Biomaterial Database

Determining pediatric intensive care unit quality indicators for measuring pediatric intensive care unit safety. 2007

Matthew C Scanlon, and Kshitij P Mistry, and Howard E Jeffries

Department of Pediatrics, Critical Care, Medical College of Wisconsin, Milwaukee, WI, USA.

BACKGROUND The measurement of quality and patient safety continues to gain increasing importance, as these measures are used for both healthcare improvement and accountability. Pediatric care, particularly that provided in pediatric intensive care units, is sufficiently different from adult care that specific metrics are required. BODY: Pediatric critical care requires specific measures for both quality and safety. Factors that may affect measures are identified, including data sources, risk adjustment, intended use, reliability, validity, and the usability of measures. The 18-month process to develop seven pediatric critical care measures proposed for national use is described. Specific patient safety metrics that can be applied to pediatric intensive care units include error-, injury-, and risk-based approaches. CONCLUSIONS Measurement of pediatric critical care quality and safety will likely continue to evolve. Opportunities exist for intensivists to contribute and lead in the development and refinement of measures.

UI	MeSH Term	Description	Entries
D010043	Outcome and Process Assessment, Health Care	Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically.	Outcome and Process Assessment (Health Care),Donabedian Model,Donabedian Triad,Outcome and Process Assessment,Structure Process Outcome Triad,Model, Donabedian,Triad, Donabedian
D010372	Pediatrics	A medical specialty concerned with maintaining health and providing medical care to children from birth to adolescence.
D002648	Child	A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL.	Children
D006302	Health Services Research	The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed)	Health Care Research,Medical Care Research,Research, Health Services,Action Research,Health Services Evaluation,Healthcare Research,Research, Medical Care,Evaluation, Health Services,Evaluations, Health Services,Health Services Evaluations,Research, Action,Research, Health Care,Research, Healthcare
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012449	Safety	Freedom from exposure to danger and protection from the occurrence or risk of injury or loss. It suggests optimal precautions in the workplace, on the street, in the home, etc., and includes personal safety as well as the safety of property.	Safeties
D014481	United States	A country in NORTH AMERICA between CANADA and MEXICO.
D015278	Intensive Care Units, Pediatric	Hospital units providing continuous surveillance and care to acutely ill infants and children. Neonates are excluded since INTENSIVE CARE UNITS, NEONATAL is available.	ICU, Pediatric,Pediatric ICU,Pediatric Intensive Care Unit,Pediatric Intensive Care Units,ICUs, Pediatric,Pediatric ICUs
D019984	Quality Indicators, Health Care	Norms, criteria, standards, and other direct qualitative and quantitative measures used in determining the quality of health care.	Global Trigger Tool, Healthcare,Health Metrics,Healthcare Global Trigger Tool,Quality Indicators, Healthcare,Health Metric,Healthcare Quality Indicator,Healthcare Quality Indicators,Indicator, Healthcare Quality,Indicators, Healthcare Quality,Metrics, Health,Quality Indicator, Healthcare
D020379	Risk Adjustment	The use of severity-of-illness measures, such as age, to estimate the risk (measurable or predictable chance of loss, injury or death) to which a patient is subject before receiving some health care intervention. This adjustment allows comparison of performance and quality across organizations, practitioners, and communities. (from JCAHO, Lexikon, 1994)	Case-Mix Adjustment,Adjustment, Case-Mix,Adjustment, Risk,Adjustments, Case-Mix,Adjustments, Risk,Case Mix Adjustment,Case-Mix Adjustments,Risk Adjustments