Table 5.

Quality Measures for Congenital and Pediatric Cardiac Surgery

1. Participation in a National Database for pediatric and congenital heart surgery
2. Multidisciplinary rounds involving multiple members of the healthcare team
3. Availability of institutional pediatric extracorporeal life support (ECLS) program
4. Surgical volume for pediatric and congenital heart surgery: total programmatic volume and programmatic volume stratified by the 5 STS-EACTS Mortality Categories
5. Surgical volume for 8 pediatric and congenital heart benchmark operations
6. Multidisciplinary preoperative planning conference to plan pediatric and congenital heart surgery operations
7. Regularly Scheduled Quality Assurance and Quality Improvement Cardiac Care Conference, to occur no less frequently than once every 2 months
8. Availability of intraoperative transesophageal echocardiography (TEE) and epicardial echocardiography
9. Timing of antibiotic administration for pediatric and congenital cardiac surgery patients
10. Selection of appropriate prophylactic antibiotics for pediatric and congenital cardiac surgery patients
11. Use of an expanded preprocedural and postprocedural time-out
12. Occurrence of new postoperative renal failure requiring dialysis
13. Occurrence of new postoperative neurological deficit persisting at discharge
14. Occurrence of arrhythmia necessitating permanent pacemaker insertion
15. Occurrence of paralyzed diaphragm (possible phrenic nerve injury)
16. Occurrence of need for postoperative mechanical circulatory support (IABP, VAD, ECMO, or CPS)
17. Occurrence of unplanned reoperation or unplanned interventional cardiovascular catheterization procedure
18. Operative mortality stratified by the 5 STS-EACTS Mortality Categories
19. Operative mortality for 8 benchmark operations
20. Index cardiac operations free of mortality and major complication
21. Operative survivors free of major complication
  • CPS indicates cardiopulmonary support system; EACTS, European Association for Cardio-Thoracic Surgery; ECMO, extracorporeal membrane oxygenation; IABP, intra-aortic balloon pump; STS, Society of Thoracic Surgeons; and VAD, ventricular assist device.

  • Reproduced from Jacobs et al75 with permission of the publisher. Copyright ©2006, The Society of Thoracic Surgeons.