Table 2

Examples of care standardization in pediatric surgery

ContextStandardizationLevel of evidence (LOE)Outcome improvementReference
Childhood
 Perforated appendicitisGrading scale, protocolized antibioticsProspective single centerDecreased length of stay (LOS)Yousef et al.13
 Elective colon surgeryOperative care bundleProspective multi-centerSurgical site infection (SSI) rateTobias et al.14
 Elective inguinal surgeryStandardization of instrument trayProspective single centerImproved sterilization timeKoyle et al.68
 GastrostomyGastrostomy tube care bundleProspective single centerDecreased gastrostomy tube dislodgementRuffolo et al.69
Neonatal
 NECStandardized feeding regimenSystematic review (SR)Decreased incidenceJasani et al.70
 GastroschisisClosure bundleRetrospective single centerLess ventilator daysHaddock et al.71
 GastroschisisFeeding bundleSystematic review (SR)Quicker feeding, decreased mortalityRaduma et al.72
  • NEC, necrotizing enterocolitis.