Advertisement

Quality improvement, pediatric urology, and you

Published:September 07, 2022DOI:https://doi.org/10.1016/j.jpurol.2022.08.013
      In this issue of the Journal of Pediatric Urology, two manuscripts (Fernandez et al.; Shaw et al.) highlight the power of and impact of an effectively designed quality improvement (QI) in improving operating room throughput and resource utilization [
      • Fernandez N.
      • Low D.
      • Cain M.
      • Martin L.
      • Merguerian P.
      Recovering from COVID–improving operating room capacity.
      ,
      • Shaw A.
      • Chan Y.Y.
      • Arora H.C.
      • Aguilar J.B.
      • Schechter J.
      • Gong E.M.
      • et al.
      Streamlining surgical trays for common pediatric urology Procedures: a quality improvement initiative.
      ]. Both of these efforts build off of rigorous QI methodology, providing an opportunity to reinforce these concepts and processes to the broader pediatric urologic community. Whether formally recognized or not, QI has been a bedrock of the surgeon experience for more than a century. However, over that timeframe, the methodology has evolved in terms of statistical process control, data acquisition, and by the implementation of the electronic health record [
      • Hannick J.H.
      • O'Kelly F.
      • Wolfstadt J.I.
      • Ward S.E.
      • Koyle M.A.
      Improving care in pediatric urology—a primer on quality improvement methodology and how to apply it to pediatric urology.
      ]. Pediatric urologists, with their involvement in high throughput ambulatory surgical cases, major urological reconstruction eligible for Enhanced Recovery After Surgery protocols, antibiotic stewardship and catheter-associated urinary tract infection programs, and emergency activation pathways for diagnoses such as testicular torsion, are well positioned to be leaders of local, regional, and national QI endeavors. Further appreciation of the specifics and logistics of QI work is requisite to completing high-impact QI efforts as evidenced by Fernandez and Shaw.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Pediatric Urology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Fernandez N.
        • Low D.
        • Cain M.
        • Martin L.
        • Merguerian P.
        Recovering from COVID–improving operating room capacity.
        J Pediatr Urol. 2022; 18: 411
        • Shaw A.
        • Chan Y.Y.
        • Arora H.C.
        • Aguilar J.B.
        • Schechter J.
        • Gong E.M.
        • et al.
        Streamlining surgical trays for common pediatric urology Procedures: a quality improvement initiative.
        J Pediatr Urol. 2022; 18: 412
        • Hannick J.H.
        • O'Kelly F.
        • Wolfstadt J.I.
        • Ward S.E.
        • Koyle M.A.
        Improving care in pediatric urology—a primer on quality improvement methodology and how to apply it to pediatric urology.
        J Pediatr Urol. 2019; 15: 503-512
        • Ogrinc G.
        • Davies L.
        • Goodman D.
        • Batalden P.
        • Davidoff F.
        • Stevens D.
        SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process.
        Am J Crit Care. 2015; 24: 466-473
        • De Mast J.
        • Lokkerbol J.
        An analysis of the Six Sigma DMAIC method from the perspective of problem solving.
        Int J Prod Econ. 2012; 139: 604-614
        • Ellis B.S.
        • Herbert S.
        Complex adaptive systems (CAS): an overview of key elements, characteristics and application to management theory.
        J Innovat Health Inf. 2010; 19: 33-37

      Linked Article