Medical Professional Publications

State and National Efforts to Improve Surgical Outcomes

(From the November 2013 Issue of MedStat)

Nationwide Children’s is one of 50 participating institutions in the Pediatric National Surgical Quality Improvement Program (NSQIP), a national database that reliably compares surgical outcomes among different hospitals where children’s surgery is performed. The database is being used to improve surgical outcomes in children around the country. Each participating institution has a Surgeon Champion who oversees data collection and works to implement changes designed to improve the care of surgical patients. Here, these efforts are led by Brian D. Kenney, MD, MPH, Surgical Director for Quality Improvement. Still a relatively new initiative, the data from NSQIP’s annual reports is already having an impact on where institutions are placing their quality improvement focus. The NSQIP reports are anonymous but allow each institution to see where they rank in comparison to other hospitals in areas such as post-surgical infections and length of hospital stays. The idea is to highlight areas for quality improvement focus. NSQIP data helps the hospital look at outcomes in several areas. Dr. Kenney and his group have been working on a variety of different activities and processes that would affect surgical patients. One area of focus has been on patients who undergo neurological shunts, cardiac surgery or those who have orthopedic spinal surgery as these patients have been identified as high-risk for surgical infections by the state of Ohio’s Solutions for Patient Safety quality improvement collaborative.

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