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Quality and patient safety research in pediatric neurosurgery: a review

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Abstract

Background

In 2001, the National Academy of Medicine, formerly known as the Institute of Medicine (IOM), published their seminal work, Crossing the Quality Chasm: A New Health System for the 21st Century. In this work, the authors called for improved safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity in the United States’ healthcare system. Two decades after the publication of this work, healthcare costs continue to rise, but outcomes lag other nations. The objective of this narrative review is to describe research efforts in pediatric neurosurgery with respect to the six quality aims proposed by the IOM, and highlight additional research opportunities.

Methods

PubMed, Google Scholar, and EBSCOhost were queried to identify studies in pediatric neurosurgery that have addressed the aims proposed by the IOM. Studies were summarized and synthesized to develop a set of research opportunities to advance quality of care.

Results

Twenty-three studies were reviewed which focused on the six quality aims proposed by the IOM. Out of these studies, five research opportunities emerged: (1) To examine performance of tools of care, (2) To understand processes surrounding care delivery, (3) To conduct cost-effectiveness analyses for a broader range of neurosurgical conditions, (4) To identify barriers driving healthcare disparities, and (5) To understand patients’ and caregivers’ experiences receiving care, and subsequently develop tools and programs to address their needs and preferences.

Conclusion

There is a growing body of literature examining quality in pediatric neurosurgical care across all aims proposed by the IOM. However, there remains important gaps in the literature that, if addressed, will advance the quality of pediatric neurosurgical care delivery.

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Funding

This publication was generously supported by the Stanford Maternal and Child Health Research Institute Structural Racism, Social Injustice and Health Disparities Program as well as the Stanford University Medical Scholars Program.

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Authors and Affiliations

  1. Department of Neurosurgery, Stanford University School of Medicine, Palo Alto, CA, 94304, USA

    Gabriela D. Ruiz Colón, Adela Wu, John K. Ratliff & Laura M. Prolo

  2. Division of Pediatric Neurosurgery, Lucile Packard Children’s Hospital, Palo Alto, CA, 94304, USA

    Laura M. Prolo

Authors
  1. Gabriela D. Ruiz Colón
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  2. Adela Wu
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  4. Laura M. Prolo
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Contributions

GRC and LMP contributed to the conceptualization of this manuscript. GRC drafted the manuscript. AW, JKR, and LMP contributed to interpretation of findings and critically revised the manuscript for intellectual content. All authors approved of the submitted version.

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Correspondence to Laura M. Prolo.

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Ruiz Colón, G.D., Wu, A., Ratliff, J.K. et al. Quality and patient safety research in pediatric neurosurgery: a review. Childs Nerv Syst 39, 1147–1158 (2023). https://doi.org/10.1007/s00381-022-05821-z

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