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Updated: Mar 23, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

Quality improvement in pediatric surgery.

Danielle B Cameron¹, Shawn J Rangel

¹Department of Surgery, Children's Hospital Boston, Harvard Medical School, Boston, Massachusetts, USA.

Current Opinion in Pediatrics

|April 1, 2016

Summary

This summary is machine-generated.

Quality in pediatric surgery has advanced through improved measurement and tools. Future efforts focus on expanding benchmarking and developing comprehensive, disease-specific care models for better outcomes.

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Published on: July 8, 2025

Area of Science:

Pediatric Surgery
Healthcare Quality Improvement
Surgical Outcomes Measurement

Background:

Significant advancements in measuring and benchmarking quality in pediatric surgery over the last decade.
Evolution of conceptual definitions of healthcare quality.
Development of performance measurement platforms for pediatric surgical care.

Purpose of the Study:

To review the evolution of quality definitions in healthcare.
To examine existing performance benchmarking platforms in pediatric surgery.
To identify quality improvement tools for pediatric surgical patients.

Main Methods:

Review of current literature on quality in pediatric surgery.
Analysis of existing pediatric surgical quality improvement programs and tools.
Synthesis of data on performance benchmarking and value-based metrics.

Main Results:

The American College of Surgeon's National Surgical Quality Improvement Program-Pediatric (NSQIP-Ped) now provides risk-adjusted outcomes to over 70 hospitals, incorporating resource utilization and value-based metrics.
Checklists and team-based communication tools show promise for enhancing surgical safety in children.
Quality improvement methodologies like Lean and Six Sigma are improving efficiency and healthcare value.

Conclusions:

Broader participation in benchmarking and knowledge-sharing collaboratives is essential.
Development of multidisciplinary, disease-specific longitudinal care models is needed.
Quality measurement should extend beyond the traditional 30-day perioperative period to encompass pre- and post-operative care.