Quality Quarterly, Pediatric Surgery Quality Collaborative
Volume 3, Issue 4
The PSQC is busy with our NSQIP based and pilot projects. All pilot projects have launched as of October 24th. To review our plan, these will be pilot projects designed to ultimately roll into the NSQIP. Individual DUA templates between participating hospitals and UTHealth Houston have been distributed to all hospitals which volunteered to be a pilot site. In an effort to assist those of you who may have some challenges around the DUA process, a source document has been created to provide an overview of each project-background, purpose, data needs, data storage and measurement-to hopefully ease the process. That document text is included in this newsletter and will be available on the PSQC website. Read More
There is no universally accepted post-op treatment path in regard to pain management and reduction of surgical site infections (SSI) in pediatric general surgery patients. In the NSQIP-P cohort there is wide variability in antibiotic prescription practice: the most recent NSQIP-P SAR reveals usage of oral antibiotics on discharge for complex appendicitis patients ranging from zero to 100%, with a median of about 65%. Antibiotic stewardship protects patients from harms caused by unnecessary antibiotic use and combats antibiotic resistance. Opioid stewardship reduces the need for unnecessary pain management therapies and potential misuse of narcotics. Read more
Recent Publications of Interest by Our Members
Shared decision-making in pediatric surgery: An overview of its application for the treatment of uncomplicated appendicitis
Nonoperative management (NOM) of uncomplicated appendicitis is a safe and effective treatment alternative to surgery that may be preferred by some families. Surgery and NOM differ significantly in their associated risks and benefits. Choosing a treatment for acute appendicitis requires patients and their caregivers to make timely, informed decisions that allow for incorporation of personal perspectives, values, and preferences. This article will address the concept of shared decision-making and establish its role in patient centered care. It will demonstrate the effectiveness of shared decision making in a high acuity surgical setting for children and highlight how the choice for management of acute appendicitis may be impacted by patients’ and families’ individualized circumstances and values. Read more
Welcome New Members!
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