TY - JOUR
T1 - The past, present and future of ACS NSQIP-Pediatric
T2 - Evolution from a quality registry to a comparative quality performance platform
AU - Saito, Jacqueline M.
AU - Barnhart, Douglas C.
AU - Grant, Catherine
AU - Brighton, Brian K.
AU - Raval, Mehul V.
AU - Campbell, Brendan T.
AU - Kenney, Brian
AU - Jatana, Kris R.
AU - Ellison, Jonathan S.
AU - Cina, Robert A.
AU - Allori, Alexander C.
AU - Uejima, Tetsu
AU - Roke, Daniel
AU - Lam, Sandi
AU - Johnson, Emilie K.
AU - Goretsky, Michael J.
AU - Byrd, Claudia
AU - Iwaniuk, Marie
AU - Nayak, Raageswari
AU - Thompson, Vanessa M.
AU - Cohen, Mark E.
AU - Hall, Bruce L.
AU - Ko, Clifford Y.
AU - Rangel, Shawn J.
N1 - Publisher Copyright:
© 2023
PY - 2023/4
Y1 - 2023/4
N2 - Quality and process improvement (QI/PI) in children's surgical care require reliable data across the care continuum. Since 2012, the American College of Surgeons’ (ACS) National Surgical Quality Improvement Program-Pediatric (NSQIP-Pediatric) has supported QI/PI by providing participating hospitals with risk-adjusted, comparative data regarding postoperative outcomes for multiple surgical specialties. To advance this goal over the past decade, iterative changes have been introduced to case inclusion and data collection, analysis and reporting. New datasets for specific procedures, such as appendectomy, spinal fusion for scoliosis, vesicoureteral reflux procedures, and tracheostomy in children less than 2 years old, have incorporated additional risk factors and outcomes to enhance the clinical relevance of data, and resource utilization to consider healthcare value. Recently, process measures for urgent surgical diagnoses and surgical antibiotic prophylaxis variables have been developed to promote timely and appropriate care. While a mature program, NSQIP-Pediatric remains dynamic and responsive to meet the needs of the surgical community. Future directions include introduction of variables and analyses to address patient-centered care and healthcare equity.
AB - Quality and process improvement (QI/PI) in children's surgical care require reliable data across the care continuum. Since 2012, the American College of Surgeons’ (ACS) National Surgical Quality Improvement Program-Pediatric (NSQIP-Pediatric) has supported QI/PI by providing participating hospitals with risk-adjusted, comparative data regarding postoperative outcomes for multiple surgical specialties. To advance this goal over the past decade, iterative changes have been introduced to case inclusion and data collection, analysis and reporting. New datasets for specific procedures, such as appendectomy, spinal fusion for scoliosis, vesicoureteral reflux procedures, and tracheostomy in children less than 2 years old, have incorporated additional risk factors and outcomes to enhance the clinical relevance of data, and resource utilization to consider healthcare value. Recently, process measures for urgent surgical diagnoses and surgical antibiotic prophylaxis variables have been developed to promote timely and appropriate care. While a mature program, NSQIP-Pediatric remains dynamic and responsive to meet the needs of the surgical community. Future directions include introduction of variables and analyses to address patient-centered care and healthcare equity.
UR - http://www.scopus.com/inward/record.url?scp=85152559799&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85152559799&partnerID=8YFLogxK
U2 - 10.1016/j.sempedsurg.2023.151275
DO - 10.1016/j.sempedsurg.2023.151275
M3 - Article
C2 - 37075656
AN - SCOPUS:85152559799
SN - 1055-8586
VL - 32
JO - Seminars in Pediatric Surgery
JF - Seminars in Pediatric Surgery
IS - 2
M1 - 151275
ER -