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  • Open Access

    ARTICLE

    Failure to Rescue as a Quality Metric in Congenital Heart Surgeries in a High-Complexity Service Provider Institution Located in a Middle-Income Country

    Gustavo Cruz1,*, Santiago Pedroza2, Juan F. Vélez3, Jessica Largo2, Juan F. Tejada4, Jorge H. Mejía-Mantilla5

    Congenital Heart Disease, Vol.19, No.2, pp. 207-218, 2024, DOI:10.32604/chd.2024.044244

    Abstract Background: Failure to rescue has been an effective quality metric in congenital heart surgery. Conversely, morbidity and mortality depend greatly on non-modifiable individual factors and have a weak correlation with better-quality performance. We aim to measure the complications, mortality, and risk factors in pediatric patients undergoing congenital heart surgery in a high-complexity institution located in a middle-income country and compare it with other institutions that have conducted a similar study. Methods: A retrospective observational study was conducted in a high-complexity service provider institution, in Cali, Colombia. All pediatric patients undergoing any congenital heart surgery between… More >

  • Open Access

    ARTICLE

    Development of quality metrics for ambulatory care in pediatric patients with tetralogy of Fallot

    Juan Villafane1, Thomas C. Edwards2, Karim A. Diab3, Gary M. Satou4, Elizabeth Saarel5, Wyman W. Lai6, Gerald A. Serwer7, Peter P. Karpawich8, Russell Cross9, Russell Schiff10, Devyani Chowdhury11, Thomas J. Hougen12

    Congenital Heart Disease, Vol.12, No.6, pp. 762-767, 2017, DOI:10.1111/chd.12523

    Abstract Objective: The objective of this study was to develop quality metrics (QMs) relating to the ambulatory care of children after complete repair of tetralogy of Fallot (TOF).
    Design: A workgroup team (WT) of pediatric cardiologists with expertise in all aspects of ambulatory cardiac management was formed at the request of the American College of Cardiology (ACC) and the Adult Congenital and Pediatric Cardiology Council (ACPC), to review published guidelines and consensus data relating to the ambulatory care of repaired TOF patients under the age of 18 years. A set of quality metrics (QMs) was proposed by the… More >

  • Open Access

    ARTICLE

    Development of quality metrics for ambulatory pediatric cardiology: Infection prevention

    Jonathan N. Johnson1,2, Cindy S. Barrett3, Wayne H. Franklin4, Eric M. Graham5, Nancy J. Halnon6, Brandy A. Hattendorf7, Catherine D. Krawczeski8, James J. McGovern9, Matthew J. O’Connor10, Amy H. Schultz11, Jeffrey M. Vinocur12, Devyani Chowdhury13, Jeffrey B. Anderson14

    Congenital Heart Disease, Vol.12, No.6, pp. 756-761, 2017, DOI:10.1111/chd.12519

    Abstract Introduction: In 2012, the American College of Cardiology’s (ACC) Adult Congenital and Pediatric Cardiology Council established a program to develop quality metrics to guide ambulatory practices for pediatric cardiology. The council chose five areas on which to focus their efforts; chest pain, Kawasaki Disease, tetralogy of Fallot, transposition of the great arteries after arterial switch, and infection prevention. Here, we sought to describe the process, evaluation, and results of the Infection Prevention Committee’s metric design process.
    Methods: The infection prevention metrics team consisted of 12 members from 11 institutions in North America. The group agreed to work… More >

  • Open Access

    ARTICLE

    Development of quality metrics for ambulatory pediatric cardiology: Chest pain

    Jimmy C. Lu1, Manish Bansal2, Sarina K. Behera3, Jeffrey R. Boris4, Brian Cardis5, John S. Hokanson6, Bahram Kakavand7, Roy Jedeikin8

    Congenital Heart Disease, Vol.12, No.6, pp. 751-755, 2017, DOI:10.1111/chd.12509

    Abstract Objective: As part of the American College of Cardiology Adult Congenital and Pediatric Cardiology Section effort to develop quality metrics (QMs) for ambulatory pediatric practice, the chest pain subcommittee aimed to develop QMs for evaluation of chest pain.
    Design: A group of 8 pediatric cardiologists formulated candidate QMs in the areas of history, physical examination, and testing. Consensus candidate QMs were submitted to an expert panel for scoring by the RAND-UCLA modified Delphi process. Recommended QMs were then available for open comments from all members.
    Patients: These QMs are intended for use in patients 5–18 years old, referred… More >

  • Open Access

    ARTICLE

    Development of quality metrics for ambulatory pediatric cardiology: Transposition of the great arteries after arterial switch operation

    Carissa M. Baker-Smith1, Karina Carlson2, Jose Ettedgui3, Takeshi Tsuda4, K. Anitha Jayakumar5, Matthew Park6, Nikola Tede7, Karen Uzark8, Craig Fleishman9, David Connuck10, Maggie Likes11, Daniel J. Penny12

    Congenital Heart Disease, Vol.13, No.1, pp. 52-58, 2018, DOI:10.1111/chd.12540

    Abstract Objective: To develop quality metrics (QMs) for the ambulatory care of patients with transposition of the great arteries following arterial switch operation (TGA/ASO).
    Design: Under the auspices of the American College of Cardiology Adult Congenital and Pediatric Cardiology (ACPC) Steering committee, the TGA/ASO team generated candidate QMs related to TGA/ASO ambulatory care. Candidate QMs were submitted to the ACPC Steering Committee and were reviewed for validity and feasibility using individual expert panel member scoring according to the RAND-UCLA methodology. QMs were then made available for review by the entire ACC ACPC during an “open comment period.” Final… More >

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