Document Detail


The pediatric cardiac care consortium--revisited.
MedLine Citation:
PMID:  7881516     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The Pediatric Cardiac Care Consortium (PCCC) is a collaborative, voluntary effort of pediatric cardiologists to gather and analyze data regarding operative results. METHODS: PCCC collects information on each child who undergoes cardiac catheterization, electrophysiologic study, or a cardiac operation, or dies with a cardiac malformation. The data are analyzed annually and individual reports are created for each center. Also, representatives from the centers meet annually, and data-on the major operative procedures, including risk factors, patient profiles, and variations in adjusted mortality-are presented. RESULTS: Since PCCC's founding in 1982, overall operative mortality has decreased from 14% to 4.1% in 1991 (22% to 8.2% for infants). In one center, for example, in which overall and infant operative mortality dropped in seven years from 15% and 28% to 8% and 15%, respectively, the cardiologists and surgeon used the PCCC data to identify areas of weakness and adopt new diagnostic and treatment methods for particular cardiac conditions. They now opt for safer initial operative approaches. Another center reduced its operative mortality for coarctation of the aorta in infants after data review led to a decision to be more aggressive in early referral of infants for operations and for changes in perioperative management. DISCUSSION: Use of the study group model, in which key members work with their institution to use and interpret the data, has been an effective strategy for data dissemination. The PCCC is exploring the concept of "model centers," which would probably be procedure specific. With additional funding, the database could be expanded to include morbidity measures, functional outcome, and long-term follow-up.
Authors:
J H Moller; C B Powell; J A Joransen; C Borbas
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Joint Commission journal on quality improvement     Volume:  20     ISSN:  1070-3241     ISO Abbreviation:  Jt Comm J Qual Improv     Publication Date:  1994 Dec 
Date Detail:
Created Date:  1995-04-13     Completed Date:  1995-04-13     Revised Date:  2006-08-28    
Medline Journal Info:
Nlm Unique ID:  9315239     Medline TA:  Jt Comm J Qual Improv     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  661-8     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, University of Minnesota, Minneapolis.
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MeSH Terms
Descriptor/Qualifier:
Cardiac Care Facilities / standards*
Cardiac Surgical Procedures / mortality*
Child
Child, Preschool
Data Collection
Health Services Research
Heart Defects, Congenital / mortality,  surgery
Humans
Infant
Infant, Newborn
Iowa
Minnesota
Nebraska
Outcome Assessment (Health Care)
Quality Assurance, Health Care*
Regional Medical Programs / organization & administration*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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