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Rise of pediatric surgery collaboratives to facilitate quality improvement
Affiliation:1. Division of Pediatric Surgery, Children''s Hospital Los Angeles, 4650 Sunset Blvd, Department of Surgery, Mailstop #100, Los Angeles, CA 90027, USA;2. Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA;3. Department of Pediatric Surgery, McGovern Medical School at UT Health Houston and Children''s Memorial Hermann Hospital, Houston, TX, USA;4. Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA;1. Division of Pediatric Surgery, Oklahoma Children''s Hospital, 1200 Everett Drive, ET NP 2320 Oklahoma City, OK 73104, United States;2. The University of Oklahoma Health Sciences Center, Department of Surgery, 800 Research Parkway, Suite 449, Oklahoma City, OK 73104, United States;1. School of Medicine, Loma Linda University, Loma Linda, CA, USA;2. Division of Pediatric Surgery, Loma Linda University Children''s Hospital, Loma Linda, CA, USA;1. Department of Surgery, Section of Pediatric Surgery, Indiana University School of Medicine, Indianapolis, IN, USA;2. Department of Biological and Environmental Engineering, Cornell University, Ithaca, NY, USA;3. Riley Hospital for Children at Indiana University Health, Indianapolis, IN, USA;1. Institute of Medical Sciences, University of Toronto, Toronto, ON, Canada;2. Translational Medicine, Hospital for Sick Children Research Institute, University of Toronto, Toronto, ON, Canada;3. Division of General and Thoracic Surgery, The Hospital for Sick Children, University of Toronto, 1526-555 University Ave, Toronto, ON M5G 1×8, Canada
Abstract:Broad changes in pediatric surgical care delivery are limited by the rarity of pediatric surgical diseases and the geographic dispersion of pediatric surgical care across different hospital types. Pediatric surgical collaboratives and consortiums can provide the patient sample size, research resources, and infrastructure to advance clinical care for children with who require surgery. Additionally, collaboratives can bring together experts and exemplar institutions to overcome barriers to pediatric surgical research to advance quality surgical care. Despite challenges to collaboration, many successful pediatric surgical collaboratives emerged in the last decade and continue to push the field forward towards high-quality, evidence-based care and improved outcomes. This review will discuss the need for continued research and quality improvement collaboratives in pediatric surgery, identify challenges faced when building collaboratives, and introduce future directions to expand impact.
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