Related Experiment Video

Updated: Sep 11, 2025

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
06:28

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

8.4K

Multicenter Pediatric Surgery Quality Collaborative (PSQC) NSQIP pilot study: Pediatric colorectal surgery bundle

Stephanie F Brierley1, Cortnie Vaughn2, Kathleen Heller1

  • 1Phoenix Children's, Division of Pediatric Surgery, Phoenix, AZ, USA.

Journal of Pediatric Surgery
|August 12, 2025
PubMed

Insights

A pilot study of a colon bundle checklist in pediatric colorectal surgery showed improved compliance over time. The checklist enhanced adherence to key surgical practices, demonstrating a realistic adoption rate for multicenter initiatives.

Area of Science:

  • Pediatric Surgery
  • Surgical Quality Improvement
  • Colorectal Surgery

Background:

  • The Pediatric Surgery Quality Collaborative (PSQC) initiated a pilot study in 2023.
  • The study utilized the National Surgical Quality Improvement Program-Pediatric (NSQIP-P) platform.
  • A 7-item perioperative colon bundle checklist was implemented to enhance surgical care.

Purpose of the Study:

  • To analyze bundle compliance in a multicenter pediatric colorectal surgery initiative.
  • To identify specific compliance rates for each checklist item.
  • To assess the effectiveness of the colon bundle checklist in improving surgical outcomes.

Main Methods:

  • A 7-item perioperative colon bundle checklist was implemented across multiple centers.
  • Custom variables were created on the NSQIP-P platform to track checklist compliance.
  • Compliance data for pediatric colorectal cases (January 2023-September 2024) were analyzed, comparing implementation and control groups over time.

Main Results:

  • 361 cases were analyzed; implementation cases showed significantly better compliance than controls in most areas.
  • Highest compliance was observed for preoperative antibiotic administration (90%), lowest for intraoperative anastomotic leak testing (62%).
  • Mean bundle compliance score increased significantly over time in implementation cases (4.07 to 5.14, p=0.010), with notable improvements in specific practices.

Conclusions:

  • This study represents the largest multicenter initiative assessing a colon bundle checklist for pediatric colorectal surgery using NSQIP-Pediatric data.
  • Significant, though imperfect, compliance improvement over 21 months indicates a realistic adoption rate for multicenter quality initiatives.
  • The findings support the utility of the colon bundle checklist in enhancing surgical quality and adherence to best practices in pediatric colorectal surgery.
Abstract

Keywords:
Bundle complianceBundle implementationColon bundleNSQIP-PPediatric colorectal surgeryPediatric surgery

More Related Videos

Implementation of Non-invasive Point of Care Transient Elastography for Evaluation of Liver Disease in Pediatric Populations with Cystic Fibrosis05:56

Implementation of Non-invasive Point of Care Transient Elastography for Evaluation of Liver Disease in Pediatric Populations with Cystic Fibrosis

Published on: August 29, 2025

27
Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction08:26

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

635

Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
213
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
175
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy01:26

Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy

This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
142
Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
185
Standards of Care II01:19

Standards of Care II

Nurses bear specific legal responsibilities under several federal statutes, including:
725