TY - JOUR
T1 - Development of a Structured Outcomes Assessment and Implementation Program in the Pediatric Intensive Care Unit
AU - Steffen, Katherine M.
AU - Lin, John C.
AU - Malone, Sara
AU - Doctor, Allan
AU - Hartman, Mary E.
N1 - Publisher Copyright:
© The Author(s) 2018.
PY - 2019/1/1
Y1 - 2019/1/1
N2 - This article reports on the Outcomes Program (OP) that the pediatric intensive care unit (PICU) developed to (1) monitor unit-based outcomes trends and safety data, (2) systematically identify targets for process improvement, and (3) implement new projects and care protocols with the aim of improving patient care. Following development of the OP structure in 2013, the authors have coordinated the components of outcomes data and reporting, clinical performance review, outcomes committee, knowledge translation, and implementation science programs to impact practice. Through routine provider updates, educational strategies, and prioritization of focused projects that include structured implementation plans, the model of PICU care has been improved. Described herein is the development of the process to evaluate intensive care unit outcomes and address the need for programmatic change through implementation science principles. Such a process may be of use in other PICUs.
AB - This article reports on the Outcomes Program (OP) that the pediatric intensive care unit (PICU) developed to (1) monitor unit-based outcomes trends and safety data, (2) systematically identify targets for process improvement, and (3) implement new projects and care protocols with the aim of improving patient care. Following development of the OP structure in 2013, the authors have coordinated the components of outcomes data and reporting, clinical performance review, outcomes committee, knowledge translation, and implementation science programs to impact practice. Through routine provider updates, educational strategies, and prioritization of focused projects that include structured implementation plans, the model of PICU care has been improved. Described herein is the development of the process to evaluate intensive care unit outcomes and address the need for programmatic change through implementation science principles. Such a process may be of use in other PICUs.
KW - critical care outcomes
KW - patient safety
KW - pediatric intensive care units
KW - program development
KW - quality improvement
UR - http://www.scopus.com/inward/record.url?scp=85049929459&partnerID=8YFLogxK
U2 - 10.1177/1062860618788173
DO - 10.1177/1062860618788173
M3 - Article
C2 - 30009638
AN - SCOPUS:85049929459
SN - 1062-8606
VL - 34
SP - 23
EP - 29
JO - American Journal of Medical Quality
JF - American Journal of Medical Quality
IS - 1
ER -