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Current state of quality improvement research across cardiac ICUs: a Pediatric Cardiac Intensive Care Society (PCICS)

Kevin Hummel1, Tia Raymond2, Katja M Gist3

  • 1Department of Pediatrics, Phoenix Children's, Phoenix, AZ, USA.

Cardiology in the Young
|October 17, 2024
PubMed

Insights

Pediatric cardiac intensive care units (ICUs) are committed to quality improvement (QI) research, but face challenges in support and networking. Enhancing connectivity and resources can improve QI research efforts in pediatric cardiac critical care.

Area of Science:

  • Pediatric Cardiology
  • Critical Care Medicine
  • Health Services Research

Background:

  • Outcomes for children with heart disease have improved due to quality improvement (QI) research in pediatric cardiac critical care.
  • The extent and distribution of QI research in this field are not well understood.
  • The Pediatric Cardiac Intensive Care Society (PCICS) has the potential to support institutions, foster collaborations, and leverage existing infrastructure for QI initiatives.

Purpose of the Study:

  • To assess the current state of QI research within institutions belonging to the PCICS.
  • To identify challenges and opportunities for advancing QI research in pediatric cardiac critical care.

Main Methods:

  • A survey was developed by the PCICS Quality Improvement and Safety Committee to evaluate the landscape of QI research.
  • The survey was distributed over several months, including via QR code at the 2023 World Congress of Pediatric Cardiology and Cardiac Surgery.

Main Results:

  • Fifty-eight respondents from at least 38 institutions participated, with 90% engaged in QI research.
  • Most QI projects were single-center (41%), primarily from a few institutions (34%).
  • QI support and specialists are available in slightly over half of units; smaller units have less support and publication rates compared to larger ones.
  • A strong interest (86%) was expressed in PCICS facilitating networking for researchers with similar project ideas.

Conclusions:

  • PCICS member institutions demonstrate a strong commitment to QI research despite limitations in support, local expertise, and networking opportunities.
  • Improving access to QI resources and enhancing collaboration can alleviate the burden on individual members and institutions, thereby advancing QI research in pediatric cardiac critical care.
Abstract

Keywords:
CHDimprovement sciencepaediatric cardiac surgeryquality improvement

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