Mobile health technology in pediatric EGD quality indicators assessment: results from a national program of the Italian Society of Pediatric Gastroenterology, Hepatology and Nutrition.

Autor: Norsa L; Pediatric Hepatology Gastroenterology and Transplantation Unit, ASST Papa Giovanni XXIII, Bergamo, Italy; Department of Pediatrics, Vittore Buzzi Children's Hospital, Milan, Italy. Electronic address: lonorsa@hotmail.com., Morotti F; Division of Pediatrics, Department of Health Sciences, Università degli Studi del Piemonte Orientale, Novara, Italy; Neonatology and Neonatal Intensive Care Unit, Spedali Civili Children's Hospital, Brescia, Italy., Mantegazza C; Department of Pediatrics, Vittore Buzzi Children's Hospital, Milan, Italy., Meroni M; Department of Pediatric Surgery, Vittore Buzzi Children's Hospital, Milan, Italy., Deganello Saccomani M; Department of Pediatrics, Woman's & Child's University Hospital of Verona, Verona, Italy., Banzato C; Department of Pediatrics, Woman's & Child's University Hospital of Verona, Verona, Italy., Parma B; Department of Pediatric, Mariani Foundation Center for Fragile Child, ASST-Lariana, Sant'Anna Hospital, San Fermo della Battaglia, Como, Italy., Franchino G; Department of Pediatric, Mariani Foundation Center for Fragile Child, ASST-Lariana, Sant'Anna Hospital, San Fermo della Battaglia, Como, Italy., Di Nardo G; Department of Neurosciences, Mental Health and Sensory Organs (NESMOS), Sapienza University of Rome, Pediatric Unit, Sant'Andrea University Hospital, Rome, Italy., Sansotta N; Pediatric Hepatology Gastroenterology and Transplantation Unit, ASST Papa Giovanni XXIII, Bergamo, Italy., Orizio P; Department of Pediatric Surgery, Spedali Civili Children's Hospital, Brescia, Italy., Dabizzi E; Gastroenterology and Interventional Endoscopy Unit, AUSL Bologna, Surgical Department, Bologna, Italy., Fava GR; Department of Pediatric Surgery, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy., Chiaro A; Pediatric Gastroenterology and Endoscopy Unit, IRCCS Istituto Giannina Gaslini, Genova, Italy., Pellegrino M; Pediatric Surgery Department, ASST GOM Niguarda, Milan, Italy., Fornaroli F; Gastroenterology and Endoscopy Unit, Department of Medicine and Surgery, University of Parma, Parma, Italy., Pizzol A; Pediatric Gastroenterology Unit, Regina Margherita Children's Hospital, Azienda Ospedaliera-Universitaria Città della Salute e della Scienza di Torino, Turin, Italy., Strisciuglio C; Department of Woman, Child, General and Specialistic Surgery, University of Campania 'Luigi Vanvitelli,' Naples, Italy., Pacenza C; Department of Pediatrics, San Giovanni di Dio Hospital, Crotone, Italy., Barp J; Gastroenterology and Nutrition Unit, Meyer Children's Hospital IRCCS, Florence, Italy., Ruggiero C; Pediatric Gastroenterology and Liver Unit, Maternal and Child Health Department, Sapienza University of Rome, Rome, Italy (18)., Russo G; Pediatric Gastroenterology and Liver Unit, Maternal and Child Health Department, Sapienza University of Rome, Rome, Italy (18)., Oliva S; Pediatric Gastroenterology and Liver Unit, Maternal and Child Health Department, Sapienza University of Rome, Rome, Italy (18).
Jazyk: angličtina
Zdroj: Gastrointestinal endoscopy [Gastrointest Endosc] 2024 Oct; Vol. 100 (4), pp. 637-646.e3. Date of Electronic Publication: 2024 Mar 19.
DOI: 10.1016/j.gie.2024.03.019
Abstrakt: Background and Aims: Upper endoscopy (UE) procedures (EGD and ERCP) are an established standard of care in pediatric gastroenterology. The Pediatric Endoscopy Quality Improvement Network (PEnQuIN) recently published its pediatric-specific endoscopy quality guidelines. This study, initiated by the Italian Society of Pediatric Gastroenterology, Hepatology and Nutrition, aims to evaluate the adherence of Italian pediatric endoscopy centers (PECs) to these established quality standards.
Methods: Conducted between April 2019 and March 2021, this nationwide study used a smartphone-based app approach. Data encompassing pediatric endoscopy facilities, patient profiles, endoscopy indications, 17 procedure-related PEnQuIN indicators, and a patient satisfaction questionnaire (Group Health Association of America-9) were systematically collected.
Results: A comprehensive analysis of 3582 procedures from 24 centers revealed that 2654 (76%) were UEs. The majority of centers (75%) involved >1 operator, with 9 centers incorporating adult endoscopists, responsible for 5% of UEs. Overall, adherence to quality standards was good; however, areas of improvement include suboptimal reporting of sedation details, adherence to disease-specific guidelines, and patient satisfaction questionnaire completeness (56%). The adverse event rate aligned with literature standards (1%), and patient satisfaction was generally high. A noteworthy observation was a 30% decreased monthly reporting rate and a shift in disease-specific patterns after the COVID-19 outbreak.
Conclusions: Pediatric UE practices in Italy adhere well to established quality standards. Emphasizing the adoption of disease-specific guidelines is crucial for optimizing resources, enhancing diagnostic accuracy, and minimizing unnecessary procedures. Prioritizing patient satisfaction is important for immediate enhancements in practice as well as for future research endeavors.
Competing Interests: Disclosure All authors disclosed no financial relationships.
(Copyright © 2024 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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