2015 Pediatric Quality Award Entries

Overall winner

Yale-New Haven Children’s Hospital was selected as the overall winner of the 2015 Pediatric Quality Award for its initiative Sustained Reduction in LOS for Neonates with Neonatal Abstinence Syndromea quality improvement project that reduced the number of days infants with neonatal abstinence syndrome (NAS) were hospitalized. The hospital also was named the winner in the clinical care category.

Category winners

Three other children’s hospitals were named category winners, and one was recognized with a distinctive achievement award, for their improvement initiatives: 

Delivery System Transformation Category Winner: Levine Children’s Hospital at Carolinas HealthCare System, Charlotte, NC
Developing Future Improvement Leaders: Experiential QI Training in Residency

Patient Safety and Reduction of Harm Category Winner: Doernbecher Children’s Hospital at OHSU, Portland, OR
Reducing Radiation Exposure: Pediatric Modified Barium Swallow Studies

Waste Reduction and Improved Efficiency Category Winner
: Children’s of Alabama, Birmingham, AL
Decreasing Hospital Length of Stay for Post-operative Adolescent Spinal Fusion Patients

Distinctive Achievement Award, Clinical Care: Cincinnati Children’s Hospital Medical Center, Cincinnati, OH
Using Quality Improvement to Reduce Necrotizing Enterocolitis across Hospital Systems

Learn about the 2015 winners in this 10-minute video.

Entries

Award Entry
Sustained Reduction in Length of Stay for Neonates with Neonatal Abstinence Syndrome
March 9, 2016

(Overall & Category Winner) This project dramatically reduced the length of stay and the usage of morphine for neonatal abstinence syndrome (NAS) infants with intervention bundle focused on baby and family-centered care.

Award Entry
Developing Future Improvement Leaders: Experiential QI Training in Residency
March 8, 2016

(Category Winner) Developing resident quality improvement knowledge and skills promotes a framework of change, preparing providers to transform delivery and improve patient outcomes.

Award Entry
Decreasing Hospital Length of Stay for Post-Operative Adolescent Spinal Fusion Patients
March 8, 2016

(Category Winner) The pediatric intensive care unit and orthopedic group developed an efficient and effective process for the care of post-operative adolescent spinal fusion patients.

Award Entry
Using Quality Improvement to Reduce Necrotizing Enterocolitis Across Hospital Systems
March 8, 2016

(Achievement Award) The project decreased the number of very low birth-weight infants diagnosed with necrotizing enterocolitis, a devastating disease.

Award Entry
Reducing Radiation Exposure: Pediatric Modified Barium Swallow Studies
March 8, 2016

(Category Winner) An interdisciplinary team reduced radiation exposure to children undergoing modified barium swallow studies without any additional resources except time and coaching.

Award Entry
Reducing Laboratory Testing on a Pediatric Hospitalist Service
March 7, 2016

(Semifinalist) Reduce unnecessary lab tests to expedite turn-around time for specimens that are more clinically pressing, allow patients uninterrupted sleep, and result in fewer phlebotomy venipunctures.

Award Entry
Antibiotic Stewardship in Primary Care
March 7, 2016

(Semifinalist) The project increased the overall rate of narrow-spectrum antibiotic prescribing by nearly 10 percentage points and reduced annual costs for families and payers.

Award Entry
Right Information: Reimagining Patient Referrals for the 21st Century
March 7, 2016

(Semifinalist) A better way to manage incoming new patient referrals is requiring referring providers to submit referral orders and supporting documents directly into the EHR with 100-percent traceability.

Award Entry
Centralized Breast Milk Preparation and Bar Code Scanning
March 7, 2016

(Semifinalist) Safe handling and preparation of breast milk in a hospital reveals high risk for error, with the biggest areas of concern relating directly to patient safety.

Award Entry
Multifaceted Intervention to Reduce 30 Day Pediatric Asthma Related Readmissions
March 7, 2016

(Semifinalist) A multifaceted approach to address the asthma readmission rate was developed to address outpatient follow-up, inpatient assessments and education, and post-discharge home evaluations.

