Clinical Nurse Leader Johns Hopkins All Childrens Hospital
Accurate tracking of Adverse Events (AE) and Complications in a Pediatric Neurosurgery Practice will help to identify opportunities for Quality Improvement (QI), address any Diversity/Equity/Inclusion (DEI) deficiencies, and identify areas to provide better care while decreasing cost. The rate of AE's in the Pediatric Neurosurgery Service at a free standing children's hospital was found to be 20-22% in a limited audit in 2019. To try to improve our outcomes and establish a true AE baseline, we established a relational database and dashboard visual analytics tool to catalogue all neurosurgical procedures, as well as all possible AE’s. The goal, besides establishing a true baseline of AE’s, is to proactively recognize problems, identify areas for improvement and ways to minimize cost, while improving outcomes. We will also be able to identify problems with access to care, and to provide ample material for QI research. Over 1600 neurosurgery procedures performed at a free standing children's hospital from July 2019 -present June 2023 have been entered recorded into a relational a database according to their procedure type. This analytic tool will provide the ability to evaluate ongoing efforts in providing the safest care and minimize cost.
