Quality Improvement, Education, and Outcomes Research in Pediatric Surgery
Historically, there has been a great disparity in the advancement of pediatric clinical services and the development of pediatric quality and safety indicators. The development and expansion of pediatric care in the United States began with the opening of the Children’s Hospital of Philadelphia in 1855. Despite this major advancement in the organization and administration of medical care for the pediatric population, a formalized mechanism to specifically address medical errors, quality of care, quality improvement, and longitudinal outcomes analysis did not take form until the middle of the twentieth century. In 1934 Ernest Codman, an orthopedic surgeon, advocated that every hospital should follow patients to determine if their treatment had been successful. Over the past half century, pediatric hospitals have become highly specialized facilities for delivering state-of-the-art medical care. The progression of medical specialization into pediatric subspecialties has led to a commitment to provide the best care possible for pediatric patients.
KeywordsMedication Error Pediatric Surgery Biliary Atresia National Surgical Quality Improvement Program Computerize Physician Order Entry
- Codman EA. The shoulder: rupture of the supraspinatus tendon and other lesions in or about the subacromial bursa. Boston: T. Todd Company; 1934.Google Scholar
- Khuri S, Daley J, Henderson W, et al. The Department of Veterans Affairs NSQIP: the first national, validated, outcome-based, risk-adjusted, and peer-controlled program for the measurement and enhancement of the quality of surgical care. National VA Quality Improvement Program. Ann Surg. 1998;228:491–507.CrossRefPubMedGoogle Scholar