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A systematic review of the power of standardization in pediatric neurosurgery

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Abstract

In the current neurosurgical field, there is a constant emphasis on providing the best care with the most value. Such work requires the constant optimization of not only surgical but also perioperative services. Recent work has demonstrated the power of standardized techniques in limiting complication while promoting optimal outcomes. In this review article, protocols addressing operative and perioperative care for common pediatric neurosurgical procedures are discussed. These articles address how various institutions have optimized procedures through standardization. Our objective is to improve patient outcomes through the optimization of protocols.

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References

  1. Becker K (1989) International harmonization of nuclear and radiation standards and the future of nuclear energy. Energy Sources 11:85–94

    Article  Google Scholar 

  2. Button K, Clarke A, Palubinskas G, Stough R, Thibault M (2004) Conforming with ICAO safety oversight standards. J Air Transp Manag 10:249–255

    Article  Google Scholar 

  3. Spence T, Fanjoy R, Lu C-t, Schreckengast S (2015) International standardization compliance in aviation. J Air Transp Manag 49:1–8

    Article  Google Scholar 

  4. Brennan TA, Leape LL, Laird NM, Hebert L, Localio AR, Lawthers AG, Newhouse JP, Weiler PC, Hiatt HH (1991) Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. N Engl J Med 324:370–376

    Article  PubMed  CAS  Google Scholar 

  5. Grol R (2000) Between evidence-based practice and total quality management: the implementation of cost-effective care. Int J Qual Health Care 12:297–304

    Article  PubMed  CAS  Google Scholar 

  6. Kirkpatrick DH, Burkman RT (2010) Does standardization of care through clinical guidelines improve outcomes and reduce medical liability? Obstet Gynecol 116:1022–1026

    Article  PubMed  Google Scholar 

  7. Kohn LT, Corrigan J, Donaldson MS (2000) To err is human building a safer health system. National Academy Press, Washington, D.C

    Google Scholar 

  8. Leotsakos A, Zheng H, Croteau R, Loeb JM, Sherman H, Hoffman C, Morganstein L, O’Leary D, Bruneau C, Lee P, Duguid M, Thomeczek C, van der Schrieck-De LE, Munier B (2014) Standardization in patient safety: the WHO High 5s project. Int J Qual Health Care 26:109–116

    Article  PubMed  Google Scholar 

  9. Bullock J, Jordan D, Gawlinski A, Henneman EA (2006) Standardizing IV infusion medication concentrations to reduce variability in medication errors. Crit Care Nurs Clin North Am 18:515–521

    Article  PubMed  Google Scholar 

  10. Leape LL (1997) A systems analysis approach to medical error. J Eval Clin Pract 3:213–222

    Article  PubMed  CAS  Google Scholar 

  11. Salerno SM, Arnett MV, Domanski JP (2009) Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. Teach Learn Med 21:121–126

    Article  PubMed  Google Scholar 

  12. Evidence-practice gaps report, volume 1 : a review of developments 2004–2007. Melbourne: National Institute of Clinical Studies, 2008

  13. Urbach DR, Baxter NN (2005) Reducing variation in surgical care. BMJ 330:1401–1402

    Article  PubMed  PubMed Central  Google Scholar 

  14. Kobayashi M, Inoue Y, Mohri Y, Miki C, Kusunoki M (2010) Implementing a standard protocol to decrease the incidence of surgical site infections in rectal cancer surgery. Surg Today 40:326–333

    Article  PubMed  Google Scholar 

  15. Lee TS (2015) Standardization of surgical techniques used in facial bone contouring. J Plast Reconstr Aesthet Surg 68:1694–1700

    Article  PubMed  Google Scholar 

  16. Lehmann CU, Miller MR (2004) Standardization and the practice of medicine. J Perinatol 24:135–136

    Article  PubMed  Google Scholar 

  17. Attwood SE, Lundell L, Ell C, Galmiche JP, Hatlebakk J, Fiocca R, Lind T, Eklund S, Junghard O (2008) Group LT Standardization of surgical technique in antireflux surgery: the LOTUS Trial experience. World J Surg 32:995–998

