Pediatric Toolkit for Using the AHRQ Quality Indicators

A stand-alone pediatric version of the QI Toolkit is available to meet the needs of hospitals that serve children, and includes a concise set of tools to facilitate efforts to improve clinical quality. The Pediatric QI Toolkit contains tools for the same six steps (A through F) as the QI Toolkit, including materials that improvement teams can use to identify and catalogue quality and patient safety concerns, educate clinical leaders and staff, and hone in on priorities. It also includes 13 indicator-specific best practices for improving performance on the AHRQ Pediatric Quality Indicators (PDIs) and a case study of a Toolkit user in a pediatric setting. This new Pediatric QI Toolkit can be used to improve performance on the PDIs as well as other measures of inpatient pediatric quality.

Download the Pediatric QI Toolkit

The tables below list all of the resources available in the Pediatric QI Toolkit. You can download the tools one at a time or altogether in a PDF or ZIP file.

• To download the entire QI Toolkit as a single PDF document, use this file ( PDF - 9.29 MB)
• To download all of the tools in the Pediatric QI Toolkit at once, use this file ( Zipped - 10.21 MB)

Note: PDF files are accessible.

Section A: Assessing Readiness To Change

Tool	Description	Format
A.1. Introduction to Pediatric QI Toolkit	Includes this introduction to toolkit (A.1) and a fact sheet on AHRQ PDIs (A.1a)	Introduction PDF [ - 78.59 KB] Fact Sheet PDF [ -  48.6 KB]
A.2. Board PowerPoint Presentation on the AHRQ PDIs	Includes PowerPoint presentation to introduce project to the hospital board and/or senior leadership	PDF [ - 2.66 MB] PPT [493.96 MB]
A.3. Getting Ready for Change Self-Assessment	Includes survey to assess leaders' perspectives on organizational readiness	PDF [ -  94.55 KB] Word [63.99 KB]
A.4. Case Study of Improvement Implementation	Includes a case study of how a children's hospital used the Pediatric QI Toolkit	PDF [ - 34.62 KB]

Section B: Applying QIs to Your Hospital's Data

Tool	Description	Format
B.1. Applying the AHRQ Pediatric Quality Indicators to Hospital Data	Includes instructions for performing calculations to identify current PDI rates in your hospital	PDF [ - 200.9 KB]
B.2. PDI Rates Generated by SAS QI (B.2a) and Windows QI (B.2b) Software	Includes sample output from both software packages	SAS PDF [ - 100 KB] Windows PDF [ - 133.55 KB]
B.3. Excel Worksheets for Charts on Data, Trends, and Rates to Populate the PowerPoint Presentation Instructions; PowerPoint Presentation: The AHRQ Quality Indicators, Results, and Discussion of Data Analysis	Includes instructions on how to use Excel worksheets to produce charts based on your hospital's data and a PowerPoint presentation template	Instructions PDF [ - 42.7 KB] Charts for Presentation PDF [ -  435.65 KB] Presentation PDF [ - 765.84 KB] PPT [127.29 KB]  Excel [58.81 KB]
B.4. Documentation and Coding for PDIs	Includes strategies for addressing documentation and coding issues with the PDIs	PDF [ - 238.63 KB]
B.5. Assessing Indicator Rates Using Trends and Comparators	Includes guidance for conducting trend and comparator analysis	PDF [ - 69.71 KB]

Section C: Identifying Priorities for Quality Improvement

Tool	Description	Format
C.1. Prioritization Worksheet and Instructions	Includes Excel spreadsheet to assist in prioritizing selection of indicators	Worksheet PDF [ - 129.13 KB] Instructions PDF [ - 246.1 KB] Excel [30.93 KB]
C.2. Prioritization Worksheet Example	Includes an example of a completed prioritization worksheet	PDF [ - 135.26 KB] Excel [31.06 KB]
C.3. Staff Engagement Presentation	Includes a PowerPoint presentation template that can be used to engage frontline and other staff	PDF [ - 1.75 MB] PPT [143.06 KB]

Section D: Implementing Evidence-Based Strategies To Improve Clinical Care

Tool	Description	Format
D.1. Improvement Methods Overview	Includes an overview of the steps in a quality improvement process	PDF [ - 579.28 KB] PPT [94.18 KB]
D.2. Project Charter	Includes a charter to help you define the implementation team, goals, and measures of progress for your improvement project	PDF [ - 256.67 MB] Word [45.27 KB]
D.4. Selected Best Practices and Suggestions for Improvements	Includes introduction to indicator-specific best practices and detailed information on best practices for selected indicators	Introduction PDF [ - 38.47 KB] PDI01 Accidental Puncture or Laceration PDF [ - 62.74 KB] PDI02 Pressure Ulcer PDF [ - 110.08 KB] PDI03 Foreign Body PDF [ -96.96 KB] PDI05/NQI01 Iatrogenic Pneumothorax PDF [ - 80.96 KB] PDI06 Pediatric Heart Surgery PDF [ - 74.63 KB] PDI08 Perioperative Hemorrhage or Hematoma PDF [ - 77.91 KB] PDI09 Postoperative Respiratory Failure PDF [ - 65.96 KB] PDI10 Postoperative Sepsis PDF [ - 112.29 KB] PDI11 Postoperative Wound Dehiscence PDF [ - 61.87 KB] PSI12 Central Venous Catheter-Related Bloodstream Infections PDF [ - 130.85 KB] NQI03 Neonatal Blood Stream Infection PDF [ - 153.19 KB]
D.5. Gap Analysis	Includes a tool to help you understand how your organization's practices align with best practices to identify potential areas for improvement	PDF [ - 51.4 KB] Word [48.25 KB]
D.6. Implementation Plan	Includes a tool to help plan and monitor steps needed to begin implementation	PDF [ - 81.28 KB] Word [51.4 KB]
D.7. Implementation Measurement	Includes an example of how to monitor progress once implementation has begun	PDF [ - 69.31 KB] Word [52.92 KB]
D.8. Project Evaluation and Debriefing	Includes a tool to assist in evaluating the implementation process and identifying areas in need of further improvement	PDF [ - 41.9 KB] Word [46.27 KB]

Please note that the D.3 tool no longer exists, but we have kept the existing numbering for the remaining tools.

Section E: Monitoring Progress and Sustainability of Improvements

Tool	Description	Format
E.1. Monitoring Progress for Sustainable Improvement	Includes a tool to assist with planning for ongoing examination of processes and outcomes for continuous improvement	PDF [ - 62.3 KB]

Section F: Analyzing Return on Investment

Tool	Description	Format
F.1. Return on Investment Estimation	Includes a step-by-step method for calculating  return-on–investment (ROI) for an intervention aimed at improving performance on an AHRQ QI and an example ROI calculation	PDF [ - 213.64 KB] Word [118.12 KB]

Section G: Other Quality Improvement Resources

Tool	Description	Format
G.1. Available Comprehensive Quality Improvement Guides	Includes an annotated list of related comprehensive quality improvement guides	PDF [ - 76.13 KB]
G.2. Specific Tools to Support Change	Includes an annotated list of other related quality improvement tools and resources	PDF [ - 297.07 KB]