Award Entry
Sustained Improvement in Health Care Worker Hand Hygiene by Application of Error Prevention Principles
March 7, 2016

(Semifinalist) The project sustainably improved health care worker hand hygiene with interventions focused on leadership support, HCW knowledge, supply availability, and culture change.

Award Entry
Pediatric Stroke Clinical Pathway Improves Time to Diagnosis for Patients Presenting to a Tertiary Care Children's Hospital
March 7, 2016

This project uses Pediatric Stroke Clinical Pathway (PSCP) to expedite and standardize care for children 1 month to 18 years of age with stroke-like symptoms.

Award Entry
Prevention of Central Line Associated Bloodstream Infection in the PICU
March 7, 2016

Bloodstream infection is the most common cause of nosocomial infection in pediatric intensive care units and contributes to costly health care expense.

Award Entry
Taking the Fall for Kids
March 7, 2016

This project improved patient safety by using an evidence-based falls bundle to decrease patient falls with injury.

Award Entry
Situation Awareness Saves Lives
March 7, 2016

The Situation Awareness system is a means to reduce the number of non-ICU emergency transfers to the PICU and impact the number of Serious Safety Events caused by unrecognized clinical deterioration.

Award Entry
Chemotherapy Administration in Children: Our Journey to Improve the Safety, Quality, and Reliability of our Delivery System and Process
March 7, 2016

A major process improvement was initiated to eliminate inconsistencies and establish best practices for nurses who administer chemotherapy to children.

Award Entry
Innovative Uses of the Electronic Health Record to Enhance Harm Prevention Efforts
March 7, 2016

The project used the Electronic Health Record (EHR) to increase organizational adherence to prevention bundle standards for patients at risk for specific hospital acquired conditions (HACs).

Award Entry
Hardwiring the "3Cs Medication Safety Process"
March 7, 2016

This project evaluated the IV medication administration process and found that many errors could be prevented with improved processes and compliance.

Award Entry
Respiratory Therapy and Skin Integrity
March 7, 2016

The NICU remains below the national benchmark for hospital-acquired pressure ulcers (HAPUs), but data analysis indicates most respiratory related HAPUs were diagnosed at Stage II and greater.

Award Entry
Asthma: Delivering Evidence-Based Care and Studying the Outcomes
March 7, 2016

Standardization of clinical care for asthma patients led to consistent improvements in patient care goals and an overall better experience.

Award Entry
Safe Transport to the OR From the NICU: A Multidisciplinary Approach to Improving Perioperative Care of Newborns
March 7, 2016

This project identified a high incidence of hypothermia and endotracheal tube malposition in neonates when they returned to the NICU from the OR after a procedure.

Award Entry
Journey to Zero: Systemic Reduction in Medication Administration Events Through Novel Simulation Based Training
March 7, 2016

A medication safety work group performed multiple improvement cycles and created a simulation program for the reliable use of independent double checks for high alert medications and medication administration.

Award Entry
Implementation and Sustainability of a Bronchiolitis Clinical Care Guideline
March 7, 2016

This project demonstrates a method of sustained improvement for the Bronchiolitis Clinical Care Guideline by focusing on change management and communication strategies for culture change.

Award Entry
Decreasing Time to IV Antibiotics for Oncology with Fever Patients in the Emergency Department
March 7, 2016

A new pre-arrival registration process allows the ED to prepare for the patient’s arrival in advance with the goal of administering IV antibiotics faster once the patient arrives.

Award Entry
Reducing Unnecessary Routine Post-Operative CBCs in the Pediatric Intensive Care Unit
March 7, 2016

This project targeted patients at low risk of needing a blood transfusion to safely reduce unnecessary routine post-operative laboratory testing and improve patient care.

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2017 Judges

Judging this year's entries are pediatric quality experts from children's hospitals and allied organizations including the American Board of Medical Specialties Research and Education, American Board of Pediatrics, and the International Society for Quality in Health Care.

Past Award Entries