    Article  PubMed  Google Scholar 

  18. Bozic KJ, Maselli J, Pekow PS, Lindenauer PK, Vail TP, Auerbach AD (2010) The influence of procedure volumes and standardization of care on quality and efficiency in total joint replacement surgery. J Bone Joint Surg Am 92:2643–2652

    Article  PubMed  Google Scholar 

  19. Eto K, Urashima M, Kosuge M, Ohkuma M, Noaki R, Neki K, Ito D, Takeda Y, Sugano H, Yanaga K (2018) Standardization of surgical procedures to reduce risk of anastomotic leakage, reoperation, and surgical site infection in colorectal cancer surgery: a retrospective cohort study of 1189 patients. Int J Colorectal Dis 33:755–762

    Article  PubMed  Google Scholar 

  20. Kestle JR, Riva-Cambrin J, Wellons JC 3rd, Kulkarni AV, Whitehead WE, Walker ML, Oakes WJ, Drake JM, Luerssen TG, Simon TD, Holubkov R (2011) And Hydrocephalus Clinical Research N. A standardized protocol to reduce cerebrospinal fluid shunt infection: the Hydrocephalus Clinical Research Network quality improvement initiative. J Neurosurg Pediatr 8:22–29

    Article  PubMed  PubMed Central  Google Scholar 

  21. Janjua MB, Hoffman CE, Souweidane MM (2017) Contemporary management and surveillance strategy after shunt or endoscopic third ventriculostomy procedures for hydrocephalus. J Clin Neurosci 45:18–23

    Article  PubMed  Google Scholar 

  22. Mallucci CL, Jenkinson MD, Conroy EJ, Hartley JC, Brown M, Moitt T, Dalton J, Kearns T, Griffiths MJ, Culeddu G, Solomon T, Hughes D, Gamble C; BASICS study collaborators (2020) Silver-impregnated, antibiotic-impregnated or non-impregnated ventriculoperitoneal shunts to prevent shunt infection: the BASICS three-arm RCT. Health Technol Assess 24:1–114

  23. Choux M, Genitori L, Lang D, Lena G (1992) Shunt implantation: reducing the incidence of shunt infection. J Neurosurg 77:875–880

    Article  PubMed  CAS  Google Scholar 

  24. Pirotte BJ, Lubansu A, Bruneau M, Loqa C, Van Cutsem N, Brotchi J (2007) Sterile surgical technique for shunt placement reduces the shunt infection rate in children: preliminary analysis of a prospective protocol in 115 consecutive procedures. Childs Nerv Syst 23:1251–1261

    Article  PubMed  Google Scholar 

  25. Chu J, Jensen H, Holubkov R, Krieger MD, Kulkarni AV, Riva-Cambrin J, Rozzelle CJ, Limbrick DD, Wellons JC, Browd SR, Whitehead WE, Pollack IF, Simon TD, Tamber MS, Hauptman JS, Pindrik J, Naftel RP, McDonald PJ, Hankinson TC, Jackson EM, Rocque BG, Reeder R, Drake JM, Kestle JRW, Hydrocephalus Clinical Research N, and Hydrocephalus Clinical Research Network M (2022) The Hydrocephalus Clinical Research Network quality improvement initiative: the role of antibiotic-impregnated catheters and vancomycin wound irrigation. J Neurosurg Pediatr 1–8

  26. Kestle JR, Holubkov R, Douglas Cochrane D, Kulkarni AV, Limbrick DD Jr, Luerssen TG, Jerry Oakes W, Riva-Cambrin J, Rozzelle C, Simon TD, Walker ML, Wellons JC 3rd, Browd SR, Drake JM, Shannon CN, Tamber MS, Whitehead WE (2016) And Hydrocephalus Clinical Research N. A new Hydrocephalus Clinical Research Network protocol to reduce cerebrospinal fluid shunt infection. J Neurosurg Pediatr 17:391–396

