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Accelerating Improvement in Children's Healthcare Through Quality Improvement Collaboratives: A Synthesis of Recent
Michael Terao1, James M Hoffman2, Richard J Brilli3
1Department of Oncology, St. Jude Children's Research Hospital, Memphis, TN.
Insights
Pediatric quality improvement collaboratives accelerate patient safety. Key success factors include data sharing, trust, and funding, while barriers involve resources and consensus-building.
Area of Science:
- Pediatric Healthcare Quality Improvement
- Collaborative Healthcare Initiatives
Background:
- Quality improvement collaboratives are recognized as effective strategies to enhance patient safety and healthcare quality.
- These collaborative efforts are crucial in accelerating advancements within pediatric healthcare settings.
Purpose of the Study:
- To review major pediatric quality improvement collaboratives published in the last five years.
- To identify common success factors and barriers encountered in these collaborative initiatives.
Main Methods:
- Systematic review of published pediatric quality improvement collaboratives.
- Analysis of reported success factors and encountered barriers.
Main Results:
- Active pediatric quality improvement collaboratives span various specialties including neonatal care, cystic fibrosis, congenital heart disease, hematology/oncology, chronic kidney disease, rheumatology, critical care, and general pediatrics.
- Success factors identified: data sharing, inter-institutional trust, financial and national organizational support, theoretical frameworks, patient/family engagement, and incentives.
- Barriers identified: insufficient funding/resources, legal concerns, challenges in reaching consensus on best practices and outcome measures, and overcoming cultural resistance to change.
Conclusions:
- Successful pediatric quality improvement collaboratives rely on robust data sharing, trust, adequate funding, and strong organizational support.
- Addressing barriers such as resource limitations, legal issues, and cultural resistance is essential for collaborative success.
- Learning from past collaborative experiences is vital for optimizing future pediatric quality improvement efforts and maximizing benefits for children.
Purpose Of Review:
Quality improvement collaboratives can accelerate quality improvement and patient safety efforts. We reviewed major pediatric quality improvement collaboratives that have published results in the past five years and discussed common success factors and barriers encountered by these collaboratives.
Recent Findings:
Many pediatric quality improvement collaboratives are active in neonatal, cystic fibrosis, congenital heart disease, hematology/oncoogy, chronic kidney disease, rheumatology, critical care, and general pediatric care.
Summary:
Factors important to the success of these pediatric quality improvement collaboratives include data sharing and communication, trust among institutions, financial support, support from national organizations, use of a theoretical framework to guide collaboration, patient and family involvement, and incentives for participation at both the individual and institutional levels. Common barriers encountered by these collaboratives include insufficient funding or resources, legal concerns, difficulty coming to consensus on best practices and outcome measures, and overcoming cultural barriers to change. Learning from the successes and challenges encountered by these collaboratives will enable the pediatric healthcare quality improvement community to continue to evolve this approach to maximize benefits to children.
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