Variation in care practices across pediatric acute care cardiology units: Results of the Pediatric Acute Care Cardiology Collaborative (PAC3) hospital survey
dc.contributor.author | Hoerst, Amanda | |
dc.contributor.author | Bakar, Adnan | |
dc.contributor.author | Cassidy, Steven C. | |
dc.contributor.author | Clabby, Martha | |
dc.contributor.author | Grippo, Erica Del | |
dc.contributor.author | Graupe, Margaret | |
dc.contributor.author | Harahsheh, Ashraf S. | |
dc.contributor.author | Hlavacek, Anthony M. | |
dc.contributor.author | Hart, Stephen A. | |
dc.contributor.author | Kipps, Alaina K. | |
dc.contributor.author | Madsen, Nicolas L. | |
dc.contributor.author | O’neil, Dora D. | |
dc.contributor.author | Patel, Sonali S. | |
dc.contributor.author | Strohacker, Courtney M. | |
dc.contributor.author | Tanel, Ronn E. | |
dc.date.accessioned | 2019-06-20T17:05:08Z | |
dc.date.available | 2020-07-01T17:47:46Z | en |
dc.date.issued | 2019-05 | |
dc.identifier.citation | Hoerst, Amanda; Bakar, Adnan; Cassidy, Steven C.; Clabby, Martha; Grippo, Erica Del; Graupe, Margaret; Harahsheh, Ashraf S.; Hlavacek, Anthony M.; Hart, Stephen A.; Kipps, Alaina K.; Madsen, Nicolas L.; O’neil, Dora D. ; Patel, Sonali S.; Strohacker, Courtney M.; Tanel, Ronn E. (2019). "Variation in care practices across pediatric acute care cardiology units: Results of the Pediatric Acute Care Cardiology Collaborative (PAC3) hospital survey." Congenital Heart Disease (3): 419-426. | |
dc.identifier.issn | 1747-079X | |
dc.identifier.issn | 1747-0803 | |
dc.identifier.uri | https://hdl.handle.net/2027.42/149524 | |
dc.description.abstract | BackgroundThe Pediatric Acute Care Cardiology Collaborative (PAC3) was established in 2014 to improve the quality, value, and experience of hospitalâ based cardiac acute care outside of the intensive care unit. An initial PAC3 project was a comprehensive survey to understand unit structure, practices, and resource utilization across the collaborative. This report aims to describe the previously unknown degree of practice variation across member institutions.MethodsA 126â stem question survey was developed with a total of 412 possible response fields across nine domains including demographics, staffing, available resources and therapies, and standard care practices. Five supplemental questions addressed surgical case volume and number of cardiac acute care unit (CACU) admissions. Responses were recorded and stored in Research Electronic Data Capture (REDCap).ResultsSurveys were completed by 31 out of 34 centers (91%) with minimal incomplete fields. A majority (61%) of centers have a single dedicated CACU, which is contiguous or adjacent to the intensive care unit in 48%. A nurse staffing ratio of 3:1 is most common (71%) and most (84%) centers employed a resource nurse. Centralized wireless rhythm monitoring is used in 84% of centers with 54% staffed continuously. There was significant variation in the use of noninvasive respiratory support, vasoactive infusions, and ventricular assist devices across the collaborative. Approximately half of the surveyed centers had lesionâ specific postoperative pathways and approximately twoâ thirds had protocols for singleâ ventricle patients.ConclusionsThe PAC3 hospital survey is the most comprehensive description of systems and care practices unique to CACUs to date. There exists considerable heterogeneity among unit composition and variation in care practices. These variations may allow for identification of best practices and improved quality of care for patients. | |
dc.publisher | Wiley Periodicals, Inc. | |
dc.subject.other | inpatient cardiology | |
dc.subject.other | quality improvement | |
dc.subject.other | pediatric cardiology | |
dc.subject.other | cardiovascular care unit | |
dc.title | Variation in care practices across pediatric acute care cardiology units: Results of the Pediatric Acute Care Cardiology Collaborative (PAC3) hospital survey | |
dc.type | Article | |
dc.rights.robots | IndexNoFollow | |
dc.subject.hlbsecondlevel | Internal Medicine and Specialties | |
dc.subject.hlbtoplevel | Health Sciences | |
dc.description.peerreviewed | Peer Reviewed | |
dc.description.bitstreamurl | https://deepblue.lib.umich.edu/bitstream/2027.42/149524/1/chd12739.pdf | |
dc.description.bitstreamurl | https://deepblue.lib.umich.edu/bitstream/2027.42/149524/2/chd12739_am.pdf | |
dc.identifier.doi | 10.1111/chd.12739 | |
dc.identifier.source | Congenital Heart Disease | |
dc.identifier.citedreference | Kipps AK, Cassidy SC, Strohacker CM, et al. Collective quality improvement in the pediatric cardiology acute care unit: establishment of the Pediatric Acute Care Cardiology Collaborative (PAC3). Cardiol Young. 2018; 28: 1019 â 1023. | |
dc.identifier.citedreference | Jacobs JP, He X, Mayer JE, et al. Mortality trends in pediatric and congenital heart surgery: an analysis of the Society of Thoracic Surgeons congenital heart surgery database. Ann Thorac Surg. 2016; 102: 1345 â 1352. | |
dc.identifier.citedreference | Chinnaiyan KM, DePetris AM, Alâ Mallah M, et al. Rationale, design, and goals of the Advanced Cardiovascular Imaging Consortium (ACIC): a Blue Cross Blue Shield of Michigan collaborative quality improvement project. Am Heart J. 2012; 163: 346 â 353. | |
dc.identifier.citedreference | Jones DA, DeVita MA, Bellomo R. Rapidâ response teams. N Engl J Med. 2011; 365: 139 â 146. | |
dc.identifier.citedreference | Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)â a metadataâ driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009; 42: 377 â 381. | |
dc.identifier.citedreference | Mott AR, Neish SR, Challman M, Feltes TF. Defining pediatric inpatient cardiology care delivery models: a survey of pediatric cardiology programs in the USA and Canada. Congenital Heart Dis. 2017; 12: 294 â 300. | |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
Files in this item
Remediation of Harmful Language
The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.
Accessibility
If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.