Integrating the Institute of Medicine’s six quality aims into pediatric critical care: Relevance and applications

@article{Slonim2005IntegratingTI,
  title={Integrating the Institute of Medicine’s six quality aims into pediatric critical care: Relevance and applications},
  author={Anthony D. Slonim and Murray M. Pollack},
  journal={Pediatric Critical Care Medicine},
  year={2005},
  volume={6},
  pages={264-269}
}
The Institute of Medicine’s report Crossing the Quality Chasm recommends “six aims for improvement.” The aims are safety, effectiveness, equity, timeliness, patient-centeredness, and efficiency. This review focuses on the quality of care information relevant to the Institute of Medicine’s six aims to assess their relevance, potential impact, and affect on pediatric critical care practice. It is concluded that if the care for pediatric intensive care patients is to be fundamentally improved, an… 
View on Wolters Kluwer
pedsccm.org
51 Citations
Highly Influential Citations
2
Background Citations
14
Methods Citations
3

51 Citations

Healthcare inequities in the PICU.
  • A. Slonim
  • Medicine
    Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
  • 2006
TLDR
The results of a three-institution study investigating outcomes for PICU patients by race, gender, and insurance status are described, which represents one of an increasing number of investigations that allow pediatric intensive care providers to understand how inequities in care may be operative in the PICUs.
Determining pediatric intensive care unit quality indicators for measuring pediatric intensive care unit safety
  • M. ScanlonK. MistryH. Jeffries
  • Medicine
    Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
  • 2007
TLDR
The 18-month process to develop seven pediatric critical care measures proposed for national use is described, and opportunities exist for intensivists to contribute and lead in the development and refinement of measures.
Quality and Safety in the Intensive Care Unit
TLDR
This review provides historical perspectives, research foundations, and a practical “how to” guide to improving care in the intensive care unit, which considers the organizational structure, the processes of care, and the occurrence of adverse outcomes.
Quality Improvement in Critical Care: Selection and Development of Quality Indicators
TLDR
This type of reporting system will demonstrate variation between units and jurisdictions to help identify and prioritize improvement efforts to optimize outcomes for patients and the health system as a whole.
Review of the Acuity Scoring Systems for the Pediatric Intensive Care Unit and Their Use in Quality Improvement
TLDR
It is anticipated that with increasing health care costs and competition and increased focus on medical error reduction and quality improvement, the demands for risk-adjusted outcomes and institutional benchmarking will increase; therefore, as clinicians, academicians, and administrators, it is imperative to be knowledgeable of the methods and applications of acuity scoring systems to ensure their quality and appropriate use.
Are all ICUs the same?
TLDR
How and why ICUs are compared and a data collecting network designed for the purposes of determining where differences in critical care can be identified and the value that this adds in improving quality are discussed.
Journey Toward Meaningful Pediatric Quality Metric Reporting: The Texas Experience
  • F. LevyJulia S HenionMitch Harris
  • Medicine, Political Science
    Journal for healthcare quality : official publication of the National Association for Healthcare Quality
  • 2008
TLDR
A journey of nearly 2 years undertaken to review currently available quality measures and arrive at interagency consensus for the reporting of pediatric quality and clinical outcomes in Texas is summarized.
Evaluation of specific quality metrics to assess the performance of a specialised newborn transport programme
TLDR
Using evidence-based literature and the newborn transport experience, specific quality indicators for newborn transport are suggested and data analysis shows how some indicators need to be adjusted for gestational age.
Evaluation of specific quality metrics to assess the performance of a specialised newborn transport programme.
TLDR
Using evidence-based literature and the newborn transport experience, specific quality indicators for newborn transport are suggested and data analysis shows how some indicators need to be adjusted for gestational age.
Parent satisfaction in the pediatric ICU.
...
...

References

SHOWING 1-10 OF 91 REFERENCES
Clinical practice guidelines in pediatric and newborn medicine: implications for their use in practice.
TLDR
Why and how guidelines are developed are discussed and critically evaluate the available evidence describing potential benefits and drawbacks of guidelines in general are discussed.
Evaluation of two methods for quality improvement in intensive care: Facilitated incident monitoring and retrospective medical chart review*
TLDR
It is suggested that incident monitoring may be more useful for identifying quality problems, and it could be supplemented by selective audits and focused MCR to detect problems not reported well by FIM.
Pediatric intensive care: result of a European survey
TLDR
Data obtained in the survey demonstrate the substantial structural, organisational management, and staff diversity of paediatric ICUs in Europe.
Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center
TLDR
This is one of the first large scale efforts to measure institutional culture of safety and then design improvements in health care and the survey results suggest that strategic planning of patient safety needs enhancement.
Cost containment: the pediatric perspective.
TLDR
If institutions are functioning in a very inefficient manner, a re-evaluation of admission and discharge criteria, as well as other hospital services, may be required to develop more efficient use of the PICU.
Impact of quality-of-care factors on pediatric intensive care unit mortality
TLDR
Characteristics indicative of the best overall hospital quality may not be associated, or may be negatively associated, with quality of care in specialized care areas, including the pediatric ICU.
Are hospital characteristics associated with parental views of pediatric inpatient care quality?
TLDR
Despite high subjective ratings of quality of care, measures of specific processes of care reveal significant variations among hospitals and identify areas with opportunities for improvement.
Impact of a pediatric clinical pharmacist in the pediatric intensive care unit
TLDR
It is concluded that a clinical pharmacist is an important and cost-effective member of the pediatric intensive care unit team.
Improving the outcome and efficiency of intensive care: the impact of an intensivist.
TLDR
It is indicated that a pediatric intensivist can improve mortality rates and efficiency of bed utilization in the pediatric ICU.
Association between nurse-physician collaboration and patient outcomes in three intensive care units.
TLDR
There was a perfect rank order correlation between unit-level organizational collaboration and patient outcomes across the three units, and medical ICU nurses' reports of collaboration were associated positively with patient outcomes.
...
...