Measuring and improving comprehensive pediatric cardiac care: Learning from continuous quality improvement methods and tools
Quality improvement (QI) is becoming a central part of the work of clinicians throughout healthcare. Continuous quality improvement (CQI), Lean Management Systems (LMS) and Lean Six Sigma (LSS) are management philosophies as well as management methods. They offer an approach, a set of tools, and a way of thinking about how to more effectively assess and study clinical flow, including addressing variation in clinical process and operations. We define CQI as the daily use of QI methods as a regular part of practice engaging all practice staff, constantly measuring structure, processes, outcomes against effective practices (b...
Source: Progress in Pediatric Cardiology - March 10, 2018 Category: Cardiology Authors: Paul Barach, Lawrence C. Kleinman Source Type: research
Circulating microRNAs as biomarkers in pediatric heart diseases
The discovery of non-coding RNAs, and the understanding of their functional relevance has revolutionized our comprehension of processes involved in gene regulation. microRNAs (miRNAs, miRs) are small non-coding RNAs that can regulate gene expression by targeting messenger RNAs (mRNAs) to degradation or translation suppression. Functionally, miRNAs are important in several disease processes, including cardiovascular diseases. Moreover, miRNAs can be present in the circulation, and are protected from degradation through interactions with proteins or encapsulation in circulating microvesicles. (Source: Progress in Pediatric Cardiology)
Source: Progress in Pediatric Cardiology - March 7, 2018 Category: Cardiology Authors: Carmen C. Sucharov, Shelley D. Miyamoto, Anastacia M. Garcia Tags: Review Source Type: research
Editorial Board
(Source: Progress in Pediatric Cardiology)
Source: Progress in Pediatric Cardiology - March 1, 2018 Category: Cardiology Source Type: research
Delivery of Comprehensive Care in Pediatric Cardiac Disease
Today more children, young people, and adults with heart disease have a future which previously would have been unimaginable. Survival for children with congenital or acquired heart disease is improving with advances in surgical and medical treatments. The duration of survival has increased for almost all forms of pediatric heart disease, such that approximately 90% of children born with congenital heart disease are now likely to reach adulthood. As survival rates increase for children with complex heart conditions, the number of children and adults living with a range of morbidities are also increasing. (Source: Progress ...
Source: Progress in Pediatric Cardiology - March 1, 2018 Category: Cardiology Authors: Jo Wray, Andrea Kline, Lisa Yue Source Type: research
Future Topics and Guest Editors
(Source: Progress in Pediatric Cardiology)
Source: Progress in Pediatric Cardiology - March 1, 2018 Category: Cardiology Source Type: research
Future Meetings
(Source: Progress in Pediatric Cardiology)
Source: Progress in Pediatric Cardiology - March 1, 2018 Category: Cardiology Source Type: research
Editorial Board
(Source: Progress in Pediatric Cardiology)
Source: Progress in Pediatric Cardiology - March 1, 2018 Category: Cardiology Source Type: research
Delivery of Comprehensive Care in Pediatric Cardiac Disease
Today more children, young people, and adults with heart disease have a future which previously would have been unimaginable. Survival for children with congenital or acquired heart disease is improving with advances in surgical and medical treatments. The duration of survival has increased for almost all forms of pediatric heart disease, such that approximately 90% of children born with congenital heart disease are now likely to reach adulthood. As survival rates increase for children with complex heart conditions, the number of children and adults living with a range of morbidities are also increasing. (Source: Progress ...
Source: Progress in Pediatric Cardiology - March 1, 2018 Category: Cardiology Authors: Jo Wray, Andrea Kline, Lisa Yue Source Type: research
Future Topics and Guest Editors
(Source: Progress in Pediatric Cardiology)
Source: Progress in Pediatric Cardiology - March 1, 2018 Category: Cardiology Source Type: research
Future Meetings
(Source: Progress in Pediatric Cardiology)
Source: Progress in Pediatric Cardiology - March 1, 2018 Category: Cardiology Source Type: research
Health related quality of life and functional outcomes in pediatric cardiomyopathy
Pediatric cardiomyopathies are rare. The disease can be a chronic, debilitating illness and is often progressive. There are many unknowns related to the heritability of cardiomyopathy, acute risks of disease, disease progression, and treatment efficacy that are unique to this population. These disease-related confounders may be important determinants of quality of life for PCM patients and families. Few studies have evaluated health-related quality of life and its determinants in pediatric cardiomyopathy patients. (Source: Progress in Pediatric Cardiology)
Source: Progress in Pediatric Cardiology - February 24, 2018 Category: Cardiology Authors: Kristi Glotzbach, Lindsay May, Jo Wray Tags: Review Source Type: research
Early complete atrioventricular block after percutaneous closure of a perimembranous ventricular septal defect with a Nit-Occlud ( ®) Lê VSD coil
A 7-year-old female presented with a 6- to 7-mm restrictive perimembranous ventricular septal defect with posterior extension, moderate dilatation of the left atrium and left ventricle and moderate tricuspid regurgitation. Diagnostic cardiac catheterization and transoesophageal echocardiography (TEE) were performed, and a left to right shunt (oximetric shunt of 12.6%) at the ventricular level was found with a QP/Qs of 1.83. Pressure assessment revealed moderate hyperkinetic pulmonary hypertension and pulmonary vascular resistances of 2.9 WU·m2. (Source: Progress in Pediatric Cardiology)
Source: Progress in Pediatric Cardiology - February 22, 2018 Category: Cardiology Authors: Ana Pardo Sanz, Mar ía Álvarez-Fuente, Tomasa Centella, María Jesús del Cerro Source Type: research
