Pub Date : 2025-07-01DOI: 10.1016/j.cppeds.2025.101805
Beth Williams , Lisa Ziemnik
Oftentimes physicians or clinic leaders are asked to embark on strategic or quality improvement initiatives to improve selected preventive and well child metrics. The first step in selecting the correct control chart for this work is understanding the type of data being measured. Once the type of data is determined, a standardized flowchart is used to select the correct control chart. Each type of data requires the correct control chart to display and monitor quality improvement efforts effectively. Understanding types of data and using a flowchart to select the appropriate control chart helps remove the mystery behind selection and ensures control charts can be used and interpreted correctly.
{"title":"Selecting the correct control chart: A practical example from adolescent care","authors":"Beth Williams , Lisa Ziemnik","doi":"10.1016/j.cppeds.2025.101805","DOIUrl":"10.1016/j.cppeds.2025.101805","url":null,"abstract":"<div><div>Oftentimes physicians or clinic leaders are asked to embark on strategic or quality improvement initiatives to improve selected preventive and well child metrics. The first step in selecting the correct control chart for this work is understanding the type of data being measured. Once the type of data is determined, a standardized flowchart is used to select the correct control chart. Each type of data requires the correct control chart to display and monitor quality improvement efforts effectively. Understanding types of data and using a flowchart to select the appropriate control chart helps remove the mystery behind selection and ensures control charts can be used and interpreted correctly.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 7","pages":"Article 101805"},"PeriodicalIF":3.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Implementation science (IS) and quality improvement science (QIS) inhabit distinct areas in scholarly literature but are often blended in practice. IS and QIS have different origins, goals, and methodologies. Despite these differences, the two fields are closely intertwined and equally significant in improving healthcare outcomes. They can lead to improved patient outcomes when used in conjunction.
QIS typically commences with the identification of a problem and subsequently employs various tools and methods to address these problems. Conversely, IS begins with a solution grounded in evidence and seeks to integrate evidence-based practices (EBP) into routine usage through diverse implementation frameworks to solve problems.
This discussion aims to compare these frameworks and present a case study regarding the management of asthma exacerbations across departments within a tertiary care hospital, thereby illustrating how these approaches can collaboratively enhance health outcomes.
{"title":"Improvement science and implementation science – railroads for achieving better patient health outcomes","authors":"Mellissa Mahabee MD, MSHS , Micheal Schibler BSN, RN , Hemanth Lingadevaru MD, MPH , Jeremy Larson MD , Daniel Evans MD","doi":"10.1016/j.cppeds.2025.101803","DOIUrl":"10.1016/j.cppeds.2025.101803","url":null,"abstract":"<div><div>Implementation science (IS) and quality improvement science (QIS) inhabit distinct areas in scholarly literature but are often blended in practice. IS and QIS have different origins, goals, and methodologies. Despite these differences, the two fields are closely intertwined and equally significant in improving healthcare outcomes. They can lead to improved patient outcomes when used in conjunction.</div><div>QIS typically commences with the identification of a problem and subsequently employs various tools and methods to address these problems. Conversely, IS begins with a solution grounded in evidence and seeks to integrate evidence-based practices (EBP) into routine usage through diverse implementation frameworks to solve problems.</div><div>This discussion aims to compare these frameworks and present a case study regarding the management of asthma exacerbations across departments within a tertiary care hospital, thereby illustrating how these approaches can collaboratively enhance health outcomes.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 7","pages":"Article 101803"},"PeriodicalIF":3.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01DOI: 10.1016/j.cppeds.2025.101842
Associate Editor John M. Pascoe MD, MPH
{"title":"FOREWORD: Quality Improvement-Part II","authors":"Associate Editor John M. Pascoe MD, MPH","doi":"10.1016/j.cppeds.2025.101842","DOIUrl":"10.1016/j.cppeds.2025.101842","url":null,"abstract":"","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 7","pages":"Article 101842"},"PeriodicalIF":3.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01DOI: 10.1016/j.cppeds.2025.101806
Sarah Van Nostrand DO , Mellissa Mahabee MD, MSHS , Maddie Mock BSME
Consensus-building is essential for quality and safety initiatives, ensuring all stakeholders have a shared understanding of key issues. This alignment enhances commitment to solutions and encourages participation in implementing changes, reducing reliance on workarounds and improving outcomes.
Teams can effectively integrate consensus-building in their initiatives by focusing on certain key conditions and using tools like brainstorming, multi-voting, the nominal group technique, T-charts, the Delphi method, and decision matrices. A practical example from our Neonatal Intensive Care Unit (NICU) on a quality improvement project regarding nutrition and blood transfusions will illustrate some of these tools in action.
{"title":"Building consensus in quality improvement","authors":"Sarah Van Nostrand DO , Mellissa Mahabee MD, MSHS , Maddie Mock BSME","doi":"10.1016/j.cppeds.2025.101806","DOIUrl":"10.1016/j.cppeds.2025.101806","url":null,"abstract":"<div><div>Consensus-building is essential for quality and safety initiatives, ensuring all stakeholders have a shared understanding of key issues. This alignment enhances commitment to solutions and encourages participation in implementing changes, reducing reliance on workarounds and improving outcomes.</div><div>Teams can effectively integrate consensus-building in their initiatives by focusing on certain key conditions and using tools like brainstorming, multi-voting, the nominal group technique, T-charts, the Delphi method, and decision matrices. A practical example from our Neonatal Intensive Care Unit (NICU) on a quality improvement project regarding nutrition and blood transfusions will illustrate some of these tools in action.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 7","pages":"Article 101806"},"PeriodicalIF":3.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01DOI: 10.1016/j.cppeds.2025.101802
Amy M. Jeffers , Christopher Anderson
Successful healthcare quality improvement (QI) initiatives depend on the development of effective, well-structured teams. This paper explores key components of team formation and development, emphasizing the importance of clear goals, defined roles, open communication, and multidisciplinary collaboration. Two QI projects from Dayton Children’s Hospital illustrate how strategic team-building led to successful QI projects: increasing completion rates of standardized discharge instructions and improving pediatric asthma scoring in the emergency department. By fostering teamwork, engaging diverse perspectives, and addressing challenges proactively, healthcare organizations can enhance patient care, improve efficiency, and achieve sustainable quality improvements.
