Standardizing Preoperative Evaluation for Pediatric Central Venous Access: A Care Algorithm to Improve Safety

Affiliation

• ¹ University of Cincinnati College of Medicine, Department of Surgery, Cincinnati, OH (Drs Wagner and Falcone); Cincinnati Children's Hospital Medical Center, Pediatric General and Thoracic Surgery, Cincinnati, OH (Mss Doellman, Forlenza, and Bradshaw; Drs Fischer, Kara, and Falcone). Monica L. Wagner, MD, is a general surgery resident in the Department of Surgery at the University of Cincinnati College of Medicine. Darcy Doellman, MSN, RN, CRNI®, VA-BC, is a clinical manager of the vascular access team at Cincinnati Children's Hospital Medical Center. She has extensive expertise and is nationally recognized in the field of pediatric vascular access. Kimberly N. Forlenza, MS, participated in this work as part of the special master's program in physiology at the University of Cincinnati College of Medicine, Department of Pharmacology & Systems Physiology. Kevin Fischer, DNP, APRN, is an advanced practice provider in pediatric surgery at Cincinnati Children's Hospital Medical Center, Division of Pediatric General and Thoracic Surgery. Setenay Tuncel Kara, PhD, is a lead quality improvement specialist in the James M. Anderson Center for Health Systems Excellence at Cincinnati Children's Hospital Medical Center. She has worked on numerous quality improvement initiatives across the hospital. Ursula Bradshaw, MA, BS, is a quality analyst at Cincinnati Children's Hospital Medical Center, Quality & Transformation Analytics and Data. Richard A. Falcone, Jr, MD, MPH, MMM, is a professor of surgery in the Department of Surgery at the University of Cincinnati College of Medicine practicing within the Division of Pediatric General and Thoracic Surgery at Cincinnati Children's Hospital Medical Center. He is also the associate chief of staff for surgical services, responsible for oversight of operations.