Practice Variation in the Diagnosis of Acute Rejection Among Pediatric Heart Transplant Centers: An Analysis of the Pediatric Heart Transplant Study (PHTS) Database

Godown, Justin; Pruitt, Elizabeth; Vo, J.; Dodd, Debra A.; Lytrivi, Irene D.; Boyle, G.J.; Sutcliffe, D.; Kleinmahon, J.; Shih, Renata; Urschel, Simon; Das, Bibhuti B.; Carlo, Waldemar F.; Zuckerman, Warren A.; West, Shawn C.; McCulloch, Michael A.; Zinn, Matt; Simpson, Kathleen; Kindel, Steven J.; Szmuszkovicz, Jacqueline R.; Chrisant, Maryanne; Auerbach, Scott R.; Carboni, Michael P.; Hsu, Daphne T.

doi:10.1016/j.healun.2018.01.465

Cited by 3 publications

(1 citation statement)

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“…Finally, it is important to note that the PHTS data quality assurance reports have spurred the formulation of working groups amongst PHTS collaborators to review relevant literature and institutional practices in order to come to consensus on standardized approaches to: immunosuppression, acute rejection surveillance and treatment, and diagnosis and treatment of coronary allograft vasculopathy [11,12]. Eliminating variability in these key domains would enable truly comparative benchmarking for these metrics for any program that adopts the 'common standard'.…”

Section: Cardiac Transplantationmentioning

confidence: 99%

Quality initiatives in pediatric transplantation

Kelly

Squires

Feingold

et al. 2019

Current Opinion in Organ Transplantation

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Purpose of reviewPediatric transplantation faces unique challenges in implementing dynamic quality improvement measures because of proportionally smaller volumes compared to adults, logistics of being integrated successfully within larger or complex hospital systems, lack of adult-affiliated transplant centers, varying focus in prioritization of relevant outcome metrics, and potential lack of sufficient resources. Recent findingsTo address these challenges, multiinstitutional collaborations have developed which have proven increasingly effective in driving awareness and quality improvement measures to supplement regulatory efforts in the pediatric population. Relevant work from the Pediatric Heart Transplant Society and Studies in Pediatric Liver Transplantation will be highlighted. The introduction of learning networks such as the Improving Renal Outcomes Collaborative and the Starzl Network for Excellence in Pediatric Transplantation have further focused on continuous learning initiatives in renal and liver transplantation using collaboration and patient informed measures. SummaryOptimal transplant performance improvement is fully integrated into health delivery at all points of the patient pathway. Progress in performance improvement will require ongoing integration of big data solutions, improved patient engagement and technology solutions.

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Section: Cardiac Transplantationmentioning

confidence: 99%