Nothing crosses borders and boundaries of all kinds in our world like a willingness to work together to provide the best possible health care for children.It is in that spirit that we announce the inaugura-tion of a n...Nothing crosses borders and boundaries of all kinds in our world like a willingness to work together to provide the best possible health care for children.It is in that spirit that we announce the inaugura-tion of a new medical journal,Pediatric Investigation,that will be devoted to harnessing and disseminating innovative basic,transla-tional,and implementation science research.展开更多
Importance:Measuring and improving performance is an essential component of any high-risk industry,including intensive care medicine.We undertook this systematic review to describe the current state of quality improve...Importance:Measuring and improving performance is an essential component of any high-risk industry,including intensive care medicine.We undertook this systematic review to describe the current state of quality improvement efforts in pediatric intensive care medicine.Objective:To evaluate the quality and rigor of all published literature on quality improvement efforts in the pediatric intensive care unit in the current era.Methods:We conducted a literature search on MEDLINE,Embase,and Cochrane for studies that met two broad inclusion criteria:1) the terms 'pediatric critical care' and 'quality improvement' and 2) they were completed in the past ten years.In the initial search,we also included academic and professional societies or organizations devoted to providing resources on quality improvement in intensive care medicine.We excluded studies that examined quality improvement processes exclusively for neonatal or adult patients receiving intensive care.Results:Forty-nine of 332 identified articles were selected for final review by two reviewers who independently rated the quality of the methodology and rigor of the evidence reported for each study.Of these,23 studies targeted structural issues,14 studies targeted process issues,and 12 targeted an outcome as the focus of the intensive care quality improvement effort.Interpretation:Our review of the published literature on quality improvement efforts in the pediatric intensive care unit in the current era found that 85% of studies were limited in methodology or analysis.Fifteen high-quality studies are reported here and serve as helpful examples of rigorous research methodology in this domain going forward.展开更多
Quality improvement programs focused on improving care in intensive care units have become standard at pediatric hospitals around the world over the past several decades.However,the methodology or framework by which t...Quality improvement programs focused on improving care in intensive care units have become standard at pediatric hospitals around the world over the past several decades.However,the methodology or framework by which these programs assess quality is not standard.This review describes the varying quality improvement frameworks that have been promoted by prominent pediatric and critical care societies and the strengths and limitations of these frameworks,as well as several notable international eollaboratives in this domain.展开更多
文摘Nothing crosses borders and boundaries of all kinds in our world like a willingness to work together to provide the best possible health care for children.It is in that spirit that we announce the inaugura-tion of a new medical journal,Pediatric Investigation,that will be devoted to harnessing and disseminating innovative basic,transla-tional,and implementation science research.
文摘Importance:Measuring and improving performance is an essential component of any high-risk industry,including intensive care medicine.We undertook this systematic review to describe the current state of quality improvement efforts in pediatric intensive care medicine.Objective:To evaluate the quality and rigor of all published literature on quality improvement efforts in the pediatric intensive care unit in the current era.Methods:We conducted a literature search on MEDLINE,Embase,and Cochrane for studies that met two broad inclusion criteria:1) the terms 'pediatric critical care' and 'quality improvement' and 2) they were completed in the past ten years.In the initial search,we also included academic and professional societies or organizations devoted to providing resources on quality improvement in intensive care medicine.We excluded studies that examined quality improvement processes exclusively for neonatal or adult patients receiving intensive care.Results:Forty-nine of 332 identified articles were selected for final review by two reviewers who independently rated the quality of the methodology and rigor of the evidence reported for each study.Of these,23 studies targeted structural issues,14 studies targeted process issues,and 12 targeted an outcome as the focus of the intensive care quality improvement effort.Interpretation:Our review of the published literature on quality improvement efforts in the pediatric intensive care unit in the current era found that 85% of studies were limited in methodology or analysis.Fifteen high-quality studies are reported here and serve as helpful examples of rigorous research methodology in this domain going forward.
文摘Quality improvement programs focused on improving care in intensive care units have become standard at pediatric hospitals around the world over the past several decades.However,the methodology or framework by which these programs assess quality is not standard.This review describes the varying quality improvement frameworks that have been promoted by prominent pediatric and critical care societies and the strengths and limitations of these frameworks,as well as several notable international eollaboratives in this domain.
