Learning networks in pediatric heart failure and transplantation

Pediatric Transplantation. Learning networks have emerged in medicine as a novel organizational structure that blends quality improvement, education, and research to drive rapid improvements in clinical care. This publication defines the concept of a learning network and highlights it within the field of pediatric heart failure and transplantation, with particular focus on the Advanced Cardiac Therapies Improving Outcomes Network (ACTION), a collaborative for children with heart failure and those supported by ventricular assist devices. The article describes ACTION's mission, goals, and organizational structure, along with recent initiatives including practice harmonization protocols, stroke reduction efforts, and data that supported FDA approval of newer ventricular assist devices for pediatric patients. Ultimately, learning networks like ACTION drive clinical improvement through research, quality improvement projects, patient-reported outcomes, and education, work that continues to accelerate change in practice for children with heart failure and transplant needs.