    Article  PubMed  Google Scholar 

  27. Raygor KP, Oh T, Hwang JY, Phelps RRL, Ghoussaini K, Wong P, Silvers R, Ostling LR, Sun PP (2020) Ventriculoperitoneal shunt infection rates using a standard surgical technique, including topical and intraventricular vancomycin: the Children’s Hospital Oakland experience. J Neurosurg Pediatr 26:504–512

    Article  PubMed  Google Scholar 

  28. Yang MMH, Hader W, Bullivant K, Brindle M, and Riva-Cambrin J (2019) Calgary Shunt Protocol, an adaptation of the Hydrocephalus Clinical Research Network shunt protocol, reduces shunt infections in children. J Neurosurg Pediatr 1–9

  29. Omrani O, O’Connor J, Hartley J, James G (2018) Effect of introduction of a standardised peri-operative protocol on CSF shunt infection rate: a single-centre cohort study of 809 procedures. Childs Nerv Syst 34:2407–2414

    Article  PubMed  PubMed Central  Google Scholar 

  30. Kalangu KKN, Esene IN, Dzowa M, Musara A, Ntalaja J, Badra AK (2020) Towards zero infection for ventriculoperitoneal shunt insertion in resource-limited settings: a multicenter prospective cohort study. Childs Nerv Syst 36:401–409

    Article  PubMed  Google Scholar 

  31. Berns J, Priddy B, Belal A, Seibold RD, Zieles K, Jea A (2021) Standardization of cerebrospinal fluid shunt valves in pediatric hydrocephalus: an analysis of cost, operative time, length of stay, and shunt failure. J Neurosurg Pediatr 27:400–405

    Article  PubMed  Google Scholar 

  32. Haranhalli N, Anand D, Wisoff JH, Harter DH, Weiner HL, Blate M, Roth J (2011) Intrathecal baclofen therapy: complication avoidance and management. Childs Nerv Syst 27:421–427

    Article  PubMed  Google Scholar 

  33. Spader HS, Bollo RJ, Bowers CA, Riva-Cambrin J (2016) Risk factors for baclofen pump infection in children: a multivariate analysis. J Neurosurg Pediatr 17:756–762

    Article  PubMed  Google Scholar 

  34. Albright AL, Turner M, Pattisapu JV (2006) Best-practice surgical techniques for intrathecal baclofen therapy. J Neurosurg 104:233–239

    PubMed  Google Scholar 

  35. Desai VR, Raskin JS, Mohan A, Montojo J, Briceno V, Curry DJ, Lam S (2018) A standardized protocol to reduce pediatric baclofen pump infections: a quality improvement initiative. J Neurosurg Pediatr 21:395–400

    Article  PubMed  Google Scholar 

  36. Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240:205–213

    Article  PubMed  PubMed Central  Google Scholar 

  37. Patel A, Stegelmann S, Ordaz JD, Desai V, Angulo-Parker F, Cartwright S, Fritsch G, Flory P, Coon A, Johnson SK, Delima S, Raskin JS (2021) Characterization of standard work tools for intrathecal baclofen therapy. Childs Nerv Syst 37:3073–3081

    Article  PubMed  Google Scholar 

  38. Aitken LA, Lindan CE, Sidney S, Gupta N, Barkovich AJ, Sorel M, Wu YW (2009) Chiari type I malformation in a pediatric population. Pediatr Neurol 40:449–454

    Article  PubMed  PubMed Central  Google Scholar 

  39. Meadows J, Kraut M, Guarnieri M, Haroun RI, Carson BS (2000) Asymptomatic Chiari type I malformations identified on magnetic resonance imaging. J Neurosurg 92:920–926

    Article  PubMed  CAS  Google Scholar 

  40. Goel A (2015) Is atlantoaxial instability the cause of Chiari malformation? Outcome analysis of 65 patients treated by atlantoaxial fixation. J Neurosurg Spine 22:116–127

