From little adults to pediatric patients: quality improvement in pediatric anesthesia
1Department of Anesthesiology and Intensive Care, University Hospital Odense, J.B.Winsloewsvej 4, DK-5000 Odense, Denmark
2Department of Clinical Research, University of Southern Denmark, Winsloewparken 19, DK-5000 Odense, Denmark
DOI: 10.22514/sv.2021.088 Vol.17,Issue 4,July 2021 pp.1-3
Submitted: 19 February 2021 Accepted: 02 March 2021
Published: 08 July 2021
The concept of quality improvement (QI) embraces a systematic approach using specific techniques to improve quality. The objective of this non-systematic review article is to present one concept of QI in healthcare and its application in pediatric anesthesia. As can be shown, QI is well established in pediatric anesthesia. ‘Plan-Do-Study-Act’ cycles, an approach for improvement in health care in which one learns from taking action, are considered a feasible tool. Quality improvement models do not replace clinical research and scientific publishing, but promote the implementation of new findings into clinical practices.
Pediatric anesthesia; Quality improvement
Nicola G. Clausen,Tom Giedsing Hansen. From little adults to pediatric patients: quality improvement in pediatric anesthesia. Signa Vitae. 2021. 17(4);1-3.
 Mai CL, Coté CJ. A history of pediatric anesthesia: a tale of pioneers and equipment. Pediatric Anesthesia. 2012; 22: 511–520.
 Lyman HM. Artificial Anaesthesia and Anaesthetics. New York: William Wood and Company. 1881.
 Robson CH. Anesthesia in children. Anesthesia & Analgesia. 1925; 4: 235–240.
 Ayre P. Anaesthesia for hare-lip and cleft palate operations on babies. British Journal of Surgery. 1937; 131–132.
 Smith R. The pediatric anesthetist, 1950–1975. Anesthesiology. 1975; 43: 144–155.
 Varkey P, Reller MK, Resar RK. Basics of quality improvement in health care. Mayo Clinic Proceedings. 2007; 82: 735–739.
 Berwick DM. Continuous improvement as an ideal in health care. New England Journal of Medicine. 1989; 320: 53–56.
 Berwick DM, Nolan TW. Overview: cooperating for improvement. The Joint Commission Journal on Quality Improvement. 1995; 21: 573–577.
 Berwick DM. Developing and testing changes in delivery of care. Annals of Internal Medicine. 1998; 128: 651–656.
 Gregory KE. Differentiating between research and quality improvement. The Journal of Perinatal & Neonatal Nursing. 2015; 29: 100–102.
 Kurth CD. Introducing quality improvement. Paediatric Anaesthesia. 2013; 23: 569–570.
 Whitney G, Daves S, Hughes A, Watkins S, Woods M, Kreger M, et al. Implementation of a transfusion algorithm to reduce blood product utilization in pediatric cardiac surgery. Paediatric Anaesthesia. 2013; 23: 639–646.
 Rachman BR, Mink RB. A prospective observational quality improve-ment study of the sustained effects of a program to reduce unplanned extubations in a pediatric intensive care unit. Paediatric Anaesthesia. 2013; 23: 614–620.
 Kurth CD, Tyler D, Heitmiller E, Tosone SR, Martin L, Deshpande JK. National pediatric anesthesia safety quality improvement program in the United States. Anesthesia and Analgesia. 2014; 119: 112–121.
 Haché M, Sun LS, Gadi G, Busse J, Lee AC, Lorinc A, et al. Outcomes from wake up safe, the pediatric anesthesia quality improvement initiative. Pediatric Anesthesia. 2020; 30: 1348–1354.
 Christensen RE, Lee AC, Gowen MS, Rettiganti MR, Deshpande JK, Morray JP. Pediatric perioperative cardiac arrest, death in the off hours: a report from wake up safe, the pediatric quality improvement initiative. Anesthesia and Analgesia. 2018; 127: 472–477.
 Christensen RE, Nause-Osthoff RC, Waldman JC, Spratt DE, Hearn JWD. Adverse events in radiation oncology: a case series from wake up safe, the pediatric anesthesia quality improvement initiative. Paediatric Anaesthesia. 2019; 29: 265–270.
 Lobaugh LMY, Martin LD, Schleelein LE, Tyler DC, Litman RS. Medication errors in pediatric anesthesia: a report from the wake up safe quality improvement initiative. Anesthesia and Analgesia. 2017; 125: 936–942.
 Wakimoto M, Miller R, Kim SS, Uffman JC, NafiuS OO, Tobias JD, et al. Perioperative anaphylaxis in children: a report from the Wake‐Up Safe collaborative. Pediatric Anesthesia. 2021; 31: 205–212.
 Habre W, Disma N, Virag K, Becke K, Hansen TG, Jöhr M, et al. Incidence of severe critical events in paediatric anaesthesia (APRICOT): a prospective multicentre observational study in 261 hospitals in Europe. The Lancet Respiratory Medicine. 2017; 5: 412–425.
 Dadure C, Veyckemans F, Bringuier S, Habre W. Epidemiology of regional anesthesia in children: lessons learned from the European Multi‐Institutional Study APRICOT. Pediatric Anesthesia. 2019; 29: 1128–1135.
 Engelhardt T, Ayansina D, Bell GT, Oshan V, Rutherford JS, Morton NS. Incidence of severe critical events in paediatric anaesthesia in the United Kingdom: secondary analysis of the anaesthesia practice in children observational trial (APRICOT study). Anaesthesia. 2019; 74: 300–311.
 Engelhardt T, Virag K, Veyckemans F, Habre W. Airway management in paediatric anaesthesia in Europe-insights from APRICOT (Anaesthesia Practice in Children Observational Trial): a prospective multicentre observational study in 261 hospitals in Europe. British Journal of Anaesthesia. 2018; 121: 66–75.
 Habre W. Pediatric anesthesia after APRICOT (Anaesthesia PRactice in Children Observational Trial): who should do it? Current Opinion in Anaesthesiology. 2018; 31: 292–296.
 Hansen TG, Børke WB, Isohanni MH, Castellheim A. Incidence of severe critical events in paediatric anaesthesia in Scandinavia: secondary analysis of Anaesthesia PRactice in Children Observational Trial (APRICOT). Acta Anaesthesiologica Scandinavica. 2019; 63: 601–609.
 Michel F, Constant I. Critical events in paediatric anaesthesia: lessons learned from the APRICOT study’s French data. Anaesthesia Critical Care & Pain Medicine. 2019; 38: 599–600.
 Virag K, Sabourdin N, Thomas M, Veyckemans F, Habre W. Epidemi-ology and incidence of severe respiratory critical events in ear, nose and throat surgery in children in Europe: a prospective multicentre observational study. European Journal of Anaesthesiology. 2019; 36: 185–193.
Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.
Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.
Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.
IndexCopernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.
Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.
Scopus: CiteScore 0.5(2019) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.
Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.