Beau Kelly1, James E Squires2, Brian Feingold3, David K Hooper4, George V Mazariegos5. 1. DCI Donor Services, Sacramento, California. 2. Division of Gastroenterology, Hepatology and Nutrition, UPMC Children's Hospital of Pittsburgh. 3. Pediatrics and Clinical and Translational Research, University of Pittsburgh, Pittsburgh, Pennsylvania. 4. Division of Nephrology and Hypertension, James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio. 5. Department of Surgery, Hillman Center for Pediatric Transplantation, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Abstract
PURPOSE OF REVIEW: Pediatric transplantation faces unique challenges in implementing dynamic quality improvement measures because of proportionally smaller volumes compared to adults, logistics of being integrated successfully within larger or complex hospital systems, lack of adult-affiliated transplant centers, varying focus in prioritization of relevant outcome metrics, and potential lack of sufficient resources. RECENT FINDINGS: To address these challenges, multiinstitutional collaborations have developed which have proven increasingly effective in driving awareness and quality improvement measures to supplement regulatory efforts in the pediatric population. Relevant work from the Pediatric Heart Transplant Society and Studies in Pediatric Liver Transplantation will be highlighted. The introduction of learning networks such as the Improving Renal Outcomes Collaborative and the Starzl Network for Excellence in Pediatric Transplantation have further focused on continuous learning initiatives in renal and liver transplantation using collaboration and patient informed measures. SUMMARY: Optimal transplant performance improvement is fully integrated into health delivery at all points of the patient pathway. Progress in performance improvement will require ongoing integration of big data solutions, improved patient engagement and technology solutions. VIDEO ABSTRACT:.
PURPOSE OF REVIEW: Pediatric transplantation faces unique challenges in implementing dynamic quality improvement measures because of proportionally smaller volumes compared to adults, logistics of being integrated successfully within larger or complex hospital systems, lack of adult-affiliated transplant centers, varying focus in prioritization of relevant outcome metrics, and potential lack of sufficient resources. RECENT FINDINGS: To address these challenges, multiinstitutional collaborations have developed which have proven increasingly effective in driving awareness and quality improvement measures to supplement regulatory efforts in the pediatric population. Relevant work from the Pediatric Heart Transplant Society and Studies in Pediatric Liver Transplantation will be highlighted. The introduction of learning networks such as the Improving Renal Outcomes Collaborative and the Starzl Network for Excellence in Pediatric Transplantation have further focused on continuous learning initiatives in renal and liver transplantation using collaboration and patient informed measures. SUMMARY: Optimal transplant performance improvement is fully integrated into health delivery at all points of the patient pathway. Progress in performance improvement will require ongoing integration of big data solutions, improved patient engagement and technology solutions. VIDEO ABSTRACT:.
Authors: James E Squires; Beth Logan; Angela Lorts; Henrisa Haskell; Kristen Sisaithong; Tony Pillari; Jonathan Szolna; Darcy Dodd; Regino P Gonzalez-Peralta; Evelyn Hsu; Beau Kelly; Beverly Kosmach-Park; Steven Lobritto; Vicky L Ng; Emily Perito; Sara Rasmussen; Rene Romero; Eyal Shemesh; Hannah Karolak; George V Mazariegos Journal: Pediatr Transplant Date: 2019-07-22
Authors: Charles D Varnell; Kristin L Rich; Avani C Modi; David K Hooper; Mark H Eckman Journal: Am J Kidney Dis Date: 2022-02-25 Impact factor: 11.072
Authors: Mounika Kanneganti; Yuwen Xu; Yuan-Shung Huang; Eimear Kitt; Brian T Fisher; Peter L Abt; Elizabeth B Rand; Douglas E Schaubel; Therese Bittermann Journal: Liver Transpl Date: 2021-08-25 Impact factor: 5.799
Authors: Charles D Varnell; Kristin L Rich; Bin Zhang; Adam C Carle; Ahna L H Pai; Avani C Modi; David K Hooper Journal: Pediatr Nephrol Date: 2021-01-27 Impact factor: 3.651