    Article  PubMed  Google Scholar 

  41. Hale AT, Adelson PD, Albert GW, Aldana PR, Alden TD, Anderson RCE, Bauer DF, Bonfield CM, Brockmeyer DL, Chern JJ, Couture DE, Daniels DJ, Durham SR, Ellenbogen RG, Eskandari R, George TM, Grant GA, Graupman PC, Greene S, Greenfield JP, Gross NL, Guillaume DJ, Heuer GG, Iantosca M, Iskandar BJ, Jackson EM, Johnston JM, Keating RF, Leonard JR, Maher CO, Mangano FT, McComb JG, Meehan T, Menezes AH, O'Neill B, Olavarria G, Park TS, Ragheb J, Selden NR, Shah MN, Smyth MD, Stone SSD, Strahle JM, Wait SD, Wellons JC, Whitehead WE, Shannon CN, Limbrick DD, 2020Park-Reeves (2020) Syringomyelia Research Consortium I. Factors associated with syrinx size in pediatric patients treated for Chiari malformation type I and syringomyelia: a study from the Park-Reeves Syringomyelia Research Consortium. J Neurosurg Pediatr 1–11

  42. Rocque BG, George TM, Kestle J, Iskandar BJ (2011) Treatment practices for Chiari malformation type I with syringomyelia: results of a survey of the American Society of Pediatric Neurosurgeons. J Neurosurg Pediatr 8:430–437

    Article  PubMed  Google Scholar 

  43. Sadler B, Skidmore A, Gewirtz J, Anderson RCE, Haller G, Ackerman LL, Adelson PD, Ahmed R, Albert GW, Aldana PR, Alden TD, Averill C, Baird LC, Bauer DF, Bethel-Anderson T, Bierbrauer KS, Bonfield CM, Brockmeyer DL, Chern JJ, Couture DE, Daniels DJ, Dlouhy BJ, Durham SR, Ellenbogen RG, Eskandari R, Fuchs HE, George TM, Grant GA, Graupman PC, Greene S, Greenfield JP, Gross NL, Guillaume DJ, Hankinson TC, Heuer GG, Iantosca M, Iskandar BJ, Jackson EM, Jea AH, Johnston JM, Keating RF, Khan N, Krieger MD, Leonard JR, Maher CO, Mangano FT, Mapstone TB, McComb JG, McEvoy SD, Meehan T, Menezes AH, Muhlbauer M, Oakes WJ, Olavarria G, O'Neill BR, Ragheb J, Selden NR, Shah MN, Shannon CN, Smith J, Smyth MD, Stone SSD, Tuite GF, Wait SD, Wellons JC, Whitehead WE, Park TS, Limbrick DD, and Strahle JM (2021) Extradural decompression versus duraplasty in Chiari malformation type I with syrinx: outcomes on scoliosis from the Park-Reeves Syringomyelia Research Consortium. J Neurosurg Pediatr 1–9

  44. Lu VM, Phan K, Crowley SP, Daniels DJ (2017) The addition of duraplasty to posterior fossa decompression in the surgical treatment of pediatric Chiari malformation type I: a systematic review and meta-analysis of surgical and performance outcomes. J Neurosurg Pediatr 20:439–449

    Article  PubMed  Google Scholar 

  45. Albert GW, Menezes AH, Hansen DR, Greenlee JD, Weinstein SL (2010) Chiari malformation type I in children younger than age 6 years: presentation and surgical outcome. J Neurosurg Pediatr 5:554–561

    Article  PubMed  Google Scholar 

  46. Nishikawa M, Sakamoto H, Hakuba A, Nakanishi N, Inoue Y (1997) Pathogenesis of Chiari malformation: a morphometric study of the posterior cranial fossa. J Neurosurg 86:40–47

    Article  PubMed  CAS  Google Scholar 

  47. Oldfield EH, Muraszko K, Shawker TH, Patronas NJ (1994) Pathophysiology of syringomyelia associated with Chiari I malformation of the cerebellar tonsils. Implications for diagnosis and treatment. J Neurosurg 80:3–15

    Article  PubMed  CAS  Google Scholar 

  48. Mazur-Hart DJ, Bowden SG, Pang BW, Yaghi NK, Nugent JG, Yablon LD, Domreis WO, Ohm ET, Sayama CM (2021) Standardizing postoperative care for pediatric intradural Chiari decompressions to decrease length of stay. J Neurosurg Pediatr 28:579–584

