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Transforming into a Learning Health System: A Quality Improvement Initiative.
Chiem, Jennifer L; Hansen, Elizabeth E; Fernandez, Nicolas; Merguerian, Paul A; Parikh, Sanjay R; Reece, Kayla; Low, Daniel K; Martin, Lynn D.
Afiliação
  • Chiem JL; From the Department of Anesthesiology and Pain Medicine, Seattle Children's Hospital, Seattle, Wash.
  • Hansen EE; Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, Wash.
  • Fernandez N; From the Department of Anesthesiology and Pain Medicine, Seattle Children's Hospital, Seattle, Wash.
  • Merguerian PA; Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, Wash.
  • Parikh SR; Department of Urology, Seattle Children's Hospital, Seattle, Wash.
  • Reece K; Department of Urology, University of Washington, Seattle, Wash.
  • Low DK; Department of Urology, Seattle Children's Hospital, Seattle, Wash.
  • Martin LD; Department of Urology, University of Washington, Seattle, Wash.
Pediatr Qual Saf ; 9(3): e724, 2024.
Article em En | MEDLINE | ID: mdl-38751896
ABSTRACT

Background:

The Institute of Medicine introduced the Learning Healthcare System concept in 2006. The system emphasizes quality, safety, and value to improve patient outcomes. The Bellevue Clinic and Surgical Center is an ambulatory surgical center that embraces continuous quality improvement to provide exceptional patient-centered care to the pediatric surgical population.

Methods:

We used statistical process control charts to study the hospital's electronic health record data. Over the past 7 years, we have focused on the following areas efficiency (surgical block time use), effectiveness (providing adequate analgesia after transitioning to an opioid-sparing protocol), efficacy (creating a pediatric enhanced recovery program), equity (evaluating for racial disparities in surgical readmission rates), and finally, environmental safety (tracking and reducing our facility's greenhouse gas emissions from inhaled anesthetics).

Results:

We have seen improvement in urology surgery efficiency, resulting in a 37% increase in monthly surgical volume, continued adaptation to our opioid-sparing protocol to further reduce postanesthesia care unit opioid administration for tonsillectomy and adenoidectomy cases, successful implementation of an enhanced recovery program, continued work to ensure equitable healthcare for our patients, and more than 85% reduction in our facility's greenhouse gas emissions from inhaled anesthetics.

Conclusions:

The Bellevue Clinic and Surgical Center facility is a living example of a learning health system, which has evolved over the years through continued patient-centered QI work. Our areas of emphasis, including efficiency, effectiveness, efficacy, equity, and environmental safety, will continue to impact the community we serve positively.

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Pediatr Qual Saf Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Pediatr Qual Saf Ano de publicação: 2024 Tipo de documento: Article