Peer Review of Paediatric Endocrine Services in the UK: A Template for Quality and Service Improvement.

Autor:	Schulga J; NHS Forth Valley Women & Children Department, Forth Valley Royal Hospital, Larbert, UK., Mitchell H; Paediatrics Department, West Hertfordshire Hospitals NHS Trust, Watford, UK., Ahmed SF; Child Health, School of Medicine, Dentistry and Nursing, Royal Hospital for Children, Glasgow, UK., Albanese A; Department of Paediatric Endocrinology, St. George's University Hospital NHS Foundation Trust, London, UK., Warner J; Department of Paediatric Endocrinology, Noah's Ark Children's Hospital for Wales, Cardiff, UK., Davies JH; Child Health Directorate, University Hospital Southampton, Southampton, UK., Shaw N; Deparment of Endocrinology & Diabetes, Birmingham Women's & Children's Hospital, and Institute of Metabolism & Systems Research, University of Birmingham, Birmingham, UK., Banerjee I; Royal Manchester Children's Hospital, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK., Patel L; Royal Manchester Children's Hospital, Manchester University NHS Foundation Trust, and Division of Medical Education, The University of Manchester, Manchester, UK.
Jazyk:	angličtina
Zdroj:	Hormone research in paediatrics [Horm Res Paediatr] 2020; Vol. 93 (11-12), pp. 616-621. Date of Electronic Publication: 2021 Mar 31.
DOI:	10.1159/000515238
Abstrakt:	Background: Independent peer review of healthcare services can complement existing internal-, institutional-, and national-level regulatory mechanisms aimed at improving quality of healthcare. However, this has not been reported for paediatric endocrinology services in the UK. We aimed to test feasibility and acceptability through a first cycle of a national peer review of paediatric endocrine services. Methods: Tertiary centres in paediatric endocrinology across the UK were assessed against 54 quality standards, developed by the British Society for Paediatric Endocrinology and Diabetes (BSPED) in five domains of healthcare by a team comprising paediatric endocrinologists and specialist nurses. The evaluation was supported by a self-assessment. A post-peer-review questionnaire was used as feedback. Results: All 22 centres in the UK underwent independent peer review between 2011 and 2017. Each served a median population of 2.6 million (range 1-8 million) and offered 1,872 (range 779-6,738) outpatient consultations annually. A total of 43 (range 30-49) standards were met in combined evaluation of all centres. Variance of adherence for essential standards ranged from 52 to 97% at individual centres with 90% adherence demonstrated by 32% of centres. Post-review feedback showed 20/22 (95%) validating the utility of the peer review. Conclusions: The BSPED peer review of all UK centres providing paediatric endocrine services is shown to be feasible and provides a quality benchmark for replication by national services. (© 2021 S. Karger AG, Basel.)
Databáze:	MEDLINE
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