    Article  PubMed  Google Scholar 

  49. Shao B, Tariq AA, Goldstein HE, Alexiades NG, Mar KM, Feldstein NA, Anderson RCE, Giordano M (2020) Multimodal analgesia after posterior fossa decompression with and without duraplasty for children with Chiari type I. Hosp Pediatr 10:447–451

    Article  PubMed  Google Scholar 

  50. Ballard MR, Miller NH, Nyquist AC, Elise B, Baulesh DM, Erickson MA (2012) A multidisciplinary approach improves infection rates in pediatric spine surgery. J Pediatr Orthop 32:266–270

    Article  PubMed  Google Scholar 

  51. Vitale MG, Riedel MD, Glotzbecker MP, Matsumoto H, Roye DP, Akbarnia BA, Anderson RC, Brockmeyer DL, Emans JB, Erickson M, Flynn JM, Lenke LG, Lewis SJ, Luhmann SJ, McLeod LM, Newton PO, Nyquist AC, Richards BS 3rd, Shah SA, Skaggs DL, Smith JT, Sponseller PD, Sucato DJ, Zeller RD, Saiman L (2013) Building consensus: development of a best practice guideline (BPG) for surgical site infection (SSI) prevention in high-risk pediatric spine surgery. J Pediatr Orthop 33:471–478

    Article  PubMed  Google Scholar 

  52. Glotzbecker MP, Vitale MG, Shea KG, Flynn JM (2013) And Posna committee on the Quality SVI. Surgeon practices regarding infection prevention for pediatric spinal surgery. J Pediatr Orthop 33:694–699

    Article  PubMed  Google Scholar 

  53. Stephan SR, Illingworth KD, Gupta K, Andras LM, Skaggs DL (2021) Surgical site infection following neuromuscular posterior spinal fusion fell 72% after adopting the 2013 best practice guidelines. Spine (Phila Pa 1976) 46:1147–1153

    Article  PubMed  Google Scholar 

  54. Ryan SL, Sen A, Staggers K, Luerssen TG, Jea A (2014) And Texas Children’s Hospital Spine Study G. A standardized protocol to reduce pediatric spine surgery infection: a quality improvement initiative. J Neurosurg Pediatr 14:259–265

    Article  PubMed  Google Scholar 

  55. Poe-Kochert C, Shimberg JL, Thompson GH, Son-Hing JP, Hardesty CK, Mistovich RJ (2020) Surgical site infection prevention protocol for pediatric spinal deformity surgery: does it make a difference? Spine Deform 8:931–938

    Article  PubMed  Google Scholar 

  56. Vandenberg C, Niswander C, Carry P, Bloch N, Pan Z, Erickson M, Garg S (2018) Compliance with a comprehensive antibiotic protocol improves infection incidence in pediatric spine surgery. J Pediatr Orthop 38:287–292

    Article  PubMed  PubMed Central  Google Scholar 

  57. Carney NA, Chesnut R, Kochanek PM (2003) American Association for Surgery of T, Child Neurology S, International Society for Pediatric N, International Trauma A, Critical Care S, Society of Critical Care M, World Federation of Pediatric I, and Critical Care S. Guidelines for the acute medical management of severe traumatic brain injury in infants, children, and adolescents. Pediatr Crit Care Med 4: S1

  58. O’Lynnger TM, Shannon CN, Le TM, Greeno A, Chung D, Lamb FS, Wellons JC 3rd (2016) Standardizing ICU management of pediatric traumatic brain injury is associated with improved outcomes at discharge. J Neurosurg Pediatr 17:19–26

    Article  PubMed  Google Scholar 

  59. Pineda JA, Leonard JR, Mazotas IG, Noetzel M, Limbrick DD, Keller MS, Gill J, Doctor A (2013) Effect of implementation of a paediatric neurocritical care programme on outcomes after severe traumatic brain injury: a retrospective cohort study. Lancet Neurol 12:45–52

