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Published on: February 23, 2024
Defining Benchmarks in Pediatric Burn Care: Inception of the Pediatric Injury Quality Improvement Collaborative
Kelli N Patterson1, Renata Fabia2,3, Sheila Giles3
1Center for Surgical Outcomes Research, The Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA.
Insights
A collaborative network of pediatric burn centers improved care through shared data and best practices. This initiative established quality benchmarks, enhancing outcomes for children with burns nationwide.
Area of Science:
- Pediatric Surgery
- Quality Improvement Science
- Healthcare Management
Background:
- Pediatric burn care quality varies significantly across the nation.
- There is a critical need for standardized quality and performance benchmarks in pediatric burn centers.
- A collaborative approach is essential for driving performance improvement initiatives.
Purpose of the Study:
- To establish a network of pediatric burn centers for developing and evaluating pediatric-specific best practices.
- To create standardized quality and performance benchmarks for pediatric burn care.
- To improve aggregate and institution-specific pediatric burn care outcomes.
Main Methods:
- Formation of the Pediatric Injury Quality Improvement Collaborative (PIQIC) in December 2016.
- Establishment of a multi-disciplinary team from five pediatric burn centers.
- Development of quality improvement indicators, data sharing agreements, and a centralized data repository for blinded benchmarking.
Main Results:
- Demonstrated feasibility of multi-institutional data collection and implementation of performance improvement metrics.
- Facilitated the publication of research and enhancement of pediatric burn care.
- Enabled benchmarking and exchange of best care practices among participating centers.
Conclusions:
- The PIQIC model is effective for multi-institutional collaboration in pediatric burn care.
- Standardized data collection and benchmarking can significantly improve the quality of pediatric burn care.
- Continued collaboration is vital for advancing best practices and outcomes in pediatric burn treatment.
Abstract:
Pediatric burn care is highly variable nationwide. Standardized quality and performance benchmarks are needed for guiding performance improvement within pediatric burn centers. A network of pediatric burn centers was established to develop and evaluate pediatric-specific best practices. A multi-disciplinary team including pediatric surgeons, nurses, advanced practice providers, pediatric intensivists, rehabilitation staff, and child psychologists from five pediatric burn centers established a collaborative to share and compare performance improvement data, evaluate outcomes, and exchange best care practices. In December 2016, the Pediatric Injury Quality Improvement Collaborative (PIQIC) was established. PIQIC members chose quality improvement indicators, drafted and approved a memorandum of understanding (MOU), data use agreement (DUA) and charter, formalized the multidisciplinary membership, and established a steering committee. Since inception, PIQIC has conducted monthly teleconferences and biannual in-person or virtual group meetings. A centralized data repository has been established where data is collated and analyzed for benchmarking in a blinded fashion. PIQIC has shown the feasibility of multi-institutional data collection, implementation of performance improvement metrics, publication of research, and enhancement of aggregate and institution-specific pediatric burn care.
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