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Single-Center Use of Real-Time Society of Thoracic Surgeons Congenital Heart Surgery Data to Improve Institutional

Camille L Hancock Friesen1, Amanda M McGlinchey2, Timothé E L'Heureux2

  • 1Division of Pediatric Cardiothoracic Surgery, Children's Nebraska, Omaha, Nebraska; Department of Surgery, University of Nebraska Medical Center, Omaha, Nebraska.

The Annals of Thoracic Surgery
|October 31, 2025
PubMed

Insights

This study shows real-time data from The Society of Thoracic Surgery (STS) Congenital Heart Surgery Database (CHSD) can improve pediatric cardiac surgery quality. Using this data in Collaborative Multidisciplinary Assessment of Performance Rounds (CMAP) enhances team performance and clinical outcomes.

Area of Science:

  • Pediatric Cardiac Surgery
  • Quality Improvement Science
  • Health Informatics

Background:

  • Improving care quality in pediatric cardiac surgery is a complex challenge.
  • Real-time data utilization is key to optimizing team performance and clinical outcomes.
  • The Society of Thoracic Surgery (STS) Congenital Heart Surgery Database (CHSD) offers a valuable resource for quality assessment.

Purpose of the Study:

  • To describe the implementation of a quality framework using real-time STS CHSD data.
  • To evaluate the impact of this framework on team performance and clinical outcomes in pediatric cardiac surgery.
  • To optimize the quality of care in congenital heart surgery through data-driven insights.

Main Methods:

  • A single-center retrospective study spanning 8 quarters (3 pre-implementation, 2 during, 3 post-implementation).
  • Utilized STS CHSD data abstracted from medical records and input into third-party software.
  • Created visual plots for index procedures presented at weekly Collaborative Multidisciplinary Assessment of Performance Rounds (CMAP) and an STS Dashboard.
  • Compared STS CHSD unadjusted data and Pediatric Cardiac Critical Care Consortium (PC4) risk-adjusted clinical outcomes pre- and post-implementation.

Main Results:

  • Collaborative Multidisciplinary Assessment of Performance Rounds (CMAP) were implemented in July 2023, with a median attendance of 59.
  • Case mix remained similar pre- and post-implementation (17.7% vs 18% for STAT Categories 4 or 5 cases).
  • Trends indicated decreased risk-adjusted PC4 outcomes post-implementation, including improvements in failure-to-rescue, major complications, cardiac arrest, seizures, infection, and unplanned reintervention.
  • CMAP discussions generated actionable insights ('CMAP Takeaways') that informed quality care initiatives.

Conclusions:

  • Real-time STS CHSD data can be effectively used to create a quality framework in congenital heart surgery.
  • Transparent data sharing and psychological safety are crucial for enhancing team performance.
  • This approach demonstrates feasibility and power in improving quality of care and clinical outcomes.
Abstract

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