Michigan PICU's Quality Improvement Program

Our quality improvement curriculum has come a long way in the last 12 months!  We encourage attendance at hospital and unit-based safety and quality programs, participation in workgroups aimed at reducing hospital-acquired conditions (unplanned extubations, ventilator-associated pneumonias, central line-associated bloodstream infections, central-line associate venous thromboemboli, pressure injuries from hospital devices, and catheter-associated urinary tract infections).  Additionally, the program provides access to the Institute for Healthcare Improvement QI and patient safety online modules. The curriculum is self-driven, self-paced, and often completed during research blocks.

Pediatric Critical Care QI curriculum chart 

Our division is rich with current and evolving quality improvement activities:

  • Acute management of patients with mediastinal mass
  • Awake ECMO
  • Bereavement follow up program
  • Delirium and unplanned extubations
  • DKA transition to subcutaneous insulin
  • Development and implementation of sedation protocol
  • ECMO follow up program
  • Extubation readiness testing
  • House Officer Clinical Quality and Safety Council
  • Improving sepsis outcomes
  • Multidisciplinary handoff of surgical patients
  • Noise pollution and delirium
  • Standardized management of patients after airway reconstruction
  • Use of inhaled nitric oxide

pediatric critical care 'think big start small'