APSA PapersPediatric American College of Surgeons National Surgical Quality Improvement Program: feasibility of a novel, prospective assessment of surgical outcomes
Section snippets
Methods
The specific variables and outcomes collected in the ACS NSQIP Pediatric have been previously described [5]. In brief, approximately 121 variables were prospectively collected: 6 demographic, 8 surgical profile, 46 clinical preoperative, 13 laboratory, 16 intraoperative, and 32 postoperative. In addition, variables of interest were collected for special populations such as neonates undergoing surgical procedures. Thirty-day outcomes of interest ranged from mortality to specific end points such
Results
From October 2008 to June 2009, data variables were prospectively collected for 3315 patients. These patients represented cases from 183 surgeons, 685 cities, and 31 states. The ACS NSQIP Pediatric sampled 16.8% of eligible procedures across the 4 institutions (volume weighted), while the average sampling rate across the 4 was 17.5% (unweighted) with samples ranging from 502 cases to 1056 cases. Variation in sampling volumes was primarily because of variation in program start dates and vacation
Discussion
This interim report demonstrates the successful implementation of the ACS NSQIP Pediatric phase 1 at 4 tertiary pediatric centers. Feasibility of the program implementation is shown through adoption of the standard ACS NSIQP systematic sampling of cases, collection of clinically relevant variables and outcomes as outlined before program initiation, and creation of a data abstraction technology platform. The data collection process has been validated through rigorous auditing of each
Acknowledgments
MVR participates in the American College of Surgeons Clinical Scholars in Residence Program. MVR is supported by the John Gray Research Fellowship and the Daniel F. and Ada L. Rice Foundation. The authors would like to thank the ACS NSQIP staff and the tremendous efforts toward high-quality, accurate data collection by the ACS NSQIP SCRs.
References (10)
- et al.
Hospital costs associated with surgical complications: a report from the private-sector National Surgical Quality Improvement Program
J Am Coll Surg
(2004) - et al.
Developing a NSQIP module to measure outcomes in children's surgical care: opportunity and challenge
Semin Pediatr Surg
(2008) - et al.
Toward robust information: data quality and inter-rater reliability in the American College of Surgeons National Surgical Quality Improvement Program
J Am Coll Surg
(2010) - et al.
Blueprint for a new American College of Surgeons: National Surgical Quality Improvement Program
J Am Coll Surg
(2008) - et al.
The Department of Veterans Affairs' NSQIP: the first national, validated, outcome-based, risk-adjusted, and peer-controlled program for the measurement and enhancement of the quality of surgical care. National VA surgical quality improvement program
Ann Surg
(1998)
Cited by (0)
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ACS NSQIP Pediatric Steering Committee: American College of Surgeons, Chicago, Ill (Mira Shiloach, MS; Charles Fischer, BS); The Children's Hospital, Aurora, Colo (Debra Liebrecht, RN); Children's Hospital of Wisconsin, Milwaukee, Wis (Yvonne Anderson, RN, MS); Yale New Haven Children's Hospital, New Haven, Conn (Marilyn Hirsch, RN; Debbie Ferrigno, RN); A.I. DuPont Hospital for Children, Wilmington, Del (Michael Marchildon, MD; Christine Schuck, RN); Colorado Health Outcomes Program, Denver, Colo (Karl Hammermeister, MD; William Henderson, PhD; Elaine Morrato, DrPH, MPH); QC Metrix (Kathy Rowell, MS; Janet Steeger, RN).