Abstract
In this chapter the reader is provided with the tools necessary to begin implementing quality improvement methodology within their home institution. Expansion of one’s quality improvement toolbox will allow successful analysis of safety events and near misses, along with strategies needed to mitigate risk and provide optimal patient-centered care for complex population of patients with congenital heart disease. Furthermore, there is an ever-expanding roll for multi-centered collaboration given the innate heterogeneity of the patient population along with the relatively rare frequency of serious adverse events. We provide important examples of successful multi-center collaboration and quality improvement initiatives which have used large datasets to provide meaningful analysis and have improved outcomes in congenital cardiac catheterization.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Langley GJ, Moen RD, Nolan KM, Nolan TW, Norman CL, Provost LP. In: Langley GJ, editor. The improvement guide a practical approach to enhancing organizational performance. 2nd ed. San Francisco: Jossey-Bass; 2009.
Institute for Healthcare Improvement: Open School. IHI Open School: The science of improvement on a whiteboard! Institute for Healthcare Improvement Open School; 2019.
Moore JW, Vincent RN, Beekman RH III, et al. Procedural results and safety of common interventional procedures in congenital heart disease: initial report from the National Cardiovascular Data Registry. J Am Coll Cardiol. 2014;64(23):2439–51. https://doi.org/10.1016/j.jacc.2014.09.045.
Cevallos PC, Rose MJ, Armsby LB, et al. Implementation of methodology for quality improvement in pediatric cardiac catheterization: a multi-center initiative by the congenital cardiac catheterization project on outcomes-quality improvement (C3PO-QI). Pediatr Cardiol. 2016;37(8):1436–45. https://doi.org/10.1007/s00246-016-1454-z.
Martin GR, Anderson JB, Vincent RN. IMPACT Registry and National Pediatric Cardiology Quality Improvement Collaborative: Contributions to Quality in Congenital Heart Disease. World J Pediatr Congenit Heart Surg. 2019;10(1):72–80. https://doi.org/10.1177/2150135118815059.
Nykanen DG, Forbes TJ, Du W, et al. CRISP: catheterization risk score for pediatrics: a report from the Congenital Cardiac Interventional Study Consortium (CCISC). Catheter Cardiovasc Interv. 2016;87(2):302–9. https://doi.org/10.1002/ccd.26300.
Quinn BP, Armstrong AK, Bauser-Heaton HD, et al. Radiation risk categories in cardiac catheterization for congenital heart disease: a tool to aid in the evaluation of radiation outcomes. Pediatr Cardiol. 2019;40(2):445–53. https://doi.org/10.1007/s00246-018-2024-3.
Ghelani SJ, Glatz AC, David S, et al. Radiation dose benchmarks during cardiac catheterization for congenital heart disease in the United States. JACC Cardiovasc Interv. 2014;7(9):1060–9. https://doi.org/10.1016/j.jcin.2014.04.013.
Cevallos PC, Armstrong AK, Glatz AC, et al. Radiation dose benchmarks in pediatric cardiac catheterization: a prospective multi-center C3PO-QI study. Catheter Cardiovasc Interv. 2017;90(2):269–80. https://doi.org/10.1002/ccd.26911.
Bergersen L, Gauvreau K, Foerster SR, et al. Catheterization for Congenital Heart Disease Adjustment for Risk Method (CHARM). JACC Cardiovasc Interv. 2011;4(9):1037–46. https://doi.org/10.1016/j.jcin.2011.05.021.
Jayaram N, Spertus JA, Kennedy KF, et al. Modeling major adverse outcomes of pediatric and adult patients with congenital heart disease undergoing cardiac catheterization: observations from the NCDR IMPACT Registry (National Cardiovascular Data Registry Improving Pediatric and Adult Congenital Trial). Circulation. 2017;136(21):2009–19. https://doi.org/10.1161/CIRCULATIONAHA.117.027714.
Bergersen L, Giroud JM, Jacobs JP, et al. Report from The International Society for Nomenclature of Paediatric and Congenital Heart Disease: cardiovascular catheterisation for congenital and paediatric cardiac disease (Part 2 - Nomenclature of complications associated with interventional cardiology). Cardiol Young. 2011;21(3):260–5. https://doi.org/10.1017/S1047951110001861.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Quinn, B.P., Cevallos, P., Bergersen, L. (2021). Quality Improvement Tools and Risk Mitigation in the Congenital Cardiac Catheterization Laboratory. In: Butera, G., Chessa, M., Eicken, A., Thomson, J. (eds) Cardiac Catheterization for Congenital Heart Disease. Springer, Cham. https://doi.org/10.1007/978-3-030-69856-0_64
Download citation
DOI: https://doi.org/10.1007/978-3-030-69856-0_64
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-69855-3
Online ISBN: 978-3-030-69856-0
eBook Packages: MedicineMedicine (R0)