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Databases for Assessing the Outcomes of the Treatment of Patients with Congenital and Pediatric Cardiac Disease: The Perspective of Critical Care

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Pediatric and Congenital Cardiac Care

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Abstract

Several barriers exist that make measuring critical care outcomes and quality a challenge. Particularly in the field of pediatric cardiac critical care it can be difficult to disentangle an intensive care unit’s contribution to patient outcome from those of other services (e.g. surgery), and appropriate risk-adjustment remains an elusive goal. Databases provide a key source of information that can be used to overcome some of these barriers. We explain the key database components necessary to provide clinicians and researchers with the foundation to measure and improve quality in this clinical arena. Databases that are currently used in the critical care community are described, including the Virtual PICU System (VPS) database. The chapter concludes with a discussion of how to move from simply assessing patient outcomes using databases to achieving quality improvement through collaborative. We review new collaborative in pediatric cardiac critical care and cardiac surgery, the Pediatric Cardiac Critical Care Consortium (PC4), that is implementing the lessons learned from successful quality improvement pioneers.

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Author information

Authors and Affiliations

  1. Pediatrics and Communicable Diseases, C.S. Mott Children’s Hospital, 1540 East Hospital Dr, Ann Arbor, MI, 48109, USA

    Michael G. Gaies MD, MPH, MSc

  2. Department of Pediatric Critical Care, Seattle Children’s Hospital, 4800 Sandpoint Way, NE, MB.10.628, Seattle, WA, 98105, USA

    Howard E. Jeffries MD, MBA

  3. Anesthesiology Critical Care Medicine, Children’s Hospital Los Angeles, 4650 Sunset Blvd, MS#12, Los Angeles, CA, 90027, USA

    Randall Wetzel MB, BS, MS

  4. Department of Critical Care Medicine, The Hospital for Sick Children, University of Toronto, 555 University Ave., Toronto, ON, M5G 1X8, Canada

    Steven M. Schwartz MD, MS, FRCPC, FAHA

Authors
  1. Michael G. Gaies MD, MPH, MSc
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  2. Howard E. Jeffries MD, MBA
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  3. Randall Wetzel MB, BS, MS
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  4. Steven M. Schwartz MD, MS, FRCPC, FAHA
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Corresponding author

Correspondence to Michael G. Gaies MD, MPH, MSc .

Editor information

Editors and Affiliations

  1. School of Medicine,, University of Oslo, Oslo, Norway

    Paul R. Barach

  2. Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University, Division of Cardiac Surgery, Department of Surgery, Johns Hopkins All Children’s Heart Institute, All Children’s Hospital and Florida Hospital for Children, Johns Hopkins University, St. Petersburg, Tampa, Orlando, FL, USA,, Baltimore, Maryland, USA

    Jeffery P. Jacobs

  3. Wayne State University, Detroit, Michigan, USA

    Steven E. Lipshultz

  4. The Hospital for Sick Children, Toronto, Ontario, Canada

    Peter C. Laussen

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© 2015 Springer-Verlag London

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Gaies, M.G., Jeffries, H.E., Wetzel, R., Schwartz, S.M. (2015). Databases for Assessing the Outcomes of the Treatment of Patients with Congenital and Pediatric Cardiac Disease: The Perspective of Critical Care. In: Barach, P., Jacobs, J., Lipshultz, S., Laussen, P. (eds) Pediatric and Congenital Cardiac Care. Springer, London. https://doi.org/10.1007/978-1-4471-6587-3_11

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  • DOI: https://doi.org/10.1007/978-1-4471-6587-3_11

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-6586-6

  • Online ISBN: 978-1-4471-6587-3

  • eBook Packages: MedicineMedicine (R0)

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