Improvement in Interstage Survival in a National Pediatric Cardiology Learning Network
Improvement in Interstage Survival in a National Pediatric Cardiology Learning Network
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DOI：
10.1161/circoutcomes.115.001956
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发表时间：
2015-07-01
影响因子：
6.9
通讯作者：
Lannon, Carole
中科院分区：
文献类型：
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作者：
Anderson, Jeffrey B.;Beekman, Robert H.;Lannon, Carole
NPC-QIC是一个纵向学习社区，模仿医学研究所学习医疗保健系统框架。17这些网络是多站点合作，专注于改善和研究，并使患者，家庭，临床医生和研究人员共同努力改善结果。他们提供了一个资源，了解临床护理的变化和机会，以测试在临床实践中的变化，以改善护理。具有登记的大型网络提供了收集治疗中心患者信息的基础设施，并了解护理过程和临床结果的差异，并减少不必要的变化。18-20学习网络在罕见的医学问题中可能特别有用，例如复杂的冠心病，没有一个中心能够照顾足够的病例来了解潜在的最佳实践。还建立了区域和国家网络和数据库，以更好地了解儿科癌症，炎症性肠病，新生儿管理和囊性纤维化的护理。21–24
NPC-QIC is a longitudinal learning community modeled after the Institute of Medicine learning healthcare system framework. 17 These networks are multisite collaborations that focus on both improvement and research and engage patients, families, clinicians, and researchers in working together to improve outcomes. They provide a resource for understanding variation in clinical care and opportunities to test changes in clinical practice to improve care. Large networks with registries provide the infrastructure to gather information on patients across treatment centers and to understand differences in care processes and clinical outcomes and to reduce unnecessary variation. 18–20 Learning networks may be especially useful in rare medical problems, such as complex CHD, where no one center is able to care for enough cases to learn about potential optimal practices. Regional and national networks and databases have also been established to better understand care of pediatric cancer, inflammatory bowel disease, neonatal management, and cystic fibrosis. 21–24