Department of Anesthesiology, Perioperative and Pain Medicine | Quality and Safety

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The Department of Anesthesiology, Perioperative, and Pain Medicine at Boston Children’s Hospital is dedicated to providing safe, effective, and efficient, patient-centered care.  In an effort to monitor its performance and compare its progress with other pediatric hospitals around the nation, the Department participates in numerous data tracking registries.  From the data collected, the Department puts into practice quality improvement initiatives to further ensure the delivery of high-quality healthcare services.  

For a more detailed description of these registries, please see the table below. 

Registry Name Data the Registry Measures/Tracks  To Learn More
Wake Up Safe
Serious adverse events occurring during and after pediatric anesthetics, e.g., cardiac arrests during anesthesia (and 24 hours after), medication errors, deaths
PRAN (Pediatric Regional Anesthesia Network)
Adverse events associated with regional anesthetics
CSANDS (Cardiac Surgery and Anesthesia Database System) Collects demographic data and adverse events in the OR and cardiac catheterization lab
Anesthesia Cardiac Arrest Registry (internal to the Hospital) Single-center retrospective and prospective data collection of cardiac arrests from patients undergoing anesthesia
ELSO (Extracorporeal Life Support Organization) Program acts as a consortium of health care professionals and scientists to implement ECMO (Exctracorporeal Membrane Oxygenation) utilization (rate of ECMO, rate of return of circulation)
PeDi (Pediatric Difficult Airway) Outcomes of care of pediatric patients with difficult direct laryngoscopy and intubation  
 Crainosynostosis Based on the analysis of the data, a new post operative care management program and standardized protocols for the PACU and inpatient ward will be established.  The aim is to reduce ICU admissions for patients undergoing craniosynostosis repair
We are grateful to have been ranked #1 on U.S. News & World Report's list of the best children's hospitals in the nation for the third year in a row, an honor we could not have achieved without the patients and families who inspire us to do our very best for them. Thanks to you, Boston Children's is a place where we can write the greatest children's stories ever told.”
- Sandra L. Fenwick, President and CEO

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