Variation in care practices across pediatric acute care cardiology units: Results of the Pediatric Acute Care Cardiology Collaborative (PAC
Cardiologists
/ trends
Cardiology
/ trends
Cardiology Service, Hospital
/ trends
Cardiovascular Agents
/ therapeutic use
Health Care Surveys
Healthcare Disparities
/ trends
Heart-Assist Devices
/ trends
Humans
Noninvasive Ventilation
/ trends
Nursing Staff, Hospital
/ trends
Pediatricians
/ trends
Pediatrics
/ trends
Personnel Staffing and Scheduling
/ trends
Practice Patterns, Physicians'
/ trends
Quality Improvement
/ trends
Quality Indicators, Health Care
/ trends
United States
Wireless Technology
/ trends
cardiovascular care unit
inpatient cardiology
pediatric cardiology
quality improvement
Journal
Congenital heart disease
ISSN: 1747-0803
Titre abrégé: Congenit Heart Dis
Pays: United States
ID NLM: 101256510
Informations de publication
Date de publication:
May 2019
May 2019
Historique:
received:
14
10
2018
revised:
10
11
2018
accepted:
22
11
2018
pubmed:
4
1
2019
medline:
3
1
2020
entrez:
4
1
2019
Statut:
ppublish
Résumé
The Pediatric Acute Care Cardiology Collaborative (PAC A 126-stem question survey was developed with a total of 412 possible response fields across nine domains including demographics, staffing, available resources and therapies, and standard care practices. Five supplemental questions addressed surgical case volume and number of cardiac acute care unit (CACU) admissions. Responses were recorded and stored in Research Electronic Data Capture (REDCap). Surveys were completed by 31 out of 34 centers (91%) with minimal incomplete fields. A majority (61%) of centers have a single dedicated CACU, which is contiguous or adjacent to the intensive care unit in 48%. A nurse staffing ratio of 3:1 is most common (71%) and most (84%) centers employed a resource nurse. Centralized wireless rhythm monitoring is used in 84% of centers with 54% staffed continuously. There was significant variation in the use of noninvasive respiratory support, vasoactive infusions, and ventricular assist devices across the collaborative. Approximately half of the surveyed centers had lesion-specific postoperative pathways and approximately two-thirds had protocols for single-ventricle patients. The PAC
Sections du résumé
BACKGROUND
BACKGROUND
The Pediatric Acute Care Cardiology Collaborative (PAC
METHODS
METHODS
A 126-stem question survey was developed with a total of 412 possible response fields across nine domains including demographics, staffing, available resources and therapies, and standard care practices. Five supplemental questions addressed surgical case volume and number of cardiac acute care unit (CACU) admissions. Responses were recorded and stored in Research Electronic Data Capture (REDCap).
RESULTS
RESULTS
Surveys were completed by 31 out of 34 centers (91%) with minimal incomplete fields. A majority (61%) of centers have a single dedicated CACU, which is contiguous or adjacent to the intensive care unit in 48%. A nurse staffing ratio of 3:1 is most common (71%) and most (84%) centers employed a resource nurse. Centralized wireless rhythm monitoring is used in 84% of centers with 54% staffed continuously. There was significant variation in the use of noninvasive respiratory support, vasoactive infusions, and ventricular assist devices across the collaborative. Approximately half of the surveyed centers had lesion-specific postoperative pathways and approximately two-thirds had protocols for single-ventricle patients.
CONCLUSIONS
CONCLUSIONS
The PAC
Substances chimiques
Cardiovascular Agents
0
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
419-426Informations de copyright
© 2019 Wiley Periodicals, Inc.