Key result
Low pediatric anesthesia volumes at 72% of hospitals complicate caseload-based credentialing.
Why the study?
The study examined inpatient anesthesia care demographics for infants and children to assess if procedure volumes support credentialing policies based on caseload.
Observational (n=14,435)
Yes
Performance-based credentialing for pediatric anesthesia based on caseload may be problematic because the vast majority of hospitals care for very few children.
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Caution advised against caseload-based pediatric anesthesia credentialing; leaves open optimal metrics for low-volume centers.
Macario et al. (1995) conducted an observational in Inpatient pediatric anesthesia (n=14,435). Hospital surgical volume for pediatric anesthesia was evaluated on Annual hospital caseloads (procedure-days) for pediatric anesthesia. A retrospective review of 14,435 pediatric anesthesia cases found that 72% of hospitals had fewer than 50 cases per year, suggesting caseload-based credentialing may be problematic.