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Development of a Structured Outcomes Assessment and Implementation Program in the Pediatric Intensive Care Unit

Katherine M Steffen1, John C Lin2, Sara Malone2

  • 11 Lucile Packard Children's Hospital, Stanford University School of Medicine, Palo Alto, CA.

American Journal of Medical Quality : the Official Journal of the American College of Medical Quality
|July 17, 2018
PubMed

Insights

The pediatric intensive care unit (PICU) created an Outcomes Program (OP) to track patient safety and outcomes, driving improvements in care through systematic analysis and implementation science. This structured approach enhances pediatric critical care delivery.

Area of Science:

  • Pediatric critical care medicine
  • Healthcare quality improvement
  • Implementation science

Background:

  • Pediatric intensive care units (PICUs) require robust systems for monitoring patient outcomes and safety.
  • Systematic identification of improvement targets is crucial for enhancing clinical practice.
  • The need for structured approaches to implement changes in pediatric critical care was recognized.

Purpose of the Study:

  • To report on the development and implementation of an Outcomes Program (OP) in a PICU.
  • To outline the OP's role in monitoring outcomes, identifying improvement targets, and implementing new protocols.
  • To demonstrate the application of implementation science principles in a PICU setting.

Main Methods:

  • Development of a comprehensive OP structure including data monitoring, performance review, and committee oversight.
  • Integration of knowledge translation and implementation science programs to guide practice changes.
  • Utilizing routine provider updates, educational strategies, and structured implementation plans for focused projects.

Main Results:

  • The OP successfully coordinated outcomes data, clinical review, and implementation initiatives since 2013.
  • Routine updates and educational strategies facilitated the adoption of improved care models.
  • Focused projects with implementation plans led to demonstrable improvements in PICU care.

Conclusions:

  • The developed Outcomes Program provides a systematic process for evaluating PICU outcomes and driving programmatic change.
  • Implementation science principles are effective in improving the model of PICU care.
  • This adaptable process can be valuable for other PICUs seeking to enhance patient care and safety.

Keywords:
critical care outcomespatient safetypediatric intensive care unitsprogram developmentquality improvement

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