{"id":2551,"date":"2019-10-24T11:27:06","date_gmt":"2019-10-24T15:27:06","guid":{"rendered":"https:\/\/news.med.virginia.edu\/kidsmatter\/?p=2551"},"modified":"2019-10-24T11:27:06","modified_gmt":"2019-10-24T15:27:06","slug":"quality-corner-fall-2019","status":"publish","type":"post","link":"https:\/\/news.med.virginia.edu\/kidsmatter\/quality-corner-fall-2019\/","title":{"rendered":"Quality Corner: Fall 2019"},"content":{"rendered":"<p><em>By Dr. Jonathan Swanson<\/em><\/p>\n<p>\u201cThe more things change, the more they remain the same.\u201d\u00a0 &#8211; Jean-Baptiste Alphonse Karr<\/p>\n<p>The above quote seems to be apropos at this time \u2013 kids are back in school and getting into a routine, leaves are starting to change bringing fall and then winter. And of course, we have our Health System. Although many times this quote is said cynically, I think we can be proud of Children\u2019s Hospital as we continue to provide the best, highest-quality care in Commonwealth even amidst all of the changes and stories swirling around us. As things change around us, we continue to provide the care that is needed.<\/p>\n<p>In the last Kids Matters, we mentioned that the Children\u2019s Hospital joined <a href=\"https:\/\/www.solutionsforpatientsafety.org\/\">Solutions for Patient Safety<\/a>, a network of nearly 150 children\u2019s hospitals who \u201cshare the vision that no child will ever experience serious harm while we are trying to heal them.\u201d Over the last several months, several team members and I have been hard at work looking at definitions and trying to develop processes to ensure we have the data needed to participate and compare ourselves to the greater community. In August, we started to see some of our results. Currently, we have data on 3 metrics including central-line associated blood stream infections, catheter-associated urinary tract infections, and unplanned extubations. As a Children\u2019s Hospital, we are performing better than the SPS average in all three categories from January through July of this year.<\/p>\n<table style=\"height: 396px\" width=\"795\">\n<tbody>\n<tr>\n<td width=\"240\"><strong>Metric<\/strong><\/td>\n<td width=\"176\"><strong>UVA Children\u2019s Hospital<\/strong><\/td>\n<td width=\"208\"><strong>Solutions for Patient Safety<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"240\">CLABSI<\/p>\n<p>(infections \/ 1000 line days)<\/td>\n<td width=\"176\">1.004<\/td>\n<td width=\"208\">1.424<\/td>\n<\/tr>\n<tr>\n<td width=\"240\">\u00a0\u00a0\u00a0 CLABSI \u2013 PICU<\/td>\n<td width=\"176\">1.23<\/td>\n<td width=\"208\">1.356<\/td>\n<\/tr>\n<tr>\n<td width=\"240\">\u00a0\u00a0\u00a0 CLABSI \u2013 NICU<\/td>\n<td width=\"176\">0.59<\/td>\n<td width=\"208\">1.01<\/td>\n<\/tr>\n<tr>\n<td width=\"240\">\u00a0\u00a0\u00a0 CLABSI \u2013 Other<\/td>\n<td width=\"176\">1.19<\/td>\n<td width=\"208\">1.025<\/td>\n<\/tr>\n<tr>\n<td width=\"240\">CAUTI<\/p>\n<p>(infections \/ 1000 catheter days)<\/td>\n<td width=\"176\">0<\/td>\n<td width=\"208\">1.261<\/td>\n<\/tr>\n<tr>\n<td width=\"240\">Unplanned Extubations (extubations \/ 100 ventilator days)<\/td>\n<td width=\"176\">0.31<\/td>\n<td width=\"208\">0.749<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>These outcomes demonstrate the outstanding work that our Team Members do and the hard work that is required to continue to evaluate opportunities for improvement. Over the last year and a half, the Children\u2019s Hospital has heavily invested in programs to evaluate our processes and outcomes. In addition to SPS, we are now starting to evaluate outcomes through the <a href=\"https:\/\/www.facs.org\/quality-programs\/childrens-surgery\/pediatric\">Pediatric National Surgical Quality Improvement Program<\/a>, <a href=\"https:\/\/www.improvecarenow.org\/\">Improve Care Now<\/a>, and will soon have data from several pediatric cardiology registries. As <a href=\"https:\/\/fortifychildrens.org\/\">Fortify <\/a>starts to take shape, we look forward to looking at our ambulatory primary care outcomes as well.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Dr. Jonathan Swanson \u201cThe more things change, the more they remain the same.\u201d\u00a0 &#8211; Jean-Baptiste Alphonse Karr The above quote seems to be apropos at this time \u2013 kids are back in school and getting into a routine, leaves are starting to change bringing fall and then winter. And of course, we have our [&hellip;]<\/p>\n","protected":false},"author":338,"featured_media":1401,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[6],"tags":[18],"class_list":["post-2551","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-features","tag-jrs3yc"],"acf":false,"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.1.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Quality Corner: Fall 2019 - Monthly Matters<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/news.med.virginia.edu\/kidsmatter\/quality-corner-fall-2019\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Quality Corner: Fall 2019 - Monthly Matters\" \/>\n<meta property=\"og:description\" content=\"By Dr. Jonathan Swanson \u201cThe more things change, the more they remain the same.\u201d\u00a0 &#8211; Jean-Baptiste Alphonse Karr The above quote seems to be apropos at this time \u2013 kids are back in school and getting into a routine, leaves are starting to change bringing fall and then winter. 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