    Article  PubMed  Google Scholar 

  60. Lee SL, Sena M, Greenholz SK, Fledderman M (2003) A multidisciplinary approach to the development of a cervical spine clearance protocol: process, rationale, and initial results. J Pediatr Surg 38:358–362 (discussion 358–362)

    Article  PubMed  Google Scholar 

  61. Rosati SF, Maarouf R, Wolfe L, Parrish D, Poppe M, Manners R, Brown K, Haynes JH (2015) Implementation of pediatric cervical spine clearance guidelines at a combined trauma center: Twelve-month impact. J Trauma Acute Care Surg 78:1117–1121

    Article  PubMed  Google Scholar 

  62. Sun R, Skeete D, Wetjen K, Lilienthal M, Liao J, Madsen M, Lancaster G, Shilyansky J, Choi K (2013) A pediatric cervical spine clearance protocol to reduce radiation exposure in children. J Surg Res 183:341–346

    Article  PubMed  Google Scholar 

  63. Ducis K, Seibold RD, Bremer T, Jea A (2021) A standardized protocol to reduce preoperative hypothermia in pediatric spinal fusion surgery: a quality improvement initiative. J Neurosurg Pediatr 27:489–492

    Article  PubMed  Google Scholar 

  64. Mutchnick I, Thatikunta M, Braun J, Bohn M, Polivka B, Daniels MW, Vickers-Smith R, Gump W, and Moriarty T (2020) Protocol-driven prevention of perioperative hypothermia in the pediatric neurosurgical population. J Neurosurg Pediatr 1–7

  65. Wong BJ, Rama A, Caruso TJ, Lee CK, Wang E, Chen M (2022) A pilot quality improvement project to reduce intraoperative MRI hypothermia in neurosurgical patients. Pediatr Qual Saf 7:e531

    Article  PubMed  PubMed Central  Google Scholar 

  66. Standardizing preoperative preparation to reduce surgical site infections among pediatric neurosurgical patients. J Neurosurg Pediatr 19: 399–406, 2017

  67. Clinical guidelines and standardization of practice to improve outcomes: ACOG committee opinion summary, Number 792. Obstet Gynecol 134: 894–895, 2019

  68. Atsma F, Elwyn G, Westert G (2020) Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. Int J Qual Health Care 32:271–274

    Article  PubMed  PubMed Central  Google Scholar 

  69. Fisher ES, Berwick DM, Davis K (2009) Achieving health care reform–how physicians can help. N Engl J Med 360:2495–2497

    Article  PubMed  CAS  Google Scholar 

  70. Grol R, Grimshaw J (2003) From best evidence to best practice: effective implementation of change in patients’ care. Lancet 362:1225–1230

    Article  PubMed  Google Scholar 

  71. Kennedy PJ, Leathley CM, Hughes CF (2010) Clinical practice variation. Med J Aust 193:S97-99

    Article  PubMed  Google Scholar 

  72. Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat AH, Dellinger EP, Herbosa T, Joseph S, Kibatala PL, Lapitan MC, Merry AF, Moorthy K, Reznick RK (2009) Taylor B, Gawande AA, and Safe Surgery Saves Lives Study G. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med 360:491–499

    Article  PubMed  CAS  Google Scholar 

  73. Commission CE. Understanding and influencing blood prescription Sydney CEC: 2007

  74. Yonek J, Hines S, and Joshi M (2010) A guide to achieving high performance in multi-hospital health systems. Health Research & Educational Trust Chicago, IL

  75. Katz JD (2004) Hand washing and hand disinfection: more than your mother taught you. Anesthesiol Clin North Am 22:457–471

    PubMed  Google Scholar 

  76. Brolliar SM, Moore M, Thompson HJ, Whiteside LK, Mink RB, Wainwright MS, Groner JI, Bell MJ, Giza CC, Zatzick DF, Ellenbogen RG, Ng Boyle L, Mitchell PH, Rivara FP, Vavilala MS (2016) A qualitative study exploring factors associated with provider adherence to severe pediatric traumatic brain injury guidelines. J Neurotrauma 33:1554–1560

