Sustaining Improvements in Pediatric Critical Care Outcomes: Toolkit for a Structured Approach


This toolkit is geared toward health care teams who have a basis of quality improvement and teamwork training with embedded coaches in their clinical area. Many of the strategies we describe can be used in a variety of clinical settings, although this project focused on the Pediatric Intensive Care Unit (PICU) at N.C. Children’s Hospital, which is part of University of North Carolina Health Care.

How to Use the Toolkit

The toolkit is organized into four main topics: managing the program, eliminating hospital-acquired infections, improving communication systems, and partnering with families. Within each topic, we have sections for 1) implementation, 2) results and lessons learned, and 3) tools. The Implementation sections describe strategies and changes that were implemented in the PICU with varying degrees of success in order for you to replicate an idea or use it as a jumping off point for your own new ideas. The Results & Lessons Learned sections include our successes and challenges in order to give your team some guidance about what might work more easily, what might be more challenging, and the risks to look out for. All tools can be downloaded and adapted for your own use.

Background

The Improving Pediatric Critical Care (IPCC) program was formed in 2009 through a partnership between N.C. Children's Center for Clinical Excellence and UNC Dance Marathon. The aim of the IPCC program was to create a coordinated approach for improving the quality and safety of care for critically ill pediatric patients at N.C. Children’s Hospital. For two years, UNC Dance Marathon provided grant funding to support a core team who worked with PICU staff to develop the program management approach. The quality and safety efforts focused on eliminating hospital-acquired infections, improving communication systems, and partnering with families. This toolkit is comprised of existing tools that were refined as well as new tools developed during the grant funding period.

 

To download the entire toolkit in PDF format, click here.

 


For more information, please contact Tina Schade Willis, MD.