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

Published online by Cambridge University Press:  17 October 2024

Kevin Hummel Open the ORCID record for Kevin Hummel [Opens in a new window] ,
Tia Raymond Open the ORCID record for Tia Raymond [Opens in a new window] ,
Katja M. Gist ,
Gregory K. Yurasek ,
Melissa Winder Open the ORCID record for Melissa Winder [Opens in a new window]  and
Marissa A. Brunetti Open the ORCID record for Marissa A. Brunetti [Opens in a new window]
Kevin Hummel*
Affiliation:
Department of Pediatrics, Phoenix Children’s, Phoenix, AZ, USA
Tia Raymond
Affiliation:
Department of Pediatrics, Cardiac Critical Care, Medical City Children’s Hospital, Dallas, TX, USA
Katja M. Gist
Affiliation:
Department of Pediatrics, Cincinnati Children’s Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA
Gregory K. Yurasek
Affiliation:
Department of Cardiac Critical Care, Children’s National Hospital, Washington, DC, USA
Melissa Winder
Affiliation:
University of Utah, Salt Lake City, UT, USA
Marissa A. Brunetti
Affiliation:
Department of Anesthesiology and Critical Care Medicine, Children’s Hospital of Philadelphia and University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA
*
Corresponding author: Kevin Hummel; Email: kevinhummel@hsc.utah.edu
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Abstract

Background:

Outcomes for children with heart disease improved over the past decades. Quality improvement (QI) research in paediatric cardiac critical care is a key driver of improvement. The availability and variability of QI research across the field is unknown. This project represents a step in understanding the role. The Pediatric Cardiac Intensive Care Society (PCICS) can serve to support institutions’ needs, drive collaborations, and utilise available infrastructure at member institutions for improvement work.

Methods:

The PCICS Quality Improvement and Safety Committee developed a survey to assess the state of QI research. The survey was disseminated over several months and available via QR code at the World Congress of Pediatric Cardiology and Cardiac Surgery in 2023.

Results:

Fifty-eight respondents completed the survey representing at least 38 unique institutions. Most respondents participated in QI research (52/58, 90%). Most QI projects were single centre (41% of respondents), and of those, the majority were from a minority of institutions (13 institutions [34% of total institutions]). QI support is available at slightly more than half of units, and 55% (32/58) have access to a QI specialist. QI support and rate of publications is significantly lower for small/medium units as compared to large units. Respondents suggested most interest from PCICS in networking with other members with similar project ideas (50/58, 86%).

Conclusion:

PCICS member institutions are committed to QI research, with limitations in support, local specialists, and networking. Increasing connectivity and accessibility to QI resources may reduce burden to individual members and institutions to achieve QI research.

Keywords

CHDquality improvementpaediatric cardiac surgeryimprovement science
Type
Original Article
Information
Cardiology in the Young , Volume 34 , Issue 12 , December 2024 , pp. 2641 - 2644
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Copyright
© The Author(s), 2024. Published by Cambridge University Press

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