Evidence map›Paper›PMID 31745523›Full record

ArticlePediatric quality & safety

Using a Second Stakeholder-Driven Variance Reporting System Improves Pediatric Perioperative Safety.

Akemi L Kawaguchi, Ranu Jain, Nutan B Hebballi, Dean H Pham, Luke R Putnam, Lillian S Kao, Kevin P Lally, Kuojen Tsao

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In one paragraph

Article in Pediatric quality & safety. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Akemi L KawaguchiDepartment of Pediatric Surgery, Center for Surgical Trials and Evidence-based Practice (C-STEP) at the McGovern Medical School at the University of Texas Health Science Center, Houston, Tex.
Ranu JainChildren's Memorial Hermann Hospital, Houston, Tex.
Nutan B HebballiDepartment of Pediatric Surgery, Center for Surgical Trials and Evidence-based Practice (C-STEP) at the McGovern Medical School at the University of Texas Health Science Center, Houston, Tex.
Dean H PhamDepartment of Pediatric Surgery, Center for Surgical Trials and Evidence-based Practice (C-STEP) at the McGovern Medical School at the University of Texas Health Science Center, Houston, Tex.
Luke R PutnamDepartment of Pediatric Surgery, Center for Surgical Trials and Evidence-based Practice (C-STEP) at the McGovern Medical School at the University of Texas Health Science Center, Houston, Tex.
Lillian S KaoDepartment of Pediatric Surgery, Center for Surgical Trials and Evidence-based Practice (C-STEP) at the McGovern Medical School at the University of Texas Health Science Center, Houston, Tex.
Kevin P LallyDepartment of Pediatric Surgery, Center for Surgical Trials and Evidence-based Practice (C-STEP) at the McGovern Medical School at the University of Texas Health Science Center, Houston, Tex.
Kuojen TsaoDepartment of Pediatric Surgery, Center for Surgical Trials and Evidence-based Practice (C-STEP) at the McGovern Medical School at the University of Texas Health Science Center, Houston, Tex.

Funding

Institutional Career Development CoreKL2TR003168 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MILLER, CHARLES C · 2019 to 2023
$4.9M
NCATS NIH HHS KL2 TR003168
6 · The paper itself

Abstract

Despite recognizing the occurrence of variances, we noted a low rate of reporting with the established computer variance program. Therefore, we developed and introduced a simple, handwritten variance reporting system. The goal of this study was to compare our pediatric perioperative handwritten variance cards to our established computerized variance reporting system.

methodsWe developed a handwritten variance card program through a stakeholder-driven quality-improvement initiative. We collected variances from handwritten cards in 4 perioperative locations and also from the established computerized variance system. We analyzed the variances and categorized them into 6 safety domains and 5 variance categories.

resultsOver 6 consecutive years, 3,434 variances were reported (687 computerized and 2,747 handwritten

conclusionThe handwritten, stakeholder-driven variance reporting system was essential to identify local and system issues that would not have been identified by the computerized variance reporting system alone.

Identifiers

PMID31745523
PMCPMC6831050

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.