| 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 |
Related Documents
:
|
805526 - Morbidity associated with prolonged use of polyvinyl feeding tubes. 21719396 - Respiratory symptoms in preterm infants: burden of disease in the first year of life. 2699676 - Current concepts in the management of preterm labour. 22259916 - Incidence and causes of sudden death in a university hospital in eastern saudi arabia. 10987006 - Antithrombin iii deficiency in a patient with multifocal osteonecrosis. 23622196 - Neonatal seizures. |
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. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| 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
Previous Document: DNA primers for amplification of mitochondrial cytochrome c oxidase subunit I from diverse metazoan ...
Next Document: The abolishment of performance appraisals: Parkview's story.