272 - Developing a Pediatric Center for Surgery Clinical Excellence
Description: Building a new pediatric surgery quality improvement program from scratch is a daunting task. When a tracking method or database is not already available, one must be created to gather data for trends that need to be addressed.Our facility initiated the Children's Surgery Verification program in 2017 with 1 FTE, the Children's Surgery Program Manager. Only 3 Surgery PIPS meetings had been held; those meetings were focused on garnering support from administration and medical staff. The initial review of surgical cases was performed utilizing Excel spreadsheets for tracking of cases and adverse events on a daily basis. However, this method proved cumbersome and did not facilitate ease of reviewing for trends. One year into the program, a REDCap database was built including 187 data points for collection. 90% of all surgical cases are tracked through this database, which also allows for customized reports to track trends. Through the use of REDCap, three separate quality improvement projects have been initiated, collaborating with trauma services, the NICU and neurosurgery, and ENT surgery. Each project focuses on a different aspect of patient safety and quality surgical care. The REDCap database also allows for easier documentation of ACS defined adverse events for trending across the service lines of our facility, which is leading to the development of additional QI projects.Utilization of a specialized database allows for greater ease of tracking and reporting quality issues and concerns, and has a potential of leading to higher levels of patient safety based on the information gathered within.