    Article  PubMed  PubMed Central  Google Scholar 

  77. Desai V, Gonda D, Ryan SL, Briceno V, Lam SK, Luerssen TG, Syed SH, Jea A (2015) The effect of weekend and after-hours surgery on morbidity and mortality rates in pediatric neurosurgery patients. J Neurosurg Pediatr 16:726–731

    Article  PubMed  Google Scholar 

  78. Cabana MD, Rand CS, Powe NR, Wu AW, Wilson MH, Abboud PA, Rubin HR (1999) Why don’t physicians follow clinical practice guidelines? Framework Improv JAMA 282:1458–1465

    CAS  Google Scholar 

  79. Christakis DA, Rivara FP (1998) Pediatricians’ awareness of and attitudes about four clinical practice guidelines. Pediatrics 101:825–830

    Article  PubMed  CAS  Google Scholar 

  80. Farquhar CM, Kofa EW, Slutsky JR (2002) Clinicians’ attitudes to clinical practice guidelines: a systematic review. Med J Aust 177:502–506

    Article  PubMed  Google Scholar 

  81. Mansfield CD (1995) Attitudes and behaviors towards clinical guidelines: the clinicians’ perspective. Qual Health Care 4:250–255

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  82. Tunis SR, Hayward RS, Wilson MC, Rubin HR, Bass EB, Johnston M, Steinberg EP (1994) Internists’ attitudes about clinical practice guidelines. Ann Intern Med 120:956–963

    Article  PubMed  CAS  Google Scholar 

  83. Skjold-Odegaard B, Soreide K (2020) Standardization in surgery: friend or foe? Br J Surg 107:1094–1096

    Article  PubMed  CAS  Google Scholar 

  84. Solomon MJ, McLeod RS (1995) Should we be performing more randomized controlled trials evaluating surgical operations? Surgery 118:459–467

    Article  PubMed  CAS  Google Scholar 

  85. In: Surgical treatment: evidence-based and problem-oriented, edited by Holzheimer RG, and Mannick JA. Munich: 2001

  86. Eubank BH, Mohtadi NG, Lafave MR, Wiley JP, Bois AJ, Boorman RS, Sheps DM (2016) Using the modified Delphi method to establish clinical consensus for the diagnosis and treatment of patients with rotator cuff pathology. BMC Med Res Methodol 16:56

    Article  PubMed  PubMed Central  Google Scholar 

  87. McClincy MP, Wylie JD, Williams DN, Novais EN (2021) Standardizing the diagnostic evaluation of nonarthritic hip pain through the Delphi method. Orthop J Sports Med 9:2325967121991213

    Article  PubMed  PubMed Central  Google Scholar 

  88. Philp I, Brainin M, Walker MF, Ward AB, Gillard P, Shields AL, Norrving B (2013) And Global Stroke Community Advisory P. Development of a poststroke checklist to standardize follow-up care for stroke survivors. J Stroke Cerebrovasc Dis 22:e173-180

    Article  PubMed  Google Scholar 

  89. Kriznik NM, Lame G, Dixon-Woods M (2019) Challenges in making standardisation work in healthcare: lessons from a qualitative interview study of a line-labelling policy in a UK region. BMJ Open 9:e031771

    Article  PubMed  PubMed Central  Google Scholar 

  90. Moen R (2009) Foundation and History of the PDSA Cycle. Asian network for Quality Conference in Tokyo. Tokyo, Japan

  91. Faillace WJ (1995) A no-touch technique protocol to diminish cerebrospinal fluid shunt infection. Surg Neurol 43:344–350

    Article  PubMed  CAS  Google Scholar 

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L.V. and V.D. wrote the main manuscript with support from A.E. L.V. composed all tables and figures with support from A.E. L.V., A.E., I.B., J.G., K.B., A.J., and V.D. all reviewed the manuscript.

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Correspondence to Lance M. Villeneuve.

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Villeneuve, L.M., Evans, A.R., Bowen, I. et al. A systematic review of the power of standardization in pediatric neurosurgery. Neurosurg Rev 46, 325 (2023). https://doi.org/10.1007/s10143-023-02218-7

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