Academy for Resuscitation of Children: Quality Improvement

We collaborate with staff and faculty, all patient care units, and the executive leaders of Children’s Hospital of Philadelphia to promote the highest quality of care for our patients. Along with the ability to benchmark our performance against national gold standards for resuscitation and other major children’s hospitals as a member of the American Heart Association’s “Get with the Guidelines—Resuscitation” quality improvement program, the Academy has developed and implemented robust internal resuscitation quality improvement dashboards to track and examine trends, process improvements, and inform performance for our in-hospital providers and, ultimately, ensures the best outcomes for our patients.

pediRES-Q Global Pediatric Resuscitation Quality Improvement Collaborative

CHOP is the Data Coordinating Center and Home to the pediRES-Q Collaborative (PI, Vinay Nadkarni; NCT02708134), a large, multicenter international quality improvement network. Catalyzed by initial startup funding from the Laerdal Foundation for Acute Medicine, followed by unrestricted research grant funding from ZOLL Medical and matching grants targeted to sustain a fiscally independent pediRES-Q collaborative, we aspire to build a sustainable and collaborative pediRES-Q discovery clinical learning laboratory network of at least 50 sites of diverse size, geographic location, and academic support using CHOP as the clinical, data and program coordinating center. ​Information from theses diverse healthcare system feeds into the data coordinating center at CHOP so the researchers can start to understand what works and what doesn’t for each of these hospitals worldwide. Additionally, data gathered from these sites will provide evidence-based CPR data to inform current and future evidence-based resuscitation guidelines that saves more lives and improves quality of life for children. 

Resuscitation Bays of the Future

Resuscitation bays are much more than physical rooms in hospital emergency departments. Resuscitation requires providers to work with speed, accuracy, teamwork, efficiency and peak performance under incredible pressure. Identifying barriers and facilitators to optimize process of time-critical care and outcomes requires optimization of the environment, equipment, physical ergonomics, cognitive load, teamwork, communication, documentation, and work system. Optimization of human factors, new technologies, and contextualization promote resilience and safety. Our goal is to discover and provide solutions to harmonize and optimize this environment as “Resuscitation Bays of the Future” and fully re-imagine and explore next generation resuscitation approaches to age-old challenges.

Peak Performance Laboratory

Caring for critically ill and injured children is extremely challenging. The stress and cognitive overload of this work can cause some team members to “freeze,” function poorly, miscommunicate and make errors. Over time, healthcare providers often develop and exhibit signs of fatigue, stress, distraction, job dissatisfaction and burnout. CHOP’s Center for Simulation, Advanced Education and Innovation “peak performance lab” functions to improve medical equipment usability, care delivery protocols and teamwork behavior.

Using high-tech tools such as eye-tracking software, biometric wearables such as “fit-bits” and Hexoskin® physiological measures of stress, and headbands outfitted with functional Near Infrared Spectroscopy brain oxygen saturation and blood flow analysis, our team can track and evaluate healthcare provider cognitive load, stress, fatigue, resilience and performance during simulated and real resuscitation events. This physiologic data and feedback can guide the management of individual clinician and frontline teams stress, burnout mitigation, and wellness.