Quality Quarterly, Pediatric Surgery Quality Collaborative

February 2021
Volume 2, Issue 1


Terry and I have launched this newsletter to keep you informed about our quality improvement projects and provide updates on what is going on in the collaborative. We will also be providing updates from member hospitals on where they are in their quality improvement journey. Please feel free to share this newsletter with any colleagues or contacts who may be interested in the in-formation provided. If you would be interested in providing infor-mation/sharing in a success (or failure!) story from your hospital, let us know.  Read More


PSQC Implementation Committee

In October 2020, members of the PSQC Implementation Committee (IC) pur-sued an accelerated qualitative approach to understanding how the PSQC member hospitals approach treating patients who present to the emergency department with suspected acute appendicitis. From the ACS NSQIP Pediatric Targeted Appendectomy Report, we observed that our PSQC member hospi-tals have similar distributions of preoperative CT utilization and negative ap-pendectomy rates as the 131 NSQIP-Pediatric hospitals. While some of PSQC hospitals are leaders on this report (e.g., low CT use and low negative appen-dectomy rates), other PSQC hospitals have opportunities for improve-ment. Thus, we decided to take advantage of our collaborative relationship through PSQC and explore practices at sites performing better than expected and at sites that have room for improvement. Read more



Recent Publications of Interest

Implementation of a gastrostomy care bundle reduces dislodgements and length of stay
Pediatric gastrostomy tubes (G-tubes) are associated with considerable utiliza-tion of healthcare resources. G-tube dislodgement can result in tract disruption and abdominal sepsis. The team found that an interdisciplinary team using quality improvement science methodology can significantly reduce G-tube dislodge-ment and improve value after pediatric gastrostomy tube insertion. Read more


News from Our Members

As part of the NSQIP antibiotic stewardship pilot program, Cincinnati Chil-dren’s discovered high noncompliance with SAC modified guidelines. They started their QI project with a focus on g-tube cases. The Aim statement de-veloped by Cincinnati in July 2019 was “to increase the proportion of G-tube patients receiving correct Surgical Antibiotic Prophylaxis (SAP) for indication, timing, spectrum, and duration according to national and pediatric specific guidelines from 17.2% to 80% by 12.31.20”. Read more


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