Quality improvement strategies in pediatric ECMO

Makenzie Hamilton; Steven W Thornton; Elisabeth T Tracy; Caroline Ozment

doi:10.1016/j.sempedsurg.2023.151337

Quality improvement strategies in pediatric ECMO

Semin Pediatr Surg. 2023 Aug;32(4):151337. doi: 10.1016/j.sempedsurg.2023.151337. Epub 2023 Oct 17.

Authors

Makenzie Hamilton¹, Steven W Thornton², Elisabeth T Tracy³, Caroline Ozment⁴

Affiliations

¹ Department of Pediatrics, Division of Pediatric Critical Care Medicine, Duke Univeristy, Durham, NC, USA.
² Department of Surgery, Duke University Medical Center, Durham, NC, USA.
³ Department of Surgery, Division of Pediatric Surgery, Duke University, Durham, NC, USA.
⁴ Department of Pediatrics, Division of Pediatric Critical Care Medicine, Duke Univeristy, Durham, NC, USA. Electronic address: caroline.ozment@duke.edu.

PMID: 37935089
DOI: 10.1016/j.sempedsurg.2023.151337

Abstract

Pediatric extracorporeal membrane oxygenation is an increasingly utilized, life-saving technology with high mortality and morbidity. A complex technology employed urgently or emergently for some of the sickest children in the hospital by a large multidisciplinary team, ECMO is an ideal area for using quality improvement strategies to reduce the variability in care and improve patient outcomes. We review critical concepts from quality improvement and apply them to patient selection and management, staffing, credentialing and continuing education, and the variability of management among providers and institutions.

Keywords: Extracorporeal life support; Pediatric ECMO; Quality improvement; Variability in care.

Publication types

Review

MeSH terms

Child
Extracorporeal Membrane Oxygenation*
Humans
Quality Improvement