Center for Injury Research and Prevention

Quality Improvement and Crisis Resource Management in Pediatric Resuscitation

TitleQuality Improvement and Crisis Resource Management in Pediatric Resuscitation
Publication TypeJournal Article
Year of Publication2019
AuthorsMyers SR, Donoghue AJ
JournalCurr Opin Pediatr
Date Published06/2019
KeywordsChild, Humans, Patient Care Team, Quality Improvement, Quality of Life, Resuscitation

PURPOSE OF REVIEW: The pediatric resuscitation environment is a high-stakes, environment in which a multidisciplinary team must work together with patient outcomes dependent, at least in part, on the performance of that team. Given constraints of the environment and the nature of these events, quality improvement work in pediatric resuscitation can be challenging. Ongoing collection of accurate and reliable data on team performance is necessary to inform and evaluate change.

RECENT FINDINGS: Despite the relative difficulty of quality improvement analysis and intervention implementation in the resuscitation environment, these efforts can have significant impact on patient outcomes. Although there are barriers to accurate data collection in real-life resuscitation, team performance of both technical and nontechnical skills can be reliably measured in video-based quality improvement programs. Training of nontechnical skills, using crisis resource management principles, can improve care delivery in resuscitation.

SUMMARY: Striving toward a learning healthcare system model in resuscitation care delivery can allow for efficient performance improvement. Given the possible impacts on mortality and quality of life of care delivered in the resuscitation environment, all providers who could possibly face a resuscitation event - no matter how rare - should consider how they are evaluating the quality of their care delivery in this arena.

Alternate JournalCurr. Opin. Pediatr.
PubMed ID31090568