This is an e-mail between leaders of NICHQ that I think leaders in pediatric nursing will find informative to see what's going on at the highest levels. It touches on issues discussed on our list serve. At the bottom of this message are directions for subscribing for those pediatric list serve members who are interested. Sometimes they look for answers to pediatric questions that I know some of you could answer.
Betty M. Rozier, President I.V. House, Inc. 7400 Foxmont Drive Hazelwood, MO 63042-2198 Toll Free: 800-530-0400 Phone: 314-831-9990 Fax: 314-831-3683 E-mail: [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]> Website: www.ivhouse.com <http://www.ivhouse.com/> _____ From: Dan Hyman [mailto:[EMAIL PROTECTED] Sent: Saturday, December 03, 2005 7:43 AM To: nichq-qi Subject: [nichq-qi] RE: 100K--who is signed up, who is reporting? Charlie, In NY we have teams working on reducing central line infections and are submitting that data through our participation in collaboratives being led by CHCA and NICHQ. Line infection frequency is trending downward in our intensive care units and the improvement work now needs to be spread to other units where central catheters are placed and maintained. The methodology in this campaign of observing for adherence to bundles of processes and then aiming for 100% compliance for the whole process is, I think, a good model for pursuing improvement. Our adult units are also specifically participating in a new york city wide collaborative on CLIs. I am not sure whether their data is going to IHI but I think it is; if the peds data is going it would be through CHCA, we are not directly submitting it. We are also doing work in the area of reducing adverse drug events, focused on opiate management, and again in collaboration with CHCA and NICHQ. This work has proven to be more difficult for a number of reasons. Identifying what is a drug related AE is not always clear and most of the AEs we are seeing have tended not to be terribly dramatic in severity, so it is somewhat more difficult to get people's attention to the importance of more standard med management using these cases as the 'burning platform.' I think in 2006 as we all, in hospitals, must further address the national patient safety goal/JCAHO standards regarding med reconciliation at admission as well as through the hospitalization and discharge, we will have to broaden this effort. I think this plank of the campaign is very challenging because of the frequency of the process (ie-choosing, ordering, delivering and administering a drug happens tens of thousands of times each day), and the relative infrequency of serious harm events. Of course, I do not mean to minimize the fact that harm occurs, and occurs more frequently than it should or that we should accept. But as systems we will struggle with this because of the incredible number of people doing this ubiquitous process that varies in detail on so many levels. Lots of work still to be done here. We are not addressing vent associated pneumonia, rapid response teams or MIs. I expect that our work in terms of reducing surgical site infections will ramp up in the coming year with our pediatric surgeons really being tremendous leaders in our overall drive towards greater consistency in our processes and decision making. Dan Hyman Morgan Stanley Children's Hospital and Komansky Center for Children's Health, NY Presbyterian Hospital -----Original Message----- From: Charles Homer [mailto:[EMAIL PROTECTED] Sent: Thursday, December 01, 2005 10:00 PM To: nichq-qi Subject: [nichq-qi] 100K--who is signed up, who is reporting? As we reach the one year anniversary for the 100K campaign, several of us are interested in learning whether you are implementing one or more of the planks of the campaign, and whether you are submitting data to the IHI about your efforts!?? Thank you. -Charlie Charlie Homer, MD, MPH, Chief Executive Officer National Initiative for Children's Healthcare Quality (NICHQ) 20 University Road, 7th Floor Cambridge, MA 02138 Phone: 617-301-4881 (assistant) Phone: 617-301-4807 (direct line) Fax: 617-301-4899 Don't miss our 5th Annual Forum for Improving Children's Health Care, March 16-18, 2006, Royal Pacific Resort, Orlando, Florida. For more information, see www.nichq.org. --- You are currently subscribed to nichq-qi as: [EMAIL PROTECTED] To unsubscribe send a blank email to [EMAIL PROTECTED] --- You are currently subscribed to nichq-qi as: [EMAIL PROTECTED] To unsubscribe send a blank email to [EMAIL PROTECTED]