{"title":"A guide to developing teams for successful healthcare quality improvement projects","authors":"Amy M. Jeffers , Christopher Anderson","doi":"10.1016/j.cppeds.2025.101802","DOIUrl":"10.1016/j.cppeds.2025.101802","url":null,"abstract":"<div><div>Successful healthcare quality improvement (QI) initiatives depend on the development of effective, well-structured teams. This paper explores key components of team formation and development, emphasizing the importance of clear goals, defined roles, open communication, and multidisciplinary collaboration. Two QI projects from Dayton Children’s Hospital illustrate how strategic team-building led to successful QI projects: increasing completion rates of standardized discharge instructions and improving pediatric asthma scoring in the emergency department. By fostering teamwork, engaging diverse perspectives, and addressing challenges proactively, healthcare organizations can enhance patient care, improve efficiency, and achieve sustainable quality improvements.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 7","pages":"Article 101802"},"PeriodicalIF":3.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01DOI: 10.1016/S1538-5442(25)00104-X
{"title":"Editorial Board Page","authors":"","doi":"10.1016/S1538-5442(25)00104-X","DOIUrl":"10.1016/S1538-5442(25)00104-X","url":null,"abstract":"","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 7","pages":"Article 101830"},"PeriodicalIF":3.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01DOI: 10.1016/j.cppeds.2025.101804
Jeremy Larson , Eric Whitney
Data visualization is essential for exploring potential cause-effect relationships, prioritizing interventions, and communicating findings in healthcare quality improvement. This paper uses clinical examples to explore three key tools—Pareto charts, scatter plots, and bubble charts—that help teams analyze system variables and patient outcomes.
Pareto charts highlight the most significant contributors to a system’s processes and outcomes using the 80/20 principle. We illustrate their use in improving the timing of antibiotic administration in a pediatric emergency department.
Scatter plots reveal correlations between two variables. Using the same example, we show how these plots can assess the impact of factors such as patient age on antibiotic administration timing.
Bubble charts enhance scatter plots by visualizing a third variable through bubble size. Here, we compare antibiotic timing with each provider’s years of experience and number of patients seen.
Use of these tools enables quality improvement teams to identify trends, target interventions, and effectively communicate system performance. Regular practice with these tools can enhance quality improvement efforts and patient outcomes.
{"title":"Pareto charts, scatter plots, and bubble charts","authors":"Jeremy Larson , Eric Whitney","doi":"10.1016/j.cppeds.2025.101804","DOIUrl":"10.1016/j.cppeds.2025.101804","url":null,"abstract":"<div><div>Data visualization is essential for exploring potential cause-effect relationships, prioritizing interventions, and communicating findings in healthcare quality improvement. This paper uses clinical examples to explore three key tools—Pareto charts, scatter plots, and bubble charts—that help teams analyze system variables and patient outcomes.</div><div>Pareto charts highlight the most significant contributors to a system’s processes and outcomes using the 80/20 principle. We illustrate their use in improving the timing of antibiotic administration in a pediatric emergency department.</div><div>Scatter plots reveal correlations between two variables. Using the same example, we show how these plots can assess the impact of factors such as patient age on antibiotic administration timing.</div><div>Bubble charts enhance scatter plots by visualizing a third variable through bubble size. Here, we compare antibiotic timing with each provider’s years of experience and number of patients seen.</div><div>Use of these tools enables quality improvement teams to identify trends, target interventions, and effectively communicate system performance. Regular practice with these tools can enhance quality improvement efforts and patient outcomes.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 7","pages":"Article 101804"},"PeriodicalIF":3.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-25DOI: 10.1016/j.cppeds.2025.101764
John W Harrington
{"title":"Foreword: Issue 1 providing a PCPs learning pathway around the RBC, CBC, and bleeding in a pediatric patient.","authors":"John W Harrington","doi":"10.1016/j.cppeds.2025.101764","DOIUrl":"https://doi.org/10.1016/j.cppeds.2025.101764","url":null,"abstract":"","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":" ","pages":"101764"},"PeriodicalIF":3.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01DOI: 10.1016/j.cppeds.2025.101800
Ruth A. Etzel MD, PhD (Associate Editor)
{"title":"How the public’s knowledge, attitudes, and practice intersect with scientific evidence about fluoride","authors":"Ruth A. Etzel MD, PhD (Associate Editor)","doi":"10.1016/j.cppeds.2025.101800","DOIUrl":"10.1016/j.cppeds.2025.101800","url":null,"abstract":"","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 6","pages":"Article 101800"},"PeriodicalIF":3.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144865913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01DOI: 10.1016/S1538-5442(25)00085-9
{"title":"Editorial Board Page","authors":"","doi":"10.1016/S1538-5442(25)00085-9","DOIUrl":"10.1016/S1538-5442(25)00085-9","url":null,"abstract":"","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 6","pages":"Article 101811"},"PeriodicalIF":3.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144865991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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