PittsburghV1, Canada, Analysis, bibRecord, 000559

Reducing Pediatric Liver Transplant Complications: A Potential Roadmap for Transplant Quality Improvement Initiatives Within North America

Identifieur interne : 000559 ( Canada/Analysis ); précédent : 000558; suivant : 000560

Reducing Pediatric Liver Transplant Complications: A Potential Roadmap for Transplant Quality Improvement Initiatives Within North America

Auteurs : M. J. Englesbe [États-Unis] ; B. Kelly [États-Unis] ; J. Goss [États-Unis] ; A. Fecteau [Canada] ; J. Mitchell [États-Unis] ; W. Andrews [États-Unis] ; G. Krapohl [États-Unis] ; J. C. Magee [États-Unis] ; G. Mazariegos [États-Unis] ; S. Horslen [États-Unis] ; J. Bucuvalas [États-Unis]

Source :

American journal of transplantation : (Print) [ 1600-6135 ] ; 2012.

RBID : Pascal:12-0411949

Descripteurs français

Pascal (Inist)
- Homotransplantation, Enfant, Pédiatrie, Thrombose des artères, Foie, Complication, Greffon, Qualité, Amélioration, Amérique du Nord, Pratique professionnelle, Voie biliaire, Artère hépatique, Coopération, Traitement, Transplantation hépatique.
Wicri :
- topic : Enfant, Pédiatrie.

English descriptors

KwdEn :
- Artery thrombosis, Biliary tract, Child, Complication, Cooperation, Graft(material), Hepatic artery, Homotransplantation, Improvement, Liver, Liver transplantation, North America, Pediatrics, Professional practice, Quality, Treatment.

Abstract

Though robust clinical data are available within transplantation, these data are not used for broad-based, multicentered quality improvement initiates. This article describes a targeted quality improvement initiative within the Studies of Pediatric Liver Transplantation (SPLIT) Registry. Using standard statistical techniques and clinical expertise to adjust for data and statistical reliability, we identified the pediatric liver transplant centers in North America with the lowest hepatic artery thrombosis rate and biliary complication rates. A survey was completed to establish current practices within the entire SPLIT group. Surgeons from the highest performing centers presented a detailed, technically oriented overview of their current practices. The presentations and discussion that followed were recorded and form the basis of the best practices described herein. We frame this work as a unique six-step approach roadmap that may serve as an efficient and cost effective model for novel broad-based quality improvement initiatives within transplantation.

Affiliations:

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Pascal:12-0411949

Le document en format XML

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<term>Complication</term>
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<term>Amélioration</term>
<term>Amérique du Nord</term>
<term>Pratique professionnelle</term>
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<front><div type="abstract" xml:lang="en">Though robust clinical data are available within transplantation, these data are not used for broad-based, multicentered quality improvement initiates. This article describes a targeted quality improvement initiative within the Studies of Pediatric Liver Transplantation (SPLIT) Registry. Using standard statistical techniques and clinical expertise to adjust for data and statistical reliability, we identified the pediatric liver transplant centers in North America with the lowest hepatic artery thrombosis rate and biliary complication rates. A survey was completed to establish current practices within the entire SPLIT group. Surgeons from the highest performing centers presented a detailed, technically oriented overview of their current practices. The presentations and discussion that followed were recorded and form the basis of the best practices described herein. We frame this work as a unique six-step approach roadmap that may serve as an efficient and cost effective model for novel broad-based quality improvement initiatives within transplantation.</div>
</front>
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Reducing Pediatric Liver Transplant Complications: A Potential Roadmap for Transplant Quality Improvement Initiatives Within North America

Reducing Pediatric Liver Transplant Complications: A Potential Roadmap for Transplant Quality Improvement Initiatives Within North America

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