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Frameworks for quality improvement in pediatric intensive care: A concise review
Susan A Kourtis1, Jeffrey P Burns1,2
1Division of Critical Care Medicine Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital MA USA.
Pediatric Investigation
|August 28, 2020
Summary
Pediatric intensive care units worldwide use quality improvement programs, but assessment methods vary. This review examines different quality frameworks and international collaborations to improve pediatric critical care.
Area of Science:
- Pediatric critical care medicine
- Healthcare quality improvement science
Background:
- Quality improvement programs are standard in pediatric intensive care units (ICUs) globally.
- Established methodologies for assessing quality in these programs are not universally standardized.
Purpose of the Study:
- To review and compare diverse quality improvement (QI) frameworks used in pediatric critical care.
- To analyze the strengths and limitations of prominent QI frameworks.
- To highlight significant international collaborative efforts in pediatric critical care quality.
Main Methods:
- Systematic literature review of QI frameworks in pediatric critical care.
- Analysis of frameworks promoted by major pediatric and critical care societies.
- Examination of reported strengths and limitations of each framework.
- Identification and description of key international collaboratives.
Main Results:
- Multiple QI frameworks exist, lacking a single standardized approach.
- Frameworks differ in their methodologies, scope, and outcome measures.
- International collaboratives demonstrate successful multi-institutional quality improvement initiatives.
Conclusions:
- The heterogeneity of QI frameworks presents challenges for consistent quality assessment in pediatric ICUs.
- Further standardization or consensus on QI methodologies could enhance global pediatric critical care quality.
- International collaboration is a powerful tool for advancing quality improvement in pediatric critical care.
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