Pediatric Toolkit for Using the AHRQ Quality Indicators

How To Improve Hospital Quality and Safety

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 file PDF - 9.29 MB)
  • To download all of the tools in the Pediatric QI Toolkit at once, use this file (compressed file archive 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 [PDF file - 78.59 KB]
Fact Sheet PDF [PDF file -  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 [PDF file - 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 [PDF file -  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 [PDF file - 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 [PDF file - 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 [PDF file - 100 KB]
Windows PDF [PDF file - 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 [PDF file - 42.7 KB]
Charts for Presentation PDF [PDF file -  435.65 KB]
Presentation PDF [PDF file - 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 [PDF file - 238.63 KB]
B.5. Assessing Indicator Rates Using Trends and Comparators Includes guidance for conducting trend and comparator analysis PDF [PDF file - 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 [PDF file - 129.13 KB]
Instructions PDF [PDF file - 246.1 KB]
Excel [30.93 KB]
C.2. Prioritization Worksheet Example Includes an example of a completed prioritization worksheet PDF [PDF file - 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 [PDF file - 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 [PDF file - 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 [PDF file - 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 [PDF file - 38.47 KB]
PDI01 Accidental Puncture or Laceration PDF [PDF file - 62.74 KB]
PDI02 Pressure Ulcer PDF [PDF file - 110.08 KB]
PDI03 Foreign Body PDF [PDF file -96.96 KB]
PDI05/NQI01 Iatrogenic Pneumothorax PDF [PDF file - 80.96 KB]
PDI06 Pediatric Heart Surgery PDF [PDF file - 74.63 KB]
PDI08 Perioperative Hemorrhage or Hematoma PDF [PDF file - 77.91 KB]
PDI09 Postoperative Respiratory Failure PDF [PDF file - 65.96 KB]
PDI10 Postoperative Sepsis PDF [PDF file - 112.29 KB]
PDI11 Postoperative Wound Dehiscence PDF [PDF file - 61.87 KB]
PSI12 Central Venous Catheter-Related Bloodstream Infections PDF [PDF file - 130.85 KB]
NQI03 Neonatal Blood Stream Infection PDF [PDF file - 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 [PDF file - 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 [PDF file - 81.28 KB]
Word [51.4 KB]
D.7. Implementation Measurement Includes an example of how to monitor progress once implementation has begun PDF [PDF file - 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 [PDF file - 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 [PDF file - 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 [PDF file - 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 [PDF file - 76.13 KB]
G.2. Specific Tools to Support Change Includes an annotated list of other related quality improvement tools and resources PDF [PDF file - 297.07 KB]


Page last reviewed December 2017
Page originally created June 2016
Internet Citation: Pediatric Toolkit for Using the AHRQ Quality Indicators. Content last reviewed December 2017. Agency for Healthcare Research and Quality, Rockville, MD.
Back To Top