Zayabalaradjane Zayapragassarazan, Masanam Kasi Sumathy, Mukta Wyawahare, Dinker Pai
A protocol to evaluate the effectiveness of competency-based simulation training modules on the educational outcomes among MBBS students - A mixed method study
Journal of education and health promotion
2015 american college surgeons began childrens surgery verification quality improvement program promulgating standards intended promote regionalization improve pediatric surgical care hypothesized pediatric surgical care already highly regionalized concentrated implementation program study aimed demonstrate describing sites volume nonambulatory pediatric surgery twopart retrospective crosssectional analysis performed first six allencounter state inpatient data sets arkansas florida kentucky maryland new york healthcare cost utilization project massachusetts center health information used evaluate procedures performed within specific hospitals 2014 next national sample data set 2016 kids inpatient database used determine generalizability single state results acute care hospital admissions patients less 18 yr age included describe nature location surgical procedures therein patient age surgical specialty procedure type hospital service breadth within six study states 713 hospitals 635 891 admitted patients less 18 yr old 516 724 reported pediatric procedures among 9 specialty hospitals 39 hospitals services comparable independent childrens hospitals 153587 procedures among 1065655 pediatric admissions 127869 833 took place within 48 centers fraction decreased age 899 patients less 2 yr old 685 15 17yrolds varied slightly specialty similar across states outside specialized centers teenagers accounted 474 procedures within national data sample concentration similar 87 328 3777 hospitals admitting children responsible 901 793905 881049 procedures little regional variation american college surgeons childrens surgery verification quality improvement program vast majority pediatric nonambulatory surgeries already confined small subset highcapability specialty centers