data regarding postoperative outcomes for multiple surgical specialties. To advance this goal over the past decade, iterative changes have been introduced to case inclusion and data collection, analysis and reporting. New datasets for specific procedures, such as appendectomy, spinal fusion for scoliosis, vesicoureteral reflux procedures, and tracheostomy in children less than 2 years old, have incorporated additional risk factors and outcomes to enhance the clinical relevance of data, and resource utilization to consider healthcare value. Recently, process measures for urgent surgical diagnoses and surgical antibiotic prophylaxis variables have been developed to promote timely and appropriate care. While a mature program, NSQIP-Pediatric remains dynamic and responsive to meet the needs of the surgical community. Future directions include introduction of variables and analyses to address patient-centered care and healthcare equity.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2023. Published by Elsevier Inc.)
Databáze: MEDLINE
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